title: Safest birth attendants: recent Dutch evidence.
abstract: Analysis of national perinatal statistics from Holland, 1986, demonstrates that for all births after 32 weeks' gestation mortality is much lower under the non-interventionist care of midwives than under the interventionist management of obstetricians at all levels of predicted risk. This finding confirms with great authority the conclusions of all earlier impartial analyses from Britain and other countries which agree in contradicting the claims on which the organisation of maternity services in most developed countries is now based, namely, that childbirth is made so much safer by the application of high technology that only this option should be provided.
authors.forename: M
authors.initials: M
authors.lastname: Tew
authors.forename: S M
authors.initials: SM
authors.lastname: Damstra-Wijmenga
mesh_terms: D005260:Female; D005865:Gestational Age; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D008428:Maternal Mortality; D009426:Netherlands; D009721:Nurse Midwives / Q000592:standards*; D015403:Nursing Evaluation Research; D009774:Obstetrics / Q000592:standards*; D011247:Pregnancy; D011256:Pregnancy Outcome; D012307:Risk Factors