The Birthplace study did not ask women about the quality of midwifery
support they received but it does show that births without obstetric and
anaesthetic interventions were much more common in midwifery-led
care settings (home births and birth centre care). Other studies have
suggested that this is partly the result of a different philosophy of care
in different settings, with hospital labour wards tending to have more
of a focus on monitoring and medicalised care. In contrast, midwives
working in birth centres and providing care for home births tend to
focus more on providing a calm, comfortable environment, respecting
privacy and disturbing women as little as possible. In these settings,
emotional and practical support from midwives and others is
considered highly important.