Abstract
Recently another research paper found improved clinical outcomes in a case load scheme, among them a higher normal birth rate and fewer epidurals (Benjamin et al, 2001). The paper adds to the increasing evidence of efficacy from labour continuity schemes. It is therefore a cruel irony that the scheme was stopped just 4weeks before the publication and, after 6years in operation. Not only that — all continuity schemes attached to this particular unit are to be discontinued because of staff shortages within the hospital service. Managers deemed the situation unsafe for women on the delivery suite and hospital wards and felt they had no alternative but to pull back into the hospital integrated midwives running the continuity schemes.
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