Abstract

Numerous NHS reforms of the last 20years have led to the closure of many community midwife-led birth centres. This trend, while not reversed, has recently been slowed with the opening of a number of well publicised birth centres. Oxfordshire has been fortunate in being able to retain three community midwife-led units (MLU), Wallingford, Chipping Norton, and Wantage which provide care for women alongside a district general hospital in Banbury and a large teaching hospital in Oxford. These MLUs provide care, for women assessed as ‘low-risk’, and are characterised by a philosophy of viewing birth as a normal physiological life event. MLUs can be free standing, attached to a community hospital, as they are in Oxfordshire, or sit in or alongside a district or regional hospital.

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