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Comment & Response
February 14, 2017

Birth Center Model of Care

Author Affiliations
  • 1Clinical Excellence Research Center, Stanford University, Stanford, California
  • 2Department of Pediatrics, Lucile Packard Children’s Hospital, Palo Alto, California
JAMA. 2017;317(6):646. doi:10.1001/jama.2016.20482

In Reply Our Viewpoint examined the concept of birth centers and suggested a path to broader adoption in the United States through a network of hospital-affiliated birth centers, a model used in the United Kingdom.

The Birthplace in England national prospective cohort study accounted for 95% of freestanding midwifery units in the United Kingdom, collecting comprehensive data across different delivery settings with high response rates.1 We thought the generalizability of these data were stronger than available US studies. The outcomes were excellent for low-risk women and their infants and provide a strong case for hospital-affiliated outpatient birth centers.