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Healio points us to a report from the Centers for Medicaid & Medicare Services (CMS) on the results of Strong Start, a package of strategies to improve maternal-child health in low-income women. The package consisted of:
Women in the program had preterm birth rates similar to the general population despite being at higher risk and lower preterm birth rates than in their racial/ethnic groups. They were also less likely to deliver by cesarean, more likely to breastfeed, and more likely to have a vaginal birth after cesarean (VBAC) than the national average.
The Take-Away: Midwifery-model care works, medical-model management not so much.