Emergency obstetric care and referral: experience of two midwife-led health centres in rural Rajasthan, India Iyengar K et al. - The authors conclude that trained nurse-midwives can significantly improve access to skilled maternal and neonatal care in rural areas, and manage maternal complications with and without the need for referral. Protocols must acknowledge that some families might not comply with referral advice, and also that initial care by nurse-midwives can reverse progression of certain complications and thereby avert the need for referral. [more...]