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Midwife-led units
• the RCM believes that women are getting increasingly being offered a choice of care in  a midwife led unit. These units are often small especially if they stand apart from a main hospital and often deliver around 300 to 400 women a year. Women accessing these units will find a personalised service, will often be looked after by midwives they know from the antenatal period, will always have access to water for pain relief as well as birth balls etc, will use intermittent fetal monitoring and will be able to mobilise in labour. The midwifery led units that stand alongside obstetric units often deliver higher numbers of women and the service may be less personalised but women accessing these services will meet midwives who have a philosophy of promoting normal birth and again will experience birth without the use of technology
• the evidence is that women who are able to choose such services evaluate their care highly and experience lower levels of intervention. I will refer more to this later on.
• the downside to women of choosing these service models is that they will have to transfer if there is a problem in labour.