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. 2025 Mar 19;23(5):823–840. doi: 10.1007/s40258-025-00962-z

Table 6.

Reported findings of economic evaluations on midwifery

High income countries
(n = 26)
Low- and middle-income countries
(n = 6)
Total
(n = 32)
Midwifery costs reported
Less than comparator 20 1 21
Similar to or less than comparator* 2 1 3
Similar to comparator 3 3
More than comparator 1 1 2
N/A (no comparator) 3 3
Study conclusion regarding costs or cost-effectiveness
Midwifery care and obstetric care combined is cost-saving 1 1
Midwifery care has comparable costs 2 2
Midwifery care is comparable to cost savings^ 3 3
Midwifery care is cost-beneficial 1 1 2
Midwifery care is cost-effective 2 2
Midwifery care offers cost savings 17 1 19
Midwifery care costs more but is cost-effective 1 1
In-service education is cost-effective 1 1
N/A (education cost description only) 2 2

*Studies that presented costs from different study sites, intervention arms or perspectives, with some costing results presented as being comparable to the comparator and some costing results as less than the comparator [40, 55, 68]

^Studies that presented differing results from two perspectives [40] or two intervention arms [55]