Two midwives assist a woman in labor on a birth chair in the 16th Century, from a work by Eucharius Rößlin.

Might hospital-affiliated outpatient  birth centers  be a way of achieving the “Institute for Healthcare Improvement’s’ “Triple Aim” as applied t0 obstetrics?

“Improving the patient experience of care (including quality and satisfaction); improving the health of populations, and reducing the per- capita cost of healthcare.”

To read a JAMA article about this idea, please hit this link.