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Article analysis:

This article is generally reliable and trustworthy, as it provides a detailed description of the research methods used, including the sample size, data collection methods, statistical analysis techniques, etc., which helps to ensure the accuracy of the results presented. Furthermore, the authors have provided a clear explanation of their findings and discussed their implications for maternity services in Spain.

However, there are some potential biases that should be noted. Firstly, this study only looked at public hospitals in Spain; thus, it may not be representative of all maternity services in the country or other countries with different healthcare systems. Secondly, this study did not consider any socio-economic factors that may have influenced the results; thus, further research is needed to explore these factors more thoroughly. Additionally, while the authors discuss potential implications for maternity services in Spain based on their findings, they do not provide any concrete recommendations or suggestions for how these changes could be implemented or what impact they might have on maternal and neonatal health outcomes. Finally, while this study found no higher adverse outcomes associated with midwifery care compared to obstetric care, it did not explore any possible risks associated with either type of care; thus further research is needed to investigate this issue more thoroughly.