A recommendation to consolidate all hospital births in the Northern Trust area at the Antrim Hospital site has been approved by the Department of Health.
Department permanent secretary Peter May said he had taken the decision to "ensure safe, consistent and sustainable care for mothers and babies in the trust area".
Maternity services are currently provided from the trust's two acute hospitals, Antrim Area and Causeway, but concerns have been raised over the sustainability of services at the Causeway facility in Coleraine, where the number of births is lower.