In an On Medicine blog post for International Nurses Day 2023, Rachael Moss and Kathryn Willan discuss a study on whether a midwife-led continuity of care model improves birth outcomes and maternal mental health in vulnerable women.
Mother and newborn baby skin to the skin after birth in the hospital What is the midwife-led continuity of carer model?
Initially, the pilot aimed to find out how well the model could be implemented and how acceptable it was for both the midwives delivering care, and the patients receiving care. Many women supported as part of phases one and two suggested that this model was crucial for helping them build trust with their midwives. The longer appointment times gave them space to share concerns about their mental health and their birth plans. Midwives providing continuity of carer reported higher levels of satisfaction compared to midwives providing traditional care. There were, however, logistical challenges in delivering continuity of care during the intrapartum period.
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