Midwife-led continuity models versus other models of care for childbearing women
Abstract
Background Midwives are primary providers of care for childbearing women around the world. However, there is a lack of synthesised information to establish whether there are differences in morbidity and mortality, effectiveness and psychosocial outcomes between midwife-led continuity models and other models of care. Objectives To compare midwife-led continuity models of care with other models of care for childbearing women and their infants. Search methods We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (31 May 2015) and reference lists of retrieved studies. Selection criteria All published and unpublished trials in which pregnant women are randomly allocated to midwife-led continuity models of care or other models of care during pregnancy and birth. Data collection and analysis Two review authors independently assessed trials for inclusion and risk of bias, extracted data and checked them for accuracy. Main results We included 15 trials involving 17,674 women. We assessed the quality of the trial evidence for all primary outcomes (i.e., regional analgesia (epidural/spinal), caesarean birth, instrumental vaginal birth (forceps/vacuum), spontaneous vaginal birth, intact perineum, preterm birth (less than 37 weeks) and overall fetal loss and neonatal death (fetal loss was assessed by gestation using 24 weeks as the cut-off for viability in many countries) using the GRADE methodology: All primary outcomes were graded as of high quality.For the primary o…
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Several studies conducted in Anglo-Saxon and Scandinavian countries have shown high satisfaction levels in women who were monitored in this way.
“Several studies conducted in Anglo-Saxon and Scandinavian countries have shown high satisfaction levels in women who were monitored in this way. 4,7”
From Comprehensive maternity support and shared care in Switzerland: Comparison of levels of satisfaction (2018) · cites this paper as [4]
The planning, coordination and delivery of women's health care by a midwife through pregnancy, intrapartum and postpartum care according to the woman-centred care model has a favourable impact on obstetric and neonatal outcomes compared to other models of care.
“The planning, coordination and delivery of women ' s health care by a midwife through pregnancy, intrapartum and postpartum care according to the woman-centred care model has a favourable impact on obstetric and neonatal outcomes compared to other models of care. 4”
From Comprehensive maternity support and shared care in Switzerland: Comparison of levels of satisfaction (2018) · cites this paper as [4]
These data underscore the beneficial effects of perinatal care provided by the midwife on satisfaction in various cultural and linguistic contexts.
“These data underscore the bene fi cial effects of perinatal care provided by the midwife on satisfaction in various cultural and linguistic contexts. 4,15”
From Comprehensive maternity support and shared care in Switzerland: Comparison of levels of satisfaction (2018) · cites this paper as [4]
In terms of perinatal morbidity, no significant difference was recorded between the two types of care.
“In terms of perinatal morbidity, no signi fi cant difference was recorded between the two types of care, which matches the results of past studies 4 and con fi rms the safety of CSC follow-up.”
From Comprehensive maternity support and shared care in Switzerland: Comparison of levels of satisfaction (2018) · cites this paper as [4]
The CSC follow-up is safe.
“In terms of perinatal morbidity, no signi fi cant difference was recorded between the two types of care, which matches the results of past studies 4 and con fi rms the safety of CSC follow-up.”
From Comprehensive maternity support and shared care in Switzerland: Comparison of levels of satisfaction (2018) · cites this paper as [4]
Several studies show that women who have experienced relational continuity models of care are more likely to be satisfied with their care than women who have experienced other types of care.
“Several studies show that women who have experienced relational continuity models of care are more likely to be satis fi ed with their care than women who have experienced other types of care (Huber and Sandall, 2009; Aune et al., 2012; Sandall et al., 2015).”
From Women's experiences of home visits by midwives in the early postnatal period (2016) · cites this paper as Sandall et al., 2015
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Midwife-led continuity models versus other models of care for childbearing women
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Women's experiences of home visits by midwives in the early postnatal period
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Scaling up care by midwives must now be a global priority
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A qualitative study of how caseload midwifery is constituted and experienced by Danish midwives
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Models of midwifery care for Indigenous women and babies: A meta-synthesis
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Midwives’ perceptions and experiences of engaging fathers in perinatal services
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Midwifery continuity of care for women with complex pregnancies in Australia: an integrative review
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“Unscrambling what’s in your head”: A mixed method evaluation of clinical supervision for midwives
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What do women in Australia want from their maternity care: A scoping review
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Tudela, D. M., Román, P., González‐Chordá, V. M., Rodríguez-Arrastia, M. J., Gutiérrez-Cascajares, L., & Ropero‐Padilla, C. (2022) · Women and Birth · doi:10.1016/j.wombi.2022.07.169 · Cited by 35 · see citing works
Lundgren, I., Berg, M., Nilsson, C., & Ólafsdóttir, Ó. Á. (2019) · Women and Birth · doi:10.1016/j.wombi.2019.01.004 · Cited by 35 · see citing works
Hanley, A. J., Davis, D. L., & Kurz, E. (2021) · Women and Birth · doi:10.1016/j.wombi.2021.06.003 · Cited by 35 · see citing works
- Authors
- Sandall, J., Soltani, H., Gates, S., Shennan, A., & Devane, D.
- Affiliations
- St Thomas' Hospital (GB)
- Sheffield Hallam University (GB)
- University of Warwick (GB)
- King's College London (GB)
- Ollscoil na Gaillimhe – University of Galway (IE)
- Venue
- Cochrane Database of Systematic Reviews
- Publisher
- John Wiley & Sons, Ltd
- Published
- 2015-09-15
- Issue
- 9
- Pages
- CD004667-CD004667
- ISSN
- 1361-6137 (ISSN-L)
- OpenAlex
- W4232203714
- Cited by
- 514
- References
- 94
- Citations by year
- 2026: 5 · 2025: 26 · 2024: 67 · 2023: 55 · 2022: 65 · 2021: 52 · 2020: 63 · 2019: 49 · 2018: 48 · 2017: 37 · 2016: 41 · 2015: 5 · 2013: 1
- Type
- reference entry
- Language
- en
- Update notices
- new_version (2016-04-28)
- Open access
- closed
- Locations
- Cochrane Database of Systematic Reviews (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute for Health and Care Research (NF-SI-0514-10145, 10/4001/02)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Keywords
- models of care, childbirth, midwifery, regional analgesia, epidural analgesia, caesarean birth, instrumental vaginal birth, preterm birth, fetal death, neonatal death, perineal trauma, normal delivery, maternal morbidity, psychosocial outcomes, maternal satisfaction
- MeSH terms
- Amnion, Cesarean Section, Continuity of Patient Care, Episiotomy, Female, Humans, Infant, Infant, Newborn, Midwifery, Postnatal Care, Pregnancy, Prenatal Care, Randomized Controlled Trials as Topic, Analgesia, Obstetrical, Patient Satisfaction, Models, Organizational, Perinatal Care
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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