2015
DOI: 10.1016/j.midw.2015.01.003
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An investigation of the relationship between the caseload model of midwifery for socially disadvantaged women and childbirth outcomes using routine data – A retrospective, observational study

Abstract: caseload midwifery care appeared to confer increased benefit and reduced harmful outcomes. Findings for individual outcomes differed from previous literature depending on outcome, suggesting caseload care may affect women in different ways depending on their individual needs.

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Cited by 78 publications
(40 citation statements)
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“…A qualitative study of new parents' experiences of the transition to parenthood identified that while parents felt that the material provided in antenatal classes was useful, the material focused primarily on pregnancy and birth and they found that there was only limited discussion relating to the postnatal period [33]. A study comparing caseload midwifery care with standard midwifery care for women experiencing social disadvantage identified that women managed by caseload midwifery through the antenatal, intrapartum and postnatal period received greater numbers of referrals to multidisciplinary support services, although it is unclear whether these referrals included any postnatal support services [34]. Given that only a small number of postnatal interventions were identified in this review, future research exploring interventions across the full spectrum of antenatal, intrapartum and postnatal care would be beneficial.…”
Section: Discussionmentioning
confidence: 99%
“…A qualitative study of new parents' experiences of the transition to parenthood identified that while parents felt that the material provided in antenatal classes was useful, the material focused primarily on pregnancy and birth and they found that there was only limited discussion relating to the postnatal period [33]. A study comparing caseload midwifery care with standard midwifery care for women experiencing social disadvantage identified that women managed by caseload midwifery through the antenatal, intrapartum and postnatal period received greater numbers of referrals to multidisciplinary support services, although it is unclear whether these referrals included any postnatal support services [34]. Given that only a small number of postnatal interventions were identified in this review, future research exploring interventions across the full spectrum of antenatal, intrapartum and postnatal care would be beneficial.…”
Section: Discussionmentioning
confidence: 99%
“…Continuity models in maternity appear to facilitate the health care professional being oriented towards the woman and her community, rather than towards the needs of the institution [62]. They can also confer benefits either as a direct effect of midwives developing trusting relationships with women, or through additional advocacy and gatekeeping roles [63]. The recent National Maternity Review in England and Scotland has highlighted the importance of continuity from a service-level perspective [64–66].…”
Section: Discussionmentioning
confidence: 99%
“…Continuity of carer has been found to be particularly beneficial for vulnerable and ethnic minority women, delivering enhanced communication and interpersonal rapport (7,28). Research in countries providing a midwifery service has shown that midwifery-led continuity of care models in particular reduce the incidence of preterm birth less than 37 weeks, and fetal loss and neonatal death for all women, as well as specifically reducing poor outcomes for socially disadvantaged women (29,30). Furthermore, gANC aims to promote discussion and learning between women rather than solely relying on health professionals.…”
Section: Introductionmentioning
confidence: 99%