Evidence map›Paper›PMID 29310627›Full record

ArticleBMC pregnancy and childbirth2018

Continuity of care is an important and distinct aspect of childbirth experience: findings of a survey evaluating experienced continuity of care, experienced quality of care and women's perception of labor.

Hilde Perdok, Corine J Verhoeven, Jeroen van Dillen, Tjerk Jan Schuitmaker, Karla Hoogendoorn, Jolanda Colli, François G Schellevis, Ank de Jonge

Abstract readComparative Study
In one paragraph

Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Article
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  6. Exploring Women's Perceived Quality of Antenatal Care: A Cross-Sectional Study in The Netherlands.International journal of environmental research and public health · 2025
    Article
  7. Article
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  11. Cultural brokering in pregnancy care: A critical review.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2023
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Hilde PerdokDepartment of Midwifery Science, Midwifery Academy Amsterdam/Groningen (AVAG) and EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands and at Catharina Hospital, Van der Boechorststraat 7, 1081, BT, Amsterdam, The Netherlands. h.perdok@vumc.nl.
Corine J VerhoevenDepartment of Midwifery Science, AVAG and EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands and at Maxima Medical Center, Veldhoven, The Netherlands.
Jeroen van DillenDepartment of Obstetrics and Gynaecology, Radboud University Medical Center Nijmegen, Nijmegen, The Netherlands.
Tjerk Jan SchuitmakerFaculty of Earth & Life Sciences, Athena Institute, VU University Medical Center, Amsterdam, The Netherlands.
Karla HoogendoornGelre Verloskundig Centrum Apeldoorn, Apeldoorn, The Netherlands.
Jolanda ColliMidwifery practice Oestgeest, The Netherlands and Co-operation of Midwives Leiden area (Cooperatie LEO), Leiden, The Netherlands.
François G SchellevisDepartment of General Practice & Elderly Care Medicine, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands and Netherlands Institute for Health Services Research, Utrecht, The Netherlands.
Ank de JongeDepartment of Midwifery Science, Midwifery Academy Amsterdam/Groningen (AVAG) and EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands and at Catharina Hospital, Van der Boechorststraat 7, 1081, BT, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo compare experienced continuity of care among women who received midwife-led versus obstetrician-led care. Secondly, to compare experienced continuity of care with a. experienced quality of care during labor and b. perception of labor.

methodsWe conducted a questionnaire survey in a region in the Netherlands in 2014 among 790 women after they gave birth. To measure experienced continuity of care, the Nijmegen Continuity Questionnaire was used. Quality of care during labor was measured with the Pregnancy and Childbirth Questionnaire, and to measure perception of labor we used the Childbirth Perception Scale.

resultsThree hundred twenty five women consented to participate (41%). Of these, 187 women completed the relevant questions in the online questionnaire. 136 (73%) women were in midwife-led care at the onset of labor, 15 (8%) were in obstetrician-led care throughout pregnancy and 36 (19%) were referred to obstetrician-led care during pregnancy. Experienced personal and team continuity of care during pregnancy were higher for women in midwife-led care compared to those in obstetrician-led care at the onset of labor. Experienced continuity of care was moderately correlated with experienced quality of care although not significantly so in all subgroups. A weak negative correlation was found between experienced personal continuity of care by the midwife and perception of labor.

conclusionThis study suggests that experienced continuity of care depends on the care context and is significantly higher for women who are in midwife-led compared to obstetrician-led care during labor. It will be a challenge to maintain the high level of experienced continuity of care in an integrated maternity care system. Experienced continuity of care seems to be a distinctive concept that should not be confused with experienced quality of care or perception of labor and should be considered as a complementary aspect of quality of care.

Indexed as

Continuity of Patient CareMidwiferyObstetricsQuality of Health CareAdultFemaleHumansLabor, ObstetricNetherlandsParturitionPatient SatisfactionPerceptionPregnancySurveys and QuestionnairesBirthChildbirth experienceContinuity of careLaborPatient perspectivePerception of careQuality of care

Identifiers

PMID29310627
PMCPMC5759271

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.