ArticleEClinicalMedicine2019
Improving Maternal and Neonatal Health by a Midwife-led Continuity Model of Care - An Observational Study in One Governmental Hospital in Palestine.
Article in EClinicalMedicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.
- Midwife continuity of care models versus other models of care for childbearing women.The Cochrane database of systematic reviews · 2024Pooled it
- Effectiveness of midwifery-led care on pregnancy outcomes in low- and middle-income countries: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2023Pooled it
- Assessing stakeholders' acceptability of implementing the midwifery continuity of care model in China: a convergent mixed-method study.BMC pregnancy and childbirth · 2026Article
- Birth in shelters: Midwives' lived experiences in providing childbirth care amidst war in Gaza.PloS one · 2026Article
- Can we implement midwifery-led continuity of care in Ethiopia? Maternal health leaders and midwives perspective: a qualitative study.BMC pregnancy and childbirth · 2025Article
- Strengthening midwifery and nursing interventions to reduce child mortality in South Asia: a policy and practice review.Journal of global health · 2025Review
- Predictors of midwifery graduate outcomes in Palestine: a cross-sectional study of curriculum quality, faculty support, and regional disparities.BMC nursing · 2025Article
- Ninety-one years of midwifery continuity of care in low and middle-income countries: a scoping review.BMC health services research · 2025Article
- Effect of midwife-led continuity of care combined with individualized breast management on postpartum recovery and lactation function in women undergoing cesarean section.Frontiers in medicine · 2025Article
- Effect of continuity of team midwifery care on maternal and neonatal outcomes: a quasi-experimental study in Iran.Scientific reports · 2024Article
- Midwife-led birthing centres in four countries: a case study.BMC health services research · 2023Article
- The association between labor companionship and obstetric violence during childbirth in health facilities in five facilities in the occupied Palestinian territory.BMC pregnancy and childbirth · 2023Article
- Review
- Pregnant women's perception of midwifery-led continuity care model in Ethiopia: a qualitative study.BMC women's health · 2023Article
- Midwifery continuity of care: A scoping review of where, how, by whom and for whom?PLOS global public health · 2022Article
- The use of complementary and alternative medicine during pregnancy: a cross-sectional study from Palestine.BMC complementary medicine and therapies · 2021Article
- Knowledge, Attitudes and Practice Behaviour of Midwives Concerning Periodontal Health of Pregnant Patients.International journal of environmental research and public health · 2020Observational
- Women's satisfaction with midwife-led continuity of care: an observational study in Palestine.BMJ open · 2019Observational
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFrom 2013 a midwife-led continuity model of care was implemented in the Nablus region in occupied Palestine, involving a governmental hospital and ten rural villages. This study analysed the relation between the midwife-led model and maternal and neonatal health outcomes.
methodA register-based, retrospective cohort design was used, involving 2201 singleton births between January 2016 and June 2017 at Nablus governmental hospital. Data from rural women, with singleton pregnancies and mixed risk status, who either lived in villages that offered the midwife-led continuity model and had registered at the governmental clinic, or who lived in villages without the midwife-led model and received regular care, were compared. Primary outcome was unplanned caesarean section. Secondary outcomes were other modes of birth, postpartum anaemia, preterm birth, birth weight, and admission to neonatal intensive care unit.
findingsStatistically significant less women receiving the midwife-led model had unplanned caesarean sections, 12·8% vs 15·9%, adjusted risk ratio (aRR) 0·80 (95% CI 0·64-0·99) and postpartum anaemia,19·8% vs 28·6%, aRR 0·72 (0·60-0·85). There was also a statistically significant lower rate of preterm births within the exposed group, 13·1% vs 16·8, aRR 0·79 (0·63-0·98), admission to neonatal intensive care unit, 7·0% vs 9·9%, aRR 0·71 (0·52-0·98) and newborn with birth weight 1500 g and less, 0·1% vs 1·1%, aRR 0·13 (0·02-0·97).
interpretationReceiving the midwife-led continuity model of care in Palestine was associated with several improved maternal and neonatal health outcomes. The findings support further implementation of the model. Implementation research, including randomised studies, would be useful to further investigate the effect and feasibility of the model in a low resource setting.
fundingThis study was partly funded by the Research Council of Norway through the Global Health and Vaccination Program (GLOBVAC), project number 243706. The implementation received public funding through Norwegian Aid Committee (NORWAC).
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