Observational studyBMJ open2019
Women's satisfaction with midwife-led continuity of care: an observational study in Palestine.
Observational study in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03863600 (Validation of a Midwifery Model in Palestine), which is not on this map. Cited by 10 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Validation of a Midwifery Model in Palestine
Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- 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
- Women's Satisfaction with Midwifery-Led Continuity of Care: Insights from Antenatal, Intrapartum, and Postnatal Experiences in the Sidama Region, Ethiopia. A Non-Randomized Control Trial.Health services insights · 2026Article
- Effect of a continuity of midwifery care model that used a respectful maternal care framework in Korea: a non-randomized study.Frontiers in public health · 2025Article
- The effect of midwifery-led continuum of care to improve maternal and newborn outcomes in the Sidama region, Ethiopia: A non-randomized control trial study.SAGE open medicine · 2025Article
- Effect of continuity of team midwifery care on maternal and neonatal outcomes: a quasi-experimental study in Iran.Scientific reports · 2024Article
- 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
- Nutri-Epigenetics and Gut Microbiota: How Birth Care, Bonding and Breastfeeding Can Influence and Be Influenced?International journal of molecular sciences · 2020Review
- Women's Interest in Midwifery Continuity of Care During and After Pregnancy and Childbirth in Sweden: "As a Matter of Course".Journal of midwifery & women's healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesA midwife-led continuity model of care had been implemented in the Palestinian governmental health system to improve maternal services in several rural areas. This study investigated if the model influenced women's satisfaction with care, during antenatal, intrapartum and postnatal period.
designAn observational case-control design was used to compare the midwife-led continuity model of care with regular maternity care. PARTICIPANTS AND
settingWomen with singleton pregnancies, who had registered for antenatal care at a rural governmental clinic in the West Bank, were between 1 to 6 months after birth invited to answer a questionnaire rating satisfaction with care in 7-point Likert scales. PRIMARY OUTCOME: The mean sum-score of satisfaction with care through the continuum of antenatal, intrapartum and postnatal period, where mean sum-scores range from 1 (lowest) to 7 (highest). SECONDARY OUTCOME: Exclusive breastfeeding.
resultsTwo hundred women answered the questionnaire, 100 who received the midwife-led model and 100 who received regular care. The median time point of interview were 16 weeks postpartum in both groups. The midwife-led model was associated with a statistically significant higher satisfaction with care during antenatal, intrapartum and postnatal period, with a mean sum-score of 5.2 versus 4.8 in the group receiving regular care. The adjusted mean difference between the groups' sum-score of satisfaction with care was 0.6 (95% CI 0.35 to 0.85), p<0.0001. A statistically significant higher proportion of women who received the midwife-led continuity model of care were still exclusively breastfeeding at the time point of interview, 67% versus 46% in the group receiving regular care, an adjusted OR of 2.56 (1.35 to 4.88) p=0.004.
conclusionsThere is an association between receiving midwife-led continuity of care and increased satisfaction with care through the continuum of pregnancy, intrapartum and postpartum period, and an increased duration of exclusive breastfeeding. TRIAL REGISTRATION NUMBER: NCT03863600.
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