Evidence map›Paper›PMID 39465909›Full record

ArticleBirth (Berkeley, Calif.)2025

Midwifery Continuity of Care During Pregnancy, Birth, and the Postpartum Period: A Matched Cohort Study.

L Lundborg, K Åberg, X Liu, M Norman, O Stephansson, K Pettersson, M Ekborn, S Cnattingius, M Ahlberg

Abstract read
In one paragraph

Article in Birth (Berkeley, Calif.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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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

9 authors.

L LundborgClinical Epidemiology Division, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden.
K ÅbergClinical Epidemiology Division, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden.
X LiuClinical Epidemiology Division, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden.
M NormanDepartment of Clinical Science, Intervention, and Technology, Karolinska Institutet, Stockholm, Sweden.
O StephanssonClinical Epidemiology Division, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden.
K PetterssonDepartment of Clinical Science, Intervention, and Technology, Karolinska Institutet, Stockholm, Sweden.
M EkbornDepartment of Women's Health, Karolinska University Hospital, Stockholm, Sweden.
S CnattingiusClinical Epidemiology Division, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden.
M AhlbergClinical Epidemiology Division, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0001-8612-6277

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare pregnancy outcomes in a midwifery continuity of care (MCoC) model to standard midwifery care in Sweden.

designMatched cohort study.

settingPublic healthcare during pregnancy and childbirth, Stockholm, Sweden. POPULATION: Women giving birth at Karolinska University Hospital site Huddinge in Stockholm between January 1, 2019, and August 31, 2021.

methodsData on all births including MCoC and standard care, during the time period, were retrieved from the national Swedish Pregnancy Register. Propensity score matching was applied to obtain a matched set from the standard care group for every woman in the MCoC model. Based on the matched cohort, we estimated risk ratios (RR) for binary outcomes with 95% confidence intervals (CI).

main outcome measuresInterventions during labor, mode of birth, and preterm birth (< 37 gestational weeks).

resultsCompared with standard care, women in the MCoC model were more likely to give birth spontaneously (RR 1.06 95% CI 1.02-1.10) and less likely to have an elective cesarean on maternal request (RR 0.24 95% CI 0.11-0.51). The risk of preterm birth was also reduced in the MCoC group (RR 0.51 95% CI 0.32-0.82).

conclusionThe MCoC model was associated with fewer medical interventions and improved pregnancy outcomes.

Indexed as

Continuity of Patient CareDelivery, ObstetricMidwiferyPrenatal CareAdultCesarean SectionCohort StudiesFemaleHumansInfant, NewbornPostpartum PeriodPregnancyPregnancy OutcomePremature BirthPropensity ScoreSwedenbirth outcomescontinuity of caremedical interventions

Identifiers

PMID39465909
PMCPMC11829270

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Registered trials

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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.