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Midwifery
Cohort study
Continuity of midwifery care models improve outcomes for young women and babies
  1. Hannah G Dahlen
  1. School of Nursing and Midwifery, Western Sydney University, Penrith, New South Wales, Australia
  1. Correspondence to : Hannah Dahlen, School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797 Penrith, NSW 2751, Australia; h.dahlen{at}westernsydney.edu.au

https://doi.org/10.1136/eb-2015-102233

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    Commentary on: Allen J, Gibbons K, Beckmann M, et al. Does model of maternity care make a difference to birth outcomes for young women? A retrospective cohort study. Int J Nurs Stud 2015;52:1332–42.OpenUrlCrossRefPubMed

    Implications for practice and research

    • Continuity of midwifery care models (caseload midwifery) show improved outcomes for women and babies compared to other models of care, however there are few younger women included in these trials.

    • Caseload midwifery for young women should be further evaluated in a randomised controlled trial, as it appears likely to be beneficial.

    Context

    While pregnancy in younger women is declining in many developed nations, it is still associated with increased adverse perinatal outcomes, including preterm birth and low birth weight.1 ,2 Pregnant young women are also more likely to come from socioeconomically disadvantaged backgrounds, have a history of drug and …

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    Footnotes

    • Twitter Follow Hannah Dahlen at @hannahdahlen

    • Competing interests HD also works part-time as a caseload midwife.

    • Provenance and peer review Commissioned; internally peer reviewed.