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'A perfect fit': Swedish midwives' interest in continuity models of midwifery care
Sophiahemmet University.ORCID iD: 0000-0001-5160-8882
2023 (English)In: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799, Vol. 36, no 1, p. 86-92, article id S1871-5192(22)00080-4Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Midwifery continuity models of care are highly recommended yet rare in Sweden, although approximately 50% of pregnant women request them. Before introducing and scaling up continuity models in Sweden, midwives' attitudes about working in continuity models must be investigated.

OBJECTIVE: to investigate Swedish midwives' interests in working in midwifery continuity models of care and factors influencing the midwifery workforce's readiness for such models.

METHODS: A cross-sectional online survey was utilised and information collected from a national sample of midwives recruited from two unions regarding background and work-related variables. Crude and adjusted odds ratios and logistic regression analysis were used in the analysis.

RESULTS: A total of 2084 midwives responded and 56.1% reported an interest. The logistic regression model showed that respondents' ages 24-35 years (OR 1.73) or 35-45 years (OR 1.46); years of work experience 0-3 years (OR 5.81) and 3-10 years (OR 2.04); rotating between wards or between tasks (OR 2.02) and working temporary (OR 1.99) were related to interest in continuity models. In addition, working daytime only (OR 1.59) or on a two-shift schedule (OR 1.93) was associated with such interest.

CONCLUSION: A sufficient number of midwives in Sweden appear to be interested in working in continuity models of midwifery care to align with women's interest in having a known midwife throughout pregnancy, birth and postpartum period. Developing strategies and continuity models that will address the preferences of women in various areas of Sweden is important for offering evidence-based maternity services.

Place, publisher, year, edition, pages
2023. Vol. 36, no 1, p. 86-92, article id S1871-5192(22)00080-4
Keywords [en]
Caseload, Continuity models, Midwifery, Work-related variables
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:shh:diva-4474DOI: 10.1016/j.wombi.2022.04.014PubMedID: 35504815OAI: oai:DiVA.org:shh-4474DiVA, id: diva2:1657839
Available from: 2022-05-12 Created: 2022-05-12 Last updated: 2024-03-26Bibliographically approved

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Larsson, Birgitta

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