RNSurveyJournal of midwifery & women's health2026

Women's Interest in Midwifery Continuity of Care During and After Pregnancy and Childbirth in Sweden: "As a Matter of Course".

Hanna Fahlbeck, Ingegerd Hildingsson, Birgitta Larsson and 1 others

PMID 41014595

WHAT IT FOUND

Among Swedish women surveyed during pregnancy, 68.1% were very interested in care by the same midwife through pregnancy, birth, and early parenting.

Postpartum, 74.2% were very interested. Fear of childbirth and dissatisfaction with care were linked to stronger interest.

Key findings

01During pregnancy, 68.1% (n=1155) of women who answered were very interested in midwifery continuity of care; postpartum, 74.2% (n=769) were very interested.

02Fear of childbirth was associated with strong interest in midwifery continuity of care during pregnancy.

03After childbirth, less satisfaction with care was associated with greater interest in midwifery continuity of care.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

Read the rest of this summary

You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.

Already have one?

What it does not show

Women chose whether to respond, and those already interested in midwifery continuity of care may have been more likely to take part, so the level of interest may be overestimated. The questionnaire was available only in Swedish, so non-Swedish-speaking women were excluded. Participants had higher education than the general female population, and mean age was slightly higher than the national average for pregnant women in Sweden. Some postpartum invitations were not delivered because women mistyped email addresses. This caused some loss of follow-up. The study reports associations with interest, not proof that midwifery continuity of care improves birth experiences or clinical outcomes.

Declared interests

The authors declared no conflicts of interest. H.F. is supported by her employer Region Uppsala, and the paper says this funding did not influence the design or conduct of the research.

The easy way to misread this

Do not read high interest as proof that midwifery continuity of care improves birth outcomes. The study asked women about preferences and linked interest to fear of childbirth or dissatisfaction with care. It did not compare midwifery continuity of care with another model or test clinical outcomes.

Read it on PubMed →