{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T11:04:52Z","timestamp":1792839892883,"version":"4.5.0"},"reference-count":56,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T00:00:00Z","timestamp":1768867200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T00:00:00Z","timestamp":1768867200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Addressing inequalities in maternal and newborn health is a UK public health priority. Evidence on effective multi\u2010interventional strategies is urgently needed. This study evaluated the impact of community\u2010based midwife continuity of care (CBMCOC) models for women and babies in ethnically diverse and socially disadvantaged areas of South London.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>We conducted a prospective cohort study using the eLIXIR, Born in South London, maternity\u2013child data linkage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>United Kingdom.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Population<\/jats:title>\n                    <jats:p>Pregnant women exposed to CBMCOC and standard care between 2018 and 2020.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Propensity score matching (1:4) was used to account for differences between CBMCOC and standard care cohorts and control for confounding bias. Conditional logistic regression estimated risk ratios. Subgroup analysis included women of Black, Asian and other ethnic minority groups, and those living in highly deprived areas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes<\/jats:title>\n                    <jats:p>The primary outcome was preterm birth (&lt;\u200937\u2009weeks' gestation). Secondary outcomes included other relevant maternal, perinatal, process and clinical variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Before matching, 12\u2009386 women were exposed to standard care and 1338 to CBMCOC; after matching, 5352 and 1338 were included, respectively. The risk of preterm birth was lower among women exposed to CBMCOC (unmatched: 4.6% vs. 10.3%, RR\u2009=\u20090.50, 95% CI: 0.38\u20130.64; matched: 4.6% vs. 8.4%, RR\u2009=\u20090.54, 95% CI: 0.40\u20130.70). Subgroup analyses showed reduced preterm birth rates among ethnic minority women and those in deprived areas when exposed to CBMCOC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this diverse population with a range of risk factors, locality\u2010based interventions integrating community\u2010based care and midwife continuity may reduce maternal and newborn health inequalities. Further trials of such models should be conducted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1471-0528.70101","type":"journal-article","created":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:02:22Z","timestamp":1768953742000},"page":"958-973","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["The Impact of Community\u2010Based Midwife Continuity of Care Models for Women Living in Areas of Social Disadvantage and Ethnic Diversity in the United Kingdom: A Prospective Cohort Study"],"prefix":"10.1111","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7393-6593","authenticated-orcid":false,"given":"Cristina","family":"Fernandez Turienzo","sequence":"first","affiliation":[{"name":"Department of Women and Children's Health, School of Life Course &amp; Population Sciences, Faculty of Life Sciences &amp; Medicine King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3823-3275","authenticated-orcid":false,"given":"Sam","family":"Burton","sequence":"additional","affiliation":[{"name":"Department of Women and Children's Health, School of Life Course &amp; Population Sciences, Faculty of Life Sciences &amp; Medicine King's College London  London UK"},{"name":"School of Psychology Liverpool John Moores University  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5700-4956","authenticated-orcid":false,"given":"Zahra","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Women and Children's Health, School of Life Course &amp; Population Sciences, Faculty of Life Sciences &amp; Medicine King's College London  London UK"},{"name":"University of Doha for Science and Technology  Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3027-8025","authenticated-orcid":false,"given":"Hannah","family":"Rayment\u2010Jones","sequence":"additional","affiliation":[{"name":"Department of Women and Children's Health, School of Life Course &amp; Population Sciences, Faculty of Life Sciences &amp; Medicine King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Newburn","sequence":"additional","affiliation":[{"name":"Department of Women and Children's Health, School of Life Course &amp; Population Sciences, Faculty of Life Sciences &amp; Medicine King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7904-7933","authenticated-orcid":false,"given":"Paul T.","family":"Seed","sequence":"additional","affiliation":[{"name":"Department of Women and Children's Health, School of Life Course &amp; Population Sciences, Faculty of Life Sciences &amp; Medicine King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zoe","family":"Vowles","sequence":"additional","affiliation":[{"name":"Department of Women and Children's Health, School of Life Course &amp; Population Sciences, Faculty of Life Sciences &amp; Medicine King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Sandall","sequence":"additional","affiliation":[{"name":"Department of Women and Children's Health, School of Life Course &amp; Population Sciences, Faculty of Life Sciences &amp; Medicine King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abigail","family":"Easter","sequence":"additional","affiliation":[{"name":"Department of Women and Children's Health, School of Life Course &amp; Population Sciences, Faculty of Life Sciences &amp; Medicine King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the eLIXIR\u2010BiSL Partnership","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,20]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(23)00468-0"},{"key":"e_1_2_13_3_1","unstructured":"MBRRACE\u2010UK \u201cMaternal Mortality 2020\u20132022 \u201d Data Brief updated January 11 2024 https:\/\/www.npeu.ox.ac.uk\/mbrrace\u2010uk\/data\u2010brief\/maternal\u2010mortality\u20102020\u20102022."},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)01595-6"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ppe.12640"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b542"},{"key":"e_1_2_13_7_1","unstructured":"MBRRACE\u2010UK \u201cPerinatal Mortality Surveillance UK Perinatal Deaths for Births From 1 January 2021 to 31 December 2021: State of the Nation Report \u201dhttps:\/\/timms.le.ac.uk\/mbrrace\u2010uk\u2010perinatal\u2010mortality\/surveillance\/."},{"key":"e_1_2_13_8_1","volume-title":"Saving Lives, Improving Mothers' Care Compiled Report\u2014Lessons Learned to Inform Maternity Care From the UK and Ireland Confidential Enquiries Into Maternal Deaths and Morbidity 2020\u201322","author":"Felker A.","year":"2024"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2012-000964"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-021-10182-4"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.q62"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-023-01948-w"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2024.102938"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.70013"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007754.pub3"},{"issue":"4","key":"e_1_2_13_16_1","article-title":"Midwife\u2010Led Continuity Models Versus Other Models of Care for Childbearing Women","volume":"2024","author":"Sandall J.","year":"2024","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_13_17_1","unstructured":"NHS England \u201cPlaced Based Models of Care to Reduce Health Inequalities\u201d(NHS England 2019)."},{"key":"e_1_2_13_18_1","unstructured":"World Health Organisation \u201cIntegrated People\u2010Centred Care \u201d accessed January 9 2025 https:\/\/www.who.int\/health\u2010topics\/integrated\u2010people\u2010centered\u2010care#tab=tab_1."},{"key":"e_1_2_13_19_1","unstructured":"NHS England \u201cThe NHS Long Term Plan: Maternity and Neonatal Services \u201d (2019) accessed February 23 2024 https:\/\/www.longtermplan.nhs.uk\/online\u2010version\/chapter\u20103\u2010further\u2010progress\u2010on\u2010care\u2010quality\u2010and\u2010outcomes\/a\u2010strong\u2010start\u2010in\u2010life\u2010for\u2010children\u2010and\u2010young\u2010people\/maternity\u2010and\u2010neonatal\u2010services\/."},{"key":"e_1_2_13_20_1","unstructured":"NHS England \u201cCore20PLUS5 (Adults)\u2014An Approach to Reducing Healthcare Inequalities \u201d accessed January 9 2025 https:\/\/www.england.nhs.uk\/about\/equality\/equality\u2010hub\/national\u2010healthcare\u2010inequalities\u2010improvement\u2010programme\/core20plus5\/."},{"key":"e_1_2_13_21_1","unstructured":"S.Gillibrand J.Dumville P.Wilson M.Kletter andE.Harkness \u201cEvaluation of Enhanced Midwifery Continuity of Carer \u201d REVAL Insights Report (2024)."},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1038\/s43856-025-01025-z"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0250947"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-039583"},{"key":"e_1_2_13_25_1","unstructured":"Consumer Data Research Centre \u201cIndex of Multiple Deprivation 2024 \u201d accessed November 18 2024 https:\/\/data.cdrc.ac.uk\/dataset\/index\u2010multiple\u2010deprivation\u2010imd."},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2017.9"},{"key":"e_1_2_13_27_1","volume-title":"Safer Maternity Care. 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