{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T10:31:43Z","timestamp":1788258703989,"version":"build-2803163510"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T00:00:00Z","timestamp":1716422400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001081","name":"Hunter Medical Research Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001081","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001081","name":"Hunter Medical Research Institute","doi-asserted-by":"publisher","award":["CRE21117\u20103"],"award-info":[{"award-number":["CRE21117\u20103"]}],"id":[{"id":"10.13039\/501100001081","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Perinatal mental health (PMH) conditions are associated with adverse outcomes such as maternal suicide, preterm birth and longer\u2010term childhood sequelae. Midwifery continuity of care (one midwife or a small group of midwives) has demonstrated benefits for women and newborns, including a reduction in preterm birth and improvements in maternal anxiety\/worry and depression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To determine if midwifery care provided through a Midwifery Group Caseload Practice model is associated with improved perinatal outcomes for women who have anxiety and depression and\/or other perinatal mental health conditions. An EPDS \u2265 13, and\/or answered the thought of harming myself has occurred to me and\/or women who self\u2010reported a history compared to standard models of care (mixed midwife\/obstetric fragmented care).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective cohort study using data routinely collected via an electronic database between 1 January 2018 31st of January 2021. The population were women with current\/history of PMH, who received Midwifery Caseload Group Practice (MCP), or standard care (SC). Data were analysed using descriptive statistics for maternal characteristics and logistic regression for birth outcomes. One\u2010to\u2010one matching of the MCP group with the SC group was based on propensity scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>7,359 births were included MCP 12% and SC 88%. Anxiety was the most common PMH with the same proportion affected in MCP and SC. Adjusted odds of preterm birth and adverse perinatal outcomes were lower in the MCP group than the SC group (aOR (95%CI): 0.77 (0.55, 1.08) and 0.81 (0.68, 0.97), respectively) and higher for vaginal birth and full breastfeeding (aOR (95% CI): 1.87 (1.60, 2.18) and 2.06 (1.61, 2.63), respectively). In the matched sample the estimate of a relationship between MCP and preterm birth (aOR (95% CI): 0.88 (0.56, 1.42), adverse perinatal outcomes (aOR (95% CI): 0.83 (0.67, 1.05)) and breastfeeding at discharge (aOR (95% CI): 1.82 (1.30, 2.51)), stronger for vaginal birth (aOR (95% CI): 2.22 (1.77, 2.71)).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study supports positive associations between MCP and breastfeeding and vaginal birth. MCP was also associated with lower risk of adverse perinatal outcomes, though in the matched sample with a smaller sample size, the confidence interval included 1. The direction of the association MCP and preterm birth was negative (protective). However, in the matched sample analysis, the confidence interval was wide, and the finding was also consistent with no benefit from MCP. Randomised controlled trials are required to answer questions around preterm birth and adverse perinatal outcomes and further research is being planned.<\/jats:p><\/jats:sec>","DOI":"10.1111\/birt.12838","type":"journal-article","created":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T07:20:08Z","timestamp":1716448808000},"page":"728-737","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Midwifery continuity of care for women with perinatal mental health conditions: A cohort study from Australia"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0626-3365","authenticated-orcid":false,"given":"Allison","family":"Cummins","sequence":"first","affiliation":[{"name":"College of Health, Medicine and Wellbeing, School of Nursing and Midwifery, University of Newcastle  Callaghan Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Gibberd","sequence":"additional","affiliation":[{"name":"Clinical Research Design, Information Technology and Statistical Support (CReDITSS), Hunter Medical Research Institute (HMRI)  New Lambton Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"McLaughlin","sequence":"additional","affiliation":[{"name":"College of Health, Medicine and Wellbeing, School of Nursing and Midwifery, University of Newcastle  Callaghan Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maralyn","family":"Foureur","sequence":"additional","affiliation":[{"name":"College of Health, Medicine and Wellbeing, School of Nursing and Midwifery, University of Newcastle  Callaghan Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,23]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.12884"},{"key":"e_1_2_9_3_1","volume-title":"Mental Health Care in the Perinatal Period: Australian Clinical Practice Guideline","author":"Austin M\u2010P","year":"2017"},{"key":"e_1_2_9_4_1","volume-title":"Maternal Deaths","author":"Australian Institute of Health Welfare","year":"2021"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2010.111"},{"key":"e_1_2_9_6_1","volume-title":"Expert Working Group, Expert Subcommittees, Mental Health Care in the Perinatal Period: Australian Clinical Practice Guideline","author":"Highet N","year":"2023"},{"key":"e_1_2_9_7_1","first-page":"1","article-title":"Midwife\u2010led continuity models versus other models of care for childbearing women","volume":"4","author":"Sandall J","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_9_8_1","volume-title":"Maternity Care in Australia: First National Report on Models of Care, 2021","author":"Australian Institute of Health Welfare","year":"2021"},{"key":"e_1_2_9_9_1","volume-title":"National Midwifery Guidelines for Consultation and Referral, ACM","author":"Australian College of Midwives","year":"2021"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2022.103546"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2015.02.003"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2022.07.001"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0248588"},{"key":"e_1_2_9_14_1","volume-title":"Preterm Birth","author":"World Health Organization","year":"2018"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2022.08.002"},{"key":"e_1_2_9_16_1","volume-title":"New South Wales Mothers and Babies NSW Ministry of Health","year":"2021"},{"key":"e_1_2_9_17_1","volume-title":"Australia's Mothers and Babies","author":"Australian Institute of Health Welfare","year":"2022"},{"key":"e_1_2_9_18_1","volume-title":"Maternity Models of Care in Australia","author":"Australian Institute of Health Welfare","year":"2022"},{"key":"e_1_2_9_19_1","unstructured":"Australian Institute of Health Welfare.National Perinatal Data Collection.2021:Quality Statement. 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