{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T05:00:16Z","timestamp":1790658016700,"version":"4.1.0"},"reference-count":38,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Midwife\u2010led continuity of care, in which one or a small team of midwives provide care throughout pregnancy, childbirth and the postpartum period, is associated with better perinatal outcomes and higher maternal satisfaction. In many settings, this care is limited to low\u2010risk women, with referrals to obstetrician\u2010led care disrupting continuity. This study investigated whether experienced continuity of care and respect during labor differ between women receiving midwife\u2010led care and those receiving obstetrician\u2010led care at labor onset.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Data were used from a cross\u2010sectional, national survey on maternity care experiences of women in the Netherlands, who gave birth between 2015 and 2018. Experienced continuity and respect were measured using the Nijmegen Continuity Questionnaire and the ReproQuestionnaire. Differences were examined using AN(C)OVAs, adjusting for maternal and birth characteristics. Effect sizes were calculated using partial eta squared (\n                      <jats:italic>\u03b7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      In total, 623 women were included, with 451 receiving midwife\u2010led care and 172 receiving obstetrician\u2010led care at labor onset. Women who started labor in midwife\u2010led care reported significantly higher experienced continuity than those in obstetrician\u2010led care, also when they were referred to obstetrician\u2010led care during labor. Effect sizes (\n                      <jats:italic>\u03b7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009&gt;\u20090.06) showed moderate\u2010to\u2010large effect sizes. Differences in perceived respect between women in midwife\u2010led care who were not referred, and women who were referred or started in obstetrician\u2010led care were statistically significant but small.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our findings demonstrate differences of a substantial magnitude in experienced continuity of care, suggesting a need to enhance continuity in obstetrician\u2010led care. Future research should explore strategies to implement and sustain midwife\u2010led continuity models.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/birt.70117","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T04:53:32Z","timestamp":1790657612000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Experienced Continuity and Respect in Childbirth: A Cross\u2010Sectional Survey Comparing Midwife\u2010Led and Obstetrician\u2010Led Care"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4300-4461","authenticated-orcid":false,"given":"Renate","family":"Simmelink","sequence":"first","affiliation":[{"name":"Midwifery Science Amsterdam UMC Location Vrije Universiteit Amsterdam  Amsterdam the Netherlands"},{"name":"Midwifery Academy Amsterdam Groningen Inholland  Amsterdam the Netherlands"},{"name":"Amsterdam Public Health, Quality of Care  Amsterdam the 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Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2238-4060","authenticated-orcid":false,"given":"Jens","family":"Henrichs","sequence":"additional","affiliation":[{"name":"Midwifery Science Amsterdam UMC Location Vrije Universiteit Amsterdam  Amsterdam the Netherlands"},{"name":"Midwifery Academy Amsterdam Groningen Inholland  Amsterdam the Netherlands"},{"name":"Amsterdam Public Health, Quality of Care  Amsterdam the Netherlands"},{"name":"Department of Primary and Long\u2010Term Care University of Groningen, University Medical Center Groningen  Groningen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0001-0888","authenticated-orcid":false,"given":"Corine","family":"Verhoeven","sequence":"additional","affiliation":[{"name":"Midwifery Science Amsterdam UMC Location Vrije Universiteit Amsterdam  Amsterdam the Netherlands"},{"name":"Midwifery Academy Amsterdam 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