{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T00:09:35Z","timestamp":1793232575400,"version":"4.5.0"},"reference-count":65,"publisher":"Public Library of Science (PLoS)","issue":"7","license":[{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004366","name":"Tabriz University of Medical Sciences","doi-asserted-by":"publisher","award":["69665"],"award-info":[{"award-number":["69665"]}],"id":[{"id":"10.13039\/501100004366","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Midwifery continuity of care (CoC) benefits women and families. Engaging midwifery students may help extend such care and improve access to quality maternity services. This study evaluated the impact of a student-led CoC on women\u2019s maternity care experiences during childbirth in a middle-income country. No trials to date have assessed these effects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a randomized controlled trial with low-risk pregnant women at 26\u201329 weeks of gestation, intending vaginal delivery. Participants were randomized to intervention (n\u2009=\u200945) or control (n\u2009=\u200948) groups through stratified block randomization with central allocation concealment. The intervention group received continuous care from final-year midwifery students, while both groups received usual care. Childbirth experiences were assessed 40\u221250 days postpartum using the Childbirth Experience Questionnaire (CEQ-2), while secondary outcomes were measured with the Experience of Maternity Care and Maternal Satisfaction scales.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All recruited women were followed up, and baseline characteristics were comparable. In the intervention group, 12 women (27%) had caesarean sections compared to 18 women (38%) in the control group. Among women with experience of labour pain at the hospital (37 intervention, 35 control), the intervention group reported higher mean childbirth experience scores (3.3 vs. 2.3; adjusted mean difference [AMD] 1.03, 95% confidence interval [CI] 0.8 to 1.3). The intervention group scored higher in maternity care experiences during pregnancy (AMD 15.7; 95% CI 13.3 to 18.2), labour and birth (35.6 vs. 23.0; AMD 12.6, 95% CI 7.9 to 17.4), and postnatal care (45.1 vs. 28.2, AMD 17.1; 95% CI 14.0 to 20.2). Maternal satisfaction was greater for normal (187 vs. 130; AMD 56, 95% CI 45\u201368) and caesarean (162 vs. 130, AMD 30, 95% CI 11\u201350) births among women in the intervention group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Undergraduate midwifery students were able to provide CoC that improved women\u2019s experiences of maternity care. These findings are promising for further research and practical implementation.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial registration<\/jats:bold>\n                      Iranian Registry of Clinical Trials, IRCT20100414003706N41, registered prospectively on 30 April 2022,\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/trialsearch.who.int\/Trial2.aspx?TrialID=IRCT20100414003706N4\" xlink:type=\"simple\">https:\/\/trialsearch.who.int\/Trial2.aspx?TrialID=IRCT20100414003706N4<\/jats:ext-link>\n                      1;\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/irct.behdasht.gov.ir\/trial\/62761\" xlink:type=\"simple\">https:\/\/irct.behdasht.gov.ir\/trial\/62761<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0353118","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T17:28:56Z","timestamp":1784914136000},"page":"e0353118","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effect of midwifery students\u2019 continuity of care program on women\u2019s experiences of maternity care: A randomised controlled 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