Women's Experience in Continuity of Midwifery Care in Developed Countries: A Systematic Review

Evi Diliana Rospia, Sri Ratnaningsih


Universitas Aisyiyah Yogyakarta



Background: Care from midwife is expected to be continuous. The continuous midwife care provides physical, emotional, and social support, and flexible individualized care. This enhances high quality perinatal care for mothers and infants and strengthens collaboration with professionals. This study aimed to systematically review the women’s experience in continuous midwifery care in developed countries.

Subjects and Method: A systematic review was conducted by searching articles from PubMed, ProQuest, and ScienceDirect databases, from 2013 to 2018. The articles were reviewed using PRISMA flow diagram. A total 8 of 549 articles met the inclusion and exclusion criteria.

Results: Articles reported women‘s experiences in 2 areas: (1) Continuous midwifery care, and (2) Referral care from primary to secondary care facilities. Women had positive experience about the continuous midwifery care. Women‘s experiences in referral care covered several themes: 1) ideal delivery, 2) disappointment with referral decision, 3) feeling of anxiety, 4) referral trip, 5) autonomy, 6) handover, 7) midwife attendance, 8) unsustainable care, and 9) collaboration between health workers.

Conclusion: Continuous midwifery care from pregnancy to postpartum contributes to positive birth experience for women. In the case of referral from primary to secondary facilities, women expect continuous care. 

Keywords: continuity of care, midwife, women experience

Correspondence: Evi Diliana Rospia. Universitas ‗Aisyiyah Yogyakarta. Jl. Ringroad Barat No.63, Mlangi, Nogotirto, Gamping, Kabupaten Sleman, Yogyakarta. Mobile: (0274) 4469199. Fax. (0274) 4469204. Email: diliana.evi@yahoo.com.

DOI: https://doi.org/10.26911/the6thicph.03.62

Share this :

View PDF