City Research Online

Caseload midwifery in a multi-ethnic community: The women's experiences

Beake, S., Acosta, L., Cooke, P. & McCourt, C. (2013). Caseload midwifery in a multi-ethnic community: The women's experiences. Midwifery, 29(8), pp. 996-1002. doi: 10.1016/j.midw.2013.01.003


Objective: To evaluate caseload midwifery in a relatively deprived and ethnically diverse inner-city area.

Design and setting: Semi-structured interviews were undertaken with 24 women from diverse ethnic backgrounds, 12 of whom had received caseload care and 12 women from an adjacent area who had received conventional maternity care in a large inner-city maternity unit. Framework analysis was adopted drawing on links with the authors’ previous work on women’s views of caseload midwifery.

Findings: Key themes from previous work fitted well with the themes that emerged from this study. Themes included ‘knowing and being known’, ‘person-centred care’, ‘social support’, ‘gaining trust and confidence’, ‘quality and sensitivity of care’ and ‘communication’.

Key conclusions and implications: Women from this socially and ethnically diverse group of women had similar views and wanted similar care to those in previous studies of caseload midwifery. Many of the women receiving caseload care highlighted the close relationship they had with the midwives and as a result of thisfelt more able to discuss their concerns with them. This has the potential not only for improved quality of care but also improved safety.

Publication Type: Article
Publisher Keywords: caseload midwifery, continuity, maternity, ethnicity
Subjects: R Medicine > RG Gynecology and obstetrics
Departments: School of Health & Psychological Sciences > Midwifery & Radiography
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