CONTINUITY OF CARER
The National Maternity services review, Better Births, highlighted the need to provide more personalised and continuity within midwifery care. Current transformation of the services is including development of continuity of care for women across many settings. This set provides useful tips for setting up teams and research around the benefits of continuity practice for women and midwives alike.
Implementing continuity of carer – the Worcestershire way
2020 | 18 mins | Continuity of Carer
Caitlin Wilson, Consultant midwife for Worcestershire acute hospitals NHS trust, discusses the local experiences of developing continuity of carer across the Trust. The teams use the Burrtzorg model from the Netherlands, to self-manage caseloads and working together. She describes the rural nature of the area, which has an impact. Caitlin discusses the co-production of the development between service users and staff and shows how the teams work. She presents some of the current outcomes and finally shares a video talking to women and midwives about their experiences.
Caitlin Wilson, Consultant Midwife, Worcestershire Acute Hospitals NHS Trust/University of Worcester for the Review of Pre-registration Midwifery Standards
Setting up continuity of care teams in a fun and non-threatening way
2017 | 13 mins | Continuity of Carer
Caroline Flint, experienced retired midwife, explains the way of setting up continuity of care teams. She discusses recruitment of women and addresses the advantages of continuity for women and midwives. Caroline explains how a rota could work, including holidays and social lives, and the way this will develop over a service. She also addresses how the team develop a relationship together.
Caroline Flint, Retired Midwife
Continuity of carer and local delivery of maternity care
2017 | 26 mins | Continuity of Carer
Hazel Borland, Executive Nurse Director, NHS Ayrshire and Arran, Gillian Morton, General Manager, NHS Forth Valley and Iona, midwife practitioner, present the story of developing continuity of care across Angus in Scotland. The previous set-up of the service is described, with the reasons for change. Information about the successful home birth service is provided, including the way they work together. The Angus team is also described, where continuity is provided and midwives manage their own caseload. Plans looking forward to increase continuity of care availability are described with tips on setting up the service.
Hazel Borland, Executive Nurse Director, NHS Ayrshire and Arran
Gillian Morton, General Manager & Head of Midwifery, NHS Forth Valley
Iona Duckett, Senior Midwife for Community Teams, NHS Tayside
Continuity of carer in labour
2019 | 26 mins | Continuity of Carer
Georgina Sosa, Midwifery lecturer, University of East Anglia, presents research from her PhD study about continuity of care in labour. She highlights the different components of care that need to be balanced to meet the needs of the woman. She argues that continuity requires equality in the relationship with the mother, and for the woman to be able to be able to synchronise the decisions being made. Using examples from her observations and comments from women and midwives, Georgina discusses these components during provision of continuity during labour. She concludes that continuity in labour is important for all.
Georgina Sosa, Midwifery lecturer, University of East Anglia
POPPIE: Implementing a continuity of care model for women at risk of preterm birth
2019 | 25 mins | Continuity of Carer
Dr Kirstie Coxon, Associate Professor (Research) Midwifery, Kingston University, presents information about a continuity team setup to prevent preterm birth, which is part of a research trial. The team set up is described, along with explanation of the trial, and the exploratory qualitative study. Interim findings are discussed on setting up the teams and the midwives experiences of being part of the team. Kirsty particularly focuses on the acceptability and feasibility of the team model. She concludes with discussion on implications for setting up teams in other areas.
Dr Kirstie Coxon, Associate Professor (Research) Midwifery, Kingston University
A known midwife can make a difference for women with fear of childbirth
2019 | 8 mins | Continuity of Carer
In this short talk Ingegerd presents a summary of research that demonstrates continuity of care during labour makes a difference for women with fear of childbirth in Sweden. She highlights the fragmented care currently provided and the role of the midwife highlighted by the ICM. Ingegerd explains the study for women with fear of childbirth, comparing counselling alone with care by a known midwife. She concludes with the benefits of providing continuity for women with known fear of childbirth.
Ingegerd Hildingsson, Researcher, Department of Women’s and Children’s Health, Obstetric and Reproductive Health Research, Uppsala University