Swedish midwives' attitudes towards continuity models-a cross-sectional survey
Ingegerd Hildingsson1, Hanna Fahlbeck2, Birgitta Larsson3
1Department of Nursing, Mid Sweden University, Sundsvall, Sweden; Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Summary
Swedish midwives generally have positive attitudes toward midwifery continuity models, valuing relationship aspects but expressing concerns about practical and organizational challenges. Further information is needed to address these concerns.
Area of Science:
- Maternal Health
- Healthcare Delivery Models
- Midwifery Practice
Background:
- Midwifery continuity models are increasingly adopted globally, yet remain scarce in Sweden.
- There is limited understanding of Swedish midwives' perspectives on these models.
Purpose of the Study:
- To investigate Swedish midwives' attitudes towards midwifery continuity models.
- To assess the psychometric properties of an existing instrument measuring attitudes to continuity models.
Main Methods:
- A national cross-sectional survey was conducted with 2537 midwives in Sweden.
- Participants completed an online questionnaire, and Principal Component Analysis was used to identify components of the attitude instrument.
Main Results:
- 59% of midwives supported the availability of continuity models for women, with some uncertainty regarding universal or low-risk application.
- Two key attitude domains emerged: Relationship-based Midwifery Continuity Models and Practical/Organizational Aspects.
- Demographic factors including age, parental status, marital status, experience, and workplace were associated with attitudes.
Conclusions:
- Swedish midwives exhibit generally positive attitudes towards continuity models, prioritizing relational aspects.
- Hesitancy exists regarding the practical and organizational feasibility of these models.
- Providing balanced information on the advantages and disadvantages of continuity models is recommended to mitigate misunderstandings.
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