Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! By
The Effectiveness of an Integrated Continuous Team Midwifery Care Model on the Quality of Antenatal Care in Iran's Health System: A Randomized Controlled Trial Publisher



F Nasiri FARZANEH ; A Bagheri AZAM ; M Dastoorpour MARYAM ; S Khosravi SHAHLA ; Z Abbaspoor ZAHRA
Authors

Source: European Journal of Obstetrics and Gynecology and Reproductive Biology: X Published:2025


Abstract

Background and aims: In maternity care, high quality prenatal care is essential for both women and babies. Continuity and coordination of midwifery care are very crucial in improving the quality of care. The present study investigated the effectiveness of an integrated continuous team midwifery care model (ICTMC) on the quality of antenatal care in Iran's health system. Methods: This randomized controlled trial included 200 low-risk nulliparous women selected from governmental health centers in Kashan, Iran during 2023–2024. The women were randomized into two groups, with block sizes of four and six, maintaining a 1:1 allocation ratio. A dedicated team of midwives offered continuous care throughout the gestation, labor and parturition periods plus postnatal care (6 weeks after birth) for the women in the intervention group. The control group, on the other hand, received standard care from various midwives during the same periods. A demographic questionnaire, and the Quality of Prenatal Care Questionnaire were used for data collection. Data were analyzed using descriptive and inferential statistics in STATA-17 Results: The ICTMC group exhibited a significantly higher mean of quality of prenatal care scores compared to the control group (158.83 ± 17.13 vs.133.51 ± 24.48, p < 0.001), and this superiority was observed in all dimensions of this scale. Conclusion: The present study offers evidence for the benefits of ICTMC, A collaborative approach among inform policymakers, healthcare providers, and researchers is recommended to facilitate the implementation of ICTMC within the Iranian healthcare system. © 2025 Elsevier B.V., All rights reserved.
Related Docs
View other Related Docs
1. Comparison of Maternal and Neonatal Outcomes of Midwifery-Led Care With Routine Midwifery Care: A Retrospective Cohort Study, BMC Nursing (2025)
2. Investigating the Relationship Between the General Health of Mothers and Their Maternal Performance Following Vaginal Childbirth, Open Public Health Journal (2024)
3. The Concept of Maternal Care Quality for Women With Low-Risk Pregnancy in the Maternity Ward: An Integrative Review, Nursing and Midwifery Studies (2022)
Experts (# of related papers)
View all Related Experts
Shahla Khosravi (5)
Mamak Shariat (2)
Other Related Docs
4. Midwives’ Knowledge and Practice of Respectful Maternity Care: A Survey From Iran, BMC Pregnancy and Childbirth (2022)
5. Two Decades of Iranian Midwives' Activities As a Health Care Provider Under Supervision in a Multidisciplinary Team in Reducing Maternal Mortality, Reproductive Health (2021)
6. Experiences of Health Providers Regarding Implementation of the Physiologic Birth Program in Iran: A Qualitative Content Analysis, PLoS ONE (2023)
7. Teamwork Barriers and Facilitators in the Maternity Wards: A Qualitative Study, HAYAT (2016)
8. Iranian Midwives’ Lived Experiences of Providing Continuous Midwife-Led Intrapartum Care: A Qualitative Study, BMC Pregnancy and Childbirth (2022)
9. Developing an Evaluation Model for Maternity Care: A Mixed-Method Study From Iran, Iranian Journal of Public Health (2022)
10. Review of the Iranian Newborns’ Health, Survival, and Care and Future Challenges, Archives of Iranian Medicine (2019)
11. Neonatal Medicine in Iran: Current Challenges and Prospects, Iranian Journal of Neonatology (2017)
12. Evaluation of the Satisfaction of Pregnant Mothers Receiving Prenatal Care and Its Determinants in the First Visit at the Midwifery Clinic of Tehran Public Hospital in 2018, Tehran University Medical Journal (2020)
13. Factors in the Provision of High Quality Midwifery Care: A Qualitative Content Analysis, Journal of Caring Sciences (2023)
14. Effects of Recruiting Midwives Into a Family Physician Program on Women's Awareness and Preference for Mode of Delivery and Caesarean Section Rates in Rural Areas of Kurdistan, PLoS ONE (2016)
15. Challenges and Barriers in Moving Toward Respectful Maternity Care (Rmc) in Labor and Childbirth: A Phenomenology Study, Payesh (2022)
16. Strategies to Improve the Quality of Midwifery Care and Developing Midwife-Centered Care in Iran: Analyzing the Attitudes of Midwifery Experts, BMC Pregnancy and Childbirth (2022)
17. Determining the Midwifery Staff in the Maternity Ward of Hospitals Using the Birthrate Plus Model, Journal of Babol University of Medical Sciences (2020)
18. Development of a Modified Physiological Birth Programme Integrated Into Iran's Health System and Its Effect on Maternal and Neonatal Outcomes: An Embedded Mixed-Methods Study Protocol, BMJ Open (2023)
19. Comparison of Maternal Outcomes in Caring by Doula, Trained Lay Companion and Routine Midwifery Care, BMC Pregnancy and Childbirth (2023)
20. Factors Affecting Adequacy of Prenatal Care in Suburban Women of Southeast Iran: A Cross-Sectional Study, Journal of Clinical and Diagnostic Research (2018)