Caseload Midwifery: A Critical Analysis of Evidence-based Practice.
Caseload midwifery is a style of care where a patient is assigned a primary midwife who will secure care from pregnancy, birth, and the days following the delivery (Southern Health, 2011).
Any additional tests or care shall be ordered by the midwife, including the need to refer the patient to medical staff where necessary. The primary midwife is available on call and would be supported by caseload midwives where the primary is not available.
Caseload midwifery also seems to be synonymous with midwifery-managed care or one-on-one midwifery care (McCourt and Page, 1996; Farmer and Chipperfield, 1996). In different countries, midwifery care has been based on caseload and sustained care (Newman and Pearse, 2006). For countries like Australia and the UK where this type of care is often applied, caseload midwifery is a coordinated model for care within existing maternity services.
This study now seeks to present a critical literature review of caseload midwifery model compared with standard models of practice. To pursue such goals, various aspects and perspectives in midwifery caseload shall be covered, including clinical outcomes, patient perspectives, midwife perspectives, and efficacy of the model. The Kotter model of change will be considered especially as it covers the leadership elements which can help ensure the effective implementation of change in maternal and child care.