Effectiveness of Midwife-Led Care Models in Improving Maternal Outcomes: A Systematic Review

Abstract

Midwife-led care models are increasingly recognized as an effective approach to improve maternal outcomes and enhance quality of care during pregnancy, childbirth, and postpartum. This systematic review aims to evaluate the effectiveness of midwife-led care models in improving maternal health outcomes, including reductions in maternal morbidity and mortality, increased satisfaction, and improved birth experiences. A comprehensive literature search was conducted across PubMed, Scopus, Web of Science, CINAHL, and Google Scholar for studies published between 2010 and 2024. Twenty-eight studies met inclusion criteria, encompassing randomized controlled trials, observational studies, and systematic reviews. Evidence indicates that midwife-led care improves maternal outcomes through continuous antenatal support, skilled birth attendance, reduced interventions during labor, timely identification of complications, and comprehensive postnatal follow-up. Despite positive outcomes, challenges such as workforce shortages, limited resources, and sociocultural barriers were identified. Strengthening midwife-led care, integrating midwives into healthcare systems, and expanding education and training programs are essential for improving maternal health globally.