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It summarizes evidence for continuity, outlines practical continuity-of-care models and where care can be located, and details key implementation elements including leadership, communication, stakeholder engagement, and cultural safety. It further presents an implementation roadmap through phases, governance and risk management, business-case development, industrial considerations, and professional development to support sustainable capacity building.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":16,"@type":70,"position":76},"https://docshare.wps.com/template/resumes/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/continuity-of-care-handbook-delivering-midwifery-continuity-of-care/242854/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/continuity-of-care-handbook-delivering-midwifery-continuity-of-care/242854.png","ImageObject",442,249,{"name":88,"@type":89},"Chloe Bennett","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-26","2026-09-12",true,{"@type":98,"interactionType":99,"userInteractionCount":73},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What evidence and rationale are used to support midwifery continuity of care?","Question",{"text":108,"@type":109},"The handbook summarizes evidence from the Cochrane Library, highlights recommendations from the World Health Organization, and reviews findings from other relevant studies, including rural and international examples.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What midwifery continuity models does the handbook describe?",{"text":113,"@type":109},"It defines continuity of care models and outlines their characteristics, including where care is located and approaches to on-call arrangements such as short time off, rostered off-call, and rostered on-call.",{"name":115,"@type":106,"acceptedAnswer":116},"How should a new continuity of care model be implemented?",{"text":117,"@type":109},"Implementation is presented in phased steps, including preparation, commencing implementation, pre-implementation activities, implementation, and evaluation, supported by resources, guidelines, risk assessment, and communication pathways.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},242854,1790442278,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":15,"category_name":16,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":76,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":141},962084925782,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","Continuity of Care Handbook  \nRecommended citation:  \nAustralian College of Midwives (2017) . Delivering midwifery continuity of care to Australian women: A handbook for  \nhospitals and health services (3rd Edition) . Australian College of Midwives: Canberra.  \nISBN 978-1-925358-05-6  \n© Australian College of Midwives 2017  \nACKNOWLEDGEMENTS  \nThis handbook was initially adapted with permission from the Queensland Health guide “Delivering continuity of midwifery care to Queensland women” (2009) . Australian College of Midwives would like to thank everyone who has contributed to this publication. In particular, our thanks to:  \nDr Jyai Allen and Professor Caroline Homer who updated and adapted the 3rd Edition  \nLiz Wilkes, Bruce Teakle and Dr Jocelyn Toohill as the lead authors of the 2nd edition produced by Queensland Health  \nAnne Moore who produced the 1st edition of the guideline for Queensland Health  \nOther colleagues who have provided advice, support and assistance through the development of the initial guide including Professor Jenny Gamble, Lorraine Mathison, Amanda Ostrenski, Katie Jefford, Helen Timms, Sandra Eales, Sharon Dalton, Kerry-anne Maddox, Kay Wilson, Dr Karen Yates, Rebecca Jenkinson, Queensland Nurses Union, the Midwifery Advisory Committee and the Maternity Unit of Queensland Health.  \nTable of Contents  \nOverview of this Handbook  01  \nSection 1: Why provide continuity of midwifery care?  02  \nA summary of the evidence from the Cochrane Library   02  \nRecommended by the World Health Organization   03  \nThe evidence from other relevant studies   05  \nMidwifery continuity in rural settings in Australia   05  \nInternational examples   06  \nEnsuring cultural safety through midwifery continuity of care  07  \nConclusion   07  \nSection 2: Midwifery continuity models—what do theylook like?  08  \nDefinitions   08  \nCharacteristics of a midwifery continuity of care model  11  \nWhat is a midwifery continuity model?   11  \nWhere to locate care?   12  \nBalancing on-call in midwifery continuity of care  14  \n1. Time off in short periods (e.g. a night off-call to provide for adequate sleep and sustainability) .  14  \n2. Caseload—rostered off-call  14  \n3. Caseload—rostered on-call  14  \nOther ways of providing midwifery continuity of care  15  \nSection 3: Key elements to implementing midwifery continuityof care  16  \nA woman-centred philosophy   16  \nVision   16  \nLeadership   17  \nKey issues for leaders in midwifery continuity models  17  \nCommunication  17  \nClear expectations   18  \nEngagement of stakeholders   18  \nConsumers   19  \nManagers and service leaders   19  \nObstetric and neonatal services   19  \nMidwives: core and potential caseload  19  \nIndustrial organisations   19  \nProfessional organisations   20  \nOther key partnerships   20  \nCommunicating with stakeholders   20  \nSection 4: Implementing a new model  22  \nPhase 1 – Preparation   22  \nPhase 2 – Commencing the implementation process   22  \nMapping the demographic needs   23  \nCommunity forum   23  \nDeveloping a business case   23  \nUndertaking a risk assessment   23  \nPhase 3 – Pre-implementation   24  \nMultidisciplinary workplace guidelines   24  \nCommunication pathways   24  \nIdentifying the resources needed   24  \nDeveloping the clinical governance systems   24  \nPhase 4 – Implementation   25  \nPhase 5 – Evaluation   25  \nSection 5: Cultural change-shared vision and shared culture  26  \nThe usual or traditional maternity care systems   26  \nMoving to midwifery continuity of care  26  \nUnderstanding some current issues in maternity care  26  \nCultural changes for midwives   26  \nChanges for women to understand   27  \nViews and beliefs within the maternity unit   27  \nEnsuring medical engagement and support   27  \nStaff engagement   29  \nSection 6: Clinical governance  30  \nRisk management  30  \nCommunication and consultation   30  \nEstablishing the context   30  \nIdentifying and analysing the risk   30  \nEvaluating the risk   32  \nTreating the ris","cbCaioAnArPJHdoK","https://ap.wps.com/l/cbCaioAnArPJHdoK","pdf",4487568,69,"English","# Overview of this Handbook\n## Section 1: Why provide continuity of midwifery care?\n## Section 2: Midwifery continuity models—what do theylook like?\n## Section 3: Key elements to implementing midwifery continuityof care\n## Section 4: Implementing a new model\n## Section 5: Cultural change-shared vision and shared culture\n## Section 6: Clinical governance\n## Section 7: Developing a business case for midwifery continuity of care\n## Section 8: Industrial issues\n## Section 9: Professional development and capacity building\n## Section 10: Midwifery practice in continuity models","[{\"question\":\"What evidence and rationale are used to support midwifery continuity of care?\",\"answer\":\"The handbook summarizes evidence from the Cochrane Library, highlights recommendations from the World Health Organization, and reviews findings from other relevant studies, including rural and international examples.\"},{\"question\":\"What midwifery continuity models does the handbook describe?\",\"answer\":\"It defines continuity of care models and outlines their characteristics, including where care is located and approaches to on-call arrangements such as short time off, rostered off-call, and rostered on-call.\"},{\"question\":\"How should a new continuity of care model be implemented?\",\"answer\":\"Implementation is presented in phased steps, including preparation, commencing implementation, pre-implementation activities, implementation, and evaluation, supported by resources, guidelines, risk assessment, and communication pathways.\"}]","Continuity of Care Handbook - Delivering midwifery continuity of care | PDF",1789195650,24]