Comparison of Midwife-Led and Obstetrician-Led Care Models: Associations with Maternal Bonding and Breastfeeding Self-Efficacy.
- 1Department of Nursing, Faculty of Nursing, Lithuanian University of Health Sciences, LT 44307 Kaunas, Lithuania.
- 2Department of Obstetrics and Gynecology, Faculty of Medicine, Lithuanian University of Health Sciences, LT 44307 Kaunas, Lithuania.
Abstract
Background/Objectives: The postpartum period is important for mother-infant bonding and breastfeeding self-efficacy. This study compared these outcomes between women receiving midwife-led and obstetrician-led intrapartum care. Methods: A prospective longitudinal observational study was conducted in two Lithuanian hospitals between September 2022 and July 2024. Women with low-risk births (n = 349) were assessed at 1-3 days and 6-8 weeks postpartum using the MIBS and BSES-SF. Results: In unadjusted comparisons, total MIBS scores showed a more stable pattern in the MW-led group (between-group difference in change, p = 0.004), and total BSES-SF scores increased within the MW-led group (p < 0.001). In adjusted analyses, the care setting was not independently associated with change in total MIBS or total BSES-SF scores. At 6-8 weeks postpartum, care setting (p = 0.041) and parity (p = 0.017) were associated with total BSES-SF scores. Conclusions: Selected unadjusted outcomes showed more favourable patterns in the MW-led setting, but adjusted analyses did not support an independent association between care setting and change in either principal outcome. Since each model was represented by a different hospital, observed associations cannot be attributed specifically to the professional care model.
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BibTeX
@article{nagineviciutė2026comparison,
title = {{Comparison of Midwife-Led and Obstetrician-Led Care Models: Associations with Maternal Bonding and Breastfeeding Self-Efficacy.}},
author = {Milda Naginevičiūtė and Eglė Bartusevičienė and Aurelija Blaževičienė},
journal = {Healthcare (Basel, Switzerland)},
year = {2026},
month = oct,
doi = {10.3390/healthcare14203487},
url = {https://europepmc.org/article/MED/42940532},
note = {CC BY},
}
RIS
TY - JOUR
TI - Comparison of Midwife-Led and Obstetrician-Led Care Models: Associations with Maternal Bonding and Breastfeeding Self-Efficacy.
AU - Milda Naginevičiūtė
AU - Eglė Bartusevičienė
AU - Aurelija Blaževičienė
PY - 2026
DA - 2026/10/17
JO - Healthcare (Basel, Switzerland)
DO - 10.3390/healthcare14203487
UR - https://europepmc.org/article/MED/42940532
AB - Background/Objectives: The postpartum period is important for mother-infant bonding and breastfeeding self-efficacy. This study compared these outcomes between women receiving midwife-led and obstetrician-led intrapartum care. Methods: A prospective longitudinal observational study was conducted in two Lithuanian hospitals between September 2022 and July 2024. Women with low-risk births (n = 349) were assessed at 1-3 days and 6-8 weeks postpartum using the MIBS and BSES-SF. Results: In unadjusted comparisons, total MIBS scores showed a more stable pattern in the MW-led group (between-group difference in change, p = 0.004), and total BSES-SF scores increased within the MW-led group (p < 0.001). In adjusted analyses, the care setting was not independently associated with change in total MIBS or total BSES-SF scores. At 6-8 weeks postpartum, care setting (p = 0.041) and parity (p = 0.017) were associated with total BSES-SF scores. Conclusions: Selected unadjusted outcomes showed more favourable patterns in the MW-led setting, but adjusted analyses did not support an independent association between care setting and change in either principal outcome. Since each model was represented by a different hospital, observed associations cannot be attributed specifically to the professional care model.
SN - 2227-9032
ER -