Perceived Benefits of Midwife-Led Continuity of Care for Maternity Services in Rivers State, Nigeria

Abstract

Midwife-led continuity of care (MLCC) is an evidence-based maternity care model associated with improved maternal and neonatal outcomes globally. However, evidence regarding its perceived benefits in low-resource settings such as Rivers State, Nigeria, remains limited. This study explored the perceived benefits of MLCC among healthcare providers and mothers attending selected primary healthcare facilities in Rivers State. A parallel convergent mixed-methods design was adopted. Quantitative data were obtained from 428 respondents (88 healthcare providers and 340 mothers) using structured questionnaires, while qualitative data were collected from 30 purposively selected participants through semi-structured interviews. Descriptive statistics summarized quantitative findings, and thematic analysis was applied to qualitative data. Findings revealed that the majority of respondents perceived MLCC as beneficial in promoting trust and relationship building, emotional support, personalized care, improved decision-making, reduced maternal anxiety, and enhanced patient–provider communication. Women particularly reported increased confidence during labour and improved satisfaction with childbirth experiences. Healthcare providers acknowledged improved care coordination and professional fulfillment. The study concludes that MLCC is widely perceived as beneficial for maternity care in Rivers State. Strengthening institutional support and expanding MLCC implementation may enhance maternal healthcare quality in similar low-resource settings.