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Personalised Midwifery Project

October 2015 to March 2024

The Personalised Midwifery Project provided women and their families with personalised, continuous care before, during and after the birth of their baby.

It supported them in planning and making informed choices around the birth. It also offered enhanced care to help promote key health messages around breastfeeding, smoking cessation and nutrition.

The project was delivered by Bradford Teaching Hospitals NHS Foundation Trust from 2015 to 2024. Following a pilot phase, the service was provided by the Clover Team – a Continuity of Care midwifery team based at St Luke’s Hospital.

579 babies delivered by the Clover Team. 92% of women felt the Clover Team always supported their health during pregnancy.

How the project was delivered

The service differed from the way midwife services are normally provided by ensuring one dedicated midwife, alongside another midwife as a ‘buddy’, was allocated to support each woman during pregnancy, the birth, and afterwards. When women went into labour, the team aimed to provide a midwife she knew for the birth.

The service provided longer antenatal appointments and a home visit at booking, allowing the woman and her midwife to establish a relationship and have more time for discussing choices around pregnancy and birth. To enable this, midwives had smaller caseloads than standard care, allowing them to personalise care to each family’s needs.

A Maternity Support Worker (MSW) held additional sessions for Antenatal Plus and Postnatal sessions. At these sessions the MSW shared public health messaging around smoking cessation, safe sleeping and baby weight.

Feedback

"I can’t explain to you in words how meeting her midwife changed my wife. She supported her, empowered her and made her believe in herself, so much that she became so positive about everything. I believe all women of Bradford deserve this kind of care."

Dad

"From booking appointments to postnatal visits, the continuity of care really does make a big difference and I find that they trust the advice that I give. I feel that I am able to provide the care that I was trained to give."

Midwife

"Steph took the time to listen to me: the form filling was always secondary. In previous pregnancies I did not see the same midwife all of the time, so I would constantly have to re-explain any issues and it was impossible to build a trusting relationship. Steph has been with me all the way through this pregnancy."

Mum

Background, impact and findings

Further reading

Download the 'project on a page'

Download this snapshot of the Personalised Midwifery Project, with headline stats, background, impact and learning (PDF).

Read the Personalised Midwifery Project final evaluation report

This report provides an overview of project performance and findings from an implementation and before-and-after outcome evaluation by the Better Start Bradford Innovation Hub.

Mobilising Early Years Research for a Brighter Future: Social and Emotional Wellbeing

In this webinar, the Better Start Bradford Innovation Hub and Better Start Bradford, explore evaluation findings relating to the Little Minds Matter, Baby Steps, Incredible Years and Personalised Midwifery projects

The Benefits of the Maternity Support Worker in a Continuity of Care Model

Embedding a Maternity Support Worker (MSW) within our Personalised Midwifery Project enhanced and aided the delivery. This research poster was presented at the annual Unicef Baby Friendly Initiative Conference 2023 (PDF)

Impact Stories / 12th May 2023
Does the midwife-led continuity of carer model improve birth outcomes and maternal mental health in vulnerable women?

Dr Rachael Moss and Kathryn Willan from Born in Bradford, discuss a study on whether the midwife-led continuity of carer model improves birth outcomes and maternal mental health in vulnerable women

Impact Stories / 7th February 2020
Continuity of carer during pregnancy, birth and beyond

How Better Start Bradford is leading the way in developing a continuity of carer model in Bradford.

Impact Stories / 24th May 2019
Why continuity of carer matters

We were thrilled when we learned that two of our projects have been working together and supporting an isolated single mum through her birth journey, creating a continuity of carer that she had not had previously.

Impact Stories / 12th May 2017
Celebrating our Personalised Midwifery Project midwives

At 7 weeks' pregnant, Mrs Bashir attended her first Personalised Midwifery Team appointment. She it to be a rushed, form filling, non-personal experience based on prior experience, but couldn't have been more wrong.

Impact Stories / 26th March 2017
A week in the life of a Personalised Midwifery Project midwife

Steph has been a midwife for the last 4 years and has worked with our Personalised Midwifery Care Pilot for the past year. She took some time out of her busy schedule to share with us one of her typical working week.