CoC model | Standard team approach |
---|---|
Women receive care from the same named midwife or a ‘back-up buddy’ throughout pregnancy and after birth | Women to see a midwife from their team without an emphasis on continuity of carer. |
Each midwife will have a maximum caseload of 60 women at any one time. | Caseloads of around 100–120 women per midwife. |
An additional home visit offered prior to the booking appointment to introduce the service and offer initial pregnancy health advice | No home visit available. |
90 min for booking appointments and 30 min for antenatal follow up appointments | 60 min for booking appointment and 20 min for antenatal follow up appointments. |
Midwives act as a care coordinator for women with higher risk pregnancies, consultant led or other hospital care. May also attend hospital appointments with women where desired/required. | Standard care from midwives covering the community service, no availability to attend hospital appointments. |
Additional postnatal appointments offered if required, tailored to an individual woman’s level of need. All postnatal care at home. | Same, but the ability to tailor care or to offer extra appointments may be more restricted. Limited home visits postnatally. |