gms | German Medical Science

6th International Conference of the German Society of Midwifery Science (DGHWi)

Deutsche Gesellschaft für Hebammenwissenschaft e. V.

28.07. - 29.07.2022, Winterthur, Schweiz

Implementing MLCC, a balancing act between science and politics

Meeting Abstract

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  • corresponding author Franka Cadée

Deutsche Gesellschaft für Hebammenwissenschaft. 6. Internationale Konferenz der Deutschen Gesellschaft für Hebammenwissenschaft (DGHWi). Winterthur, Schweiz, 28.-29.07.2022. Düsseldorf: German Medical Science GMS Publishing House; 2022. Doc22dghwiK01

doi: 10.3205/22dghwi01, urn:nbn:de:0183-22dghwi019

This is the English version of the article.
The German version can be found at:

Published: July 28, 2022

© 2022 Cadée.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at



If midwifery were a pill, it would have been administered to all people globally immediately. Yet we see that, despite the clear and growing scientific evidence about the positive impact of Midwife-led Continuity of Care (MLCC) to achieve the United Nations Sustainable Development Goals (SDG) [1] implementation is noticeably slow compared to other evidence based interventions.

We do see a wind of change in the global arena, with increasing consensus among global health leaders that there must be more targeted strategies to implement MLCC to achieve Universal Health Coverage (UHC) by providing high quality, equitable and respectful healthcare to women and girls [2]. It is for this reason that the World Health Organisation (WHO) have in recent years recommended MLCC models for pregnant women in all settings in both their WHO antenatal and intrapartum care guidance for a positive pregnancy and childbirth experience [3]. The International Confederation of Midwives’ (ICM) 2021 – 2023 Strategy and ICM Core documents have MLCC as their top priority [2], [4], [5].

Unlike many medical interventions, MLCC is a long term and sustainable intervention that calls for a systems change. Current power dynamics within the healthcare sector and in society at large are not conducive to the success of MLCC [6], [7]. So to implement MLCC we need to not only be aware of the political will to change the paradigm, we will need to foster a movement that calls for and implements the necessary change.

During this presentation I will share with the audience the evidence for MLCC and what we can do to support its implementation. We have all the evidence, now has come the time to be political!

Ethics and conflicts of interest: A vote on ethics was obtained. There are no conflicts of interest.


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