A Review the Role of Midwife-led Care Model in Managing the Costs of Healthy Reproductive Services

Objective: For improving the quality of reproductive health services and providing appropriate health care to mothers to reduce their mortality and morbidity, it requires to apply the effective cost models used in the world. In this regard, the aim of the current study is to critically review the related literature on cost management of healthy reproductive services with the continuous midwifery care model. Methods: This is narrative review study. A search was conducted in national and international online databases including using the keywords: Midwifery, reproductive health, continuous care, model, healthy reproductive services, cost, economic, cost effectiveness in Persian and English on studies published from 2010 to 2020 in English and had available full texts. Results: The continuous midwifery care model plays an important role in reducing the costs of medical care and a healthy reproductive program by reducing unnecessary interventions and prevented complications such as cesarean delivery and episiotomy rates. On the other hand, by improving the quality of mothers' services through improving health indicators, motivation, self-efficacy, and empowerment of mothers, this model encourages them to receive regular and more reproductive services. Conclusion: The continuous midwifery care is an effective model. Considering the economic limitations of the country, it seems that the use of this model in the healthy reproductive program can lead to a reduction in the treatment costs and improve the quality of midwifery care by providing continuity care and reducing unnecessary interventions.