From Kiwis to Kinder : How New Zealand's Lead Maternity Carer Model Could Deliver Setter Perinatal Care in Germany

Abstract

Background: Germany's maternity system is currently fragmented, lacking woman-centred continuity of care, which contrasts with the global recommendation for midwifery-led systems. In comparison, New Zealand's Lead Maternity Carer (LMC) model, which focuses on personalized, midwifery-led continuity of care, has been linked to improved maternal and neonatal outcomes and higher satisfaction among women and families. Objective: This work explores how adapting elements of the LMC model could address gaps in Germany's maternity care system, improve the quality of care, promote midwiferyled continuity of care, and enhance the overall birth experience. Method: A comparative analysis reveals significant differences between the maternity systems of New Zealand and Germany, highlighting factors that must be considered when implementing a midwifery-led system like the LMC model. Findings: Key considerations for implementing the model include the need for comprehensive data to assess the current system, the establishment of national frameworks and guidelines, and the creation of a unified midwifery association. The importance of political support, public awareness, and ensuring the sustainability of the midwifery profession are highlighted as critical factors for success. Conclusion: This research argues that with the right policies and resources, Germany can transition to a more holistic, midwifery-led maternity care system that prioritizes the wellbeing of both women and midwives, leading to better maternal and neonatal outcomes.