A recent groundbreaking study published in The Lancet’s eClinical Medicine reveals that a culturally tailored continuity of midwifery care model significantly improves perinatal outcomes for First Nations families in Victoria, Australia. This innovative approach, known as the Baggarrook Yurrongi or “Women’s Journey” model, ensures that women expecting First Nations babies receive consistent care from a known midwife throughout pregnancy, birth, and the early postnatal period.
Developed collaboratively with First Nations health organizations and maternity services, the Baggarrook Yurrongi model addresses the unique cultural needs of Aboriginal and Torres Strait Islander families. The study analyzed over 164,000 births from three major hospitals, including outcomes for more than 2,000 First Nations babies. Researchers utilized a prospective, non-randomized design, comparing data before (2012–2017) and after (2017–2022) the model’s implementation to assess its real-world efficacy.
The findings demonstrated monumental improvements: there was a 45% increase in the rate of healthy births among First Nations babies. Additionally, the likelihood of low birthweight decreased by 33%, preterm births by 36%, and neonatal intensive care admissions by 30%. Mothers were also 86% more likely to initiate breastfeeding, underscoring enhanced postnatal engagement and infant health support.
Lead researcher Professor Della Forster emphasized the significance of culturally informed midwifery continuity care, highlighting its role in bridging healthcare disparities. By fostering trust and cultural safety, the model encourages better health practices and outcomes, marking a notable stride toward closing the persistent gap in Indigenous perinatal health.
Key to the success of this approach is the trusted relationship a known midwife builds with expectant mothers—crucial for communities historically wary of healthcare systems. Programs like Mercy Hospital for Women’s Nangnak Baban Murrup and Joan Kirner Women’s and Children’s Hospital’s Galinjera have demonstrated both high uptake and satisfaction levels among clients and midwives alike, indicating sustainable integration into standard maternity care.
Clinical Midwife Specialist Evelyn Burns remarked that this continuity of care model profoundly impacts women’s confidence and connection during pregnancy. The study’s robust dataset and positive qualitative feedback from both families and clinicians provide compelling evidence for broader adoption across Australian maternity services.
This research not only validates the efficacy of culturally tailored care models but advocates for their expansion nationwide to ensure equitable and effective maternity healthcare for all First Nations families. The findings represent a pivotal shift in perinatal care paradigms, blending cultural competence with clinical excellence to improve long-term maternal and infant health outcomes.
Subject of Research: People
Article Title: The effect of culturally tailored continuity of midwifery care on perinatal outcomes for women having a first Nations baby in Victoria, Australia: a prospective non-randomised translational study
News Publication Date: 24-Jun-2026
Web References: https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(26)00281-6/fulltext
References: 10.1016/j.eclinm.2026.104028
Image Credits: La Trobe University
Keywords: Health care, First Nations, midwifery continuity, perinatal outcomes, culturally tailored care
