Utilization of continuity of care for women with syphilis during pregnancy: a case study
DOI:
https://doi.org/10.14456/taj.2026.5Keywords:
continuity of care, nurse midwives, syphilis, sexually transmitted infections, pregnant womenAbstract
The incidence of syphilis among pregnant women has increased worldwide during 2016-2022, leading to significant adverse outcome for both mothers and fetuses, particularly congenital syphilis. Continuity of care is therefore essential in mitigating these impacts. This article aims to present the principles of continuity of care, which consist of three dimensions: (1) relationship continuity, (2) informational continuity, and (3) management continuity. In addition, five models of continuity of care are described, including caseload midwifery, team midwifery, group midwifery, multidisciplinary team-based care, and digitally supported care. In applying the principles of continuity of care, the primary midwife establishes a trusting relationship from the first antenatal visit, ensures consistency in care provision, and promotes positive pregnancy experiences while minimizing adverse outcomes. Following comprehensive assessment of health status and related risk factors, the midwife integrates relevant information, coordinates care with the multidisciplinary team, and monitors care outcomes. This article demonstrates the application of continuity of care during pregnancy through a case study of a pregnant woman diagnosed with syphilis, highlighting the role of a multidisciplinary team model in strengthening midwifery practice in the future.
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