PURPOSE:
To investigate the implementation of a new model of Midwifery Continuity of Care (CoC) in Germany, including its benefits, current challenges, and possible strategies for integrating it into the German healthcare system. Another objective is to present the current state of Midwifery Continuity of Care in Germany.

DISCUSSION:
Midwifery CoC is recommended by the WHO in countries with well-functioning midwifery systems, offering numerous benefits for mothers and newborns. In Germany, 98% of all births take place in hospitals and only 2 % out-of hospital. Thus, ensuring the Midwifery CoC is hampered by the separation of inpatient and outpatient sectors, which operate under separate reimbursement systems. Currently, there is no standardized working or care model to enable midwives to provide Midwifery CoC in the hospital. There is an excess demand for Midwifery CoC for births in hospitals. The ongoing KoHaLa project is developing a care and work model tailored to German healthcare structures. Challenges, opportunities, and future perspectives will be presented in the form of a SWOT analysis.

EVIDENCE WHERE RELEVANT:
While specific data for Germany is limited, international evidence supports the positive outcomes of Midwifery CoC, and ongoing projects like KoHaLa aim to adapt these models to the German context.

KEY MESSAGE:
Understanding the conditions that facilitate or hinder the implementation of models of Midwifery CoC is essential. Addressing structural barriers and fostering supportive work environments are crucial steps toward integrating continuity of care models into German maternity care. Poster session 1 (Group A)