MultIple Long-term Conditions in Pregnancy and Experiences of Midwifery Care

Inclusion Criteria: Interviews Women and birthing people * Women and birthing people with two or more pre-existing long-term health conditions (see appendix one) who are pregnant or postnatal or have given birth in the last 2 years * Able to provide consent * Able to participate in English or through an interpreter * Age 18 or over Midwives and maternity health care professionals NHS maternity staff including midwives and healthcare professionals who provide or manage care for women with two or more long-term health conditions e.g., obstetricians, obstetric physicians, medicine, perinatal mental health, and primary care. Co-design meetings * Women and birthing people with two or more long-term health conditions who are pregnant or postnatal or have given birth in the last 3 years (to include those who have given birth in the last 2 years at the beginning of the study who participated in an interview * Partners/supporters/significant others of women with two or more long-term health conditions who are pregnant or postnatal or have given birth in the last 3 years * Able to provide consent * Able to participate in English or through an interpreter * Age 18 or over * NHS maternity staff including midwives and healthcare professionals who provide care or manage services for women with two or more long-term health conditions * Members of the Patient and Public Involvement and Engagement Group and Project Advisory Group * Representatives from the study third sector partners (Maternal Mental Health Alliance, Action on Pre-eclampsia and Social Action for Health) * Representatives from other relevant third sector organisations * Health policy makers and commissioners Exclusion Criteria: Interviews Women and birthing people * Women and birthing people without two or more pre-existing long-term health conditions * Those who are not pregnant or have not given birth in the last two years * Those who refuse or are unable to give consent * Age under 18 * Age over 60 Midwives and maternity health care professionals NHS maternity staff including midwives and healthcare professionals who do not provide or manage care for women with two or more pre-existing long-term health conditions Co-design meetings * Those who refuse or are unable to give consent * Age under 18