Clemons, Janine HGreenslade-Yeats, James HJackson, TaleiMharapara, Tago LStaniland, Nimbus ARavenswood, Katherine2026-05-172026-05-172026-05-13Women and Birth, ISSN: 1871-5192 (Print), Elsevier BV, 39(3), 102211-102211. doi: 10.1016/j.wombi.2026.1022111871-5192http://hdl.handle.net/10292/21094Background: Aotearoa New Zealand’s Continuity of Care (CoC) midwifery model is recognised for its nationalised, public provision of one-to-one midwifery care. The model has distinctive pressures associated with workload, 24/7 on-call, and emotional intensity. While research has examined how these pressures affect midwives, little is known about how this model shapes the lives of midwives’ children. Aim: This study explores how the CoC model of midwifery can influence midwives' children. Methods: We analysed qualitative interviews from 22 families with children aged 11–19 and adult children aged 20 – 40 + participated alongside a current or former CoC midwife. Iterative thematic analysis and reflexive team interpretation informed theme development. Findings: The overarching interpretation, 'living in the shadow of the call’, describes how families continually reorganised themselves around unpredictable CoC work. Five themes described these dynamics: (1) Living on Alert–chronic unpredictability shaping family life; (2) When Work Enters the Home–emotional spillover and blurred boundaries; (3) Children as Stabilisers–adaptive labour and role reversals; (4) Holding the System Together–reliance on extended networks and shared care; and (5) Growing through the Demands–long-term developmental consequences. Children described the costs of 'living in the shadow of the call’, yet also how these experiences built resilience, independence, emotional maturity, and political awareness. Discussion: Children perceived that CoC midwifery shaped their everyday rhythms, relationships and developmental experiences. Children’s accounts highlight the growth and strain associated with living amongst unpredictable care work. Conclusion: Recognising children’s experiences is essential for developing sustainable continuity models that support midwives and the families who enable their practice.© 2026 The Author(s). Published by Elsevier Ltd on behalf of Australian College of Midwives. This is an open access article distributed under the terms of the Creative Commons CC-BY license, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. You are not required to obtain permission to reuse this article.http://creativecommons.org/licenses/by/4.0/11 Medical and Health SciencesObstetrics & Reproductive Medicine3215 Reproductive medicine4204 MidwiferyContinuity of careMidwifery workforceWork-family conflictChildren's experiencesQualitative researchNew ZealandJournal ArticleOpenAccess10.1016/j.wombi.2026.102211