Providing woman-centred care in complex pregnancy situations

•When the philosophy of woman-centred care is not maintained, this places a woman with a complex pregnancy at risk of ‘falling through the gaps’ between maternity services, models of care and health providers.•Professional power differentials provoke professional boundary tensions and create barriers to woman-centred care in maternity services.•Organisational and siloed approaches to maternity care create barriers for midwives to provide woman-centred care.•Midwifery models of care intend to push the marker on the power continuum towards autonomy giving control of childbearing experiences back to the woman.