ObjectivesTo describe the differences in obstetrical results and women's childbirth satisfaction across 2 different models of maternity care (biomedical model and humanised birth).Setting2 university hospitals in south-eastern Spain from April to October 2013.DesignA correlational descriptive study.ParticipantsA convenience sample of 406 women participated in the study, 204 of the biomedical model and 202 of the humanised model.ResultsThe differences in obstetrical results were (biomedical model/humanised model): onset of labour (spontaneous 66/137, augmentation 70/1, p=0.0005), pain relief (epidural 172/132, no pain relief 9/40, p=0.0005), mode of delivery (normal vaginal 140/165, instrumental 48/23, p=0.004), length of labour (0–4 hours 69/93, >4 hours 133/108, p=0.011), condition of perineum (intact perineum or tear 94/178, episiotomy 100/24, p=0.0005). The total questionnaire score (100) gave a mean (M) of 78.33 and SD of 8.46 in the biomedical model of care and an M of 82.01 and SD of 7.97 in the humanised model of care (p=0.0005). In the analysis of the results per items, statistical differences were found in 8 of the 9 subscales. The highest scores were reached in the humanised model of maternity care.ConclusionsThe humanised model of maternity care offers better obstetrical outcomes and women's satisfaction scores during the labour, birth and immediate postnatal period than does the biomedical model.
Artículo publicado en RES Revista de Educación Social número 13, Julio de 2011 RES es una publicación digital editada por el Consejo General de Colegios Oficiales de Educadoras y Educadores Sociales (CGCEES). La Revista RES forma parte del proyecto EDUSO y se integra en el Portal de la Educación Social, http://www.eduso.net/res.
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FenomenologíaFigura del padre en relación a la crianza: pasado, presente y futuro.Figure of the father in relating to the upbringing: past, present and future A figura do pai em matéria de educação: passado, presente e futuro.
ABSTRACTThe current situation in the West reflects a gradual change of the father in the upbringing of their offspring, as reflected in its theory Madeleine Leininger, one must know the characteristics of this phenomenon to implement culturally congruent care. Based on the concept of Mercer "roles are not fixed, so no matter which person is responsible for performing the different roles" (Marriner, 2007) can mimic the maternalpaternal-filial subsidiary.We propose a qualitative research based on in-depth interview in order to study: parents (men) novice, and discussion groups professional midwives as the most representative figure and is directly involved with women's reproductive health and care the newborn.Thus we can say that the typical family idea is accepted as is in crisis around the nineties, there emerges the figure of the new parents, a concept introduced by Bonino (2003). We met a father whose presence in the care of children is of great importance in the proper development of these (Alberdi & Escario, 2007).Therefore we must work on the model to define the New Parent involvement in raising it. The midwife is the professional most qualified to serve as agents of change.
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