A comparison of frequency of medical interventions and birth outcomes between the midwife led unit and the obstetric unit in low-risk primiparous women

Prelec, Anita; Verdenik, Ivan; Poat, Angela

doi:10.14528/snr.2014.48.3.16

Cited by 6 publications

(2 citation statements)

References 24 publications

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“…Ob nenačrtovanem porodu zunaj porodnišnice je kontinuirana babiška skrb, če jo izpostavimo v kontekstu raziskave, prej naključna kot namenska. Poleg znanja in odgovornosti, ki jo kontinuirana babiška skrb prinaša za izvajalce, namreč uresničevanje takšnega načina dela zahteva predvsem sistemske spremembe znotraj zdravstvenega varstva (Njenjić & Skela Savič, 2011;Stanek Zidarič, et al, 2011;Prelec, et al, 2014).…”

Section: Proces Rojevanja: Rituali Prakse In Doživljanjaunclassified

Izkušnje žensk ob nenačrtovanem porodu zunaj porodnišnice

Kragelj

Prosen

2016

Obzor Zdrav Neg

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IZVLEČEKUvod: Porodi zunaj porodnišnice so v Sloveniji redkost. Nekaj teh porodov se zgodi tudi v Zgornjem Posočju, ki je posebno zaradi svojega geografskega položaja in časovne oddaljenosti do najbližje porodnišnice. Cilj raziskave je bil pridobiti poglobljen vpogled v doživljajski svet porodnic, ki so nenačrtovan porod zunaj porodnišnice izkusile, in zaznati oceno kakovosti ponujene obporodne skrbi skozi občuteno zadovoljstvo. Metode: Raziskava je temeljila na kvalitativni metodologiji. V namenski vzorec je bilo vključenih 10 porodnic, ki so rodile med letoma 2004 in 2014. Podatki so bili pridobljeni s pomočjo delno strukturiranih intervjujev v juniju 2014 in analizirani z metodo analize besedila. Rezultati: Z metodo analize besedila je bilo identificiranih pet tem, in sicer (1) proces rojevanja -rituali, prakse in doživljanja, (2) podoživljanje poroda, (3) v žensko osredotočena skrb, (4) zaznana stopnja zadovoljstva z institucionalno obravnavo in (5) zaznavanje poroda med nosečnostjo -želje in pričakovanja. Diskusija in zaključek: Ugotovitve nakazujejo, da so med porodom v ospredju ljudje, ki so ob porodnici, in njihov odnos do nje. Čeprav se porodnice takrat morda res ne zavedajo vseh morebitnih tveganj, se tega zavedajo zdravstveni delavci ob njej. Vključene v raziskavo so svojo porodno izkušnjo izkusile kot pozitivno in obenem izrazile zadovoljstvo do obporodne zdravstvene oskrbe. Nadaljnje raziskovanje bi moralo vključevati vidik zdravstvenih delavcev. ABSTRACTIntroduction: Out-of-hospital births are rare in Slovenia. Some of these births occur also in the Upper Soča region, mainly due to its geographical location and the travel time to the nearest hospital, specifically. The aim of this study was to obtain a deeper insight into childbearing women's experience of unplanned out-ofhospital birth, and to evaluate the satisfaction with the quality of perinatal care provided. Methods: The study was based on a qualitative methodology. The purposive sample included 10 pregnant women who gave birth between 2004 and 2014. The data were obtained through semi-structured interviews in June 2014 and were analysed by using the method of content analysis. Results: The analysis yields five thematic clusters, namely (1) birth process -rituals, practices and experiences, (2) re-experiencing birth, (3) woman-centred care, (4) perceived level of satisfaction with institutional treatment, and (5) feelings, desires and perceptions of women during pregnancy which are related to birth. Discussion and conclusion: The findings suggest that during unplanned out-of-hospital birth, the most important is the active and passive support of persons present and their attitude towards the woman in labour. Although women are not fully aware of all potential risks, the health professional present should be prepared and take all the preventive measures. The study participants perceived home birth as a positive experience and also expressed high level of satisfaction with perinatal health care. Further research should be undertaken to investig...

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Section: Proces Rojevanja: Rituali Prakse In Doživljanjaunclassified

Izkušnje žensk ob nenačrtovanem porodu zunaj porodnišnice

Kragelj

Prosen

2016

Obzor Zdrav Neg

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“…Midwife-led continuity of care (MLCC) is a well-researched health systems innovation that has been shown to lead to better outcomes, such as lower rates of prematurity and foetal/neonatal death [ 2 ], fewer medical interventions [ 5 ], better experiences among women and lower costs compared to other models of maternal and new-born care [ 6 , 7 ]. MLCC models consist of three elements: 1) Care is provided by midwives and they are the lead carers throughout pregnancy, birth and the postnatal period; 2) Continuity of care by a known midwife who works in collaboration with other health professionals 3) Care is based on the midwifery philosophy that pregnancy and birth are physiological life events and is therefore focused primarily on preventive and supportive care rather than exclusively on the identification and treatment of risks and complications [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Health care providers’ perceptions and experiences related to Midwife-led continuity of care–A qualitative study

et al. 2021

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Background Though Midwife-led care remains a key to improving the health status of pregnant mothers, in Ethiopia, maternity care has traditionally been based on a model in which responsibility for care is shared by hospital-based midwives, nurses, general practitioners, and obstetricians. This type of care has been seen as representing a fragmented approach. Objective The aim of this study was to explore health care providers’ perceptions and experiences related to Midwife-led continuity of care at primary hospitals in the north Shoa zone Ethiopia Methods A qualitative approach was selected as the methodology for this study. Data were collected from 25 midwives and 8 integrated emergency surgical officers (IESO) and medical doctors working in maternal health care units in four primary hospitals in the north Shoa zone, Amhara Regional State. Four focus group discussions and eight individual interviews were conducted. The facilitator utilized a set of open-ended questions for the focus group discussion. Semi-structured interview questions were used for the interviews and thematic data analysis was done. Finding The main theme extracted was “Midwives welcome consideration of a Midwife-led model that would provide greater continuity of care, but they expressed concerns about organisation and workload”. The midwives said that they would welcome working with the midwife-led care model, as they believed using it could lead to improving the quality of maternal health care, provide greater continuity, and improve coverage, birth outcomes, and maternal satisfaction. The midwives could become more autonomous and be able to take more responsibility for maternity care. The group of 25 midwives and the group of 8 IESO and medical doctors perceived that working procedures and changes in the organization of care in the health facility would have to be studied carefully before any changes can be considered. Conclusion In this study, we found that replacing the existing system of maternal care with a Midwife-led model would require careful analysis of how this model of care might be implemented in Ethiopia. Further investigation will be of great importance in providing insights that will help in developing a final model.

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