Evaluation of One‐to‐One Midwifery: Women's Responses to Care

McCourt, Christine; Page, Lesley; Hewison, Jenny; Vail, Andy

doi:10.1046/j.1523-536x.1998.00073.x

Cited by 68 publications

(53 citation statements)

References 16 publications

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“…Research to date indicates that caseload midwifery increases women's satisfaction when compared with traditional midwifery practice (Homer et al 2002, McCourt et al 1998, McCourt & Stevens 2006) but there has been limited research on the implementation of this form of practice serving deprived multi-ethnic communities.…”

Section: Introductionmentioning

confidence: 99%

“…One of the key areas of concern in the Healthcare Commission's review of maternity services (2008) was that there was not adequate continuity of care for women. Caseload midwifery has been introduced in a number of units in the UK and in other countries with integrated midwifery services with favourable results, including increased continuity, a reduction in intervention in labour and increased satisfaction for women , Benjamin et al 2001, Homer et al 2001, Homer et al 2002, McCourt et al 1998, North Staffordshire 2000, Sandall et al 2001. These findings echo those of wider studies of continuity in health care (Haggerty et al 2003, Nutting et al 2003 Despite positive findings, the introduction of caseload practice has not been widespread, although there is little research to suggest why this may be.…”

Section: Introductionmentioning

confidence: 99%

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Caseload midwifery in a multi-ethnic community: The women's experiences

et al. 2013

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Objective: To evaluate caseload midwifery in a relatively deprived and ethnically diverse inner-city area.Design and setting: Semi-structured interviews were undertaken with 24 women from diverse ethnic backgrounds, 12 of whom had received caseload care and 12 women from an adjacent area who had received conventional maternity care in a large inner-city maternity unit. Framework analysis was adopted drawing on links with the authors' previous work on women's views of caseload midwifery. Key conclusions and implications:Women from this socially and ethnically diverse group of women had similar views and wanted similar care to those in previous studies of caseload midwifery. Many of the women receiving caseload care highlighted the close relationship they had with the midwives and as a result of this 2 felt more able to discuss their concerns with them. This has the potential not only for improved quality of care but also improved safety.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Caseload midwifery in a multi-ethnic community: The women's experiences

et al. 2013

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“…Doctors were only involved if complications arose, and in these cases, the midwife appeared to take on a complementary or mediatory role working with the obstetrician -pointing the doctor to different issues, explaining things to the women and sometimes negotiating over issues of risk and safety. Women who received caseload care experienced a lower level of obstetric interventions and were less reliant on epidural pain relief, a finding later echoed in a Cochrane review of continuity models of midwifery-led care (22,(24)(25) . Women in the standard care group, who did not have a named midwife but received care from a number of different midwives and doctors gave more mixed views.…”

Section: Overview Of the Analysismentioning

confidence: 95%

“…The study was inter-disciplinary, aimed to integrate qualitative and quantitative methods and combined clinical audit, economic audit, a psychosocial study of women's responses to care and an ethnographic case study of professionals' responses to the change. It used a comparative observational design, looking at the experience of women receiving the new model of care against the experience of women receiving conventional shared care in a neighbouring area (22) . The original study was approved by the ethical committee of the hospitals concerned.…”

Section: The Evaluation Of Caseload Midwife-ry: Origins Focus and Mementioning

confidence: 99%

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Technologies of birth and models of midwifery care

McCourt

2014

Rev. esc. enferm. USP

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RESUMENEste artículo se basa en un estudio sobre la reforma de la organización de los servicios de maternidad en el Reino Unido, que tubo como objetivo desarrollar un modelo más centrado en la mujer. Después de décadas de fragmentación y despersonalización de la atención, asociada con la ascensión del hospital como el lugar de parir, la presión de parteras y madres obligó al gobierno a revisar y hacer un cambio relativamente radical de esta política. Sin embargo, el modelo emergente de atención es profundamente influenciado por los conceptos y las tecnologías de monitoreo. El uso de tecnologías como ecografía, monitorización electrónica fetal y aceleración del parto con oxitocina, por lo general acompañada de anestesia epidural para el alivio del dolor, ha promovido el desarrollo de un modelo ecológico específico de nacimientoa menudo llamado la manejo de activo -, orientado la idea de una norma obstétrica. Con base en los relatos de las mujeres, este artículo analiza el impacto del modelo de atención en el posicionamiento de las mujeres frente al parto y las fuentes de información acerca de sus cuerpos, sus partos y el nacimiento del niño que ellas utilizan. También ilustra cómo el impacto de las experiencias de parto de las mujeres puede ser mediado por un modelo relacional de apoyo, a través de la prestación de cuidados de partería en el modelo caseload. DESCRIPTORESEnfermería obstétrica Parto Atención dirigida al paciente RESUMOEste artigo baseia-se em um estudo sobre a reforma na organização dos serviços de maternidade no Reino Unido, que teve como objetivo desenvolver um modelo mais centrado na mulher. Após décadas de fragmentação e despersonalização da assistência, associadas à ascensão do hospital como lugar de parir, a pressão de parteiras e mães obrigou o governo a uma revisão e mudança relativamente radical desta política. No entanto, o modelo emergente de cuidados tem sido profundamente influenciado pelos conceitos e tecnologias de monitoramento. O uso de tecnologias como ultra-sonografia, monitoramento eletrônico fetal e aceleração do parto com ocitocina, geralmente acompanhada de anestesia peridural para alívio da dor, tem promovido o desenvolvimento de um modelo ecológico específico de nascimentomuitas vezes chamado de manejo ativo -, orientado pela idéia de uma norma obsté-trica. Com base na análise da narrativa das mulheres, este artigo discute o impacto do modelo assistencial no posicionamento das mulheres frente ao parto e as fontes de informação sobre seus corpos, seus partos e o nascimento da criança que elas utilizam. Ilustra, também, como o impacto nas experiências de parto das mulheres pode ser mediado por um modelo relacional de apoio, mediante a prestação de cuidados de obstetrícia no modelo caseload. DESCRITORES Enfermagem obstétrica Parto Assistência centrada no paciente ABSTRACTThis article is based on a study of a reform in the organisation of maternity services in the United Kingdom, which aimed towards developing a more woman-centred model of care. After decades of fragmentation a...

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Interventions for providers to promote a patient-centred approach in clinical consultations

Lewin

Skea

Entwistle

et al. 2001

Cochrane Database of Systematic Reviews

444

415

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Background Communication problems in health care may arise as a result of healthcare providers focusing on diseases and their management, rather than people, their lives and their health problems. Patient-centred approaches to care are increasingly advocated by consumers and clinicians and incorporated into training for healthcare providers. The effects of interventions that aim to promote patient-centred care need to be evaluated. Objectives To assess the effects of interventions for healthcare providers that aim to promote patient-centred approaches in clinical consultations.

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Evaluation of One‐to‐One Midwifery: Women's Responses to Care

Cited by 68 publications

References 16 publications

Caseload midwifery in a multi-ethnic community: The women's experiences

Caseload midwifery in a multi-ethnic community: The women's experiences

Technologies of birth and models of midwifery care

Interventions for providers to promote a patient-centred approach in clinical consultations

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