Family-Centered Maternity Care in the New Millennium

Abstract

Family-centered maternity care (FCMC) has become a familiar phrase in today's maternity services; however, the actual implementation in many hospitals is likely to be more "staff-centered" than "family-centered." This article gives an overview of the historical development of family-centered care and the importance of this model of care to a new or growing family's ability to adapt to the stress of birth and parenting. The current status of FCMC is reviewed in relation to prenatal education, intrapartum care, mother-baby nursing, and family visitation. Many lessons have been learned about implementing FCMC over the past 20 years. Suggestions are provided regarding the development of a vision and mission, the institutional culture, systems and clinical management, staff attitudes, and involvement of families.

Review of Perinatal Partner-Focused Smoking Cessation Interventions

“…The current trend toward family-centered care has also increased the incorporation of partners into intervention programs focused on smoking cessation (Zwelling & Phillips, 2001). The review of published paternal-focused smoking cessation interventions indicates a need for further development and implementation of interventions that include and directly focus on partners.…”

Makna Melahirkan di Rumah bagi Seorang Perempuan

“…Pada permulaan abad kedua puluh terjadi perpindahan tempat persalinan dari rumah ke rumah sakit. Asuhan maternitas ilmiah di rumah sakit sejak saat itu semakin terkenal, terutama di Amerika (Gorrie, McKinney & Murray, 1998;Zwelling & Phillips, 2001). …”

“…Hal ini disadari betul oleh perawat, sehingga timbul gerakan persalinan natural yang menghendaki persalinan berfokus pada keluarga (family centered) sebagai pengganti model medis. Perhatian terhadap penggunaan teknologi di rumah sakit yang berlebihan, kurangnya keterlibatan keluarga dan kurangnya kontrol personal membuat klien mencari pertolongan persalinan di rumah sebagai pilihan (Phillips, 1999;Zwelling & Phillips, 2001). …”

Toward a Situation-Specific Theory of Breastfeeding

“…The literature suggests that although maternal child health nurses may believe in family-centered care, their behaviors in the clinical setting do not consistently reflect these principles (Peterson, Cohen, & Parsons, 2004;Todd, 2004;Zwelling & Phillips, 2001). Qualitative research documents that breastfeeding mothers continue to experience care that does not meet their expectations.…”