The International Childbirth Initiative: 12 steps to safe and respectful MotherBaby–Family maternity care

Lalonde, André B.; Herschderfer, K.; Pascali-Bonaro, Debra; Hanson, Claudia; Fuchtner, Carlos; Visser, G. H. A.

doi:10.1002/ijgo.12844

Cited by 57 publications

(35 citation statements)

References 12 publications

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“…They also contradict recommendations by the WHO, International Confederation of Midwives and Royal College of Obstetricians and Gynecologists. [17][18][19] This bleak outlook on obstetric care becomes further compounded in LMICs. In these settings, health care systems already make difficult decisions regarding care, where supplies and systems are already extremely precarious.…”

Section: Indirect Concerns Over Centralization Of Maternity Servicesmentioning

confidence: 99%

Where do women birth during a pandemic? Changing perspectives on Safe Motherhood during the COVID-19 pandemic

Rocca‐Ihenacho

Alonso

2020

J Glob Health Sci

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During the coronavirus disease 2019 (COVID-19) pandemic, health systems all over the world are either stressed to their maximum capacity or anticipating becoming overwhelmed. The population is advised not to attend hospital unless strictly necessary, yet this advice seems to apply to all but healthy women during childbirth.Specialized hospital care during childbirth can be lifesaving in case of obstetric complications or for COVID-19 symptomatic women, while strong evidence suggests the appropriateness of midwifery units that are integrated into the healthcare system for eligible women. We must ask ourselves whether obstetric units are the appropriate birthing facilities for healthy women during the pandemic.We have learned from previous crises that the needs of women and children are often badly served during disasters. The COVID-19 pandemic raises concerns over escalation of mistreatment and abuse media are already reporting on restrictions to the rights of birthing women in Europe and the US. In addition, concerns have emerged over increased risk of infection to COVID-19 among birthing women and familied by concentrating all women in obstetric units and lack of optimal care due to pressure on staff and resources. Women's rights in childbirth are being threatened by lack of care during labor, restrictions on accompaniment, unnecessary interventions including inductions, separation of mother and baby and prohibition on breastfeeding.An effective response to the crisis depends on strong and coordinated health care systems where mothers can birth safely, and the needs of the newborn babies are met.The interpretation of what constitute safe care is a stimulus for a strong debate between those who argue for strengthening community and primary care services and those who recommend for centralization of all births in hospitals. This debate is particularly salient during this pandemic and in preparation of future pandemics.We propose a strategic response in the face of the pandemic by expanding the use of midwifery units both alongside the obstetric unit and freestanding (in the community). Where midwifery units are absent pop-up units can be created quickly following the example of the Netherlands.

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Section: Indirect Concerns Over Centralization Of Maternity Servicesmentioning

confidence: 99%

Where do women birth during a pandemic? Changing perspectives on Safe Motherhood during the COVID-19 pandemic

Rocca‐Ihenacho

Alonso

2020

J Glob Health Sci

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“…FIGO and its global partners (IPA, ICM, WRA, WHO) consider accompaniment such an important issue that they started the Mother and Baby Friendly Birth Facility (MBFBF) initiative, an organization that provides mothers with information and options and that is dedicated to diminishing disrespectful/abusive care during childbirth in facilities (DACF), and—more recently—the International Childbirth Initiative, a global initiative to provide guidance and support for safe and respectful maternity care . One of the criteria used by FIGO to determine whether an establishment qualifies as friendly, is for a mother to be able to choose one or more companions during childbirth.…”

Section: Introductionmentioning

confidence: 99%

Components of obstetric violence in health facilities in Quito, Ecuador: A descriptive study on information, accompaniment, and position during childbirth

Meijer¹,

Brandão

Cañadas

et al. 2019

Intl J Gynecology & Obste

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Objective: To describe three factors of obstetric violence in health centers that attend births in Quito, Ecuador: information; accompaniment; and free position. Method:A cross-sectional descriptive study of 388 women was conducted, focusing on the analysis of three factors of obstetric violence. This study forms part of a larger study that explores the experiences of women in childbirth in Quito between July 1, 2016 and July 1, 2017.Results: Of all procedures, the performance of episiotomies and the application of fundal pressure during the second stage of labor (Kristeller) stand out, as more than 35% of the women were not informed about them. In total, 121 (46.9%) women who gave birth vaginally were not given the opportunity to be accompanied by someone of their choice, neither in labor nor during delivery. While in the cases of cesarean deliveries, this increased to 116 (92.1%) women. A total of 119 (37.2%) women did not have the opportunity to choose their birthing position (or they did not know they could choose).During delivery, 138 (53.5%) women indicated the same. Conclusion:Obstetric violence is seen in all three components: information; accompaniment; and free position. K E Y W O R D S

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“…Within this backdrop in Spain, it is welcome that the Lancet Midwifery Series [35] described evidence-based effective midwifery interventions helpful in labour to promote healthy physiologic labour as relaxation techniques and inhaled analgesia for pain relief in labour, immersion in water in the first and second stages, upright positions, massage, reflexology, acupuncture or acupressure. In the same line, a global initiative (International Childbirth Initiative-ICI, 2018) [36] was developed. This initiative has a mother-baby-family maternity care model that shifts the traditional medical model of care to a value-based model grounded in partnership between the provider and users, where optimal health outcomes are the main goal.…”

Section: Discussionmentioning

confidence: 99%

“…Another related recommendation from ICI stands for providing evidence-based practice as it has been proven to be beneficial in supporting the normal physiology of birth. Therefore, there appears to be a lack of adherence to national and international recommendations to adopt strategies that facilitate labour physiology [10,25,26,36] in favor of an interventionist approach of care provision during labour, symptomatic of a medicalized model of maternity care which has the potential to result in care that is more expensive. Therefore, addressing the rates of the length of exposure to EA and oxytocin use during labour is an important consideration when striving to improve women´s health.…”

Section: Discussionmentioning

confidence: 99%

Relation between Length of Exposure to Epidural Analgesia during Labour and Birth Mode

García-Lausín

Perez-Botella

Duran

et al. 2019

IJERPH

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Objective: To appraise the relationship between the length of exposure to epidural analgesia and the risk of non-spontaneous birth, and to identify additional risk factors. This study is framed within the MidconBirth project. Study design: A multicentre prospective study was conducted between July 2016 and November 2017 in three maternity hospitals in different Spanish regions. The independent variable of the study was the length of exposure to epidural analgesia, and the dependent variable was the type of birth in women with uncomplicated pregnancies. The data was analyzed separately by parity. A multivariate logistic regression was performed. The odds ratios (OR), using 95% confidence intervals (CI) were constructed. Main outcome measures: During the study period, 807 eligible women gave birth. Non-spontaneous births occurred in 29.37% of the sample, and 75.59% received oxytocin for augmentation of labour. The mean exposure length to epidural analgesia when non-spontaneous birth happened was 8.05 for primiparous and 6.32 for multiparous women (5.98 and 3.37 in spontaneous birth, respectively). A logistic regression showed the length of exposure to epidural during labour was the major predictor for non-spontaneous births in primiparous and multiparous women followed by use of oxytocin (multiparous group). Conclusions: The length of exposure to epidural analgesia during labour is associated with non-spontaneous births in our study. It highlights the need for practice change through the development of clinical guidelines, training programs for professionals and the continuity of midwifery care in order to support women to cope with labour pain using less invasive forms of analgesia. Women also need to be provided with evidence-based information.

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The International Childbirth Initiative: 12 steps to safe and respectful MotherBaby–Family maternity care

Abstract: The ICI has developed a quality assurance program of 12 steps for safe and respectful MotherBaby–Family maternity care that all birthing units can implement.

Cited by 57 publications

References 12 publications

Where do women birth during a pandemic? Changing perspectives on Safe Motherhood during the COVID-19 pandemic

Where do women birth during a pandemic? Changing perspectives on Safe Motherhood during the COVID-19 pandemic

Components of obstetric violence in health facilities in Quito, Ecuador: A descriptive study on information, accompaniment, and position during childbirth

Relation between Length of Exposure to Epidural Analgesia during Labour and Birth Mode

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