Technologies of birth and models of midwifery care

McCourt, Christine

doi:10.1590/s0080-623420140000600024

Cited by 5 publications

(6 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These were all set within the context of respectful care, where midwives should work in partnership with women and strengthen women’s capabilities. These recommendations were based on what women need and want [17], marking the recognition that quality midwifery care is not only about the provision of care, but, crucially, also about how it is experienced [18, 19]. This represents a shift away from a false, and sometimes oppositional, separation of safety from normality and humanised care [20, 21].…”

Section: Introductionmentioning

confidence: 99%

Midwives’ perspectives on (dis)respectful intrapartum care during facility-based delivery in sub-Saharan Africa: a qualitative systematic review and meta-synthesis

et al. 2019

Self Cite

View full text Add to dashboard Cite

Background In the past decade, the negative impact of disrespectful maternity care on women’s utilisation and experiences of facility-based delivery has been well documented. Less is known about midwives’ perspectives on these labour ward dynamics. Yet efforts to provide care that satisfies women’s psycho-socio-cultural needs rest on midwives’ capacity and willingness to provide it. We performed a systematic review of the emerging literature documenting midwives’ perspectives to explore the broader drivers of (dis)respectful care during facility-based delivery in the sub-Saharan African context. Methods Seven databases (CINAHL, PsychINFO, PsychArticles, Embase, Global Health, Maternity and Infant Care and PubMed) were systematically searched from 1990 to May 2018. Primary qualitative studies with a substantial focus on the interpersonal aspects of care were eligible if they captured midwives’ voices and perspectives. Study quality was independently assessed by two reviewers and PRISMA guidelines were followed. The results and findings from each study were synthesised using an existing conceptual framework of the drivers of disrespectful care. Results Eleven papers from six countries were included and six main themes were identified. ‘Power and control’ and ‘Maintaining midwives’ status’ reflected midwives’ focus on the micro-level interactions of the mother-midwife dyad. Meso-level drivers of disrespectful care were: the constraints of the ‘Work environment and resources’; concerns about ‘Midwives’ position in the health systems hierarchy’; and the impact of ‘Midwives’ conceptualisations of respectful maternity care’. An emerging theme outlined the ‘Impact on midwives’ of (dis)respectful care. Conclusion We used a theoretically informed conceptual framework to move beyond the micro-level and interrogate the social, cultural and historical factors that underpin (dis)respectful care. Controlling women was a key theme, echoing women’s experiences, but midwives paid less attention to the social inequalities that distress women. The synthesis highlighted midwives’ low status in the health system hierarchy, while organisational cultures of blame and a lack of consideration for them as professionals effectively constitute disrespect and abuse of these health workers. Broader, interdisciplinary perspectives on the wider drivers of midwives’ disrespectful attitudes and behaviours are crucial if efforts to improve the maternity care environment - for women and midwives - are to succeed.

show abstract

Section: Introductionmentioning

confidence: 99%

Midwives’ perspectives on (dis)respectful intrapartum care during facility-based delivery in sub-Saharan Africa: a qualitative systematic review and meta-synthesis

et al. 2019

Self Cite

View full text Add to dashboard Cite

show abstract

“…En la comparativa de los datos del parto se observa la diferencia que existe entre ambos modelos de asistencia: el biomédico, donde predomina la medicalización, y el humanizado, donde se considera el parto un proceso fisiológico y no se realiza ninguna intervención si se trata de un parto normal. (11,13) En el presente estudio se observa que en el modelo humanizado un mayor número de gestantes inician el parto de forma espontánea, en contraste con el modelo biomédico en el que la mayor proporción de gestantes lo inician con estimulaciones. La amniorrexis artificial rutinaria, acompañada o no del uso de oxitocina, es un procedimiento común en la asistencia al parto normal en España.…”

Section: Discussionunclassified

“…Además, existen interrogantes sobre los efectos no deseados en la madre y el feto. (13) La OMS no recomienda la estimulación del parto, ni la amniorrexis y el uso de oxitocina de forma rutinaria como medidas para un parto que evoluciona de forma normal. (3) Diversos estudios han evidenciado que, en modelos dirigidos por matronas, estas son menos intervencionistas y hay un menor uso de oxitocina.…”

Section: Discussionunclassified

“…En ella se reseñaba que debía haber una razón válida para intervenir en el parto normal, que es considerado como un proceso natural. (13) Actualmente se asiste al nacimiento de un nuevo paradigma en la asistencia al parto, que es demandado, por un lado, por los profesionales sanitarios, por las mujeres y sus familias; y, por otro, por los sistemas sanitarios de los diferentes países del mundo. Las personas quieren ser tratadas no solo en su faceta biológica, sino de forma integral, como seres biopsicosociales; por ello, el modelo biomédico de atención al parto está siendo cuestionado por las usuarias de los servicios sanitarios.…”

Section: Introductionunclassified

See 1 more Smart Citation

Estudio descriptivo de los resultados obstétricos y neonatales en dos modelos de asistencia al parto en primíparas

Ferrer

Ávila

Sánchez³

et al. 2022

Enfermeria (Montev.)

View full text Add to dashboard Cite

Introducción: En el siglo XX el parto pasó de ser atendido en casa al ámbito hospitalario. Se adoptaron de forma acrítica intervenciones inapropiadas e innecesarias que condujeron a una deshumanización del parto. Este es el modelo que existe actualmente en la mayoría de los hospitales españoles y que fue cuestionado por la OMS ya en 1996. Objetivo: Describir las diferencias que existen en los resultados obstétricos y neonatales en primíparas en dos modelos distintos de asistencia al parto (biomédico y humanizado). Método: Se llevó a cabo un estudio descriptivo, de corte transversal. Se obtuvo una muestra por conveniencia de 205 primíparas, 110 del modelo biomédico y 95 del humanizado. Se compararon los resultados obstétricos y neonatales en dos hospitales con modelos diferentes de asistencia al parto en España. Resultados: En el modelo humanizado de asistencia al parto se obtuvieron unos mejores resultados obstétricos (inicio espontáneo, parto eutócico, periné íntegro o desgarro de I grado y menos episiotomías) que en el biomédico. No hubo diferencias en los resultados neonatales. Conclusión: Los beneficios de instaurar un modelo humanizado de asistencia al parto deberían ser considerados por los responsables de políticas sanitarias y reflejados en la mujer y su criatura.

show abstract

“…McCourt [18] specifically addressed women's feeling of control and how a strong relationship with the midwife contributed to improve maternal outcomes with fewer interventions during labour (e.g. episiotomy, epidural).…”

Section: Introduction Maternity Carementioning

confidence: 99%

Patient-Centred Care in Maternity Services

Labrusse¹,

Ramelet²,

Humphrey³

et al. 2017

Patient Centered Medicine

View full text Add to dashboard Cite

Providing patient-centred care (PCC) is one of the goals described by the Institute of Medicine (IOM) to deliver quality of care. Across several interventions described in the literature, there is no clear consensus of one that will best fit the diversity of women coming to seek care in maternity services and across the variety of healthcare providers (HCPs) who provide that care. A reason for that may be the lack of consensus about the model of care to adopt for maternity services reveals a neglected area of research. Managing quality of care should also mean considering the best model of care in practice for all women, incorporating the core and legitimate attributes of maternity care.

show abstract

Technologies of birth and models of midwifery care

Cited by 5 publications

References 7 publications

Midwives’ perspectives on (dis)respectful intrapartum care during facility-based delivery in sub-Saharan Africa: a qualitative systematic review and meta-synthesis

Midwives’ perspectives on (dis)respectful intrapartum care during facility-based delivery in sub-Saharan Africa: a qualitative systematic review and meta-synthesis

Estudio descriptivo de los resultados obstétricos y neonatales en dos modelos de asistencia al parto en primíparas

Patient-Centred Care in Maternity Services

Contact Info

Product

Resources

About