Can a midwife-led continuity model improve maternal services in a low-resource setting? A non-randomised cluster intervention study in Palestine

Mortensen, Berit; Lukasse, Mirjam; Diep, Lien My; Lieng, Marit; Abu-Awad, Amal; Suleiman, Munjid; Fosse, Erik

doi:10.1136/bmjopen-2017-019568

Cited by 13 publications

(15 citation statements)

References 22 publications

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“…The obligation to work full-time and the heavy workload at the hospital prevented the midwives from being on call to attend labour and birth, as such the women were not assured having a known midwife during labour. A more detailed framework of the model is described elsewhere 17 18…”

Section: Methodsmentioning

confidence: 99%

“…Regular maternal care for women living in rural villages was offered from the governmental clinics and/or private medical doctors. Around 70% of the rural women registered for antenatal care in governmental clinics, where regular care providers were nurses or midwives and medical doctors 17. Besides maternal care, governmental providers in regular care were also responsible for general patient treatment, vaccinations and minor emergency cases.…”

Section: Methodsmentioning

confidence: 99%

“…The model was implemented between 2013 to 2016 in six governmental hospitals from where midwives provided outreaching antenatal and postnatal care in 37 rural villages. The implementation was associated with increased number of antenatal visits, number of detected pregnancy complications referred to higher level of care and number of postnatal home visits 17. It was further associated with reduced unplanned caesarean sections and induced labour, and improved important maternal and neonatal outcomes 18.…”

Section: Introductionmentioning

confidence: 99%

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Women’s satisfaction with midwife-led continuity of care: an observational study in Palestine

et al. 2019

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ObjectivesA midwife-led continuity model of care had been implemented in the Palestinian governmental health system to improve maternal services in several rural areas. This study investigated if the model influenced women’s satisfaction with care, during antenatal, intrapartum and postnatal period.DesignAn observational case-control design was used to compare the midwife-led continuity model of care with regular maternity care.Participants and settingWomen with singleton pregnancies, who had registered for antenatal care at a rural governmental clinic in the West Bank, were between 1 to 6 months after birth invited to answer a questionnaire rating satisfaction with care in 7-point Likert scales.Primary outcomeThe mean sum-score of satisfaction with care through the continuum of antenatal, intrapartum and postnatal period, where mean sum-scores range from 1 (lowest) to 7 (highest).Secondary outcomeExclusive breastfeeding.ResultsTwo hundred women answered the questionnaire, 100 who received the midwife-led model and 100 who received regular care. The median time point of interview were 16 weeks postpartum in both groups. The midwife-led model was associated with a statistically significant higher satisfaction with care during antenatal, intrapartum and postnatal period, with a mean sum-score of 5.2 versus 4.8 in the group receiving regular care. The adjusted mean difference between the groups’ sum-score of satisfaction with care was 0.6 (95% CI 0.35 to 0.85), p<0.0001. A statistically significant higher proportion of women who received the midwife-led continuity model of care were still exclusively breastfeeding at the time point of interview, 67% versus 46% in the group receiving regular care, an adjusted OR of 2.56 (1.35 to 4.88) p=0.004.ConclusionsThere is an association between receiving midwife-led continuity of care and increased satisfaction with care through the continuum of pregnancy, intrapartum and postpartum period, and an increased duration of exclusive breastfeeding.Trial registration number NCT03863600

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Women’s satisfaction with midwife-led continuity of care: an observational study in Palestine

et al. 2019

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“…Adapun bentuk ketidakpuasan ibu hamil yang paling sering diungkapkan dalam kaitannya dengan sikap dan perilaku petugas antara lain keterlambatan pelayanan, dokter sulit ditemui, kurang komunikatif dan informatif, lamanya proses masuk rawat inap, tutur kata, keacuhan serta ketertiban dan kebersihan di lingkungan RS (Chemir et al, 2014). Factor resiko yang terjadi jika wanita kurang puas menyebabkan berkurangnya jumlah kunjungan (Mortensen et al, 2018;Solnes Miltenburg, Kiritta, Bishanga, van Roosmalen, & Stekelenburg, 2017) mempengaruhi penilaian tentang kualitas layanan yang disediakan, sebagai hasil pengukuran kepuasan pelanggan telah menjadi pentingnya dalam menilai kinerja system (Hildingsson, Haines, Cross, Pallant, & Rubertsson, 2013;Mortensen et al, 2018) . Beberapa studi yang dilakukan di Anglo-Saxon dan negara Skandinavia menunjukan tingkat kepuasan dipantau dari kebutuhan dan harapan wanita (Floris, Irion, Bonnet, Politis Mercier, & de Labrusse, 2018).…”

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Faktor Ketidakpuasan Ibu Hamil dalam Pelayanan Asuhan Kehamilan

Ayu¹,

Sulistyaningsih²

2020

JNK

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Pelayanan asuhan kehamilan sebagai strategi untuk menurunkan angka kematian ibu. Salah satu masalah penting yang terus dihadapi adalah kurangnya kualitas baik pelayanan antenatal sehingga mempengaruhi kepuasan klien. Kepuasan merupakan indikator mutu pelayanan. Kepuasan ibu hamil penting untuk perbaikan lebih lanjut dari kualitas perawatan antenatal terfokus dan untuk memberikan pelayanan kesehatan yang beragam bagi wanita hamil. Tujuan dari systematic literature review ini adalah untuk menyimpulkan dan memeriksa literature yang berhubungan kepuasan ibu hamil terhadap kualitas pelayanan dalam asuhan kehamilan dan untuk mengetahui penyebab ketidakpuasan dalam pelayanan asuhan kehamilan. Studi apprasial menggunaan program Critical Appraisal Skills Program (CASP) dan metode sintesis menggunakan modifikasi PICO dengan sumber data didapatkan dari PubMed dan ProQuest terdapat 734 artikel yang di review. Kriteria inklusi adalah (1) Ibu hamil; (2) Pelayanan dalam Asuhan kehamilan; (3) Kepuasan ibu hamil; (4) Teks lengkap; (5) Artikel yang diterbitkan dari 2013 hingga 2018; dan (6) jurnal internasional. Terdapat 5 artikel yang memenuhi kriteria inklusi. Kepuasan ibu hamil terhadap kualitas pelayanan asuhan kehamilan di fasilitas kesehatan dipengaruhi oleh layanan klinik, aksesibilitas klinik dan interaksi dokter. Penyebab ketidakpuasan ibu hamil dalam pelayanan asuhan kehamilan diantaranya lamanya waktu menunggu, fasilitas kesehatan dan komunikasi interpersonal. Dari hasil 4 artikel yang diulas didapatkan faktor utama yang menyebabkan ketidakpuasan dalam pelayanan asuhan kehamilan adalah lamanya waktu menunggu. Perlu pelayanan ANC dengan pendekatan HTA (health technology assasment) untuk mempercepat pelayanan administrasi dan observasi awal pada ibu hamil dengan mengintegrasikan teknologi RFID (Radio Frequency identification) dan WSN (wireless sensor network). Pregnancy care services as a strategy to reduce maternal mortality. One important problem that continues to increase is the good quality of antenatal services that affects client satisfaction. Satisfaction is an indicator of service quality. Pregnancy satisfaction is important for further improvement of the quality of focused antenatal care and to provide comprehensive health services for pregnant women. The purpose of this, systematic literature review is to conclude and examine the literature relating to the satisfaction of pregnant women with the quality of care in care Appraisal studies using the Critical Appraisal Skills Program (CASP) and synthesis methods using PICO with data sources obtained from PubMed and ProQuest containing 734 articles as reviewed. Inclusion criteria are (1) Pregnant women; (2) Services in Pregnancy Care; (3) Satisfaction of pregnant women; (4) Full text; (5) Articles published from 2013 to 2018; and (6) international journals. There are 5 articles that meet the inclusion criteria. Satisfaction of pregnant women towards the quality of pregnancy care services in health facilities as assessed by clinical services, clinic accessibility and physician interaction. The cause of dissatisfied pregnant women in pregnant care services is waiting for the length of waiting time, health facilities and interpersonal communication. From the results of 4 articles worthy of review about the main factors that cause dissatisfaction in care services Need ANC assistance by discussing HTA (health technology assessment) to improve administrative services and early monitoring of pregnant women by integrating RFID technology (Radio Frequency Identification) and WSN (network wireless sensor).

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“…Reliability 4,6 B. Assurance 4,6 C. Tangibles 4,6 D. Emphaty 4,6 E. Responsiveness 4,6 Health insurance length of time to wait and the lack of provision of information about the care of mothers and babies especially mothers after giving birth (24,27).…”

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Evaluation of Participant Patient Satisfaction Evaluation in Childbirth Care at Independent Midwifery Practices

Ayu¹

2020

JNKI

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<p><em>Patient satisfaction is a measure of the quality of care. One important problem that continues to be faced is the lack of good quality service and getting client satisfaction. The aim is to explore the satisfaction of maternity patients using BPJS guarantees for the services provided by midwives in the Midwife's Independent Practice. This research method uses qualitative short narrative or force. PubMed and Proquest searches were carried out systematically from 2008 to 2018. Quality articles were selected based on inclusion and Critical Assessment criteria. Based on the review found k Mothers' satisfaction with prenatal care can be said to be the experience that results from subjective judgments about what the mother expects and what actually happens related to labor. Factors that influence patient satisfaction in labor are environmental factors, technical and professional aspects of nursing, and aspects of care and communication. Quality of service is the dominant concept in quality assurance and quality improvement programs in the health sector. One method for determining quality is evaluating customer satisfaction. One tool for evaluating and analyzing service quality gaps is SERVQUAL to study the difference between customer expectations and perceptions in different dimensions including in five dimensions of service quality namely physical evidence, service reliability, responding, assurance and empathy. To get health services, you can use health insurance (BPJS). The benefits of health insurance are freeing participants from the difficulty of providing cash, health costs can be monitored, quality of service can be overcome and the availability of health data. </em></p>

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Can a midwife-led continuity model improve maternal services in a low-resource setting? A non-randomised cluster intervention study in Palestine

Cited by 13 publications

References 22 publications

Women’s satisfaction with midwife-led continuity of care: an observational study in Palestine

Women’s satisfaction with midwife-led continuity of care: an observational study in Palestine

Faktor Ketidakpuasan Ibu Hamil dalam Pelayanan Asuhan Kehamilan

Evaluation of Participant Patient Satisfaction Evaluation in Childbirth Care at Independent Midwifery Practices

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