Amount, Source, and Quality of Support as Predictors of Women's Birth Evaluations

Simon, Richard; Johnson, Katherine M.; Liddell, Jessica L.

doi:10.1111/birt.12227

Cited by 30 publications

(25 citation statements)

References 35 publications

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“…In addition to systemic barriers, such as lack of transportation, 16 low-income women often have weak social supports. 27 The Center for Medicare and Medicaid Innovation's Strong Start for Mothers and Newborns (Strong Start) initiative provided enhanced prenatal care services to Medicaid and Children's Health Insurance Program (CHIP) participants through three evidence-based approaches: Birth Centers, Group Prenatal Care, and Maternity Care Homes. 18,19 Addressing low-income women's needs can also be challenging because of cultural gaps between patients and practitioners.…”

Section: Introductionmentioning

confidence: 99%

“…The quality and amount of support from practitioners strongly affect women's perceptions of their maternity care. 27 The Center for Medicare and Medicaid Innovation's Strong Start for Mothers and Newborns (Strong Start) initiative provided enhanced prenatal care services to Medicaid and Children's Health Insurance Program (CHIP) participants through three evidence-based approaches: Birth Centers, Group Prenatal Care, and Maternity Care Homes. (Although Medicaid and CHIP are separate programs, for simplicity we only refer to Medicaid throughout the rest of this paper.)…”

Section: Introductionmentioning

confidence: 99%

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What do women in Medicaid say about enhanced prenatal care? Findings from the national Strong Start evaluation

Hill

Cross‐Barnet

Courtot

et al. 2019

Birth

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Background: Medicaid pays for approximately half of United States births, yet little research has explored Medicaid beneficiaries' perspectives on their maternity care. Typical maternity care in the United States has been criticized as too medically focused while insufficiently addressing psychosocial risks and patient education. Enhanced care strives for a more holistic approach. Methods: The perspectives of participants in the Strong Start for Mothers and Newborns II initiative, which provided enhanced prenatal care to women covered by Medicaid or the Children's Health Insurance Program (CHIP) during pregnancy through Birth Centers, Group Prenatal Care, and Maternity Care Homes, are evaluated. Strong Start intended to improve care quality and birth outcomes while lowering costs. We analyzed data from 133 focus groups with 951 pregnant or postpartum women who participated in Strong Start from 2013 to 2017. Results: The majority of focus group participants said that Strong Start's enhanced care offered numerous important benefits over typical maternity care, including considerably more focus on women's psychosocial risk factors and need for education. They praised increased support; nutrition, breastfeeding, and family planning education; community referrals; longer time with practitioners; and involvement of partners in their care. Maternity Care Home participants, however, occasionally voiced concerns over lack of practitioner continuity and short clinical appointments, whereas Group Prenatal Care participants sometimes said they could not attend visits because of lack of childcare. Conclusions: Medicaid and CHIP beneficiaries reported positive experiences with Strong Start care. If more Medicaid practitioners could adopt aspects of the prenatal care approaches that women praised most, it is likely that women's risk factors could be more effectively addressed and their overall care experiences could be improved. K E Y W O R D S enhanced care, Medicaid, prenatal care, Strong Start | 245 HILL et aL.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

What do women in Medicaid say about enhanced prenatal care? Findings from the national Strong Start evaluation

Hill

Cross‐Barnet

Courtot

et al. 2019

Birth

View full text Add to dashboard Cite

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“…In relation to definition, satisfaction is generally perceived to be a highly individual, subjective and multifaceted concept which is difficult to define (Bramadat & Driedger, 1993;Simon, Johnson, & Liddell, 2016;Sitzia & Wood, 1997), with these problems largely relating to the different indices of this construct. In a maternity-related context for instance, Green, Coupland, and Kitzinger (1990) identified four maternal outcomes ("satisfaction," "fulfilment," "emotional wellbeing" and "description of babies") as being related to different variables and labour experiences.…”

Section: The Limitati On S Of Satis Fac Ti Onmentioning

confidence: 99%

Phenomenology as a political position within maternity care

Thomson

Crowther

2019

Nursing Philosophy

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In this article, the authors use the context of childbirth to consider the power that is endemic in certain forms of evidence within maternity care research. First, there is consideration of how the current evidence hierarchy and experimental‐based studies are the gold standard to determine and direct women's maternity experiences, although this can be at the detriment of care and irrespective of women's needs. This is followed by a critique of how the predominant means to assess women's experiences via satisfaction surveys is of limited utility, offering impartial and restricted insights to assess the quality of care provision. A counter position of hermeneutic phenomenology as research method is then described. This approach offers an alternative perspective by penetrating the taken‐for‐granted ordinariness of an event (such as childbirth) to elicit rich emic meanings. Whilst all approaches to understanding maternity care have a place, depending on the question(s) being asked, the contribution of phenomenology is how it can uncover a depth of contextual understanding into what matters to women and to inform and transform care delivery.

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“…Childbirth is an event with profound psychosocial and emotional impacts on mothers and its memory always remains in the minds (1)(2)(3). When the mothers face labor pain they experience negative and positive feelings that may cause hopelessness, fear, feeling of loneliness, and stress (4).…”

Section: Introductionmentioning

confidence: 99%

“…When the mothers face labor pain they experience negative and positive feelings that may cause hopelessness, fear, feeling of loneliness, and stress (4). To overcome these feelings in the labor and delivery room, it is important to provide support to the mothers based on their preferences and needs (2).…”

Section: Introductionmentioning

confidence: 99%

Validation of a Logic Model Program to Support Iranian Females During Labor: A Delphi Method

2017

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Objectives: The development of comprehensive supporting programs for mothers during labor and childbirth based on their needs could play an important role in reducing elective cesarean section. The current study aimed at evaluating the logical model program to support mothers during labor and childbirth using a 3-round Delphi technique. Methods: The current study was a 3-round Delphi using 25 experts of different specialties. The program components were taken from the findings of a qualitative approach; i e, grounded theory study. In the next stage, the process of selecting expert panel members was carried out using the snowball method. They all had clinical experience in hospital and some had the experience of working in the Iranian ministry of health and Medical education. The 3rd stage of selecting expert groups was formally asking them for their willingness to join the panel and participate in the Delphi study. At this stage, the objective of the subject and the roles of experts as well as a brief explanation of the conducted activities were emailed to them. Results:The results of 3-round Delphi illustrated 6 domains in the logic model including preparation (10 sentences), equipment and facilities (3 sentences), education (8 sentences), process and activities (10 sentences),interventions (13 sentences), and assessment (2 sentences). The panelists approved 46 sentences out of original set of over 51 statements via Delphi technique. Conclusions: The current paper provided clear principles and standards regarding how to practically do a comprehensive supportive care during labor and delivery.Keywords: Delphi Technique, Labor Pain, Supporting Labor, Normal Delivery, Logic Model BackgroundChildbirth is an event with profound psychosocial and emotional impacts on mothers and its memory always remains in the minds (1-3). When the mothers face labor pain they experience negative and positive feelings that may cause hopelessness, fear, feeling of loneliness, and stress (4). To overcome these feelings in the labor and delivery room, it is important to provide support to the mothers based on their preferences and needs (2).On the other hand, childbirth is medicalized in many countries and most of the therapeutic and care plans in such countries take a biomedical approach (5, 6). Not paying enough attention to the mothers' needs and forgetting them in some cases due to adopting non-holistic approaches to the process of childbirth can increase the mothers' fear of delivery in such a way that cesarean section may be considered as the only way to escape from it (7,8). The results of a meta-analysis in Iran showed that Iranian females similar to other females worldwide mentioned fear as the main reason to choose cesarean section versus natural childbirth (7). Development and implementation of support programs based on a holistic approach and considering females' concerns and expectations during childbirth is a definite requirement, because the new health policy of the international community puts more emphasis on em...

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Amount, Source, and Quality of Support as Predictors of Women's Birth Evaluations

Cited by 30 publications

References 35 publications

What do women in Medicaid say about enhanced prenatal care? Findings from the national Strong Start evaluation

What do women in Medicaid say about enhanced prenatal care? Findings from the national Strong Start evaluation

Phenomenology as a political position within maternity care

Validation of a Logic Model Program to Support Iranian Females During Labor: A Delphi Method

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