Improving the Experience of Care

Stapleton, Susan R.; Wright, Jennifer; Jolles, Diana

doi:10.1097/jpn.0000000000000454

Cited by 16 publications

(30 citation statements)

References 56 publications

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“…Therefore, it is unlikely that the mode of delivery can bring about such a profound reaction. 26,30,[33][34][35] We assumed that some of the observed differences between our study results and the mentioned studies were attributed to the impact of some effecting factors (such as genetic, personality characteristics of participants, etc. ), that were mentioned in the articles.…”

Section: Discussionmentioning

confidence: 49%

Non-physiological and Physiological Delivery Method: Comparison of Maternal Attachment Behaviors and Anxiety

et al. 2021

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Introduction: Attachment is a stable connection or emotional knot between two individuals as one of the parties tries to maintain this connection. Delivery time as a turning point between two stages of attachment is very important. Methods: In a descriptive–analytical study based on specific inclusion criteria, 262 pregnant women were selected in the age range of 15-45 years old and the gestational age of 37 to 42 weeks who were candidates for physiological or non-physiological delivery. After obtaining written consent forms, the demographic information questionnaire was given to the participants. One hour after delivery, the attachment questionnaire was completed by the researcher in the postpartum ward. Also, the Spielberg anxiety inventory was completed up to 1 hour after delivery. Independent sample ttest was used to compare the results between the two groups. Data were analyzed by SPSS software version 21. Results: The participants in the physiological delivery group showed more positive attachment behaviors in comparison with the other group. In all three dimensions of attachment (emotional, contiguous, and caring behavior), physiological delivery showed higher scores than the other group. Also in non-physiological delivery group, the participants had experienced higher levels of anxiety and the differences between the groups were not significant. Conclusion: Results of the current study indicated that mothers engaged in physiological delivery had higher scores in mother to child attachment behaviors. It means they are more successful than the non-physiological delivery group in getting attached to their babies.

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Section: Discussionmentioning

confidence: 49%

Non-physiological and Physiological Delivery Method: Comparison of Maternal Attachment Behaviors and Anxiety

et al. 2021

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“…Findings from this study highlight the importance of increased access and choice in place of birth for improving health equity, including decreasing cesarean birth and increasing breastfeeding initiation. Key Words: birthing center, birth equity, birth preferences, maternal outcomes, newborn outcomes F or birthing people of low medical risk and those experiencing an uncomplicated pregnancy, avoidance of unnecessary cesarean birth, 1 successful breastfeeding initiation, 2,3 and self-reported experience of respectful care 4,5 can significantly differ between hospitals and other places of birth. In addition, Black childbearing people face disproportionately higher rates of poor perinatal outcomes across the nation.…”

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confidence: 99%

Place of Birth Preferences and Relationship to Maternal and Newborn Outcomes Within the American Association of Birth Centers Perinatal Data Registry, 2007-2020

Jolles

Montgomery²,

Breman³

et al. 2022

Journal of Perinatal &Amp; Neonatal Nursing

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Purpose: The purpose of this study was to describe sociodemographic variations in client preference for birthplace and relationships to perinatal health outcomes. Methods: Descriptive data analysis (raw number, percentages, and means) showed that preference for birthplace varied across racial and ethnic categories as well as sociodemographic categories including educational status, body mass index, payer status, marital status, and gravidity. A subsample of medically low-risk childbearing people, qualified for birth center admission in labor, was analyzed to assess variations in maternal and newborn outcomes by site of first admission in labor. Results: While overall clinical outcomes exceeded national benchmarks across all places of admission in the sample, disparities were noted including higher cesarean birth rates among Black and Hispanic people. This variation was larger within the population of people who preferred to be admitted to the hospital in labor in the absence of medical indication. Conclusion: This study supports that the birth center model provides safe delivery care across the intersections of US sociodemographics. Findings from this study highlight the importance of increased access and choice in place of birth for improving health equity, including decreasing cesarean birth and increasing breastfeeding initiation.

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“…15 However, midwifery‐led birth center care has previously been shown to be desirable for a large range of birthing people with a variety of sociodemographic characteristics, suggesting that lack of use of the model relates to lack of access, not lack of preference. 16 , 17 , 18 , 19 , 20 …”

Section: Discussionmentioning

confidence: 99%

Strong Start Innovation: Equitable Outcomes Across Public and Privately Insured Clients Receiving Birth Center Care

Jolles

Hoehn‐Velasco

Ross³

et al. 2022

J Midwife Womens Health

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Introduction:The Birth Center model of care is a health care delivery innovation in its fourth decade of demonstration across the United States. The purpose of this research was to evaluate the model's potential for decreasing poverty-related health disparities among childbearing families. Methods: Between 2013 and 2017, 26,259 childbearing people received care within the 45 Center for Medicare and Medicaid Innovation Strong Start birth center sites. Secondary analysis of the prospective American Association of Birth Centers Perinatal Data Registry was conducted. Descriptive statistics described sociobehavioral, medical risk factors, and core clinical outcomes to inform the logistic regression model. Privately insured consumers were independently compared with 2 subgroups of Medicaid beneficiaries: Strong Start enrollees (midwifery-led care with peer counselors) and non-Strong Start Medicaid beneficiaries (midwifery-led care without peer counselors).Results: After controlling for medical risk factors, Strong Start Medicaid beneficiaries achieved similar outcomes to privately insured consumers with no significant differences in maternal or newborn outcomes between groups. Perinatal outcomes included induction of labor (adjusted odds ratio [aOR], 0.86; 95% CI 0.61-1.13), epidural analgesia use (aOR, 1.00; 95% CI, 0.68-1.48), cesarean birth (aOR, 1.16; 95% CI, 0.87-1.53), exclusive breastfeeding on discharge (aOR, 1.11; 95% CI, 0.48-2.56), low Apgar score at 5 minutes (aOR, 1.23; 95% CI, 0.86-1.83), low birth weight (aOR, 1.12; 95% CI, 0.77-1.64), and antepartum transfer of care after the first prenatal appointment (aOR, 1.53; 95% CI, 0.97-2.40). Medicaid beneficiaries who were not enrolled in the Strong Start midwifery-led, peer counselor program demonstrated similar results except for having higher epidural analgesia use (aOR, 1.30; 95% CI, 1.10-1.53) and significantly lower exclusive breastfeeding on discharge (aOR, 0.57; 95% CI, 0.40-0.81) than their privately insured counterparts. Discussion:The midwifery-led birth center model of care complemented by peer counselors demonstrated a pathway to achieve health equity.

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Improving the Experience of Care

Cited by 16 publications

References 56 publications

Non-physiological and Physiological Delivery Method: Comparison of Maternal Attachment Behaviors and Anxiety

Non-physiological and Physiological Delivery Method: Comparison of Maternal Attachment Behaviors and Anxiety

Place of Birth Preferences and Relationship to Maternal and Newborn Outcomes Within the American Association of Birth Centers Perinatal Data Registry, 2007-2020

Strong Start Innovation: Equitable Outcomes Across Public and Privately Insured Clients Receiving Birth Center Care

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