Models of maternity care: a continuity of midwifery care

Choudhary, Suman; Jelly, Prasuna; Mahala, Prakash

doi:10.18203/2320-1770.ijrcog20202373

Cited by 8 publications

(9 citation statements)

References 11 publications

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“…The midwifery model of care under the supervision of obstetrician is dominant in public hospitals. In most cases, the scope of a midwife's activities is decided by an obstetrician with multifactorial barriers to midwifery autonomy [15,16]. In Private hospitals, all delivery costs are self-funded or covered by private health insurance [14] and the maternity care is provided on the basis of biomedical model.…”

Section: Data Collectionmentioning

confidence: 99%

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Cesarean delivery in Iran: a population-based analysis using the Robson classification system

Pourshirazi

Heidarzadeh

Taheri

et al. 2022

BMC Pregnancy Childbirth

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Background The rise of Cesarean Sections (CS) is a global concern. In Iran, the rate of CS increased from 40.7% in 2005 to 53% in 2014. This figure is even higher in the private sector. Objective To analyze the CS rates in the last 2 years using the Robson Classification System in Iran. Methods A retrospective analysis of all in-hospital electronically recorded deliveries in Iran was conducted using the Robson classification. Comparisons were made in terms of the type of hospital, CS rate, and obstetric population, and contributions of each group to the overall cesarean deliveries were reported. Results Two million three hundred twenty-two thousand five hundred women gave birth, 53.6% delivered through CS. Robson group 5 was the largest contributing group to the overall number of cesarean deliveries (47.1%) at a CS rate of 98.4%. Group 2 and 1 ranked the second and third largest contributing groups to overall CSs (20.6 and 10.8%, respectively). The latter groups had CS rates much higher than the WHO recommendation of 67.2 and 33.1%, respectively. “Fetal Distress” and “Undefined Indications” were the most common reasons for cesarean deliveries at CS rates of 13.6 and 13.4%, respectively. There was a significant variation in CS rate among the three types of hospitals for Robson groups 1, 2, 3, 4, and 10. Conclusion The study revealed significant variations in CS rate by hospital peer-group, especially for the private maternity units, suggesting the need for further attention and audit of the Robson groups that significantly influence the overall CS rate. The study results will help policymakers identify effective strategies to reduce the CS rate in Iran, providing appropriate benchmarking to compare obstetric care with other countries that have better maternal and perinatal outcomes.

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Section: Data Collectionmentioning

confidence: 99%

“…In Private hospitals, all delivery costs are self-funded or covered by private health insurance [14] and the maternity care is provided on the basis of biomedical model. During and after labour, an obstetrician should be present and midwives provide care [16].…”

Section: Data Collectionmentioning

confidence: 99%

Cesarean delivery in Iran: a population-based analysis using the Robson classification system

Pourshirazi

Heidarzadeh

Taheri

et al. 2022

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

“…There are models that focus on considering women's wants and preferences throughout pregnancy and during childbirth. For example, the Person-Centered-Care (PPC) Model and the Traditional Birth Attendant, Midwife, Midwife and Care Model (Choudhary et al, 2020) focus on nurses' interpersonal relationships with women. Nurses prioritize what women need such as treating them with respect, maintaining dignity and involving them in decision making as well as providing complete information related to the treatment process received.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Models such as Midwife-led continuity of care models, Midwifery teamwork or caseload midwifery, One-to-one midwifery model, Traditional model of general practitioner attached community midwives, Centering parenting mother infant dyad care model, Midwifery model of care under supervision of obstetric and Biomedical models emphasize the aspect of continuous monitoring from nurses whether midwives, obstetricians and general practitioners of women throughout pregnancy, during childbirth as well as after childbirth. Monitoring is done either personally or in groups (Choudhary et al, 2020).…”

Section: Literature Reviewmentioning

confidence: 99%

Construction of I-maternity Care Model in Holistic Maternity Services

Ismail¹,

Mutalib²,

Shafie³

et al. 2022

IJARBSS

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Maternity services in Malaysia are at a better level than before. However, there are still needs in certain aspects related to the issue of customer satisfaction, the right of privacy in seeking treatment, the right in choosing doctor and nurse, facilities that support good services and the resolution of maternity issues from an Islamic point of view. Thus, this study analyzes the aspects needed in producing a framework of a holistic maternity treatment management model to address these issues. Data of the study were obtained through document analysis methods, semi -structured interviews and Focus Group Discussion (FGD). The results of the study found that there are four aspects that need to be taken into account in the construction of a holistic maternity treatment management model. The model, called i-Maternity Care, presents the four aspects, namely: infrastructure, service providers, treatment handling procedures and management of maternity issues according to sharia. This holistic approach through i-Maternity Care model integrates the goal of meeting medical needs based on medical indications and considering the needs of clients in line with Islamic law.

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“…Pregnancy and birth are significant life events for women and their families and midwife supports a woman throughout pregnancy, birth, and the postnatal period. So, the demand for services that are family friendly, women focused, safe and accessible is increasing [1].…”

Section: Introductionmentioning

confidence: 99%

To Assess the Effectiveness of Planned Teaching on Knowledge Regarding Mid-Wife Led Continuity of Care Model (MLCC) on Final Year Nursing Students

Lalawmpuii

Taksande

2021

JPRI

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Background: In many parts of the world, midwives are the primary providers of care for childbearing women. There are considerable variations in the organisation of midwifery services and in the education and role of midwives. Childbearing women are often faced with different opinions as to which option might be best for them. The midwife‐led continuity model of care is based on the premise that pregnancy and birth are normal life events. Pregnancy and birth are significant life events for women and their families and midwife supports a woman throughout pregnancy, birth, and the postnatal period. So, the demand for services that are family friendly, women focused, safe and accessible is increasing. Objectives: 1) To assess the existing knowledge regarding mid-wife led continuity of care model on final year nursing students. 2) To evaluate the effectiveness of planned teaching on knowledge regarding mid-wife led continuity of care model (MLCC) on final year nursing students. 3) To find out the association between knowledge regarding mid-wife led continuity of care model (MLCC) with selected demographic variables. Materials and Methods: In this study, evaluatory research approach and one group pre-test post-test research design was used. The study was conducted at a Selected Nursing College. The sample was collected from final year nursing students (120) by using non-probability convenient sampling technique. Results: In this study the study of the findings shows that 10.83% had good level of knowledge score in pre-test. While in post-test, out of 120 subjects the majority of the subjects and 92.50% had good level of knowledge score. This statistically shows that there is profound level of improvement on knowledge. Conclusion: Hence, this implies that the planned teaching was effective. Also, the study shows that the knowledge scores of final year nursing students is associated with the age in year and course of study. Hence, this means that greater the number of age in years and the course, greater level of knowledge scores. However, gender was not found to be associated.

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Models of maternity care: a continuity of midwifery care

Cited by 8 publications

References 11 publications

Cesarean delivery in Iran: a population-based analysis using the Robson classification system

Cesarean delivery in Iran: a population-based analysis using the Robson classification system

Construction of I-maternity Care Model in Holistic Maternity Services

To Assess the Effectiveness of Planned Teaching on Knowledge Regarding Mid-Wife Led Continuity of Care Model (MLCC) on Final Year Nursing Students

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