Providing woman-centred care in complex pregnancy situations

Naughton, Simone L.; Harvey, Clare; Baldwin, Adele

doi:10.1016/j.midw.2021.103060

Cited by 13 publications

(5 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Families in this study saw the role of the COC midwife as one of navigation. Essential characteristics of a liaison for high‐risk pregnancy include the ability to individualise care, demonstrate empathy and communicate effectively and to work well in an interprofessional team (Naughton et al, 2021) The liaison should be equipped to provide emotional support, arrange appointments with consultant healthcare professionals, interpret investigation results, align multiple appointments for single days, arrange medical interpreters, arrange travel support and schedule multidisciplinary case meetings, and should commence at preliminary diagnosis rather than wait until confirmation at the tertiary centre. Remodelling of care will therefore require a model which supports midwives coordinating the woman's care from preliminary diagnosis, confirmation of diagnosis and continuity of midwifery care through antenatal, birth, post‐partum care and navigate discharge and ongoing care.…”

Section: Discussionmentioning

confidence: 99%

“…If a definitive diagnosis cannot be provided due to a developing structural anomaly, this should be explained to families with the potential worst scenario being explained.Empowering families by providing evidence-based resources can provide preliminary support, but effective multidisciplinary strategies to reduce waiting times to definitive diagnosis is needed to mitigate further trauma to parents.Families in this study saw the role of the COC midwife as one of navigation. Essential characteristics of a liaison for high-risk pregnancy include the ability to individualise care, demonstrate empathy and communicate effectively and to work well in an interprofessional team(Naughton et al, 2021) The liaison should be equipped to provide emotional support, arrange appointments with consultant healthcare professionals, interpret investigation results, align multiple appointments for single days, arrange medical interpreters, arrange travel support and schedule multidisciplinary case meetings, and should commence at preliminary diagnosis rather than wait until confirmation at the tertiary centre. Remodelling of care will therefore require a model which supports midwives coordinating the woman's care from preliminary diagnosis, confirmation of diagnosis and continuity of midwifery care through antenatal, birth, postpartum care and navigate discharge and ongoing care.8 | RELE VAN CE TO CLINI C AL PR AC TI CEGiven the difficulties experienced by families in this study pre and post-admission to PEARLS, families need to be allocated a clinician immediately after the initial suspected diagnosis who then walk the journey with them through to discharge.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Exploring continuity of care for women with prenatal diagnosis of congenital anomaly: A mixed method study

Psaila

Schmied

Heath

2023

Journal of Clinical Nursing

View full text Add to dashboard Cite

AimsTo map the pathway and service provision for pregnant women whose newborns require admission into the surgical neonatal intensive care unit at or soon after birth, and to examine the nature of continuity of care (COC) provided and the facilitators and barriers to woman‐ and family‐centred care from the perspective of women/parents and health professionals.BackgroundLimited research exists on current service and care pathways for families whose babies are diagnosed with congenital abnormality requiring surgery.DesignA mixed method sequential design adhering to EQUATOR guidelines for Good Reporting of a Mixed Methods Study.MethodsData collection methods included: (1) a workshop with health professionals (n = 15), (2) retrospective maternal record review (n = 20), prospective maternal record review (17), (3) interviews with pregnant women given a prenatal diagnosis of congenital anomaly (n = 17) and (4) interviews with key health professionals (n = 7).Results/FindingsParticipants perceived care delivered by state‐based services as problematic prior to admission into the high‐risk midwifery COC model. Once admitted to the high‐risk maternity team women described care ‘like a breath of fresh air’ with a ‘contrast in support’, where they felt supported in their decisions.ConclusionThis study highlights provision of COC, in particular relational continuity between health providers and women as essential to achieve optimal outcomes.Relevance to Clinical PracticeProvision of individualised COC offers an opportunity for perinatal services to reduce the negative consequences of pregnancy‐related stress associated with diagnosis of foetal anomaly.Patient or Public ContributionNo patient or public was involved in the design, analysis, preparation or writing of this review.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Exploring continuity of care for women with prenatal diagnosis of congenital anomaly: A mixed method study

Psaila

Schmied

Heath

2023

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…Recent studies continue to develop when pregnant women do not only focus on the fetus or biomedical-clinical aspects but the mother on the psycho-social aspects. In addition, health education efforts in the community are also encouraged where women during pregnancy who become the center are a mother (Giarratano, 2003; Naughton, Harvey and Baldwin, 2021)so that the family, social environment, and health services (Bradfield et al ., 2018)together provide support, pay attention to mothers both in terms of health, emotional needs and comfort when pregnant until giving birth. The results show that effective communication from health care providers and respect for women’s autonomy are important components of women-centered care (Compton et al ., 2005).…”

Section: Discussionmentioning

confidence: 99%

Philosophy of Maternity Nursing: Women Centered Care

Nastiti

Pandin

Nursalam

2022

Preprint

View full text Add to dashboard Cite

Introduction: Maternity nursing is a discipline part of nursing that focuses on the degree of health of women in this stage of life as the main object. Various women's health problems that occur at this time along with the rapid development of technology have become a challenge for maternity nursing as a comprehensive care service to continue to develop for the better and collaborate with other sciences. The purpose of this paper is to explain the current conditions in Indonesia and the world regarding maternity nursing that supports women's health and quality of life. Method: This article was compiled through a literature search for the authenticity of this study using articles in English, Sciencedirect, PubMed, Scopus, Research Gate, and Google Scholar from 2015 to 2022. Result: The results of the literature search show that currently, maternity nursing continues to develop and is centered on women at every stage of life. Research is currently being carried out on women's welfare, autonomy, and women's empowerment, such as the decision to use contraception and the best care during pregnancy and childbirth. Keywords: maternal care; nursing; maternity; women's health

show abstract

“…Maternity care systems are often likened to ‘factory lines’ of impersonal, rushed and standardised, one‐size‐ fits‐all care (De Souza, 2019 ; Lokugamage & Pathberiya, 2017 ; Priddis et al, 2014 ). In many cases, women with complex social histories are identified as high risk and funnelled away from more woman‐centred midwife‐led models of care (if they do exist), into biomedical focused care that centres risk factors, surveillance and hospital procedures (Naughton et al, 2021 ). Women living with socioeconomic adversity frequently experience their maternity care as poor, distressing or traumatic due to factors such as insufficient information, lack of kindness and respect, insensitivity and discrimination (Brown et al, 2016 ; Malouf et al, 2017 ; Small et al, 2014 ).…”

Section: Discussionmentioning

confidence: 99%

Matching of woman and doula, and the generation of trust in an Australian volunteer doula program: Findings from a realist evaluation

O’Rourke

Yelland

Newton

et al. 2022

Health Social Care Comm

View full text Add to dashboard Cite

How women are cared for while pregnant and having a new baby can have profound and lasting effects on their health and well‐being. While mainstream maternity care systems aspire to provide care that is woman‐centred, women with fewest social and economic resources often have reduced access. Community‐based doula support programs offer complementary care for these women and are known to, on average, have positive outcomes. Less understood is how, when and why these programs work. A realist evaluation of an Australian volunteer doula program provided for women experiencing socioeconomic adversity explored these questions. The program provides free non‐medical, social, emotional, and practical support by trained doulas during pregnancy, birth and new parenting. This paper reports the testing and refinement of one program theory from the larger study. The theory, previously developed from key informant interviews and rapid realist review of literature, hypothesised that the cultural matching of woman (client) and doula led to best outcomes. This was tested in realist interviews with women and focus groups with doulas, in January–February 2020. Seven English speaking, and six Arabic speaking clients were interviewed. Two focus groups were conducted with a total of eight doulas from diverse cultural and professional backgrounds. Data were analysed in NVivo. The study found cultural matching to be valued by some but not all women, and only when the doula was also genuinely interested, kind, timely and reliable. These approaches (with or without cultural matching) generate trust between the doula and woman. Trust theory, reflexivity theory and social relations theory supported explanatory understanding of the causal contribution of a doula knowing what it takes to build trust, to a woman deciding to trust her doula.

show abstract

Providing woman-centred care in complex pregnancy situations

Cited by 13 publications

References 17 publications

Exploring continuity of care for women with prenatal diagnosis of congenital anomaly: A mixed method study

Exploring continuity of care for women with prenatal diagnosis of congenital anomaly: A mixed method study

Philosophy of Maternity Nursing: Women Centered Care

Matching of woman and doula, and the generation of trust in an Australian volunteer doula program: Findings from a realist evaluation

Contact Info

Product

Resources

About