WHO model of intrapartum care for a positive childbirth experience: transforming care of women and babies for improved health and wellbeing

Oladapo, Olufemi T.; Tunçalp, Özge; Bonet, Mercedes; Lawrie, Theresa A; Portela, Anayda; Downe, Soo; Gülmezoglu, A. Metin

doi:10.1111/1471-0528.15237

Cited by 140 publications

(150 citation statements)

References 11 publications

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“…Furthermore, planning the birth involves the environment and facilities available in each maternity unit. The provision of skilled care at delivery and women's satisfaction can be improved with communication among pregnant women and caregivers through prior planning for birth [6,20]. Our main finding was that offering an option to develop a BP in an app is an opportunity for women and care providers to engage in the process together.…”

Section: Discussionmentioning

confidence: 89%

“…The dissemination of this approach can mitigate excessive medicalization during childbirth and can empower women to be the protagonist during childbirth [4,5]. Pregnant women should receive comprehensive health care, guaranteeing the continuous monitoring of personal conditions from the prenatal period until the delivery [6]. To ensure this, relevant information needs to be available at the time of the delivery, including the BP.…”

Section: Introductionmentioning

confidence: 99%

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Pregnant Users’ Perceptions of the Birth Plan Interface in the “My Prenatal Care” App: Observational Validation Study (Preprint)

Carrilho¹,

Oliveira²,

Santos³

et al. 2018

Preprint

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Background: The Birth Plan (BP) is supposed to be a declaration of expectations and preferences of the pregnant woman regarding childbirth. Although several mobile applications (apps) have been developed to offer support during pregnancy, only a few offer the BP. An academic team developed an app named My-PrenatalCare, to provide scientific information directly to women about healthy habits and practices during pregnancy, delivery, and puerperium. More recently, a questionnaire was introduced to facilitate the development of a BP as a strategy for childbirth, and to provide a new channel of communication between her and the maternity team. Objective: To validate a template for BP preparation mediated by a mobile app, based on perceptions of pregnant users. Methods: This was an observational, exploratory, and descriptive study. The methodology of the evaluation was user-centered, and both qualitative and quantitative approaches were employed. Participation in the study was voluntary, and data were collected in a Brazilian public and university health unit for prenatal care. Eleven pregnant women evaluated their experience of using the BP prototype interface. Eight tasks were proposed to measure the users' efficiency and the effectiveness of the interface. Tests of communicability intended to identify communication problems. The evaluation took place in a controlled environment, with authorized video recording. Data collected from a survey with structured and free questions, in addition to free expression of participants' perceptions and

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Section: Discussionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Pregnant Users’ Perceptions of the Birth Plan Interface in the “My Prenatal Care” App: Observational Validation Study (Preprint)

Carrilho¹,

Oliveira²,

Santos³

et al. 2018

Preprint

View full text Add to dashboard Cite

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“…A maternal health care system as proposed by WHO to achieve SDG 3 and 5 (25) can only happen if we include women's voices and empower them to advocate for evidence-based care, regaining control over labor and childbirth. A reproductive justice model of childbirth, focusing on building a health system that supports full reproductive health and rights, has the power to engage women in their care and reduces the impact of social inequalities on adverse birth outcomes, as demonstrated in the literature for the Zika epidemic experience (90).…”

Section: Creating Tailored Health Education Interventionsmentioning

confidence: 99%

“…United Nations (UN) Sustainable Development Goals (SDG) call for a new era of accountability, challenging the health systems to identify and eliminate the preventable maternal morbidity and mortality associated with inadequate access to services, or the delivery of services that are "too little, too late" (TLTL) (23)(24)(25). The SDGs also question the opposite extreme reality of the overmedicalization of regular antenatal, intrapartum, and postnatal care, referred to as "too much, too soon" (TMTS) (23)(24)(25).…”

mentioning

confidence: 99%

“…SDG #3 -to reduce global maternal mortality to less than 70 per 1,000 live births without any country with double of the global average, and SDG #5 -gender equality -ensuring access to reproductive health and reproductive rights (26) can be addressed through the lens of the new World Health Organization (WHO) recommendations for intrapartum care (27). WHO presents a comprehensive document that creates a platform for pregnant women with respectful, individualized, womancentered, and effective clinical and non-clinical practices to optimize birth outcomes for the woman and her baby (25,27). The protocol reinforces that evidence-based practices can be effective strategies for both scenarios -TMTS and TLTL -to ensure women's reproductive rights (24).…”

mentioning

confidence: 99%

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Changes in perceived knowledge about childbirth among pregnant women participating in the Senses of Birth Intervention in Brazil: A cross-sectional study

Fernandes

Lansky

Oliveira

et al. 2019

Preprint

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Background: Senses of Birth (SoB) is a health education intervention in Brazil that addresses reproductive rights, the benefits and risks of normal birth and cesarean, and use of evidence-based practices (EBP) during labor and childbirth, aiming to reduce unnecessary cesareans in the country. This study evaluates the impact of the SoB intervention on pregnant women's perceived knowledge about normal birth, cesarean, and use of EBP in childbirth. Method: 1,287 pregnant women answered a structured questionnaire, immediately after their visit to the exhibition, between March 2015 and March 2016, in four cities. To identify the impact of the intervention on women's perceived knowledge and possible association with socioeconomic and demographic characteristics, statistical analyses were performed including paired T-tests, ANOVA, and logistic and linear regressions. Results: The mean score (MS) of perceived knowledge after the intervention was higher than the mean score before experiencing the SoB for all three knowledge domains: Normal Birth (MS Before= 3.71 x MS After= 4.49), Cesarean (MS Before= 3.54 x MS After= 4.26) and EBPs (MS Before= 3.14 x MS After= 4.14). The results suggest that SoB intervention was more effective for low income women (B = 0.206; p < 0.001 for EBP), women without private health insurance (OR 2.47, 95% CI: 1.49-4.09 for normal birth), women with private prenatal care (OR 2.42, 95% CI: 1.59-3.66 for normal birth), women experiencing their first pregnancy (OR 1.92, 95% CI: 1.31-2.82 for EBP; OR 1.37, 95% CI: 1.03-1.84 for normal birth; OR 1.37, 95% CI: 1.03-1.84 for cesarean), and women in their first or second trimester at the time of the intervention (OR 1.64, 95% CI: 1.13-2.39 for EBP; OR 1.48, 95% CI: 1.11-1.97 for normal birth; OR 1.85, 95% CI: 1.40-2.41 for cesarean). Conclusion: The study showed opportunities to increase knowledge among Brazilian pregnant women for the three knowledge domains, and a need to focus the discussion on how to achieve a positive experience of birth using EBP. The intervention gains relevance considering the lack of evidence of the efficacy of non-clinical interventions to reduce unnecessary cesareans in middle and low-income countries targeting women.

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Routine vaginal examinations compared to other methods for assessing progress of labour to improve outcomes for women and babies at term

Moncrieff

Gyte

Dahlen

et al. 2022

Cochrane Database of Systematic Reviews

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WHO model of intrapartum care for a positive childbirth experience: transforming care of women and babies for improved health and wellbeing

Cited by 140 publications

References 11 publications

Pregnant Users’ Perceptions of the Birth Plan Interface in the “My Prenatal Care” App: Observational Validation Study (Preprint)

Pregnant Users’ Perceptions of the Birth Plan Interface in the “My Prenatal Care” App: Observational Validation Study (Preprint)

Changes in perceived knowledge about childbirth among pregnant women participating in the Senses of Birth Intervention in Brazil: A cross-sectional study

Routine vaginal examinations compared to other methods for assessing progress of labour to improve outcomes for women and babies at term

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