Women’s experience and satisfaction with midwife-led maternity care: a cross-sectional survey in China

Liu, Ying; Li, Tengteng; Guo, Nafei; Jiang, Hui; Li, Yuehong; Xu, Cheng; Xiao, Yao

doi:10.1186/s12884-021-03638-3

Cited by 21 publications

(19 citation statements)

References 43 publications

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“…The discussed methods of relieving labor pain are important in the assessment of satisfaction of patients after natural childbirth [ 39 ]. It is worth noting that midwives should use these methods as often as possible and encourage patients to use pain-relieving techniques as an alternative to medical solutions.…”

Section: Discussionmentioning

confidence: 99%

The Role of Midwives in the Course of Natural Childbirth—Analysis of Sociodemographic and Psychosocial Factors—A Cross-Sectional Study

Guzewicz

Sierakowska

2022

IJERPH

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Background: An important role in the course of natural childbirth is played by midwives, who should effectively work on relieving pain. This study aims to present the opinions of midwives on non-pharmacological methods of relieving labor pain; the frequency of their use and reasons for their abandonment; and the relationship between the use of non-pharmacological methods of relieving labor pain and perceived job satisfaction, burnout, and self-efficacy of the midwife. Methods: The study was conducted online, with the participation of 135 Polish midwives working in the delivery room. The author’s survey questionnaire, the Generalized Self-Efficacy Scale (GSES), the LBQ Burnout Questionnaire, and the Scale of Job Satisfaction were used. Results: Among the surveyed midwives, 77% use vertical positions in work with a patient giving birth. Almost all respondents consider vertical positions as an example of a non-pharmacological method of relieving labor pain; those with master’s degree felt more prepared for their use (p = 0.02). The most common reason for abandoning their use was disagreement on the part of co-workers (p = 0.005). An association was observed between the use of vertical positions and the level of burnout (p = 0.001) and a significant correlation between preparation for their use and self-efficacy assessment, burnout, and job satisfaction. Conclusion: Our research shows that it would be important to conduct additional training on the use of non-pharmacological methods to relieve labor pain and to present their benefits. In contrast to other research results, our results showed that midwives feel well prepared to use these methods; however, similar to other research, we found that they often feel disagreement from colleagues and a lack of support from their leaders. The use of vertical positions is related to burnout.

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Section: Discussionmentioning

confidence: 99%

The Role of Midwives in the Course of Natural Childbirth—Analysis of Sociodemographic and Psychosocial Factors—A Cross-Sectional Study

Guzewicz

Sierakowska

2022

IJERPH

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“…An initiative in Kenya involved midwifery care across the childbearing continuum, embedded within a family planning and HIV care service [65]. One initiative in China [66] facilitated continuity of care for women wishing to have a vaginal birth, where efforts were made for women to see the same midwife for intrapartum and postnatal care. In the Palestinian initiative [67][68][69], midwives were allocated geographical areas to provide antenatal and postnatal care for between 50-100 women.…”

Section: 'The How': Describing the Way Continuity Of Care Is Providedmentioning

confidence: 99%

“…Two reports, one from China [61] and the one from Kenya [65] provided care across antenatal and intrapartum. A study in China [66] involved the provision of midwife-led care at antenatal,…”

Section: 'The How': Describing the Way Continuity Of Care Is Providedmentioning

confidence: 99%

“…Operational research that identifies the barriers, facilitators and blockages to implementing models of midwifery continuity of care is needed, including in settings where there are shortages of midwives. In order to facilitate transition to, and scale-up of, midwifery continuity of care in LMICs, key considerations include strengthening midwifery education and regulation and ensuring the presence of an enabling environment [66,73].…”

Section: Implications For Policy Practice Researchmentioning

confidence: 99%

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Midwifery continuity of care: A scoping review of where, how, by whom and for whom?

Bradford

Wilson

Portela

et al. 2022

PLOS Glob Public Health

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Systems of care that provide midwifery care and services through a continuity of care model have positive health outcomes for women and newborns. We conducted a scoping review to understand the global implementation of these models, asking the questions: where, how, by whom and for whom are midwifery continuity of care models implemented? Using a scoping review framework, we searched electronic and grey literature databases for reports in any language between January 2012 and January 2022, which described current and recent trials, implementation or scaling-up of midwifery continuity of care studies or initiatives in high-, middle- and low-income countries. After screening, 175 reports were included, the majority (157, 90%) from high-income countries (HICs) and fewer (18, 10%) from low- to middle-income countries (LMICs). There were 163 unique studies including eight (4.9%) randomised or quasi-randomised trials, 58 (38.5%) qualitative, 53 (32.7%) quantitative (cohort, cross sectional, descriptive, observational), 31 (19.0%) survey studies, and three (1.9%) health economics analyses. There were 10 practice-based accounts that did not include research. Midwives led almost all continuity of care models. In HICs, the most dominant model was where small groups of midwives provided care for designated women, across the antenatal, childbirth and postnatal care continuum. This was mostly known as caseload midwifery or midwifery group practice. There was more diversity of models in low- to middle-income countries. Of the 175 initiatives described, 31 (18%) were implemented for women, newborns and families from priority or vulnerable communities. With the exception of New Zealand, no countries have managed to scale-up continuity of midwifery care at a national level. Further implementation studies are needed to support countries planning to transition to midwifery continuity of care models in all countries to determine optimal model types and strategies to achieve sustainable scale-up at a national level.

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“…Parents must view themselves as compassionate carers through communicative exchanges with their health care professionals, much as newborns see themselves through nonverbal and vocal interactions with their caregivers (mirroring) (Liu, 2021). As a result, the caretakers must be sensitive to accept signals from incoming parents (Adler, 2002;Ong et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

The Importance of Empathy in Maternal Healthcare Delivery

et al. 2022

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A woman's vulnerability is never greater than during pregnancy, childbirth, and the postnatal period. Quality healthcare delivery rest on actual interactions between patients and providers. Empathy has been acknowledged as a crucial component of patient care, benefiting both patients and medical staff. The patient-centered approach is considered an effective strategy to deliver successful patient care when healthcare professionals are more sensitive and attentive to the requirements of patients. Empathy means sharing another person's feelings and showing kindness to alleviate their misery or anguish. It is widely acknowledged as the essential component of nursing and midwifery care and regarded as the component of quality care. However, because it varies from practitioner to practitioner and from patient to patient, it is difficult to understand how compassion presents itself in the delivery of treatment. Midwives' compassionate attitudes and actions have a direct impact on obstetric outcomes. Even though scholars are studying the concept of empathy in nursing, little is known about what empathy in midwifery entails and how patients see it. Many advantages for patient communication, patient satisfaction, and treatment adherence are linked to healthcare professionals' empathy. This paper aims to examine the works of literature on the concept of empathy and highlight how crucial it is to provide care in the context of maternal healthcare.

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Women’s experience and satisfaction with midwife-led maternity care: a cross-sectional survey in China

Cited by 21 publications

References 43 publications

The Role of Midwives in the Course of Natural Childbirth—Analysis of Sociodemographic and Psychosocial Factors—A Cross-Sectional Study

The Role of Midwives in the Course of Natural Childbirth—Analysis of Sociodemographic and Psychosocial Factors—A Cross-Sectional Study

Midwifery continuity of care: A scoping review of where, how, by whom and for whom?

The Importance of Empathy in Maternal Healthcare Delivery

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