scholarly journals Models of maternity care: a continuity of midwifery care

2020 ◽  
Vol 9 (6) ◽  
pp. 2666
Author(s):  
Suman Choudhary ◽  
Prasuna Jelly ◽  
Prakash Mahala
Keyword(s):  
Maternity Care ◽  
Postnatal Period ◽  
Midwifery Care ◽  
Medical Interventions ◽  
Pregnancy And Childbirth ◽  
Family Friendly ◽  
Significant Life ◽  
Cost Efficient ◽  
Satisfaction Rates ◽  
Pregnancy And Birth

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. Evidence has shown that midwifery care is associated with lower cost, higher satisfaction rates among women, and less intervention. Because pregnancy and childbirth involve every part of feelings, physical and practical needs, hopes, religious and spiritual beliefs can all affect pregnancy and birth. So, model of maternity care addresses all these aspects to help give birth safely, naturally and confidently. The aim of this review is how midwives working in different model care constructed their midwifery role in order to maintain a positive work-life balance. Evidence from high income countries found such models to be a cost-efficient way to improve health outcomes, reducing medical interventions and increasing satisfaction with care.

scholarly journals Maternal socio-economic disadvantage in Aotearoa New Zealand and the impact on midwifery care

2020 ◽  
Vol 56 ◽  
pp. 26-34
Author(s):  
Lesley Dixon ◽  
Eva Neely ◽  
Alison Eddy ◽  
Briony Raven ◽  
Carol Bartle
Keyword(s):  
New Zealand ◽  
Maternity Care ◽  
Survey Methodology ◽  
Social Issues ◽  
Economic Disadvantage ◽  
Midwifery Care ◽  
Pregnancy And Childbirth ◽  
Aotearoa New Zealand ◽  
Women's Lives ◽  
The Impact

Background: Maternal socio-economic disadvantage affects the short- and long-term health of women and their babies, with pregnancy being a particularly vulnerable time. Aim: The aim of this study was to identify the key factors that relate to poverty for women during pregnancy and childbirth (as identified by midwives), the effects on women during maternity care and the subsequent impact on the midwives providing that care. Method: Survey methodology was used to identify Aotearoa New Zealand midwives’ experiences of working with women living with socio-economic disadvantage. Findings: A total of 436 midwives (16.3%) who were members of the New Zealand College of Midwives responded to the survey, with 55% working in the community as Lead Maternity Care midwives, or caseloading midwives, and the remainder mostly working in maternity facilities. The survey results found that 70% of the cohort of midwives had worked with women living with whānau (family) /friends; 69% with women who had moved house during pregnancy due to the unaffordability of housing; 66% with women who lived in overcrowded homes; and 56.6% with women who lived in emergency housing, in garages (31.6%), in cars (16.5%) or on the streets (11%). The cohort of midwives identified that women’s non-attendance of appointments was due to lack of transport and lack of money for phones, resulting in a limited ability to communicate. In these circumstances these midwives reported going to women’s homes to provide midwifery care to optimise the chances of making contact. The midwives reported needing to spend more time than usual referring and liaising with other services and agencies, to ensure that the woman and her baby/ family had the necessities of life and health. This cohort of midwives identified that women’s insufficient income meant that midwives needed to find ways to support them to access prescriptions and transport for hospital appointments. The midwives also indicated there was a range of social issues, such as family violence, drugs, alcohol, and care and protection concerns, that directly affected their work. Conclusion: Recognising the impact of socio-economic disadvantage on maternal health and wellbeing is important to improving both maternal and child health. This cohort of midwives identified that they are frequently working with women living with disadvantage; they see the reality of women’s lives and the difficulties and issues they may face in relation to accessing physical and social support during childbirth.

Birth Matters

2021 ◽  
pp. 15-30
Author(s):  
Louise Marie Roth
Keyword(s):  
Public Health ◽  
Conceptual Framework ◽  
Maternity Care ◽  
Scientific Evidence ◽  
Medical Model ◽  
Normal Pregnancy ◽  
Authoritative Knowledge ◽  
Pregnancy And Childbirth ◽  
Developed Nations ◽  
Pregnancy And Birth

This chapter outlines the medical and midwifery models of childbirth. In most developed nations, the medical model of childbirth dominates maternity care and obstetricians have authoritative knowledge. This chapter defines the medicalization schema as a deep, largely unconscious conceptual framework that organizes beliefs about pregnancy and birth. The medicalization schema contains three key components: the pathologization of normal pregnancy and childbirth, scienciness, and technology fetishism. This chapter defines the concepts of scienciness and technology fetishism with respect to common obstetric practices and technologies that lack the support of scientific evidence. Lackluster public health results and critiques from women’s health movements challenge the validity of medicalization.

scholarly journals Risk, Safety, and Choice in Childbirth

2012 ◽  
Vol 21 (1) ◽  
pp. 45-47 ◽  
Author(s):  
Judith A. Lothian
Keyword(s):  
Risk Management ◽  
Maternity Care ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Pregnancy And Childbirth ◽  
Managing Risk ◽  
Free Women ◽  
Pregnancy And Birth ◽  
In Pregnancy

In this column, the author explores current understandings of risk and safety in pregnancy and childbirth. An emphasis on risk management places the provider and hospital in control of women’s decisions related to pregnancy and birth and may make pregnancy and birth less safe for mothers and babies. Accepting that no life is risk free, women can let go of fear and make choices that take into account real, not imagined, or exaggerated risk and, in doing so, increase safety for themselves and their babies. The focus of maternity care becomes enhancing safety through evidence-based practice rather than managing risk.

scholarly journals Safe Deliveries?: a Review of New Zealand's Midwifery Regulation through the Lens of the Health and Disability Commissioner

2021 ◽  
Author(s):  
◽  
Claire Sweetman
Keyword(s):  
New Zealand ◽  
Maternity Care ◽  
Poor Quality ◽  
Disability Services ◽  
Birth Experience ◽  
High Quality ◽  
Quality Healthcare ◽  
Fundamental Part ◽  
Main Consumer ◽  
Pregnancy And Birth

<p>Although birth is a fundamental part of the life process, competing factions within the health profession struggle to agree on the best way to deliver maternity services. Despite this long-standing tension, the midwifery-led model has dominated New Zealand’s maternity system for more than two decades with the majority of consumers expressing satisfaction with the care provided. Unfortunately for a small number of mothers and babies the pregnancy and birth experience is not a positive one and families are left suffering life-long, and often tragic, consequences. As one of the main consumer watchdogs in New Zealand, the Health and Disability Commissioner is charged with investigating claims of poor quality healthcare. This paper examines the central themes in the Commissioner’s reports on substandard midwifery practice and proposes a number of regulatory solutions to the issues involved. Working in unison, these amendments have the potential to ease the pressure placed on midwives; enhance interprofessional relationships; improve practitioner competence; and increase overall compliance with the Code of Health and Disability Services Consumers’ Rights. By implementing these changes, the New Zealand Government could safeguard valuable midwifery-based principles whilst still ensuring that high quality maternity care is provided to all of the country’s mothers and babies.</p>

scholarly journals Indicators of Husband's Role in Pregnancy and Maternity Care

2017 ◽  
Vol 6 (2) ◽  
pp. 192
Author(s):  
Apik Indarty Moedjiono ◽  
Kuntoro Kuntoro ◽  
Hari Basuki Notobroto
Keyword(s):  
Maternal Mortality ◽  
Organizational Support ◽  
Maternity Care ◽  
Unplanned Pregnancy ◽  
Health Information System ◽  
Skilled Birth Attendance ◽  
Major Health Problem ◽  
Pregnancy And Childbirth ◽  
Birth Attendance ◽  
In Pregnancy

The maternal mortality rate (MMR) in developing countries is still a major health problem, including in Indonesia. Antenatal Care (ANC), delivery with skilled birth attendance (SBA) at the time of delivery and delivery in institutional are universally considered important for reducing maternal mortality. Husbands can play a crucial role in pregnancy and childbirth. Therefore, the aim of this study was analyze the indicators of husband's role in pregnancy and maternity care which were suspected as one of the determinants of   ANC and SBA use in Polewali Mandar Regency. The population of this prospective cohort study was all married and pregnant woman, before using contraceptives and contraceptive failure or not using contraception and pregnancy is planned, unplanned pregnancy or mistimed pregnancy in Polewali Mandar 2015 (Size of sample = 100). Samples were randomly selected from participants of screening in 12 sub-districts in Polewali Mandar. Data about husband's role in pregnancy and maternity care was obtained through interviews using a structured questionnaire data processing by using SMART-PLS.  The result of data analysis suggested that the coefficient value that has been standardized from each indicator were as follows: accessibility = 0.944 and engagement = 0.954, dan responsibility = 0.968. Indicators of organizational support in implementing Maternal and Child Health Information System at Polewali Mandar Regency, respectively from the most important are: responsibility, engagement, and accessibility.

scholarly journals Cytomegalovirus infection and reproductive health of women

2016 ◽  
Vol 65 (4) ◽  
pp. 24-33 ◽  
Author(s):  
Natalia R. Belyaeva
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Reproductive Health ◽  
Cytomegalovirus Infection ◽  
Near Miss ◽  
Pregnancy And Childbirth ◽  
Quality Of Medical Care ◽  
Pregnancy And Birth ◽  
Main Factor

The article presents material about critical states in obstetric and gynecologic practice (“near miss”), obtained on the basis of their own research, as well as the data of domestic and foreign authors. It is shown that the main factor determining the outcome of the pregnancy and birth, is the quality of medical care provided to the woman. The characteristics of “near miss”, indicated the risk factors for its occurrence. A measure of the health care until serious complications of pregnancy and childbirth, as well as possible ways to reduce the frequency of their development.

Introduction to maternal and reproductive health

2018 ◽  
pp. 89-94
Author(s):  
Martha Kamanga ◽  
Jennifer Hall ◽  
Address Malata
Keyword(s):  
Mental Health ◽  
Health Professionals ◽  
Postnatal Period ◽  
Physical And Mental Health ◽  
Maternal Deaths ◽  
Pregnancy And Childbirth ◽  
Huge Impact ◽  
Physiological Demands ◽  
And Control ◽  
Multiple Stages

Pregnancy and childbirth have a huge impact on the physical, mental, emotional, and socioeconomic health of women and their families. Poor maternal health remains a significant problem both in developed and developing countries. While motherhood offers a rewarding experience, for too many women it is associated with suffering, ill health, and even death. Many women, including adolescents, die from preventable causes related to pregnancy and childbirth. Maternal deaths are classified as direct or indirect. Direct causes are those related to obstetric complications of pregnancy, labour, delivery, and the postnatal period, while indirect causes are those relating to pre-existing medical conditions that may be aggravated by the physiological demands of pregnancy. Opportunities to prevent and control diseases occur at multiple stages of life. Identifying which groups of women experience poorer physical and mental health, and understanding risk factors, will enable midwives and other health professionals to better support women before, during, and after pregnancy and childbirth.

scholarly journals Quality of Maternity Care and Client Satisfaction

2019 ◽  
Vol 2 (1) ◽  
pp. 73-76
Author(s):  
Saraswoti Kumari Gautam Bhattarai ◽  
Kanchan Gautam
Keyword(s):  
Quality Of Care ◽  
Child Health ◽  
Pregnant Women ◽  
Maternal And Child Health ◽  
Maternity Care ◽  
Client Satisfaction ◽  
Care Service ◽  
Postnatal Period ◽  
And Child Health

Health service provided to pregnant women during antenatal, childbirth and postnatal period is essential for maternal and child health. Proper care during pregnancy, childbirth and postnatal period are important for the health of mother and baby. High maternal, infant and child morbidity and mortality demand improved healthcare which does not concern to coverage of health services alone. The health issues of pregnant women, mothers, infants and children need to be addressed with the attention to the quality of care (QoC).  The Nepal Health Sector Strategy (NHSS) also identifies equity and quality of care gaps as areas of concern for achieving the maternal health sustainable development goal (SDG) target. So this review aims to sensitize and draw attention to the quality of maternity care and client satisfaction to improve maternal and child health. For this article, different studies related to the quality of maternity care and satisfaction from care service received on maternity care are reviewed.

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