Postpartum care for parent-infant dyads: A community midwifery model.

Autor: Thompson-Lastad A; Osher Center for Integrative Health, University of California, San Francisco, California, USA.; Department of Family and Community Medicine, University of California, San Francisco, California, USA., Harrison JM; Osher Center for Integrative Health, University of California, San Francisco, California, USA., Taiwo TK; Department of Midwifery, Bastyr University, Kenmore, Washington, USA., Williams C; Osher Center for Integrative Health, University of California, San Francisco, California, USA., Parimi M; School of Public Health, University of California Berkeley, Berkeley, California, USA., Wilborn B; Department of Family Health Care Nursing (*alum), School of Nursing, University of California, San Francisco, California, USA., Chao MT; Osher Center for Integrative Health, University of California, San Francisco, California, USA.; Department of Medicine, Division of General Internal Medicine, University of California, San Francisco, California, USA.
Jazyk: angličtina
Zdroj: Birth (Berkeley, Calif.) [Birth] 2024 Sep; Vol. 51 (3), pp. 637-648. Date of Electronic Publication: 2024 Apr 08.
DOI: 10.1111/birt.12822
Abstrakt: Introduction: Postpartum health is in crisis in the United States, with rising pregnancy-related mortality and worsening racial inequities. The World Health Organization recommends four postpartum visits during the 6 weeks after childbirth, yet standard postpartum care in the United States is generally one visit 6 weeks after birth. We present community midwifery postpartum care in the United States as a model concordant with World Health Organization guidelines, describing this model of care and its potential to improve postpartum health for birthing people and babies.
Methods: We conducted semi-structured interviews with 34 community midwives providing care in birth centers and home settings in Oregon and California. A multidisciplinary team analyzed data using reflexive thematic analysis.
Results: A total of 24 participants were Certified Professional Midwives; 10 were certified nurse-midwives. A total of 14 midwives identified as people of color. Most spoke multiple languages. We describe six key elements of the community midwifery model of postpartum care: (1) multiple visits, including home visits; typically five to eight over six weeks postpartum; (2) care for the parent-infant dyad; (3) continuity of personalized care; (4) relationship-centered care; (5) planning and preparation for postpartum; and (6) focus on postpartum rest.
Conclusion: The community midwifery model of postpartum care is a guideline-concordant approach to caring for the parent-infant dyad and may address rising pregnancy-related morbidity and mortality in the United States.
(© 2024 The Authors. Birth published by Wiley Periodicals LLC.)
Databáze: MEDLINE
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