Transfers of care between healthcare professionals in obstetric units of different sizes across spain and in a hospital in Ireland: The midconbirth study

Autor: M Ángeles Beneyto, Cristina González-Blázquez, Inmaculada Vila-Bellido, Rafael Vila-Candel, Nerea Rodríguez-Conesa, Anna Martin-Arribas, Rhona O'Connell, Martina Dillon, Ramon Escuriet, Inmaculada De Molina-Fernández
Přispěvatelé: UAM. Departamento de Enfermería
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Episiotomy
medicine.medical_specialty
Maternal outcomes
Health
Toxicology and Mutagenesis
medicine.medical_treatment
Midwife-led care
Embaràs
Psychological intervention
Breastfeeding
Dones
lcsh:Medicine
Logistic regression
Midwifery
Article
03 medical and health sciences
0302 clinical medicine
Obstetrics and gynaecology
Pregnancy
Health care
Medicine
Humans
Maternal Health Services
030212 general & internal medicine
Prospective Studies
Obstetrics and Gynecology Department
Hospital
030219 obstetrics & reproductive medicine
Health professionals
business.industry
Obstetrics
lcsh:R
Public Health
Environmental and Occupational Health
Infant
Newborn
Delivery
Obstetric
Obstetrician-led care
Cross-Sectional Studies
Neonatal outcomes
Spain
Continuity of care
Female
Transfer of care
Enfermería
Infermeres
business
Delivery of Health Care
Ireland
Zdroj: International Journal of Environmental Research and Public Health, Vol 17, Iss 8394, p 8394 (2020)
Martín-Arribas, Anna Vila Candel, Rafael O'Connell, Rhona Dillon, Martina Vila-Bellido, Inmaculada Beneyto, Maria Ángeles Molina Fernández, Inmaculada de Rodríguez Conesa, Nerea González Blázquez, Cristina Escuriet, Ramon 2020 Transfers of Care between Healthcare Professionals in Obstetric Units of Different Sizes across Spain and in a hospital in Ireland : the MidconBirth Study International Journal Of Environmental Research And Public Health 17 8394
RODERIC. Repositorio Institucional de la Universitat de Valéncia
instname
International Journal of Environmental Research and Public Health
Volume 17
Issue 22
Biblos-e Archivo. Repositorio Institucional de la UAM
RODERIC: Repositorio Institucional de la Universitat de Valéncia
DOI: 10.3390/ijerph17228394
Popis: Background: In Europe, the majority of healthy women give birth at conventional obstetric units with the assistance of registered midwives. This study examines the relationships between the intrapartum transfer of care (TOC) from midwife to obstetrician-led maternity care, obstetric unit size (OUS) with different degrees of midwifery autonomy, intrapartum interventions and birth outcomes. Methods: A prospective, multicentre, cross-sectional study promoted by the COST Action IS1405 was carried out at eight public hospitals in Spain and Ireland between 2016&ndash
2019. The primary outcome was TOC. The secondary outcomes included type of onset of labour, oxytocin stimulation, epidural analgesia, type of birth, episiotomy/perineal injury, postpartum haemorrhage, early initiation of breastfeeding and early skin-to-skin contact. A logistic regression was performed to ascertain the effects of studied co-variables on the likelihood that participants had a TOC
Results: Out of a total of 2,126 low-risk women, those whose intrapartum care was initiated by a midwife (1772) were selected. There were statistically significant differences between TOC and OUS (S1 = 29.0%, S2 = 44.0%, S3 = 52.9%, S4 = 30.2%, p <
0.001). Statistically differences between OUS and onset of labour, oxytocin stimulation, type of birth and episiotomy or perineal injury were observed (p = 0.009, p <
0.001, p <
0.001 respectively)
Conclusions: Findings suggest that the model of care and OUS have a significant effect on the prevalence of intrapartum TOC and the birth outcomes. Future research should examine how models of care differ as a function of the OUS in a hospital, as well as the cost-effectiveness for the health care system.
Databáze: OpenAIRE
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