PLoS ONE,
Год журнала:
2025,
Номер
20(4), С. e0319249 - e0319249
Опубликована: Апрель 15, 2025
Background
The
provision
of
woman-centred
maternity
care
in
Australia
is
guided
by
a
national
Strategy
released
November
2019
titled
Woman-centred
care:
Strategic
directions
for
Australian
services
(the
Strategy).
upholds
four
values
(safety,
respect,
choice,
and
access)
that
underpin
twelve
principles
care.
Aim
To
examine
the
experiences
women
explore
how
these
align
with
stated
Strategy.
Methods
A
online
survey
was
undertaken
between
February
June
2023.
Women
who
received
all
their
since
1
January
2020
were
invited
to
participate.
consisted
predominantly
closed
questions;
however,
six
open-text
questions
included
give
participants
opportunity
provide
in-depth
responses
about
its
values.
This
paper
presents
qualitative
content
analysis
free-text
responses.
Findings
completed
submitted
1750
eligible
participants,
whom
1667
provided
3562
this
analysis.
These
showed
while
definition
safety
favours
physically
safe
care,
preferred
more
holistic,
providing
emotional
psychological
safety.
Participants
expressed
need
respectful
relationships
providers
where
they
felt
listened
heard.
They
wanted
be
made
aware
choices
have
decisions
supported
without
coercion.
also
desired
access
continuity
particularly
midwives,
greater
mental
health
support
across
episode.
Conclusion
intent
has
not
yet
been
fully
realised.
nationally
coordinated
response
required
if
move
from
policy
practice,
ensuring
receive
true
as
intended.
Sexual & Reproductive Healthcare,
Год журнала:
2025,
Номер
44, С. 101081 - 101081
Опубликована: Фев. 26, 2025
Midwifery
continuity
models
are
highly
recommended.
Women
with
fear
of
birth
living
in
rural
areas
might
have
difficulties
accessing
such
care.
Technology
can
play
a
role
enhancing
contact
midwives
during
pregnancy
and
childbirth
for
these
women.
The
aim
this
study
was
to
elucidate
women's
experiences
participating
digital
care
model
designed
pregnant
women
birth.
A
qualitative
interview
design,
employing
interviews
15
midwifery
project
directed
towards
participants
used
e-health
tools
communication
their
childbirth.
Reflexive
thematic
analysis
used.
resulted
an
overarching
theme:
'A
area
is
attractive'.
created
positive
outcomes
terms
sustainability
use
resources.
reported
enhanced
autonomy
reduced
stress.
Continuity
fostered
confidence
security
throughout
the
women,
supported
by
strong
relationship
midwives.
individualised
care,
which
addressed
mental
health
challenges
fears
stemming
from
past
experiences,
led
outcomes.
using
could
be
solution
meet
needs
childbirth,
who
suffer
or
problems.
Care
need
tailored
regional
conditions,
considering
factors
as
availability
geographical
challenges.
Women and Birth,
Год журнала:
2025,
Номер
38(1), С. 101859 - 101859
Опубликована: Янв. 1, 2025
Despite
breastfeeding
being
widely
accepted
as
the
optimal
feeding
method
for
infants
many
women
do
not
meet
their
goals
or
continue
to
breastfeed
long
recommended.
Continuation
of
exclusive
is
multifactorial,
with
midwifery
support
during
postnatal
period
considered
be
an
important
component.
However,
little
known
about
how
receive
this
from
midwives
across
varying
models
care.
Acta Obstetricia Et Gynecologica Scandinavica,
Год журнала:
2025,
Номер
unknown
Опубликована: Янв. 16, 2025
Abstract
Introduction
Overall
childbirth
experience
scores
are
used
both
in
research
and
clinical
settings.
Since
it
is
still
not
fully
understood
what
assessment
of
on
a
single‐item
numeric
rating
scale
or
visual
analog
represents,
the
aim
this
study
was
to
explore
women's
reasoning
thoughts
when
overall
numerically.
Material
Methods
A
qualitative
interview
26
women
conducted
using
think‐aloud
technique
at
university
referral
hospital
Sweden.
manifest
content
analysis
performed
generate
categories
sub‐categories
representing
how
decided
which
single
value
should
represent
their
giving
birth.
Results
Two
main
emerged
from
analysis.
The
first,
Strategies
for
choosing
number
,
reflects
variations
approached
itself
includes
five
sub‐categories,
each
relating
different
strategy:
(1)
Comparison,
(2)
Start
maximum
value,
(3)
middle,
(4)
Weigh
certain
experiences
more
heavily,
(5)
means
an
end.
second
category,
Specific
factors
considered
four
groups
contributing
final
score:
time
period,
Events
linked
strong
emotions,
Perceived
support,
Previous
expectations.
What
included
hence
translated
into
number,
strategies
first
category
category.
Conclusions
considerable
approach
scale,
they
include
experience,
suggest
that
only
but
also
evaluating
it,
multifaceted.
standardized
phrasing
question
clear
purpose
evaluation
warranted
strengthen
validity
measurement.
When
clinically
identifying
need
support
after
childbirth,
be
followed
by
conversation
about
birth,
independent
chosen.
NIHR Open Research,
Год журнала:
2025,
Номер
5, С. 4 - 4
Опубликована: Янв. 16, 2025
During
pregnancy,
labour
and
early
motherhood,
most
women
in
the
UK
receive
care
from
different
midwives.
NHS
policy
change
England
sought
to
introduce
a
model
of
whereby
each
woman
is
cared
for
by
same
midwife
throughout
antenatal,
intrapartum
postnatal
periods,
supported
small
team
midwives
cover
off-duty
periods.
This
called
Midwifery
Continuity
Carer
(MCoC).
study
proposes
evaluate
implementation
delivery
MCoC
across
England,
aiming
better
understand
factors
that
result
rates
progress
with
implementation.
To
identify
local,
regional
national
which
contribute
variable
England?
A
sequential
mixed-methods
study,
informed
science
frameworks
will
be
delivered
over
three
work
packages.
Following
literature
review
challenges
successes
previous
attempts
implement
(work
package
1),
six
case
studies
Trusts
undertaken
people's
experiences
through:
interview
questionnaire
(maternity
services
staff);
interviews
(service-users);
observation
relevant
meetings
organisational
documentation
collection
2).
Interviews
stakeholders
Data
analysis
conducted
both
inductively
deductively,
constructs
3).
Study
findings
disseminated
through
peer-reviewed
journals,
conferences
events.
Results
interest
public,
clinical
accordingly.
Childbirth
experience
can
affect
women's
long-term
health
and
well-being.
However,
there
is
limited
knowledge
on
whether
migrant
status
affects
woman's
during
childbirth.
We
aimed
to
answer
the
following
research
questions:
(1)
Is
a
difference
in
childbirth
between
native-born
women
Iceland;
(2)
Are
more
likely
mistreatment
compared
Iceland?
An
online
survey
was
developed
including
Experience
Questionnaire
2
assess
overall
experience,
descriptive
analysis
linear
regression
were
conducted
determine
differences
Iceland.
The
by
care
providers
indicators
used
evaluate
childbirth,
frequencies
logistic
conducted.
Both
models
adjusted
for
sociodemographic
obstetric
factors.
A
total
of
1365
participated.
Migrant
reported
statistically
significantly
lower
scores
birth
(F
[12,
1352]
=
23.97,
p
<
0.001).
There
no
statistical
groups
regarding
One
four
all
at
least
one
form
mistreatment.
This
study
suggests
that
are
areas
maternity
be
improved
upon,
particularly
providing
addressing
all.
Our
results
suggest
further
this
area
as
well
evaluation
systems,
training
cultural
competency
effective
communication.
Women and Birth,
Год журнала:
2025,
Номер
38(2), С. 101870 - 101870
Опубликована: Фев. 18, 2025
Midwifery
continuity
of
care
has
demonstrated
improved
outcomes
for
mothers
and
babies
including
higher
rates
spontaneous
vaginal
birth
more
positive
experiences,
with
health
services
cost
savings,
than
non-continuity
care.
However,
midwives
report
challenges
care,
such
as
on-call
labour/birth.
Health
have
responded
a
new
model,
Antenatal
Postnatal
Service
(MAPS),
from
known
midwife
only
during
pregnancy
the
early
postnatal
period.
Women
in
MAPS
model
intrapartum
by
rostered
suite
(potentially
unknown
to
woman)
whereas
Group
Practice
midwife.
To
determine
if
is
associated
similar
perinatal
women
(MGP)
model.
A
retrospective
study
was
undertaken
using
de-identified
routinely
collected
maternity
data.
All
who
booked
gave
MGP
or
at
one
hospital
New
South
Wales,
Australia
between
April
2022
-
2023.
Descriptive
inferential
statistics
were
used
describe
total
1303
births
analysed
(MGP=349,
=954).
The
cohort
likely
experience
labour
(<
0.001)
local
anaesthesia
no
analgesia,
without
instruments
(<0.001),
exclusive
breastfeeding
discharge
(0.004)
compared
births.
Continuity
(antenatal,
labour/birth,
postnatal)
less
intervention
supported
international
literature.
Future
research
needed
comparing
standard
fragmented
midwifery