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Improving quality and safety in maternity care: the contribution of midwife-led care
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Sandall, Jane, Devane, Declan, Soltani, Hora, Hatem, Marie and Gates, Simon (2010) Improving quality and safety in maternity care: the contribution of midwife-led care. Journal of Midwifery & Women's Health, 55 (3). pp. 255-261. doi:10.1016/j.jmwh.2010.02.002 ISSN 1526-9523.
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Official URL: http://dx.doi.org/10.1016/j.jmwh.2010.02.002
Abstract
This article draws on findings from a recent Cochrane systematic review of midwife-led care and discusses its contribution to the safety and quality of women's care in the domains of safety, effectiveness, woman-centeredness, and efficiency. According to the Cochrane review, women who received models of midwife-led care were nearly eight times more likely to be attended at birth by a known midwife, were 21% less likely to experience fetal loss before 24 weeks' gestation, 19% less likely to have regional analgesia, 14% less likely to have instrumental birth, 18% less likely to have an episiotomy, and significantly more likely to have a spontaneous vaginal birth, initiate breastfeeding, and feel in control. In addition to normalizing and humanizing birth, the contribution of midwife-led care to the quality and safety of health care is substantial. The implications are that policymakers who wish to improve the quality and safety of maternal and infant care, particularly around normalizing and humanizing birth, should consider midwife-led models of care and how financing of midwife-led services can support this. Suggestions for future research include exploring why fetal loss is reduced under 24 weeks' gestation in midwife-led models of care, and ensuring that the effectiveness of midwife-led models of care on mothers' and infants' health and well-being are assessed in the longer postpartum period. J Midwifery Womens Health 2010; 55: 255-261 (c) 2010 by the American College of Nurse-Midwives.
Item Type: | Journal Article | ||||
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Subjects: | R Medicine > RT Nursing | ||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||
Journal or Publication Title: | Journal of Midwifery & Women's Health | ||||
Publisher: | Wiley-Blackwell Publishing, Inc | ||||
ISSN: | 1526-9523 | ||||
Official Date: | May 2010 | ||||
Dates: |
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Volume: | 55 | ||||
Number: | 3 | ||||
Number of Pages: | 7 | ||||
Page Range: | pp. 255-261 | ||||
DOI: | 10.1016/j.jmwh.2010.02.002 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access |
Data sourced from Thomson Reuters' Web of Knowledge
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