Midwifery continuity of care for women with complex pregnancies in Australia: An integrative review.
Australia
Childbirth
Continuity of care
Midwife-led care
Perinatal outcomes
Pregnancy
Journal
Women and birth : journal of the Australian College of Midwives
ISSN: 1878-1799
Titre abrégé: Women Birth
Pays: Netherlands
ID NLM: 101266131
Informations de publication
Date de publication:
Mar 2023
Mar 2023
Historique:
received:
08
05
2022
revised:
29
06
2022
accepted:
11
07
2022
pubmed:
23
7
2022
medline:
3
3
2023
entrez:
22
7
2022
Statut:
ppublish
Résumé
All women require access to quality maternity care. Continuity of midwifery care can enhance women's experiences of childbearing and is associated with positive outcomes for women and infants. Much research on these models has been conducted with women with uncomplicated pregnancies; less is known about outcomes for women with complexities. To explore the outcomes and experiences for women with complex pregnancies receiving midwifery continuity of care in Australia. This integrative review used Whittemore and Knafl's approach. Authors searched five electronic databases (PubMed/MEDLINE, EMBASE, CINAHL, Scopus, and MAG Online) and assessed the quality of relevant studies using the Critical Appraisal Skills Programme (CASP) appraisal tools. Fourteen studies including women with different levels of obstetric risk were identified. However, only three reported outcomes separately for women categorised as either moderate or high risk. Perinatal outcomes reported included mode of birth, intervention rates, blood loss, perineal trauma, preterm birth, admission to special care and breastfeeding rates. Findings were synthesised into three themes: 'Contributing to safe processes and outcomes', 'Building relational trust', and 'Collaborating and communicating'. This review demonstrated that women with complexities in midwifery continuity of care models had positive experiences and outcomes, consistent with findings about low risk women. The nascency of the research on midwifery continuity of care for women with complex pregnancies in Australia is limited, reflecting the relative dearth of these models in practice. Despite favourable findings, further research on outcomes for women of all risk is needed to support the expansion of midwifery continuity of care.
Sections du résumé
BACKGROUND
BACKGROUND
All women require access to quality maternity care. Continuity of midwifery care can enhance women's experiences of childbearing and is associated with positive outcomes for women and infants. Much research on these models has been conducted with women with uncomplicated pregnancies; less is known about outcomes for women with complexities.
AIM
OBJECTIVE
To explore the outcomes and experiences for women with complex pregnancies receiving midwifery continuity of care in Australia.
METHODS
METHODS
This integrative review used Whittemore and Knafl's approach. Authors searched five electronic databases (PubMed/MEDLINE, EMBASE, CINAHL, Scopus, and MAG Online) and assessed the quality of relevant studies using the Critical Appraisal Skills Programme (CASP) appraisal tools.
FINDINGS
RESULTS
Fourteen studies including women with different levels of obstetric risk were identified. However, only three reported outcomes separately for women categorised as either moderate or high risk. Perinatal outcomes reported included mode of birth, intervention rates, blood loss, perineal trauma, preterm birth, admission to special care and breastfeeding rates. Findings were synthesised into three themes: 'Contributing to safe processes and outcomes', 'Building relational trust', and 'Collaborating and communicating'. This review demonstrated that women with complexities in midwifery continuity of care models had positive experiences and outcomes, consistent with findings about low risk women.
DISCUSSION
CONCLUSIONS
The nascency of the research on midwifery continuity of care for women with complex pregnancies in Australia is limited, reflecting the relative dearth of these models in practice.
CONCLUSION
CONCLUSIONS
Despite favourable findings, further research on outcomes for women of all risk is needed to support the expansion of midwifery continuity of care.
Identifiants
pubmed: 35869009
pii: S1871-5192(22)00130-5
doi: 10.1016/j.wombi.2022.07.001
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
e187-e194Informations de copyright
Copyright © 2023 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.
Déclaration de conflit d'intérêts
Conflict of Interest All authors declare no conflict of interest in this study.