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Evaluation of a midwifery model of woman-centred care during childbirth – a mixed method study

Conference contribution
Authors Ingela Lundgren
Olof Asta Olafsdottir
Anna Dencker
Christina Nilsson
Liselotte Bergqvist
Charles Taft
Marie Berg
Published in NJF Congress 2019 Reykjavik Conference app
Publication year 2019
Published at Institute of Health and Care Sciences
Language en
Links https://www.njfcongress.is/
Subject categories Reproductive health, Nursing, Other Health Sciences

Abstract

Background: Midwifery models of woman-centred care have been developed in different cultural context but few have been evaluated. A theoretical Midwifery Model of woman-centred care (MiMo) based on research in Sweden and Iceland was evaluated and assessed with the overall aim to explore the applicability of the model and the impact it has on outcome of childbirth care. Aim: To evaluate the effects and the applicability of a model of woman-centred care provided by midwives during childbirth. Methods: A mixed methods, before-after controlled study at two units for normal deliveries at Sahlgrenska University Hospital, Sweden,. The intervention comprised a one-day (8 hours) education about the model together with regularly scheduled reflection groups for midwives 2015-2016. The effects were studied by evaluating delivery outcomes, and mothers’ childbirth experiences. The primary outcomes were augmentation with oxytocin (n=.1600) and mothers’ childbirth experiences assessed with the Childbirth Experience Questionnaire (CEQ 2.0) (n=800). The applicability was studied by focus group interviews with a total of 43 participants: midwives (n=16), obstetricians (n = 8), assistant nurses (n= 11) and managers (n=8), before and after the intervention. Results: Findings from the study will be presented at the conference. Conclusion: A midwifery model of woman-centred care based on previous research has been evaluated in clinical practice.

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