Author, as appears in the article.: Martin-Arribas, Anna; Vila-Candel, Rafael; O'Connell, Rhona; Dillon, Martina; Vila-Bellido, Inmaculada; Beneyto, M. Angeles; De Molina-Fernandez, Inmaculada; Rodriguez-Conesa, Nerea; Gonzalez-Blazquez, Cristina; Escuriet, Ramon;
Department: Infermeria
URV's Author/s: De Molina Fernandez, Maria Inmaculada
Keywords: Women Transfer of care Outcomes Obstetrician-led care Neonatal outcomes Midwifery Midwife-led care Maternity care Maternal outcomes Interventions Continuity of care Cesarean-section rates Birth
Abstract: 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 2016-2019. 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, 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.
Thematic Areas: Zootecnia / recursos pesqueiros Serviço social Saúde coletiva Química Public, environmental & occupational health Public health, environmental and occupational health Psicología Pollution Odontología Nutrição Medicina iii Medicina ii Medicina i Materiais Interdisciplinar Health, toxicology and mutagenesis Geografía Geociências Farmacia Environmental studies Environmental sciences Ensino Engenharias ii Engenharias i Enfermagem Educação física Educação Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciências ambientais Ciências agrárias i Ciência da computação Biotecnología Biodiversidade Astronomia / física Administração pública e de empresas, ciências contábeis e turismo
licence for use: https://creativecommons.org/licenses/by/3.0/es/
Author's mail: inmaculada.demolina@urv.cat inmaculada.demolina@urv.cat
Author identifier: 0000-0002-1429-4455 0000-0002-1429-4455
Record's date: 2023-08-05
Papper version: info:eu-repo/semantics/publishedVersion
Papper original source: International Journal Of Environmental Research And Public Health. 17 (22): 1-15
APA: Martin-Arribas, Anna; Vila-Candel, Rafael; O'Connell, Rhona; Dillon, Martina; Vila-Bellido, Inmaculada; Beneyto, M. Angeles; De Molina-Fernandez, Inma (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(22), 1-15. DOI: 10.3390/ijerph17228394
Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
Entity: Universitat Rovira i Virgili
Journal publication year: 2020
Publication Type: Journal Publications
Repositori URV