Articles producció científicaInfermeria

Transfers of Care between Healthcare Professionals in Obstetric Units of Different Sizes across Spain and in a Hospital in Ireland: The MidconBirth Study

  • Identification data

    Identifier:  imarina:9093693
    Authors:  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
    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.
  • Others:

    Link to the original source: https://www.mdpi.com/1660-4601/17/22/8394
    APA: Martin-Arribas, Anna; Vila-Candel, Rafael; O'Connell, Rhona; Dillon, Martina; Vila-Bellido, Inmaculada; Beneyto, M Angeles; De Molina-Fernandez, Inmac (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
    Paper original source: International Journal Of Environmental Research And Public Health. 17 (22): 1-15
    Article's DOI: 10.3390/ijerph17228394
    Journal publication year: 2020
    Entity: Universitat Rovira i Virgili
    Paper version: info:eu-repo/semantics/publishedVersion
    Record's date: 2025-01-27
    URV's Author/s: De Molina Fernandez, Maria Inmaculada
    Department: Infermeria
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Publication Type: Journal Publications
    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
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    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
    Author's mail: inmaculada.demolina@urv.cat, inmaculada.demolina@urv.cat
  • Keywords:

    Women
    Transfer of care
    Spain
    Prospective studies
    Pregnancy
    Outcomes
    Obstetrics and gynecology department
    hospital
    Obstetrician-led care
    Neonatal outcomes
    Midwifery
    Midwife-led care
    Maternity care
    Maternal outcomes
    Maternal health services
    Ireland
    Interventions
    Infant
    newborn
    Humans
    Female
    Delivery
    obstetric
    Delivery of health care
    Cross-sectional studies
    Continuity of care
    Cesarean-section rates
    Birth
    Environmental Sciences
    Health
    Toxicology and Mutagenesis
    Pollution
    Public Health
    Environmental and Occupational Health
    Public
    Environmental & Occupational Health
    Zootecnia / recursos pesqueiros
    Serviço social
    Saúde coletiva
    Química
    Psicología
    Odontología
    Nutrição
    Medicina iii
    Medicina ii
    Medicina i
    Materiais
    Interdisciplinar
    Geografía
    Geociências
    Farmacia
    Environmental studies
    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
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