An overview of the first 'no exit' midwifery group practice in a tertiary maternity hospital in Western Australia: Outcomes, satisfaction and perceptions of care.
Women Birth
; 29(6): 494-502, 2016 Dec.
Article
en En
| MEDLINE
| ID: mdl-27199172
ABSTRACT
BACKGROUND:
Midwifery group practice (MGP) is a care model offered by a primary midwife in a small team. Evidence confirms MGP is acceptable to women, safe and cost effective.METHODS:
We aimed to provide a systematic overview of the first 'no exit' MGP in a Western Australian (WA) tertiary maternity hospital, using a mixed methods approach, involving four phases. Between July 2013 and June 2014 phase one assessed MGP characteristics, obstetric and neonatal outcomes by parity; phase two examined women's satisfaction by mode of delivery; and phase three qualitatively explored perceptions of care. Phase four compared the proportion of MGP women and the 2012 WA birthing population.FINDINGS:
Phase one included 232 MGP women; 87% achieved a vaginal birth. Phase two included 97% (226 of 232) women, finding 98% would recommend the service. Phase three analysis of 62 interviews revealed an overarching theme 'Continuity with Midwives' encompassing six sub-themes only a phone call away; home away from home; knowing me; a shared view; there for me; and letting it happen. Phase four compared the MGP cohort to 33,393 WA women. Intrapartum MGP women were more likely than the WA population to have a vaginal birth (87% vs 65%, P≤0.001) and intact perineum (49% vs 36%, P≤0.001) and less likely to use epidural/spinal analgesia (34% vs 59%, P≤0.001), or have a caesarean (13% vs 35%, P≤0.001).CONCLUSIONS:
Mixed methods enabled systematic examination of this new 'no exit' MGP confirming safety and acceptability. Findings contribute to our knowledge of MGP models.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Satisfacción Personal
/
Continuidad de la Atención al Paciente
/
Práctica de Grupo
/
Maternidades
/
Partería
Tipo de estudio:
Observational_studies
/
Prognostic_studies
País/Región como asunto:
Oceania
Idioma:
En
Revista:
Women Birth
Año:
2016
Tipo del documento:
Article