Comparing standard maternity care with team midwifery care provided by student midwives - a pilot study Women’s experiences and clinical outcomes
Engelsk titel: Comparing standard maternity care with team midwifery care provided by student midwives - a pilot study Women’s experiences and clinical outcomes
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Författare:
Aune, Ingvild
;
Dahlberg, Unn
;
Backe, Björn
Haugan, Görill
Email: ingvild.aune@hist.no
Språk: Eng
Antal referenser: 46
Dokumenttyp:
Artikel
UI-nummer: 13103737
Sammanfattning
Objective: The main aim was to investigate whether relational continuity influences clinical outcomes related to childbirth and the women's experiences of the care. A subsequent aim was to test the psychometric properties of the Relational Continuity Scale (RCS), which was developed for this study.
Background: In Norway, maternity care is organized at two bureaucratic levels, with the risk that the care may be experienced as fragmented rather than based on a trusting relationship and continuity.
Methods: Six student midwives provided relational continuity of care to 58 women throughout pregnancy, birth, and the postnatal period.
A control group received standard care. The women in both groups responded to a questionnaire (Relational Continuity Scale, RCS) assessing their experiences of the care. Clinical outcome data were collected from the women's patient records.
Results: No significant differences between the study group and the control group in terms of clinical outcomes were disclosed. Regarding relational continuity (RCS), the study group was more likely to feel cared for during pregnancy and the postnatal period. They reported better continuity of care, and were more satisfied with the total care during the childbearing process. However, they reported less preparedness for leaving the hospital, and stated less confidence in motherhood.
Conclusions: Relational continuity of care by student midwives did not influence clinical outcomes related to childbirth. However, women receiving this model of care experienced better care during pregnancy and the postnatal period, and reported more positive experiences with the total care during the childbearing process.