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The midwifery-led care model: a continuity of care model in the birth path

BACKGROUND AND AIM OF THE STUDY: The birth path is affected by a fragmentation in the patient care process, creating a discontinuity of this last one. The pregnant woman has to interface with many professionals, both during the pregnancy, the childbirth and the puerperium. However, during the last t...

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Autores principales: Alba, Ricchi, Franco, Rossi, Patrizia, Borgognoni, Maria, Chiara Bassi, Giovanna, Artioli, Chiara, Foa, Isabella, Neri
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mattioli 1885 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6776178/
https://www.ncbi.nlm.nih.gov/pubmed/31292414
http://dx.doi.org/10.23750/abm.v90i6-S.8621
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author Alba, Ricchi
Franco, Rossi
Patrizia, Borgognoni
Maria, Chiara Bassi
Giovanna, Artioli
Chiara, Foa
Isabella, Neri
author_facet Alba, Ricchi
Franco, Rossi
Patrizia, Borgognoni
Maria, Chiara Bassi
Giovanna, Artioli
Chiara, Foa
Isabella, Neri
author_sort Alba, Ricchi
collection PubMed
description BACKGROUND AND AIM OF THE STUDY: The birth path is affected by a fragmentation in the patient care process, creating a discontinuity of this last one. The pregnant woman has to interface with many professionals, both during the pregnancy, the childbirth and the puerperium. However, during the last ten years, there has been an increasing of the pregnancy care operated by the midwife, who is considered to be the operator with the right competences, who can take care of every pregnancy and may avail herself of other professionals’ contributions in order to improve the outcomes of maternal and neonatal health. AIM: To verify whether there are proofs of effectiveness that support the caseload midwifery care model, and if it is possible to apply this model in the birth path in Italy. METHODS: A revision of literature has been done using some search engine (Google, Bing) and specific databases (MEDLINE, CINAHL, Embase, Home - ClinicalTrials.gov). There has also been a consultation of the Italian regulations, the national guidelines and the recommendations of WHO. RESULTS: The search string, properly adapted to the three databases, has given the following results: MEDLINE 64 articles, CINAHL 94 articles, Embase 88 articles. From this selection, 14 articles have been extracted: 1 systematic review, 3 controlled random trial, 7 observational studies, 3 qualitative studies. CONCLUSIONS: The caseload midwifery care seems to be an effective and reliable organisational/caring method. It responds to the criterions of quality and security, to the needs of women not only during the pregnancy but also during the post-partum phase. For these reasons, it seems very useful also for the birth path in the Italian reality. (www.actabiomedica.it)
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spelling pubmed-67761782019-12-17 The midwifery-led care model: a continuity of care model in the birth path Alba, Ricchi Franco, Rossi Patrizia, Borgognoni Maria, Chiara Bassi Giovanna, Artioli Chiara, Foa Isabella, Neri Acta Biomed Original Article: Improving Healthcare Sistemic Quality BACKGROUND AND AIM OF THE STUDY: The birth path is affected by a fragmentation in the patient care process, creating a discontinuity of this last one. The pregnant woman has to interface with many professionals, both during the pregnancy, the childbirth and the puerperium. However, during the last ten years, there has been an increasing of the pregnancy care operated by the midwife, who is considered to be the operator with the right competences, who can take care of every pregnancy and may avail herself of other professionals’ contributions in order to improve the outcomes of maternal and neonatal health. AIM: To verify whether there are proofs of effectiveness that support the caseload midwifery care model, and if it is possible to apply this model in the birth path in Italy. METHODS: A revision of literature has been done using some search engine (Google, Bing) and specific databases (MEDLINE, CINAHL, Embase, Home - ClinicalTrials.gov). There has also been a consultation of the Italian regulations, the national guidelines and the recommendations of WHO. RESULTS: The search string, properly adapted to the three databases, has given the following results: MEDLINE 64 articles, CINAHL 94 articles, Embase 88 articles. From this selection, 14 articles have been extracted: 1 systematic review, 3 controlled random trial, 7 observational studies, 3 qualitative studies. CONCLUSIONS: The caseload midwifery care seems to be an effective and reliable organisational/caring method. It responds to the criterions of quality and security, to the needs of women not only during the pregnancy but also during the post-partum phase. For these reasons, it seems very useful also for the birth path in the Italian reality. (www.actabiomedica.it) Mattioli 1885 2019 2019-12-09 /pmc/articles/PMC6776178/ /pubmed/31292414 http://dx.doi.org/10.23750/abm.v90i6-S.8621 Text en Copyright: © 2019 ACTA BIO MEDICA SOCIETY OF MEDICINE AND NATURAL SCIENCES OF PARMA http://creativecommons.org/licenses/by-nc-sa/4.0 This work is licensed under a Creative Commons Attribution 4.0 International License
spellingShingle Original Article: Improving Healthcare Sistemic Quality
Alba, Ricchi
Franco, Rossi
Patrizia, Borgognoni
Maria, Chiara Bassi
Giovanna, Artioli
Chiara, Foa
Isabella, Neri
The midwifery-led care model: a continuity of care model in the birth path
title The midwifery-led care model: a continuity of care model in the birth path
title_full The midwifery-led care model: a continuity of care model in the birth path
title_fullStr The midwifery-led care model: a continuity of care model in the birth path
title_full_unstemmed The midwifery-led care model: a continuity of care model in the birth path
title_short The midwifery-led care model: a continuity of care model in the birth path
title_sort midwifery-led care model: a continuity of care model in the birth path
topic Original Article: Improving Healthcare Sistemic Quality
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6776178/
https://www.ncbi.nlm.nih.gov/pubmed/31292414
http://dx.doi.org/10.23750/abm.v90i6-S.8621
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