Transfers of Care between Healthcare Professionals in Obstetric Units of Different Sizes across Spain and in a hospital in Ireland : the MidconBirth Study
NAGIOS: RODERIC FUNCIONANDO

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

DSpace Repository

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

Show simple item record

dc.contributor.author Martín-Arribas, Anna
dc.contributor.author Vila Candel, Rafael
dc.contributor.author O'Connell, Rhona
dc.contributor.author Dillon, Martina
dc.contributor.author Vila-Bellido, Inmaculada
dc.contributor.author Beneyto, Maria Ángeles
dc.contributor.author Molina Fernández, Inmaculada de
dc.contributor.author Rodríguez Conesa, Nerea
dc.contributor.author González Blázquez, Cristina
dc.contributor.author Escuriet, Ramon
dc.date.accessioned 2021-03-08T19:01:11Z
dc.date.available 2021-03-08T19:01:11Z
dc.date.issued 2020
dc.identifier.uri https://hdl.handle.net/10550/78200
dc.description.abstract 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.
dc.language.iso eng
dc.relation.ispartof International Journal Of Environmental Research And Public Health, 2020, vol. 17, p. 8394
dc.rights.uri info:eu-repo/semantics/openAccess
dc.source Martín-Arribas, Anna Vila Candel, Rafael O'Connell, Rhona Dillon, Martina Vila-Bellido, Inmaculada Beneyto, Maria Ángeles Molina Fernández, Inmaculada de Rodríguez Conesa, Nerea González Blázquez, Cristina Escuriet, Ramon 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 8394
dc.subject Embaràs
dc.subject Infermeres
dc.subject Dones
dc.title Transfers of Care between Healthcare Professionals in Obstetric Units of Different Sizes across Spain and in a hospital in Ireland : the MidconBirth Study
dc.type info:eu-repo/semantics/article
dc.date.updated 2021-03-08T19:01:12Z
dc.identifier.doi https://doi.org/10.3390/ijerph17228394
dc.identifier.idgrec 143703

View       (751.9Kb)

This item appears in the following Collection(s)

Show simple item record

Search DSpace

Advanced Search

Browse

Statistics