| Titre : | Midwives' views and attitudes on midwifery continuity of care models: a cross sectional survey of midwives (2025) |
| Auteurs : | Sarah James ; Maeve O'Connell |
| Type de document : | Article : texte imprimé |
| Dans : | Midirs. Midwifery Digest (Vol. 35, n° 1, mars 2025) |
| Article en page(s) : | p. 43-48 |
| Langues: | Anglais |
| Sujets : |
Paramédical (MeSH) Accouchement ; Bien-être ; Continuité des soins ; Période de péripartum ; Profession de sage-femme ; Sage-femme ; Santé maternelle ; Satisfaction professionnelle |
| Résumé : |
Midwives are globally recognised as principal providers of quality maternal and newborn health care (ten Hoope-Bender et al 2014). When midwives practise to the full scope of their abilities, midwifery care has the potential to save lives on a large scale, unmatched by any other intervention (Renfrew 2021). However, the organisation of midwifery services varies across different countries, resulting in some nations having medical doctors as the primary carers for women (Sandall 2017).
It is well-established that when midwives provide continuity of care, numerous maternal and neonatal outcomes improve (Renfrew et al 2014, Sandall 2017). A Cochrane meta-analysis of 15 randomised controlled trials (RCTs) involving 17,674 mothers and their babies explored differences in morbidity, mortality and psychosocial outcomes between midwife-led continuity models (MCoC) and other care models (Sandall et al 2016). This analysis demonstrated compelling evidence of benefits, including more spontaneous vaginal births, fewer inductions of labour, fewer interventions during labour and greater satisfaction with care, compared with other models (Sandall et al 2016). Furthermore, women were less likely to experience preterm birth and fetal loss before 24 weeks' gestation (Sandall et al 2016). MCoC also positively impacts overall wellbeing during pregnancy, moderating prenatal stress and enhancing postnatal wellbeing (Kildea et al 2018). Additionally, there is evidence that MCoC results in greater job satisfaction for midwives (Hollins Martin et al 2020). A systematic review identified that working in MCoC models significantly protects against burnout (Albendin Garcia et al 2021), dispelling previous studies linking MCoC to increased burnout levels (Yoshida & Sandall 2013, Fenwick et al 2018). Thus, implementing MCoC is a priority for optimising maternal and newborn clinical health outcomes and midwifery wellbeing. In terms of UK policy, fragmented midwifery care lacking continuity was acknowledged in the mid-1980s, leading to the promotion of continuity of care in the maternity services agenda. Despite the wealth of evidence — and although many countries are making efforts to implement it (Renfrew et al — there has not been widespread success in the implementation of MCoC anywhere in the world 2014) (Bradford et al 2022). The UK governments have made efforts to achieve MCoC in their strategic documents. However, following the release of the Ockenden report in 2022, MCoC was suspended because of concerns about safety and staffing levels (Independent Maternity Review 2022). In light of these challenges, understanding midwives' views and attitudes towards implementing MCoC is essential to determine perceived barriers and facilitators. |
Exemplaires (1)
| Localisation | Section | Support | Cote de rangement | Statut | Disponibilité |
|---|---|---|---|---|---|
| Bibliothèque Paramédicale | Périodiques | Périodique | Midirs. 2025-1 | Empruntable | Disponible |
