Comprehensive maternity support and shared care in Switzerland : comparison of levels of satisfaction

Floris, Lucia (HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland ; Nursing Directorate, Geneva University Hospitals (HUG), Switzerland) ; Irion, Olivier (Department of Gynaecology and Obstetrics, Geneva University Hospitals (HUG), Switzerland) ; Bonnet, Jocelyne (Nursing Directorate, Geneva University Hospitals (HUG), Switzerland) ; Politis Mercier, Maria-Pia (HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland) ; De Labrusse, Claire (HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland)

BACKGROUND: According to the woman-centred care model, continuous care by a midwife has a positive impact on satisfaction. Comprehensive support is a model of team midwifery care implemented in the large Geneva University Hospitals in Switzerland, which has organised shared care according to the biomedical model of practice. This model of care insures a follow up by a specific group of midwives, during perinatal period. AIM: The goal of this study was to evaluate the satisfaction and outcomes of the obstetric and neonatal care of women who received comprehensive support during pregnancy, childbirth and the postpartum period, and compare them to women who received shared care. METHODS: This was a prospective comparative study between two models of care in low risk pregnant women. The satisfaction and outcomes of care were evaluated using the French version of the Women's Experiences Maternity Care Scale, two months after giving birth. FINDINGS: In total, 186 women in the comprehensive support group and 164 in the control group returned the questionnaire. After adjustment, the responses of those in the comprehensive support programme were strongly associated with optimal satisfaction, and they had a significantly lower epidural rate. No differences were observed between the two groups in the mode of delivery. The satisfaction relative to this support programme was associated with a birth plan for intrapartum and postnatal care. CONCLUSIONS: Team midwifery had a positive impact on satisfaction, with no adverse effects on the obstetric and neonatal outcomes, when compared to shared care.


Keywords:
Article Type:
scientifique
Faculty:
Santé
Branch:
Sage-femme
School:
HESAV
Institute:
Aucun institut
Subject(s):
Santé
Date:
2018-04
Pagination:
10 p.
Published in:
Women and Birth
Numeration (vol. no.):
April 2018, vol. 31, no. 2, pp. 124-133
DOI:
ISSN:
1871-5192
Appears in Collection:

Note: The status of this file is: restricted


 Record created 2018-12-10, last modified 2018-12-17

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