One-to-one midwifery care in Singapore - the first 100 births

Fox, D; Chu, L; Er, KLT; Raes, A; Pua, SK; Chong, YS

One-to-one midwifery care in Singapore - the first 100 births

Fox, D

Chu, L Er, KLT Raes, A Pua, SK Chong, YS

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Publication Type:: Journal Article
Citation:: British Journal of Midwifery, 2013, 21 (10), pp. 701 - 707
Issue Date:: 2013-01-01

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Field	Value	Language
dc.contributor.author	Fox, D https://orcid.org/0000-0002-8032-8633	en_US
dc.contributor.author	Chu, L	en_US
dc.contributor.author	Er, KLT	en_US
dc.contributor.author	Raes, A	en_US
dc.contributor.author	Pua, SK	en_US
dc.contributor.author	Chong, YS	en_US
dc.date.issued	2013-01-01	en_US
dc.identifier.citation	British Journal of Midwifery, 2013, 21 (10), pp. 701 - 707	en_US
dc.identifier.issn	0969-4900	en_US
dc.identifier.uri	http://hdl.handle.net/10453/118635
dc.description.abstract	The Enhanced Midwifery Maternity Care (EMMa Care) programme at the National University Hospital in Singapore was implemented in 2011 to provide women with primary obstetric care in collaboration with one-to-one midwifery support. The continuity of care women are able to access from both an obstetrician and a midwife provides a unique opportunity for women and babies to benefit from both obstetric expertise and holistic midwifery care. This article describes the development of the programme, and the outcomes of the births of the first 100 women who booked. Sixty women were primiparous and 40 were multiparous. Birth outcome data demonstrated a caesarean rate of 20% and seven out of nine vaginal birth after caesarean (VBAC) attempts were successful (77.77% success rate). Of the women birthing vaginally, 81.33% did so without any pharmacological pain management; 58 women used water immersion in labour and 36 birthed their babies in water. There were no third or fourth degree perineal tears, no postpartum haemorrhages and the episiotomy rate was 4%. Apgar scores were above 7 at 5 minutes in all but one baby; five babies required phototherapy for hyperbilirubinemia and eight babies (including one set of twins) were admitted to the neonatal intensive care unit (NICU) for hypoglycaemia and/or prematurity. EMMa Care is associated with good maternal and neonatal outcomes. Caesarean section rates were lower than overall rates in the same hospital setting and use of pharmacological pain management was minimal. © 2013 MA Healthcare Ltd.	en_US
dc.relation.ispartof	British Journal of Midwifery	en_US
dc.relation.isbasedon	10.12968/bjom.2013.21.10.701	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Midwifery	en_US
dc.title	One-to-one midwifery care in Singapore - the first 100 births	en_US
dc.type	Journal Article
utslib.citation.volume	10	en_US
utslib.citation.volume	21	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access
pubs.issue	10	en_US
pubs.publication-status	Published	en_US
pubs.volume	21	en_US

Abstract:

The Enhanced Midwifery Maternity Care (EMMa Care) programme at the National University Hospital in Singapore was implemented in 2011 to provide women with primary obstetric care in collaboration with one-to-one midwifery support. The continuity of care women are able to access from both an obstetrician and a midwife provides a unique opportunity for women and babies to benefit from both obstetric expertise and holistic midwifery care. This article describes the development of the programme, and the outcomes of the births of the first 100 women who booked. Sixty women were primiparous and 40 were multiparous. Birth outcome data demonstrated a caesarean rate of 20% and seven out of nine vaginal birth after caesarean (VBAC) attempts were successful (77.77% success rate). Of the women birthing vaginally, 81.33% did so without any pharmacological pain management; 58 women used water immersion in labour and 36 birthed their babies in water. There were no third or fourth degree perineal tears, no postpartum haemorrhages and the episiotomy rate was 4%. Apgar scores were above 7 at 5 minutes in all but one baby; five babies required phototherapy for hyperbilirubinemia and eight babies (including one set of twins) were admitted to the neonatal intensive care unit (NICU) for hypoglycaemia and/or prematurity. EMMa Care is associated with good maternal and neonatal outcomes. Caesarean section rates were lower than overall rates in the same hospital setting and use of pharmacological pain management was minimal. © 2013 MA Healthcare Ltd.

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http://hdl.handle.net/10453/118635