Disaster in pregnancy: Midwifery continuity positively impacts infant neurodevelopment, QF2011 study

Simcock, G; Kildea, S; Kruske, S; Laplante, DP; Elgbeili, G; King, S

Disaster in pregnancy: Midwifery continuity positively impacts infant neurodevelopment, QF2011 study

Simcock, G Kildea, S

Kruske, S

Laplante, DP Elgbeili, G King, S

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Publication Type:: Journal Article
Citation:: BMC Pregnancy and Childbirth, 2018, 18 (1)
Issue Date:: 2018-07-27

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Field	Value	Language
dc.contributor.author	Simcock, G	en_US
dc.contributor.author	Kildea, S https://orcid.org/0000-0001-8591-4968	en_US
dc.contributor.author	Kruske, S https://orcid.org/0000-0002-2317-3954	en_US
dc.contributor.author	Laplante, DP	en_US
dc.contributor.author	Elgbeili, G	en_US
dc.contributor.author	King, S	en_US
dc.date.available	2018-07-18	en_US
dc.date.issued	2018-07-27	en_US
dc.identifier.citation	BMC Pregnancy and Childbirth, 2018, 18 (1)	en_US
dc.identifier.uri	http://hdl.handle.net/10453/129144
dc.description.abstract	© 2018 The Author(s). Background: Research shows that continuity of midwifery carer in pregnancy improves maternal and neonatal outcomes. This study examines whether midwifery group practice (MGP) care during pregnancy affects infant neurodevelopment at 6-months of age compared to women receiving standard hospital maternity care (SC) in the context of a natural disaster. Methods: This prospective cohort study included 115 women who were affected by a sudden-onset flood during pregnancy. They received one of two models of maternity care: MGP or SC. The women's flood-related objective stress, subjective reactions, and cognitive appraisal of the disaster were assessed at recruitment into the study. At 6-months postpartum they completed the Ages and Stages Questionnaire (ASQ-3) on their infants' communication, fine and gross motor, problem solving, and personal-social skills. Results: Greater maternal objective and subjective stress predicted worse infant outcomes. Even when controlling for maternal stress from the flood, infants of mothers who were in the MGP model of maternity care performed better than infants of mothers in SC on two of the five ASQ-3 domains (fine motor and problem solving) at 6-months of age. Furthermore, infants in the SC model were more likely to be identified as at risk for delayed development on these domains than infants in the MGP model of care. Conclusions: Continuity of midwifery care has positive effects on infant neurodevelopment when mothers experience disaster-related stress in pregnancy, with significantly better outcomes on two developmental domains at 6months compared to infants whose mothers received standard hospital care.	en_US
dc.relation.ispartof	BMC Pregnancy and Childbirth	en_US
dc.relation.isbasedon	10.1186/s12884-018-1944-5	en_US
dc.subject.classification	Obstetrics & Reproductive Medicine	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Prenatal Exposure Delayed Effects	en_US
dc.subject.mesh	Stress, Psychological	en_US
dc.subject.mesh	Child Development	en_US
dc.subject.mesh	Midwifery	en_US
dc.subject.mesh	Natural Disasters	en_US
dc.subject.mesh	Pregnancy	en_US
dc.subject.mesh	Models, Organizational	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Infant	en_US
dc.subject.mesh	Pregnant Women	en_US
dc.subject.mesh	Hospitals, Maternity	en_US
dc.subject.mesh	Patient Care Management	en_US
dc.subject.mesh	Continuity of Patient Care	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Floods	en_US
dc.subject.mesh	Neurodevelopmental Disorders	en_US
dc.title	Disaster in pregnancy: Midwifery continuity positively impacts infant neurodevelopment, QF2011 study	en_US
dc.type	Journal Article
utslib.citation.volume	1	en_US
utslib.citation.volume	18	en_US
utslib.for	1114 Paediatrics and Reproductive Medicine	en_US
utslib.for	1110 Nursing	en_US
utslib.for	1117 Public Health and Health Services	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	recently_added
pubs.issue	1	en_US
pubs.publication-status	Published	en_US
pubs.volume	18	en_US

Abstract:

© 2018 The Author(s). Background: Research shows that continuity of midwifery carer in pregnancy improves maternal and neonatal outcomes. This study examines whether midwifery group practice (MGP) care during pregnancy affects infant neurodevelopment at 6-months of age compared to women receiving standard hospital maternity care (SC) in the context of a natural disaster. Methods: This prospective cohort study included 115 women who were affected by a sudden-onset flood during pregnancy. They received one of two models of maternity care: MGP or SC. The women's flood-related objective stress, subjective reactions, and cognitive appraisal of the disaster were assessed at recruitment into the study. At 6-months postpartum they completed the Ages and Stages Questionnaire (ASQ-3) on their infants' communication, fine and gross motor, problem solving, and personal-social skills. Results: Greater maternal objective and subjective stress predicted worse infant outcomes. Even when controlling for maternal stress from the flood, infants of mothers who were in the MGP model of maternity care performed better than infants of mothers in SC on two of the five ASQ-3 domains (fine motor and problem solving) at 6-months of age. Furthermore, infants in the SC model were more likely to be identified as at risk for delayed development on these domains than infants in the MGP model of care. Conclusions: Continuity of midwifery care has positive effects on infant neurodevelopment when mothers experience disaster-related stress in pregnancy, with significantly better outcomes on two developmental domains at 6months compared to infants whose mothers received standard hospital care.

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http://hdl.handle.net/10453/129144