"She was there all the time". A qualitative study exploring how women at higher risk for preterm birth experience midwifery continuity of care.

Brigante, L; Coxon, K; Fernandez Turienzo, C; Sandall, J

"She was there all the time". A qualitative study exploring how women at higher risk for preterm birth experience midwifery continuity of care.

Brigante, L Coxon, K Fernandez Turienzo, C Sandall, J

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Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: Women Birth, 2023, 36, (4), pp. e397-e404
Issue Date:: 2023-07

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Field	Value	Language
dc.contributor.author	Brigante, L
dc.contributor.author	Coxon, K
dc.contributor.author	Fernandez Turienzo, C
dc.contributor.author	Sandall, J https://orcid.org/0000-0003-2000-743X
dc.date.accessioned	2023-09-08T01:43:41Z
dc.date.available	2023-01-17
dc.date.available	2023-09-08T01:43:41Z
dc.date.issued	2023-07
dc.identifier.citation	Women Birth, 2023, 36, (4), pp. e397-e404
dc.identifier.issn	1871-5192
dc.identifier.issn	1878-1799
dc.identifier.uri	http://hdl.handle.net/10453/171990
dc.description.abstract	PROBLEM: There is a paucity of research on experiences and views of women at higher risk of preterm birth of midwifery continuity of care. BACKGROUND: Midwifery continuity of care (MCoC) has been associated with improved maternal outcomes and with lower levels of preterm births and stillbirths. The majority of MCoC studies have focused on women without risk factors and little has been published on women with obstetric complexities. The aim of this study is to explore the views and experiences of women identified as a higher risk of preterm birth who have had continuity of care from midwives. DESIGN: Face-to-face, semi-structured interviews with 16 women identified as at increased risk of preterm birth and experienced continuity of midwifery care across pregnancy, birth and the postnatal period. Care had been provided by the pilot intervention group for the pilot study of midwifery practice in preterm birth including women's experiences (POPPIE) trial. FINDINGS: Women valued continuity of midwifery care across the care pathway and described the reassurance provided by having 24 h a day, seven days a week access to known midwives. Consistency of care, advocacy and accessibility to the team were described as the main factors contributing to their feelings of safety and control. KEY CONCLUSIONS: Recognising that known midwives were 'there all the time' made women feel listened to and actively involved in clinical decision making, which contributed to women feeling less stressed and anxious during their pregnancy, birth and early parenthood. When developing MCoC models for women with obstetric complexities: access, advocacy and time should be embedded to ensure women can build trusting relationships and reduce anxiety levels.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier
dc.relation.ispartof	Women Birth
dc.relation.isbasedon	10.1016/j.wombi.2023.01.003
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	11 Medical and Health Sciences
dc.subject.classification	Obstetrics & Reproductive Medicine
dc.subject.classification	3215 Reproductive medicine
dc.subject.classification	4204 Midwifery
dc.subject.mesh	Pregnancy
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Midwifery
dc.subject.mesh	Premature Birth
dc.subject.mesh	Pilot Projects
dc.subject.mesh	Parturition
dc.subject.mesh	Continuity of Patient Care
dc.subject.mesh	Humans
dc.subject.mesh	Premature Birth
dc.subject.mesh	Pilot Projects
dc.subject.mesh	Midwifery
dc.subject.mesh	Pregnancy
dc.subject.mesh	Parturition
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Continuity of Patient Care
dc.subject.mesh	Female
dc.subject.mesh	Pregnancy
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Midwifery
dc.subject.mesh	Premature Birth
dc.subject.mesh	Pilot Projects
dc.subject.mesh	Parturition
dc.subject.mesh	Continuity of Patient Care
dc.title	"She was there all the time". A qualitative study exploring how women at higher risk for preterm birth experience midwifery continuity of care.
dc.type	Journal Article
utslib.citation.volume	36
utslib.location.activity	Netherlands
utslib.for	11 Medical and Health Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Midwifery
utslib.copyright.status	closed_access	*
dc.date.updated	2023-09-08T01:43:40Z
pubs.issue	4
pubs.publication-status	Published
pubs.volume	36
utslib.citation.issue	4

Abstract:

PROBLEM: There is a paucity of research on experiences and views of women at higher risk of preterm birth of midwifery continuity of care. BACKGROUND: Midwifery continuity of care (MCoC) has been associated with improved maternal outcomes and with lower levels of preterm births and stillbirths. The majority of MCoC studies have focused on women without risk factors and little has been published on women with obstetric complexities. The aim of this study is to explore the views and experiences of women identified as a higher risk of preterm birth who have had continuity of care from midwives. DESIGN: Face-to-face, semi-structured interviews with 16 women identified as at increased risk of preterm birth and experienced continuity of midwifery care across pregnancy, birth and the postnatal period. Care had been provided by the pilot intervention group for the pilot study of midwifery practice in preterm birth including women's experiences (POPPIE) trial. FINDINGS: Women valued continuity of midwifery care across the care pathway and described the reassurance provided by having 24 h a day, seven days a week access to known midwives. Consistency of care, advocacy and accessibility to the team were described as the main factors contributing to their feelings of safety and control. KEY CONCLUSIONS: Recognising that known midwives were 'there all the time' made women feel listened to and actively involved in clinical decision making, which contributed to women feeling less stressed and anxious during their pregnancy, birth and early parenthood. When developing MCoC models for women with obstetric complexities: access, advocacy and time should be embedded to ensure women can build trusting relationships and reduce anxiety levels.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/171990