این سایت در حال حاضر پشتیبانی نمی شود و امکان دارد داده های نشریات بروز نباشند
Journal of Midwifery and Reproductive Health، جلد ۹، شماره ۳، صفحات ۲۸۶۳-۲۸۷۲
عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله
عنوان انگلیسی Comparing the Implications of Midwifery-Led Care and Standard Model on Maternal and Neonatal Outcomes during Pregnancy, Childbirth and Postpartum
چکیده انگلیسی مقاله Background & aim: Considering importance of developing maternal care, the present study was designed to compare the implications of a midwifery-led care (MLC) and standard model on maternal and neonatal outcomes during pregnancy, childbirth and postpartum.Methods: This clinical trial performed through quasi- experimental method on 200 pregnant women referred to health centers of Kashan, Iran, between 2014 and 2017. Participants were randomly assigned to MLC and standard model of care group (each 100). Data on maternal and neonatal outcomes were collected using self-structured questionnaires and checklists. The validity and reliability of tools were evaluated through content validity and also test-retest and observer reliability. The collected data were analyzed using SPSS version 21 by T test, chi-square and Mann-Whitney.Results: The implementation of MLC resulted in improved outcomes including decrease in cesarean section, increase in spontaneous delivery, increase in physiological delivery, increased participation in preparatory classes for labor, decrease in induction, decrease in hospital stay, decrease in the number of prenatal visits, decrease in ultrasound, and increase in mean gestational age at admission (p < 0.05). The results also pointed to increased lactation and decreased hospitalization due to jaundice (p < 0.05). There was no statistically significant difference in terms of anesthesia, narcotic use, postpartum hemorrhage, curettage, episiotomy, postpartum infection and postpartum depression. No maternal mortality was observed in two groups.Conclusion: Midwifery-led care can lead to improved maternal and neonatal outcomes at least in low-risk pregnant women. More chance of physiological delivery, spontaneous labor and less cesarean section, induction and augmentation were significant.
کلیدواژه‌های انگلیسی مقاله Continuing Care, Midwifery-led Care, Maternal outcome, Neonatal outcome
نویسندگان مقاله | Azam Bagheri
Assistant professor, Department of Midwifery and Reproductive Health, Kashan University of Medical Sciences, Kashan, Iran


| Masoumeh Simbar
a) Professor, Midwifery and Reproductive Health Research center, Shahid Beheshti University of Medical Sciences, Tehran, Iran b) Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran


| Mansooreh Samimi
Associate Professor, Department of Gynecology and Obstetrics, medical school, Kashan University of Medical Sciences, Kashan


| Fatemeh Nahidi
Associate professor, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran


| Hamid Alavimajd
Professor, Department of Biostatics, Shahid Beheshti University of Medical Sciences, Tehran, Iran


| Zohre Sadat
Associate Professor, Trauma Nursing Research Center, Kashan university of medical sciences, Kashan, Iran
نشانی اینترنتی https://jmrh.mums.ac.ir/article_18265.html
فایل مقاله فایلی برای مقاله ذخیره نشده است
کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده
نوع مقاله منتشر شده Original Research Article
برگشت به: صفحه اول پایگاه   |   نسخه مرتبط   |   نشریه مرتبط   |   فهرست نشریات