Descriptive Study of Obstetric and Neonatal Outcomes in Two Models of Delivery Assistance in Primiparous Women

Estudio descriptivo de los resultados obstétricos y neonatales en dos modelos de asistencia al parto en primíparas

Um estudo descritivo dos resultados obstétricos e neonatais em dois modelos de assistência ao parto em primíparas

Conesa Ferrer, María Belén - Camacho Ávila, Marcos - Hernández Sánchez, Encarnación - López Martínez, Esther María - Marín Conesa, Ester
Detalles Bibliográficos
2022
humanising delivery
perinatal care
midwife
pregnancy outcome
parto humanizado
atención perinatal
matrona
resultado del embarazo
parto humanizado
assistência perinatal
matrona
resultado da gravidez
Español
Universidad Católica del Uruguay
LIBERI
https://revistas.ucu.edu.uy/index.php/enfermeriacuidadoshumanizados/article/view/2798
https://hdl.handle.net/10895/3762
Acceso abierto
Resumen:
Sumario:Introduction: In the 20th century, childbirth went from being attended at home to the hospital setting. Inappropriate and unnecessary interventions were uncritically adopted, leading to a dehumanization of childbirth. This is the model that currently exists in most Spanish hospitals, which has been questioned by the World Health Organization as early as 1996. Objective: The aim is to describe the differences in obstetrical and neonatal results across two different models of maternity care (biomedical model and humanised birth). Method: A correlational descriptive and multicenter study was carried out. A convenience sample of 205 primiparous women, 110 biomedical model and 95 humanised model, were recruited. Obstetrical and neonatal results were compared in two hospitals with different models of maternity care in Spain. Results: The humanised model of maternity care produces better obstetrical outcomes (spontaneous beginning of labour, normal vaginal birth, intact perineum and I degree tear and less episiotomies) than the biomedical model. There were no differences in neonatal outcomes. Conclusion: The benefits of implementing a humanised model of delivery care should be considered by health policy makers and reflected in the woman and her baby.