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Your search keyword '"MATERNAL health services"' showing total 2 results
2 results on '"MATERNAL health services"'

1. Maternity clinician use of shared decision‐making in antenatal care: A scoping review.

Author

Hawke, Madeline, Considine, Julie, and Sweet, Linda

Subjects
*NURSES, *MEDICAL information storage & retrieval systems, *MATERNAL health services, *MATERNITY nursing, *MIDWIVES, *CINAHL database, *DECISION making, *PREGNANT women, *PHYSICIANS' attitudes, *DESCRIPTIVE statistics, *PRENATAL care, *SYSTEMATIC reviews, *THEMATIC analysis, *MEDLINE, *LITERATURE reviews, *ATTITUDES of medical personnel, *NURSES' attitudes, *ENGLISH language, *DATA analysis software, *PATIENTS' attitudes, *PSYCHOLOGY information storage & retrieval systems
Abstract

Background: Implementation of shared decision‐making in antenatal care has had limited exploration. Objective: To assess what is known about shared decision‐making in antenatal care. Search Strategy: Five databases were searched (1997–2022) limited to English language studies from OECD countries. Data Collection and Analysis: A data collection table was constructed with findings from 32 papers. A narrative synthesis was conducted with subsequent thematic analysis of included papers. Main Results: Four areas of decision‐making were identified with six themes revealing enablers and barriers to shared decision‐making in antenatal care. Conclusion: Implementation of shared decision‐making requires continuity, time and personalisation of care. [ABSTRACT FROM AUTHOR]

Published
2024
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2. Promoting childbirth in a rural health facility: A quasi‐experimental study in western Kenya.

Author

Mwanzia, Lydia, Baliddawa, Joyce, Biederman, Erika, Perkins, Susan M., and Champion, Victoria L.

Subjects
*STATISTICAL power analysis, *DELIVERY (Obstetrics), *HOSPITAL birthing centers, *WIRELESS communications, *T-test (Statistics), *MATERNAL health services, *RESEARCH funding, *QUESTIONNAIRES, *MULTIPLE regression analysis, *STATISTICAL sampling, *CHILDBIRTH education, *PREGNANT women, *CELL phones, *CHI-squared test, *DESCRIPTIVE statistics, *RANDOMIZED controlled trials, *CHILDBIRTH at home, *RURAL health services, *PRENATAL care, *ODDS ratio, *RESEARCH methodology, *STATISTICS, *MIDWIFERY, *HEALTH promotion, *COMPARATIVE studies, *SOCIODEMOGRAPHIC factors, *DATA analysis software, *CONFIDENCE intervals, *CHILDBIRTH
Abstract

Background: The high maternal and neonatal mortality rate in sub‐Saharan Africa could be reduced by using navigation by means of mobile devices to increase the number of women who choose to give birth in a health center (HC) with a skilled healthcare practitioner. Methods: A quasi‐experimental design was used to test a midwife‐delivered navigation by means of mobile phone. A total of 208 women were randomized to two groups (intervention and control). Women in the intervention group received up to three navigation calls from midwives. Women in the control group received usual antenatal education during prenatal visits. Data were collected using semistructured questionnaires. Childbirth location was determined through medical records. Results: Overall, 180 (87%) women gave birth in a HC with a 3% advantage for the intervention group. A total of 86% (88/102) of the control group gave birth in a HC versus 89% (92/103) for the intervention group (Χ2 = 0.44, p‐value = 0.51), with an unadjusted odds ratio of 1.33 (95% CI: 0.57, 3.09). Among those with personal phones, 91% (138/152) had a birth in a HC versus 79% (42/53) in those without a personal phone (Χ2 = 4.89, p‐value = 0.03). Conclusions: The results of this study indicate that it is feasible to deliver phone‐based navigation to support birth in a HC; personal phone ownership may be a factor in the success of this strategy. [ABSTRACT FROM AUTHOR]

Published
2024
Full Text
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