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Measuring the quality of documented care given by Swedish midwives during birth.

Kvist, LInda LU ; Damiati, Nada; Rosenqvist, Johanna and Sandin-Bojö, Ann-Kristin (2011) In Midwifery 27. p.188-194
Abstract
OBJECTIVES: to measure the extent to which documented Swedish midwifery care for low-risk labour and birth followed the World Health Organization's (WHO) recommendations for care in normal birth, and to compare midwifery care given to women who's labours were classified as low and high risk. STUDY DESIGN: a retrospective examination of midwifery and medical records, 144 from women with low-risk births and 54 from women with high-risk births, for aspects of pregnancy, labour and birth using a validated instrument based on WHO's recommendations. SETTING: southern Sweden. OUTCOME MEASUREMENTS: care given in accordance with WHO's four categories of practice and changes in risk group during the birth process. FINDINGS: care interventions not... (More)
OBJECTIVES: to measure the extent to which documented Swedish midwifery care for low-risk labour and birth followed the World Health Organization's (WHO) recommendations for care in normal birth, and to compare midwifery care given to women who's labours were classified as low and high risk. STUDY DESIGN: a retrospective examination of midwifery and medical records, 144 from women with low-risk births and 54 from women with high-risk births, for aspects of pregnancy, labour and birth using a validated instrument based on WHO's recommendations. SETTING: southern Sweden. OUTCOME MEASUREMENTS: care given in accordance with WHO's four categories of practice and changes in risk group during the birth process. FINDINGS: care interventions not recommended by WHO, such as routine establishment of an intravenous route, routine amniotomy during the first stage, continuous electronic fetal monitoring and pharmacological methods of pain relief, were widespread in the records. Documented care differed little between the labours of women at low risk and high risk. The midwives at the unit under study did not routinely carry out risk assessment. KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: the mode of care was one of readiness for medical intervention. The act of carrying out risk assessments at the time of the woman's admission may affect awareness of the level of care offered to birthing women, and thus help to reduce the number and variety of practices not recommended by WHO. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Midwifery
volume
27
pages
188 - 194
publisher
Elsevier
external identifiers
  • wos:000297153000002
  • pmid:20833458
  • scopus:81255128360
ISSN
1532-3099
DOI
10.1016/j.midw.2010.07.001
language
English
LU publication?
yes
id
f047a60b-435a-45ee-aa98-bc9c08695c7f (old id 1688293)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/20833458?dopt=Abstract
date added to LUP
2010-10-05 09:52:33
date last changed
2017-04-23 04:35:05
@article{f047a60b-435a-45ee-aa98-bc9c08695c7f,
  abstract     = {OBJECTIVES: to measure the extent to which documented Swedish midwifery care for low-risk labour and birth followed the World Health Organization's (WHO) recommendations for care in normal birth, and to compare midwifery care given to women who's labours were classified as low and high risk. STUDY DESIGN: a retrospective examination of midwifery and medical records, 144 from women with low-risk births and 54 from women with high-risk births, for aspects of pregnancy, labour and birth using a validated instrument based on WHO's recommendations. SETTING: southern Sweden. OUTCOME MEASUREMENTS: care given in accordance with WHO's four categories of practice and changes in risk group during the birth process. FINDINGS: care interventions not recommended by WHO, such as routine establishment of an intravenous route, routine amniotomy during the first stage, continuous electronic fetal monitoring and pharmacological methods of pain relief, were widespread in the records. Documented care differed little between the labours of women at low risk and high risk. The midwives at the unit under study did not routinely carry out risk assessment. KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: the mode of care was one of readiness for medical intervention. The act of carrying out risk assessments at the time of the woman's admission may affect awareness of the level of care offered to birthing women, and thus help to reduce the number and variety of practices not recommended by WHO.},
  author       = {Kvist, LInda and Damiati, Nada and Rosenqvist, Johanna and Sandin-Bojö, Ann-Kristin},
  issn         = {1532-3099},
  language     = {eng},
  pages        = {188--194},
  publisher    = {Elsevier},
  series       = {Midwifery},
  title        = {Measuring the quality of documented care given by Swedish midwives during birth.},
  url          = {http://dx.doi.org/10.1016/j.midw.2010.07.001},
  volume       = {27},
  year         = {2011},
}