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Caseload midwifery for women with fear of birth is a feasible option

Hildingsson, Ingegerd; Rubertsson, Christine LU ; Karlström, Annika and Haines, Helen (2018) In Sexual and Reproductive Healthcare 16. p.50-55
Abstract

Objective: Continuity with a known midwife might benefit women with fear of birth, but is rare in Sweden. The aim was to test a modified caseload midwifery model of care to provide continuity of caregiver to women with fear of birth. Methods: A feasibility study where women received antenatal and intrapartum care from a known midwife who focused on women's fear during all antenatal visits. The study was performed in one antenatal clinic in central Sweden and one university hospital labor ward. Data was collected with questionnaires in mid and late pregnancy and two months after birth. The main outcome was fear of childbirth. Result: Eight out of ten women received all antenatal and intrapartum care from a known midwife. The majority had... (More)

Objective: Continuity with a known midwife might benefit women with fear of birth, but is rare in Sweden. The aim was to test a modified caseload midwifery model of care to provide continuity of caregiver to women with fear of birth. Methods: A feasibility study where women received antenatal and intrapartum care from a known midwife who focused on women's fear during all antenatal visits. The study was performed in one antenatal clinic in central Sweden and one university hospital labor ward. Data was collected with questionnaires in mid and late pregnancy and two months after birth. The main outcome was fear of childbirth. Result: Eight out of ten women received all antenatal and intrapartum care from a known midwife. The majority had a normal vaginal birth with non-pharmacological pain relief. Satisfaction was high and most women reported that their fear of birth alleviated or disappeared. Conclusion: Offering a modified caseload midwifery model of care seems to be a feasible option for women with elevated levels of childbirth fear as well as for midwives working in antenatal clinics as it reduces fear of childbirth for most women. Women were satisfied with the model of care and with the care provided.

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Please use this url to cite or link to this publication:
author
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Caseload, Fear of birth, Intrapartum care, Midwifery, Pregnancy
in
Sexual and Reproductive Healthcare
volume
16
pages
6 pages
publisher
Elsevier
external identifiers
  • scopus:85043499616
ISSN
1877-5756
DOI
10.1016/j.srhc.2018.02.006
language
English
LU publication?
no
id
fdde9ac4-75ca-4773-b3f3-1f01ff1f8b69
date added to LUP
2018-04-19 08:53:03
date last changed
2019-02-20 11:14:37
@article{fdde9ac4-75ca-4773-b3f3-1f01ff1f8b69,
  abstract     = {<p>Objective: Continuity with a known midwife might benefit women with fear of birth, but is rare in Sweden. The aim was to test a modified caseload midwifery model of care to provide continuity of caregiver to women with fear of birth. Methods: A feasibility study where women received antenatal and intrapartum care from a known midwife who focused on women's fear during all antenatal visits. The study was performed in one antenatal clinic in central Sweden and one university hospital labor ward. Data was collected with questionnaires in mid and late pregnancy and two months after birth. The main outcome was fear of childbirth. Result: Eight out of ten women received all antenatal and intrapartum care from a known midwife. The majority had a normal vaginal birth with non-pharmacological pain relief. Satisfaction was high and most women reported that their fear of birth alleviated or disappeared. Conclusion: Offering a modified caseload midwifery model of care seems to be a feasible option for women with elevated levels of childbirth fear as well as for midwives working in antenatal clinics as it reduces fear of childbirth for most women. Women were satisfied with the model of care and with the care provided.</p>},
  author       = {Hildingsson, Ingegerd and Rubertsson, Christine and Karlström, Annika and Haines, Helen},
  issn         = {1877-5756},
  keyword      = {Caseload,Fear of birth,Intrapartum care,Midwifery,Pregnancy},
  language     = {eng},
  month        = {06},
  pages        = {50--55},
  publisher    = {Elsevier},
  series       = {Sexual and Reproductive Healthcare},
  title        = {Caseload midwifery for women with fear of birth is a feasible option},
  url          = {http://dx.doi.org/10.1016/j.srhc.2018.02.006},
  volume       = {16},
  year         = {2018},
}