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https://hdl.handle.net/2440/4087
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Type: | Journal article |
Title: | Can midwife-managed units improve continuity of care? |
Author: | Turnbull, D. Shields, N. McGinley, M. Holmes, A. Cheyne, H. Reid, M. Young, D. Harper Gilmour, W. |
Citation: | British Journal of Midwifery, 1999; 7(8):499-503 |
Publisher: | Mark Allen Group |
Issue Date: | 1999 |
ISSN: | 0969-4900 2052-4307 |
Statement of Responsibility: | Deborah Turnbull, Noreen Shields, Mary McGinley, Ann Holmes, Helen Cheyne, Margaret Reid, Denise Young and W Harper Gilmour |
Abstract: | <jats:p> This study aimed to determine whether a midwife-managed programme could improve continuity of care over that achieved by shared care (i.e. care divided between hospital doctors, midwives and GPs). A randomized controlled trial (analysis by intention to treat) was conducted at the Glasgow Royal Maternity Hospital, which compared 648 women allocated to receive midwife-managed care and 651 allocated to receive shared care. The two main study outcomes were continuity of advice and continuity of carer. Data were collected via questions included in self-report questionnaires sent to women's homes at three time periods (response rates ranged from 63.1% to 85.3%) and a case record review. Women in the midwife-managed group reported receiving more consistent advice across all care periods. For example, during antenatal care, 51.0% of women in the midwife group reported receiving consistent advice all of the time, compared with 21.2% of women in the shared-care group (difference [diff] = 29.9%; 95% confidence interval [CI]; 24.1% to 35.6%). Overall, women in the midwife-managed group saw seven fewer care providers (midwife care mean = 10.0 [standard deviation [SD] = 6.3]; shared care mean = 17.1 [SD = 6.1], diff = -7.1; 95% CI; -8.4 to -5.8). At 7 months follow-up, 4.0% of women in the midwife group reported that they had seen too many or far too many staff during their care, compared with 28.3% of women in the shared care group (diff = -24.3%; 95% CI;-30.7% to -17.8%). These results suggest that midwife-managed care programmes can improve continuity of care. </jats:p> |
DOI: | 10.12968/bjom.1999.7.8.8285 |
Published version: | http://dx.doi.org/10.12968/bjom.1999.7.8.8285 |
Appears in Collections: | Aurora harvest 6 Public Health publications |
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