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Articles de revues sur le sujet « Obstetrician led model of care »

Auteur : Grafiati

Publié le 7 juin 2025

Mis à jour le 2 août 2025

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Poškienė, Ingrida, Giedrius Vanagas, Asta Kirkilytė, and Rūta Jolanta Nadišauskienė. "Comparison of vaginal birth outcomes in midwifery-led versus physician-led setting: A propensity score-matched analysis." Open Medicine 16, no. 1 (2021): 1537–43. http://dx.doi.org/10.1515/med-2021-0373.

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Abstract Background Experts in many countries are recommending a scaling up midwifery-led care as a model to improve maternal and newborn outcomes, reduce rates of unnecessary interventions, realise cost savings, and facilitate normal spontaneous vaginal birth. Objective The aim of this study was to compare midwifery-led and obstetrician-gynaecologist-led care-related vaginal birth outcomes. Participants Pregnant women in Kaunas city maternity care facilities. Methods A propensity score-matched case–control study of midwifery-led versus physician-led low-risk birth outcomes. Patient characteri

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Ramu, Bama, Desigamani Kanniyappan, Shankar Shanmugam Rajendran, Revathy Ramasamy, Kannan Kasinathan, and Marudhan Anbalagan. "Effect of midwife-led care models on maternal and fetal outcomes: A scoping review." Bioinformation 21, no. 05 (2025): 957–61. https://doi.org/10.6026/973206300210957.

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The effect of midwife-led care compared to standard obstetrician-led or shared-care models in improving maternal and fetal outcomes is of interest. Midwife-led care was associated with higher rates of spontaneous vaginal delivery, fewer labor interventions, and greater maternal satisfaction. Neonatal outcomes were comparable or superior, with reduced preterm births and NICU admissions in some studies. Thus, policy support to integrate midwifery models across diverse healthcare systems is essential.

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Łata, Aleksandra, Barbara Baranowska, and Piotr Węgrzyn. "Comparison of demographic factors and selected maternity care variables in women who chose midwife-led or obstetrician-led antenatal care respectively." Pielegniarstwo XXI wieku / Nursing in the 21st Century 18, no. 1 (2019): 29–36. http://dx.doi.org/10.2478/pielxxiw-2019-0002.

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AbstractIntroduction. The midwife profession is an independent profession, entitled to provide part of the services of gynaecology and obstetrics. Women whose pregnancy goes in a physiological way may benefit from midwife-led services as part of the benefits refunded by the National Health Fund. This model makes it possible to maintain continuity of care, considered a beneficial solution in the area of mother and child health.Aim. Determination of the scale of the phenomenon of midwife-led antenatal care in Poland and comparison of groups of women actively using the Internet who chose midwife-

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Sriram, Shyamkumar, Fahad M. Almutairi, and Muayad Albadrani. "Midwife-Led Versus Obstetrician-Led Perinatal Care for Low-Risk Pregnancy: A Systematic Review and Meta-Analysis of 1.4 Million Pregnancies." Journal of Clinical Medicine 13, no. 22 (2024): 6629. http://dx.doi.org/10.3390/jcm13226629.

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Background: The optimum model of perinatal care for low-risk pregnancies has been a topic of debate. Obstetrician-led care tends to perform unnecessary interventions, whereas the quality of midwife-led care has been subject to debate. This review aimed to assess whether midwife-led care reduces childbirth intervention and whether this comes at the expense of maternal and neonatal wellbeing. Methods: PubMed, Scopus, Cochrane Library, and Web of Science were systematically searched for relevant studies. Studies were checked for eligibility by screening the titles, abstracts, and full texts. We p

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Enriquez, Allan, Jessica M. Weiss, Isabelle Chandler, et al. "Feasibility of universal breast cancer risk assessment in a diverse, publicly insured obstetrician gynecology clinic." Journal of Clinical Oncology 42, no. 16_suppl (2024): e13759-e13759. http://dx.doi.org/10.1200/jco.2024.42.16_suppl.e13759.

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e13759 Background: Breast cancer is the most diagnosed cancer among women in the United States. Established breast cancer risk assessment (BCRA) tools can estimate a woman’s lifetime risk and inform the need for enhanced breast screening which can improve cancer-associated morbidity and mortality. Currently, critical disparities exist both in breast cancer prognosis and screening uptake. We aimed to evaluate the feasibility of routine BCRA in a diverse, publicly insured obstetrician gynecology clinic. Methods: All patients presenting to the obstetrician gynecology clinic were offered a BCRA us

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Danda, Grace, Cynthia Nombulelo Chaibva, Yevonnie Chauraya, et al. "Midwife led maternity care models: A scoping review." Discovery 59, no. 332 (2023): 1–13. https://doi.org/10.5281/zenodo.15366690.

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Midwife led maternity care models focus on normality, continuity of care and being cared for by trusted midwives from preconception throughout pregnancy, labour and the postnatal period. The aim of this model is to provide care either in community or hospital settings, normally to healthy women with uncomplicated pregnancies. Methods: The scoping review used search terms for the PICO components with synonyms, related terms and specialist terms were harvested from the Medical Subject Headings (MeSH)© and Embase© using Rayyan. Database searches were from PubMed, EBSCO-CINAHL, Dimension

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Colomar, Mercedes, Franco Gonzalez Mora, Ana Pilar Betran, et al. "Collaborative model of intrapartum care: qualitative study on barriers and facilitators to implementation in a private Brazilian hospital." BMJ Open 11, no. 12 (2021): e053636. http://dx.doi.org/10.1136/bmjopen-2021-053636.

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IntroductionA collaborative (midwife-obstetrician) model of intrapartum care (CMIC) is associated with lower caesarean section (CS) rates than physician-led models. In 2019, the largest private maternity hospital in Latin America (14.000 deliveries/year, 89% CS) created a quality improvement initiative to optimise intrapartum care and safely reduce CS in low-risk women managed by its internal team of healthcare providers (HCP). We conducted formative research to identify potential barriers and facilitators to the implementation of a CMIC.MethodsThree groups of stakeholders participated in focu

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Hailemeskel, Solomon, Kassahun Alemu, Kyllike Christensson, Esubalew Tesfahun, and Helena Lindgren. "Health care providers’ perceptions and experiences related to Midwife-led continuity of care–A qualitative study." PLOS ONE 16, no. 10 (2021): e0258248. http://dx.doi.org/10.1371/journal.pone.0258248.

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Background Though Midwife-led care remains a key to improving the health status of pregnant mothers, in Ethiopia, maternity care has traditionally been based on a model in which responsibility for care is shared by hospital-based midwives, nurses, general practitioners, and obstetricians. This type of care has been seen as representing a fragmented approach. Objective The aim of this study was to explore health care providers’ perceptions and experiences related to Midwife-led continuity of care at primary hospitals in the north Shoa zone Ethiopia Methods A qualitative approach was selected as

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Martín-Arribas, Anna, Rafael Vila-Candel, Rhona O’Connell, et al. "Transfers of Care between Healthcare Professionals in Obstetric Units of Different Sizes across Spain and in a Hospital in Ireland: The MidconBirth Study." International Journal of Environmental Research and Public Health 17, no. 22 (2020): 8394. http://dx.doi.org/10.3390/ijerph17228394.

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Background: In Europe, the majority of healthy women give birth at conventional obstetric units with the assistance of registered midwives. This study examines the relationships between the intrapartum transfer of care (TOC) from midwife to obstetrician-led maternity care, obstetric unit size (OUS) with different degrees of midwifery autonomy, intrapartum interventions and birth outcomes. Methods: A prospective, multicentre, cross-sectional study promoted by the COST Action IS1405 was carried out at eight public hospitals in Spain and Ireland between 2016–2019. The primary outcome was TOC. The

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McCourt, Christine, Juliet Rayment, Susanna Rance, and Jane Sandall. "Place of Birth and Concepts of Wellbeing." Anthropology in Action 23, no. 3 (2016): 17–29. http://dx.doi.org/10.3167/aia.2016.230303.

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AbstractThis article is based on analysis of a series of ethnographic case studies of midwifery units in England. Midwifery units1 are spaces that were developed to provide more home-like and less medically oriented care for birth that would support physiological processes of labour, women’s comfort and a positive experience of birth for women and their families. They are run by midwives, either on a hospital site alongside an obstetric unit (Alongside Midwifery Unit – AMU) or a freestanding unit away from an obstetric unit (Freestanding Midwifery Unit – FMU). Midwifery units have been designe

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Zhou, Ying, Xiwei Zhang, Xin Hong, Zimo Chen, and Ying Yue. "A Study on the Construction of a Core Midwife-Led Total Maternal Care Program for High-Risk Pregnancies." Advances in Obstetrics and Gynecology Research 2, no. 3 (2024): 39–52. http://dx.doi.org/10.26689/aogr.v2i3.7634.

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Objective: To analyze the care needs of high-risk pregnant women during pregnancy, delivery, and postpartum hospitalization. Additionally, to gather obstetrics staff’s suggestions for improving a total care program with core midwives leading. Methods: The study conducted semi-structured interviews with 20 high-risk pregnant women and 10 obstetricians at a tertiary hospital from August 2021 to October 2022. A descriptive qualitative study assessed their care needs and current care models. An evidence-based approach was used to evaluate guidelines and develop a draft care plan. Finally, the Delp

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Uzun, Orhan, Julia Kennedy, Colin Davies, et al. "Training: improving antenatal detection and outcomes of congenital heart disease." BMJ Open Quality 7, no. 4 (2018): e000276. http://dx.doi.org/10.1136/bmjoq-2017-000276.

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ObjectivesThis study describes the design, delivery and efficacy of a regional fetal cardiac ultrasound training programme. This programme aimed to improve the antenatal detection of congenital heart disease (CHD) and its effect on fetal and postnatal outcomes.Design setting and participantsThis was a prospective study that compared antenatal CHD detection rates by professionals from 13 hospitals in Wales before and after engaging in our ‘skills development programme’. Existing fetal cardiac practice and perinatal outcomes were continuously audited and progressive targets were set. The work wa

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Watson, Bernadette M., Michelle L. Heatley, Sue G. Kruske, and Cindy Gallois. "An empirical investigation into beliefs about collaborative practice among maternity care providers." Australian Health Review 36, no. 4 (2012): 466. http://dx.doi.org/10.1071/ah11104.

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Objective. To investigate agreement with the National Health and Medical Research Council (NHMRC) definition of collaboration in maternity care by care providers, and to examine their preferences for models of care in order to shed light on the lack of success in implementing collaborative practice. Methods. Maternity care providers completed a survey in Queensland. The final sample consisted of 337 participants, including 281 midwives (83.38%), 35 obstetricians (10.39%), and 21 general practitioners (6.23%). Results. Ninety-one percent of the participants agreed with the NHMRC definition of c

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Abbasgholizadeh Rahimi, Samira, Patrick M. Archambault, Vardit Ravitsky, et al. "An Analytical Mobile App for Shared Decision Making About Prenatal Screening: Protocol for a Mixed Methods Study." JMIR Research Protocols 8, no. 10 (2019): e13321. http://dx.doi.org/10.2196/13321.

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BackgroundDecisions about prenatal screening to assess the risk of genetic conditions such as Down syndrome are complex and should be well informed. Moreover, the number of available tests is increasing. Shared decision making (SDM) about testing could be facilitated by decision aids powered by mobile technology.ObjectiveIn this mixed methods study, we aim to (1) assess women’s needs and preferences regarding using an app for considering prenatal screening, (2) develop a decision model using the analytical hierarchy process, and (3) develop an analytical app and assess its usability and useful

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Immadisetty, Vyasa, Opeyemi Oshingbesan, Sheeba Sarafudheen, and Shelley Gurney. "One Stop; Addiction, Obstetrics & Perinatal Mental Health Pathway in North East Essex." BJPsych Open 10, S1 (2024): S200—S201. http://dx.doi.org/10.1192/bjo.2024.502.

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AimsAddiction services in Essex are provided as a collaborative by NHS run Essex STaRS, Open Roads, SHARP and ARC provide psychosocial care. YPDAS supports the young people.Observed gap: Pregnant women with addiction problems were running from pillar to post to receive care and support needed during this challenging phase of their life.The one stop clinic provided an all-encompassing care pathway to fill the above need and improving outcomes for mothers and babies.MethodsDescription:The new pathway was setup in 2019 on a hub & spoke model. The one stop clinic was at centre, comprising Subs

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Christopher, Diane, Amy Markese, Shawna Tonick, Lauren Carpenter, and Margo S. Harrison. "Evaluating adherence to American College of Obstetricians and Gynecologists guidelines at the first obstetric visit." Women's Health 18 (January 2022): 174550572211225. http://dx.doi.org/10.1177/17455057221122590.

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Objective: This is a prospective observational cohort study with the objective of assessing adherence to the American College of Obstetricians and Gynecologists guidelines regarding the first prenatal visit and determining what patient and provider factors are associated with high adherence in a faculty obstetric clinic at an academic medical center. Methods: The American College of Obstetricians and Gynecologists guidelines recommend addressing 72 topics early in prenatal care. A research assistant observed the first prenatal encounter and noted which topics were discussed during the visit. P

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Niessink-Beckers, Susan, Corine J. Verhoeven, Marleen J. Nahuis, Lisanne A. Horvat-Gitsels, and Janneke T. Gitsels-van der Wal. "Maternal characteristics associated with referral to obstetrician-led care in low-risk pregnant women in the Netherlands: A retrospective cohort study." PLOS ONE 18, no. 3 (2023): e0282883. http://dx.doi.org/10.1371/journal.pone.0282883.

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Background In the Netherlands, maternity care is divided into midwife-led care (for low-risk women) and obstetrician-led care (for high-risk women). Referrals from midwife-led to obstetrician-led care have increased over the past decade. The majority of women are referred during their pregnancy or labour. Referrals are based on a continuous risk assessment of the health and characteristics of mother and child, yet referral for non-medical factors and characteristics remain unclear. This study investigated which maternal characteristics are associated with women’s referral from midwife-led to o

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Neppelenbroek, Elise, Ângela Jornada Ben, Bas S. W. A. Nij Bijvank, et al. "Antenatal cardiotocography in primary midwife-led care: a budget impact analysis." BMJ Open Quality 13, no. 2 (2024): e002578. http://dx.doi.org/10.1136/bmjoq-2023-002578.

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ObjectivesIn many countries, the healthcare sector is dealing with important challenges such as increased demand for healthcare services, capacity problems in hospitals and rising healthcare costs. Therefore, one of the aims of the Dutch government is to move care from in-hospital to out-of-hospital care settings. An example of an innovation where care is moved from a more specialised setting to a less specialised setting is the performance of an antenatal cardiotocography (aCTG) in primary midwife-led care. The aim of this study was to assess the budget impact of implementing aCTG for healthy

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Dayyabu, Aliyu Labaran, Yusuf Murtala, Amos Grünebaum, et al. "Midwife-assisted planned home birth: an essential component of improving the safety of childbirth in Sub-Saharan Africa." Journal of Perinatal Medicine 47, no. 1 (2018): 16–21. http://dx.doi.org/10.1515/jpm-2018-0066.

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Abstract Hospital births, when compared to out-of-hospital births, have generally led to not only a significantly reduced maternal and perinatal mortality and morbidity but also an increase in certain interventions. A trend seems to be emerging, especially in the US where some women are requesting home births, which creates ethical challenges for obstetricians and the health care organizations and policy makers. In the developing world, a completely different reality exists. Home births constitute the majority of deliveries in the developing world. There are severe limitations in terms of faci

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Attanasio, Laura B., Fernando Alarid‐Escudero, and Katy B. Kozhimannil. "Midwife‐led care and obstetrician‐led care for low‐risk pregnancies: A cost comparison." Birth 47, no. 1 (2019): 57–66. http://dx.doi.org/10.1111/birt.12464.

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Iida, Mariko, Shigeko Horiuchi, and Kumiko Nagamori. "A comparison of midwife-led care versus obstetrician-led care for low-risk women in Japan." Women and Birth 27, no. 3 (2014): 202–7. http://dx.doi.org/10.1016/j.wombi.2014.05.001.

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Langenegger, Eduard J., DR Hall, F. Mattheyse, and J. Harvey. "The impact of an obstetrician-led, labor ward critical care unit: A prospective comparison of outcomes before and after establishment." Obstetric Medicine 13, no. 3 (2019): 132–36. http://dx.doi.org/10.1177/1753495x19838193.

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Objective To investigate the outcomes of critically ill obstetric patients managed in a obstetric critical care unit in South Africa. Methods Patients with severe maternal morbidity managed in the labor ward of Tygerberg Hospital were studied over three months before the establishment of the obstetrician-led obstetric critical care unit. One year later, patients managed in the obstetric critical care unit were studied using the same methods. The primary outcome measures were maternal morbidity and mortality. Results In the before-obstetric critical care unit prospective audit 63 patients met c

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Bartuseviciene, Egle, Justina Kacerauskiene, Arnoldas Bartusevicius, et al. "Comparison of midwife-led and obstetrician-led care in Lithuania: A retrospective cohort study." Midwifery 65 (October 2018): 67–71. http://dx.doi.org/10.1016/j.midw.2018.06.017.

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Baldo, M. H. "The antenatal care debate." Eastern Mediterranean Health Journal 7, no. 06 (2001): 1046–55. http://dx.doi.org/10.26719/2001.7.6.1046.

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The antenatal care debate has focused on the frequency of antenatal care, its content, continuity, quality, organization, effectiveness and impact on morbidity and mortality. Established antenatal care schedules have been called into question. Randomized controlled trials comparing reduced schedules with routine antenatal care have shown similar or better outcomes for the reduced protocols. Furthermore, midwives, with or without physicians, can provide continuous maternity care comparable to obstetrician-led care. Some women disliked the new protocol, but a reduced protocol of high quality pro

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Ganap, Eugenius Phyowai, Mohammad Hakimi, Soerjo Hadijono, and Ova Emilia. "Impact of Obstetrician/Gynecologist Hospitalists on Response Time of Obstetric Emergency Operation in Sardjito Hospital Yogyakarta Indonesia: A Retrospective Cohort Study." Jurnal Kesehatan Reproduksi 3, no. 3 (2016): 143. http://dx.doi.org/10.22146/jkr.35955.

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Background: The hospitalist model in obstetric care which was introduced over the last decades now has an important role in care delivery management with the potential positive impact on maternal and neonatal outcomes.Objective: The aim of this study was to evaluate the effect of hospitalist model towards surgical emergency response time.Method: This research design was cohort a retrospective study. Participants included were the patient in the time before and after implementation of obstetrician/gynecologist full-hospitalist policy during October 2013 until September 2014. The outcome measure

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Adams, N., D. Tudehope, KS Gibbons, and V. Flenady. "Perinatal mortality disparities between public care and private obstetrician-led care: a propensity score analysis." BJOG: An International Journal of Obstetrics & Gynaecology 125, no. 2 (2017): 149–58. http://dx.doi.org/10.1111/1471-0528.14903.

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Nagarathnamma, R., C. Sarojamma, and P. Sneha. "Cardiac Disease complicating Pregnancy: A Tertiary Care Center Experience." Journal of Medical Sciences 3, no. 2 (2017): 41–44. http://dx.doi.org/10.5005/jp-journals-10045-0054.

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ABSTRACT Introduction Cardiac disease in pregnancy is a major problem worldwide, particularly in developing countries. It often poses a difficult clinical scenario with the responsibility of the treating obstetrician also extending to the unborn fetus. In the present study, we aim to know the maternal and fetal outcomes in pregnancies complicated by cardiac disease. Materials and methods All pregnant patients with cardiac disease who delivered at our institution during 2014 to 2016 were evaluated to look for the final pregnancy outcomes. Results Out of 36 study cases, 44.44% had no maternal co

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Voon, Shi Tian, Julie Tay Suan Lay, Wilson Tam Wai San, Shefaly Shorey, and Serena Koh Siew Lin. "Comparison of midwife-led care and obstetrician-led care on maternal and neonatal outcomes in Singapore: A retrospective cohort study." Midwifery 53 (October 2017): 71–79. http://dx.doi.org/10.1016/j.midw.2017.07.010.

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Perdok, Hilde, Suze Jans, Corine Verhoeven, et al. "Opinions of professionals about integrating midwife- and obstetrician-led care in The Netherlands." Midwifery 37 (June 2016): 9–18. http://dx.doi.org/10.1016/j.midw.2016.03.011.

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Nagineviciute, Milda, Egle Bartuseviciene, and Aurelija Blazeviciene. "Woman-Centered Care: Standardized Outcomes Measure." Medicina 59, no. 9 (2023): 1537. http://dx.doi.org/10.3390/medicina59091537.

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Background and Objectives: Patient- or woman-centered care, prioritizing women’s perspectives, needs, and preferences, is a widely recommended approach to enhance the quality of maternity care services. It aligns with the broader principles of patient-centered care, emphasizing the importance of a collaborative and respectful relationship between healthcare providers and women. This study evaluates low-risk pregnancies managed by midwives and obstetrician-gynecologists in Lithuania using patient-reported outcome measures and patient-reported experience measures. Materials and Methods: A prospe

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Zigdon, Avi, Gideon Koren, and Liat Korn. "Characteristics Related to Choice of Obstetrician-Gynecologist among Women of Ethiopian Descent in Israel." Healthcare 8, no. 4 (2020): 444. http://dx.doi.org/10.3390/healthcare8040444.

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Background: Patient satisfaction with the quality of health care services is complex with many known factors impacting upon satisfaction, among them the choice of physician. Previous studies examined characteristics of a woman’s choice of gynecologist, but information regarding reasons for these choices among women of Ethiopian descent is lacking. The objective of this study was to identify characteristics related preference of an obstetrician-gynecologist based on gender among women of Ethiopian descent. Method: Analysis of anonymous self-reported questionnaire distributed to 500 women of Eth

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Cutler, Abigail S., Corinne M. Hale, Eliza Bennett, Laura Jacques, and Jenny Higgins. "Experiences of Obstetrician-Gynecologists Providing Pregnancy Care After Dobbs." JAMA Network Open 8, no. 3 (2025): e252498. https://doi.org/10.1001/jamanetworkopen.2025.2498.

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ImportanceFollowing the Dobbs v Jackson Women’s Health Organization (Dobbs) decision in June 2022, which overturned the federal right to abortion, Wisconsin physicians faced the threat of an 1849 state law widely interpreted to criminalize provision of abortion except in life-saving emergencies. Physicians and their institutions were left to interpret whether and how they could treat and/or refer certain pregnant patients.ObjectiveTo document how the post-Dobbs legal landscape shaped Wisconsin obstetrician-gynecologists’ (OB-GYNs’) ability to provide health care to patients facing pregnancy-re

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Little, Sahoko H., Laura E. A. Heinrich, Ananda Sen, and Katherine J. Gold. "Learning Obstetrical Cervical Exam Skills : Development of a Novel Model to Demystify Blind Procedures." Family Medicine 55, no. 1 (2023): 51–55. http://dx.doi.org/10.22454/fammed.55.284433.

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Background and Objectives: Obstetric care is a core element in family medicine education. New interns typically learn the sterile cervical exam on the job by examining women in labor. This can be uncomfortable for patients and may increase the risk of infection. Simulated training could minimize these challenges, but manufactured models are expensive and not widely available in residency programs. We sought to evaluate a simple, homemade sewn model using stretchy fabric and pipe cleaners that could improve teaching and acquisition of cervical examination skills and common obstetrical procedure

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Dede, Princeba Joy, Josephine Gbobbo, and Yinka Onasoga. "Perception and Experience of Pregnant Women Toward Midwife-Led Perinatal Care in Abua-Odual Health Facilities, Rivers State, Nigeria." International Journal of Nursing, Midwife and Health Related Cases 10, no. 3 (2024): 26–50. http://dx.doi.org/10.37745/ijnmh.15/vol10n32650.

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Globally, the obstetrician-led and the midwife care are the two skilled science-based maternity care models available for pregnant women. Midwife-led care is maternal and children healthcare approach in which the midwife takes the lead role in planning, organizing, and providing perinatal care to pregnant women. This study examined pregnant women’s perception and experience toward midwife-led perinated care in health facilities in Abua-Odual, Rivers State, Nigeria. This study adopted the interpretive phenomenology design. The study was conducted at Five (5) health facilities in Abua-Odual. A c

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V. Kamat, Hemlata, and Priyanka M. Shah. "OBSERVATIONAL STUDY TO ASSESS THE EFFICACY OF POST-OPERATIVE PAIN MANAGEMENT IN CASES OF CAESAREAN SECTION." International Journal of Advanced Research 12, no. 05 (2024): 340–45. http://dx.doi.org/10.21474/ijar01/18721.

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Context:The incidence of cesarean deliveries is on the rise now-a-days. Post-operative pain is a major problem and if untreated, can lead to chronic pain. Aims: To observe the effectiveness of the obstetrician led post-operative analgesia regime in patients operated for caesarean section. Settings and Design:The observational study was conducted at a rural based tertiary care centre, designed to include all the patients who fulfilled the selection criteria for caesarean section. Methods and Material:After approval from institutional ethics committee and patients informed consent, the multimoda

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Bhardwa, Seeta. "A model for nurse-led care." Independent Nurse 2014, no. 7 (2014): 32–33. http://dx.doi.org/10.12968/indn.2014.7.32.

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Wiegerinck, Melanie M. J., Martine Eskes, Joris A. M. Post, Ben W. Mol, and Anita C. J. Ravelli. "Intrapartum and neonatal mortality in low‐risk term women in midwife‐led care and obstetrician‐led care at the onset of labor: A national matched cohort study." Acta Obstetricia et Gynecologica Scandinavica 99, no. 4 (2020): 546–54. http://dx.doi.org/10.1111/aogs.13767.

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Sorbara, Carla, Joel G. Ray, Elizabeth K. Darling, Hannah Chung, Sho Podolsky, and Therese A. Stukel. "Postpartum Emergency Department Use Following Midwifery-Model vs Obstetrics-Model Care." JAMA Network Open 7, no. 4 (2024): e248676. http://dx.doi.org/10.1001/jamanetworkopen.2024.8676.

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ImportanceEmergency department (ED) use postpartum is a common and often-preventable event. Unlike traditional obstetrics models, the Ontario midwifery model offers early care postpartum.ObjectiveTo assess whether postpartum ED use differs between women who received perinatal care in midwifery-model care vs in traditional obstetrics-model care.Design, Setting, and ParticipantsThis retrospective population-based cohort study took place in Ontario, Canada, where public health care is universally funded. Participants included women who were low risk and primiparous and gave birth to a live baby i

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Veronda, Brian. "Regulation & Managed Care: An Empirical Examination of State OB/GYN Laws." Policy Perspectives 7, no. 1 (1999): 5. http://dx.doi.org/10.4079/pp.v7i1.4209.

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Since 1995, states have played an increasingly active role as regulators of managed care health plans. However, there is little consistency from state to state in the laws that govern managed care plans. This paper analyzes this inconsistency within the framework of the economic and political theories of regulatory choice. An empirical model is developed to test whether these theories can explain the presence of two laws regulating women's access to obstetrician-gynecologists (OB/GYNs). The results suggest that these theories together do help to clarify why certain states enacted the regulatio

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Wiegerinck, M. M. J., B. Y. van der Goes, A. C. J. Ravelli, et al. "Intrapartum and neonatal mortality in primary midwife-led and secondary obstetrician-led care in the Amsterdam region of the Netherlands: A retrospective cohort study." Midwifery 31, no. 12 (2015): 1168–76. http://dx.doi.org/10.1016/j.midw.2015.08.007.

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Hickish, Dinah, and Debbie Roberts. "The nurse-led model of hospice care." International Journal of Palliative Nursing 25, no. 3 (2019): 143–49. http://dx.doi.org/10.12968/ijpn.2019.25.3.143.

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Halpern, Michael T., Julia Cohen, Lisa M. Lines, Michelle Mollica, and Erin E. Kent. "Quality of care for cancer survivors: Does a model of shared care affect experience of care?" Journal of Clinical Oncology 37, no. 27_suppl (2019): 213. http://dx.doi.org/10.1200/jco.2019.37.27_suppl.213.

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213 Background: Cancer survivors may have unique medical care needs due to chronic/late-occurring effects of cancer or cancer treatment. “Shared care,” survivorship care delivered by both oncologists and primary care providers (PCPs), may better address these needs. Little is known about outcomes for survivors receiving shared care vs. oncologist-led or PCP-led patterns of care. We compared patient reported experiences of care for survivors receiving oncologist-led, PCP-led, shared care, or other patterns of care. Methods: Analyses of SEER-CAHPS, a data resource linking NCI's Surveillance, Epi

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Ratcliffe, Julie, Mandy Ryan, and Janet Tucker. "The Costs of Alternative Types of Routine Antenatal Care for Low-Risk Women: Shared Care Vs Care by General Practitioners and Community Midwives." Journal of Health Services Research & Policy 1, no. 3 (1996): 135–40. http://dx.doi.org/10.1177/135581969600100304.

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Objectives: To compare the costs to the health service, women and their families of routine antenatal care provided by either traditional obstetrician-led shared care or general practitioner (GP)/community midwife care. Method: A multicentre randomized controlled trial in 51 general practices linked to nine maternity hospitals in Scotland: 1667 low-risk pregnant women provided information on costs to the health service. 704 of these women provided information on non-health service costs. Results: GP/midwife antenatal care was found to cost statistically significantly less than shared care. Thi

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de Jonge, Ank, Jeanette A. J. M. Mesman, Judith Manniën, et al. "Severe Adverse Maternal Outcomes among Women in Midwife-Led versus Obstetrician-Led Care at the Onset of Labour in the Netherlands: A Nationwide Cohort Study." PLOS ONE 10, no. 5 (2015): e0126266. http://dx.doi.org/10.1371/journal.pone.0126266.

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Evers, Annemieke C. C., Hein W. Bruinse, Anneke Kwee, et al. "Reply: Intrapartum and neonatal mortality in primary midwife-led and secondary obstetrician-led care in the Amsterdam region of the Netherlands: a retrospective cohort study." Midwifery 34 (March 2016): 264–65. http://dx.doi.org/10.1016/j.midw.2015.11.007.

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Israel, Getty. "Integrating Community Health Workers and Nurse Midwives on the Health-Care Team to Improve Birth and Breastfeeding Outcomes." Journal of Perinatal Education 32, no. 1 (2023): 8–13. http://dx.doi.org/10.1891/jpe-2022-0025.

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A plethora of international research has consistently demonstrated the efficacy of both the nurse-midwifery model and the community health worker (CHW) model in improving birth and breastfeeding outcomes, particularly among low-income women. However, these two professional groups rarely work as a team in the U.S. health-care system. Typically, certified nurse midwives are on staff at clinics and hospitals; conversely, CHWs tend to work at non-profit community organizations. Although the Community Preventive Services Task Force concluded that integrating CHWs on clinical care teams is effective

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Afonso, Marcelo P. D., Helena E. Shimizu, Edgar Merchan-Hamann, Walter M. Ramalho, and Tarcisio Afonso. "Association between hospitalisation for ambulatory care-sensitive conditions and primary health care physician specialisation: a cross-sectional ecological study in Curitiba (Brazil)." BMJ Open 7, no. 12 (2017): e015322. http://dx.doi.org/10.1136/bmjopen-2016-015322.

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IntroductionHospitalisation for ambulatory care-sensitive conditions (HACSCs) is frequently used as an indicator of the quality and effectiveness of primary healthcare (PHC) services around the world. The aim of the present study was to evaluate whether the PHC model (family health strategy (FHS) x conventional) and the availability of specialised PHC physicians is associated or not with total hospitalisation or HACSCs in the National Health System (SUS) of the municipality of Curitiba, Paraná state (PR), Brazil.MethodologyThis is a cross-sectional ecological study using multiple linear regres

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de Klerk, Hannah W., Marit S. G. van der Pijl, Ank de Jonge, et al. "(Non-)disclosure of lifetime sexual violence in maternity care: Disclosure rate, associated characteristics and reasons for non-disclosure." PLOS ONE 18, no. 10 (2023): e0285776. http://dx.doi.org/10.1371/journal.pone.0285776.

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Background In maternity care, disclosure of a past sexual violence (SV) experience can be helpful to clients to discuss specific intimate care needs. Little evidence is available about the disclosure rates of SV within maternity care and reasons for non-disclosure. Aim The aim of this study was to examine (1) the disclosure rate of SV in maternity care, (2) characteristics associated with disclosure of SV and (3) reasons for non-disclosure. Methods We conducted a descriptive mixed method study in the Netherlands. Data was collected through a cross-sectional online questionnaire with both multi

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Pamungkasari, Eti Poncorini, Ari Probandari, Amandha Boy Timor Randita, and Sri Anggarini Parwatiningsih. "STUDENTS’ AND ACADEMIC STAFFS’ PERSPECTIVES ON AN INTERPROFESSIONAL EDUCATION MODEL." Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education 7, no. 3 (2018): 197. http://dx.doi.org/10.22146/jpki.41843.

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Background: Teamwork in health care is beneficial because it allows a holistic approach to patient care. Interprofessional education (IPE) provides students with an opportunity to develop their professional roles and their functions as team members. Understanding Interprofessional Collaboration (IPC) from the perspective of student and academic staff is an essential assessment for creating IPE model.Methods: This was a qualitative study with phenomenology approach. We explored students’and academic staff’s perspective of IPE by focus group discussions. We selected fifteen midwifery student, tw

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Wiegerinck, Melanie M. J. "Authors׳ reply: Intrapartum and neonatal mortality in primary midwife-led and secondary obstetrician-led care in the Amsterdam region of the Netherlands: A retrospective cohort study’." Midwifery 34 (March 2016): 263. http://dx.doi.org/10.1016/j.midw.2015.11.008.

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