Health benefits for pregnant women followed by nurse-midwives versus family doctors
Keywords:prenatal care, nurse-midwives, family physician, pregnancy
Introduction: Pregnancy is a time of great emotions and new challenges that all women go through differently. Women choose different health care professionals to monitor their pregnancy. Therefore, it is essential to explore the benefits of monitoring the pregnancy by a nurse-midwife, promoting adherence to this follow-up model.
Objective: To identify the benefits of monitoring pregnancy by nurse-midwives compared with family doctors.
Methods: Integrative literature review in which six articles were included and thoroughly analyzed to respond to the outlined objective. The initial search covered the period from 2015 to 2021 and used the keywords ‘Prenatal care’, ‘nurse-midwives’, and ‘childbirth’. 393 articles were retrieved and reduced to six considering inclusion criteria. The integrative review was descriptive and focused on extracting the findings that answered the research question.
Results: Several benefits of monitoring pregnancy by a nurse-midwife compared to the same monitoring by a family doctor have been identified were identified: a decrease in the rate of cesarean sections, an increase in spontaneous vaginal births, a reduction in premature births, a reduction in interventions performed during childbirth, and an improvement in the emotional health of pregnant women.
Conclusion: These results identify the potential benefits of physiological pregnancy monitoring by obstetric nurses compared with family physicians, which can help pregnant women make an informed and conscious decision about following their pregnancy, taking into account the gains for their health and their newborn. Health managers can also use these results to improve human resource management.
Allen, J., Kildea, S., & Stapleton, H. (2016). How optimal caseload midwifery can modify predictors for preterm birth in young women: integrated findings from a mixed-methods study. Midwifery, 41, 30-8. https://doi:10.1016/j.midw.2016.07.012
Alves, C., Mendes, J., Azevedo, A., & Correia, T. (2019). O impacto do modelo de parteira em gravidez de baixo risco: a experiência internacional. In XII Jornadas de Obstetrícia. Famalicão: CESPU – Escola Superior de Saúde de Vale do Ave.
Assembleia da República. (2012). Relatório Final - Petição n.39/XII/1.ª. Retrieved from: https://app.parlamento.pt/webutils/docs/doc.pdf?path=6148523063446f764c324679626d56304c334e706447567a4c31684a5355786c5a793944543030764f554e544c305276593356745a57353062334e515a585270593246764c7a526c5a6a4a6a4d7a466c4c5441335a6a63744e44646c5a6931685a54646b4c57526a4d3249785a6a6333596a51784e4335775a47593d&fich=4ef2c31e-07f7-47ef-ae7d-dc3b1f77b414.pdf&Inline=true. Accessed July 20, 2021.
Carneiro, M. (2004). Ajudar a nascer: parteiras, saberes obstétricos e modelos de formação. (Tese de doutoramento. Faculdade de Psicologia e de Ciências da Saúde, Universidade do Porto, Portugal. Retrieved from: https://repositorioaberto.up.pt/handle/10216/108390. Accessed July 20, 2021.
De Jonge, A., Peters, L., Geerts, C., van Roosmalen, J., Twisk, J., Brocklehurst, P., & Hollowell, J. (2017). Mode of birth and medical interventions among women at low risk of complications: a cross-national comparison of birth settings in England and the Netherlands. PLOS ONE, 12(7). https://doi:10.1371/journal. pone.0180846
Direção-Geral da Saúde. (2016). Programa Nacional para a Vigilância da Gravidez de Baixo Risco. Lisboa: DGS. Retrieved from: https://www.dgs.pt/em-destaque/programa-nacional-para-a-vigilancia-da-gravidez-de-baixo-risco.aspx. Accessed July 20, 2021.
European Parliament and Council. (2005). European Directive 2005/36/CE on the recognition of professional qualifications. Retrieved from: https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX%3A02005L0036-20200424. Accessed July 20, 2021.
Fenwick, J., Toohill, J., Gamble, J., Creedy, D., Buist, A., Turkstra, E., Sneddon, A., Scuffham, P., & Ryding. E. (2015). Effects of a midwife psycho-education intervention to reduce childbirth fear on women's birth outcomes and postpartum psychological well-being. BMC Pregnancy and Childbirth, 15, 284. https://doi.org/10.1186/s12884-015-0721-y
Galvão, T., & Pereira, M. (2014). Revisões sistemáticas da literatura: passos para sua elaboração. Epidemiologia e Serviços de Saúde, 23(1), 183-184. Retrieved from: http://scielo.iec.gov.br/scielo.php?script=sci_arttext&pid=S1679-49742014000100018. Accessed July 20, 2021.
Gama, S., Viellas, E., Torres, J., Bastos, M., Brüggemann, O., Filha, M., Schilithz, A., & Leal, M. (2016). Labor and birth care by nurse with midwifery skills in Brazil. Reproductive Health, 13, 123. https://doi.org/10.1186/s12978-016-0236-7
Hildingsson, I., Karlströmb, A., & Larsson, B. (2021). Childbirth experience in women participating in a continuity of midwifery care project. Women and Birth: Journal of the Australian College of Midwives, 34(3), e255–e261. https://doi.org/10.1016/j.wombi.2020.04.010
Hildingsson, I., Rubertsson, C., Karlström, A., & Haines, H. (2018). Caseload midwifery for women with fear of birth is a feasible option. Sexual & Reproductive Healthcare, 16, 50-5. https://doi.org/10.1016/j.srhc.2018.02.006
Kuiper, R., O’Donnell, S., Pesut, D., & Turrise, S. (2017). The essentials of clinical reasoning for nurses: Using the outcome-present state-model for reflective practice. Indianapolis, Brasil: Sigma Theta Tau International. ISBN: 9781945157097.
Long, H., French, D., & Brooks, J. (2020). Optimising the value of the critical appraisal skills programme (CASP) tool for quality appraisal in qualitative evidence synthesis. Research Methods in Medicine & Health Sciences, 1(1), 31-42. Retrieved from: https://journals.sagepub.com/doi/full/10.1177/2632084320947559. Accessed July 20, 2021.
McLachlan, H., Forster, D., Davey, M., Farrell, T., Gold, L., Biro, M., Albers, L., Flood, M., Oats, J., & Waldenström, U. (2012). Effects of continuity of care by a primary midwife (caseload midwifery) on caesarean section rates in women of low obstetric risk: the COSMOS randomized controlled trial. BJOG: An International Journal of Obstetrics & Gynaecology, 119(12), 1483- 92. https://10.1111/j.1471-0528.2012.03446.x
Ordem dos Enfermeiros. (2015). Livro de bolso: enfermeiros especialistas em saúde materna e obstétrica / parteiras. Retrieved from: https://www.ordemenfermeiros.pt/arquivo/publicacoes/Documents/LivroBolso_EESMO.pdf. Accessed July 20, 2021.
Ordem dos Enfermeiros. (2010). Parecer nº 03/2010. Retrieved from: https://www.ordemenfermeiros.pt/arquivo/colegios/Documents/Parecer3_MCEESMO.pdf. Accessed July 20, 2021.
Organização para a Cooperação e Desenvolvimento Económico (OCDE). (2019). Health at a Glance. Retrieved from: https://www.oecd-ilibrary.org/social-issues-migration-health/health-at-a-glance-2019_4dd50c09-en. Accessed July 20, 2021.
Page, M., McKenzie, J., Bossuyt, P., Boutron, I., Hoffmann, T., Mulrow, C., Shamseer, L., Tetzlaff, J., Akl, E., Brennan, S., Chou, R., Glanville, J., Grimshaw, J., Hróbjartsson, A., Lalu, M., Li, T., Loder, E., Mayo-Wilson, E., McDonald, S., McGuinness, L., Stewart, L., Thomas, J., Tricco, A., Welch, V., Whiting, P., & Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. PLOS Medicine, 372. https://doi.org/10.1136/bmj.n71
Pordata. (2021). Número de habitantes por médico e por outro pessoal de saúde. Retrieved from: https://www.pordata.pt/Portugal/N%c3%bamero+de+habitantes+por+m%c3%a9dico+e+por+outro+pessoal+de+sa%c3%bade-640-4179. Accessed July 420, 2021.
Rosenstein, M., Nijagal, M., Nakagawa, S., Gregorich, S., & Kuppermann, M. (2015). The association of expanded access to a collaborative midwifery and laborist model with cesarean delivery rates. Obstetrics & Gynecology, 126(4), 716-23. doi:10.1097/AOG.0000000000001032
Sandall, J., Soltani, H., Gates, S., Shennan, A., & Devane, D. (2016). Midwife-led continuity models versus other models of care for childbearing women. Cochrane Database of Systematic Reviews 4(4), CD004667. https://10.1002/14651858.CD004667.pub5.
Sousa, L., Marques-Vieira, C., Severino, S., & Antunes, A. (2017). A metodologia de revisão integrativa da literatura em enfermagem. Revista de Investigação em Enfermagem, 2ª série (21), 17-26.
Symon, A., Pringle, J., Cheyne, H., Downe, S., Hundley, V., Lee, E., Lynn, F., McFadden, A., McNeill, J., Renfrew, M., Ross-Davie, M., van Teijlingen, E., Whitford, H., & Alderdice, F. (2016). Midwifery-led antenatal care models: mapping a systematic review to an evidence-based quality framework to identify key components and characteristics of care. BMC Pregnancy and Childbirth, 16, 168. https://10.1186/s12884-016-0944-6
Valadan, M., Shariat, M., Rezaei, Z., Hagholahi, F., Sheikholeslami, G., & Bandegi, P. (2015). A comparative study on quality of life and sexual function after vaginal delivery and Cesarean section. Nursing Practice Today, 1(4), 176-182.
White, J., & Queirós, F. (2018). Reconcilable differences? Portuguese obstetricians’ and midwives’ contrasting perspectives on childbirth, and women’s birthing experiences. Etnografica, 22(3), 643-68. https://doi.org/10.4000/etnografica.6041
World Health Organization. (2018). WHO recommendations non-clinical interventions to reduce unnecessary cesarean sections. Geneva: World Health Organization. ISBN 978-92-4-155033-8.
How to Cite
Copyright (c) 2022 Millenium - Journal of Education, Technologies, and Health
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who submit proposals for this journal agree to the following terms:
a) Articles are published under the License Creative Commons, in full open-access, without any cost or fees of any kind to the author or the reader;
b) The authors retain copyright and grant the journal right of first publication, allowing the free sharing of work, provided it is correctly attributed the authorship and initial publication in this journal;
c) The authors are permitted to take on additional contracts separately for non-exclusive distribution of the version of the work published in this journal (eg, post it to an institutional repository or as a book), with an acknowledgment of its initial publication in this journal;
d) Authors are permitted and encouraged to publish and distribute their work online (eg, in institutional repositories or on their website) as it can lead to productive exchanges, as well as increase the impact and citation of published work
Documents required for submission