Impact of the midwife-led care model on mode of birth: a systematic review and meta-analysis

Q2 Nursing

British Journal of Midwifery Pub Date : 2024-07-02 DOI:10.12968/bjom.2024.32.7.370

Farida Fitriana, Astika Gita Ningrum, Dwi Izzati, Euvanggelia Dwilda Ferdinandus, Lestari Sudaryanti, Visky Afrina, Nur Anisah Rahmawati, Marilou Pamintuan

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引用次数: 0

Abstract

Increased rates of caesarean sections globally have potential short- and long-term impacts for mothers and babies. Research on models of care and mode of birth has reported varied results. The aim of this study was to analyse the relationship between the midwife-led model of care and mode of birth. This systematic review and meta-analysis searched PubMed, Scopus and Web of Science. Quantitative full-text open access research articles published between 2010 and 2023 in Indonesian or English were included. Research that assessed the relationship between the model and birth planning were excluded. A total of 16 articles were included. Two were experimental, and the remaining 14 were observational, with a total sample of 125 201 people. The midwife-led model supported spontaneous vaginal birth (odds ratio: 1.64, P=0.01) when compared to other models. Implementing the midwife-led model of care may increase the likelihood of physiological birth and reduce the incidence of caesarean section, especially in low-risk pregnancies.

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助产士主导的护理模式对分娩方式的影响：系统回顾与荟萃分析

全球剖腹产率的增加对母亲和婴儿都有潜在的短期和长期影响。有关护理模式和分娩方式的研究报告结果各不相同。本研究旨在分析助产士主导的护理模式与分娩方式之间的关系。本系统综述和荟萃分析检索了 PubMed、Scopus 和 Web of Science。纳入了 2010 年至 2023 年期间用印尼语或英语发表的定量全文开放存取研究文章。排除了评估模式与生育计划之间关系的研究。共纳入 16 篇文章。其中两篇为实验性文章，其余 14 篇为观察性文章，样本总数为 125 201 人。与其他模式相比，助产士主导模式支持自然阴道分娩（几率比：1.64，P=0.01）。实施以助产士为主导的护理模式可增加自然分娩的可能性，降低剖腹产的发生率，尤其是在低风险妊娠中。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

British Journal of Midwifery Nursing-Maternity and Midwifery

CiteScore

1.30

自引率

0.00%

发文量

期刊介绍： British Journal of Midwifery (BJM) is the leading clinical journal for midwives. Published each month, the journal is written by midwives for midwives and peer reviewed by some of the foremost authorities in the profession. BJM is essential reading for all midwives. It contains the best clinical reviews, original research and evidence-based articles available, and ensures that midwives are kept fully up-to-date with the latest developments taking place in clinical practice. In addition, each issue of the journal contains a symposium on a particular theme, providing more in-depth clinical information.