First alongside midwifery led unit in a high complexity public hospital in Spain

Problem: Midwifery led units are rare in Spain. Background: Midwife-Led Care (MLC) is a widely extended model of care and, within this, the alongside midwifery-led units (AMLU) are those hospital-based and located in close connection with obstetric units. In Spain, CL is the first center belonging t...

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Autores: Alcaraz-Vidal, Lucía|||0000-0001-8369-9352, Velasco, Inés|||0000-0002-6143-6970, Pascual, Montse, Gol i Gomez, Roser, Escuriet, Ramón|||0000-0002-7277-3331, Comas, Carmina|||0000-0001-6631-0165
Tipo de documento: artigo
Data de publicação:2024
País:España
Recursos:Universitat Autònoma de Barcelona
Repositório:Dipòsit Digital de Documents de la UAB
Idioma:inglês
OAI Identifier:oai:ddd.uab.cat:302189
Acesso em linha:https://ddd.uab.cat/record/302189
https://dx.doi.org/urn:doi:10.1016/j.wombi.2024.01.003
Access Level:Acceso aberto
Palavra-chave:Birth
Birthplace
Midwifery
Low-risk
Pregnancy
Midwife-led care
Alongside midwifery-led unit
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spelling First alongside midwifery led unit in a high complexity public hospital in SpainMaternal and neonatal outcomesAlcaraz-Vidal, Lucía|||0000-0001-8369-9352Velasco, Inés|||0000-0002-6143-6970Pascual, MontseGol i Gomez, RoserEscuriet, Ramón|||0000-0002-7277-3331Comas, Carmina|||0000-0001-6631-0165BirthBirthplaceMidwiferyLow-riskPregnancyMidwife-led careAlongside midwifery-led unitProblem: Midwifery led units are rare in Spain. Background: Midwife-Led Care (MLC) is a widely extended model of care and, within this, the alongside midwifery-led units (AMLU) are those hospital-based and located in close connection with obstetric units. In Spain, CL is the first center belonging to the National Health System of these characteristics. Aim: To evaluate the first year of activity of this pioneering unit. Methods: An observational cross-sectional study was carried out to assess maternal and neonatal outcomes of births facilitated at CL by comparing with those births that fulfilled the criteria to be admitted at the AMLU but were assisted at the standard obstetric care unit of the hospital. Findings: 174 (20,3%) women and birthing people decided to give birth at CL, whereas 684 (79,7%) gave birth at the Obstetric Unit of the Hospital. Women assisted at the AMLU had lower intervention rates (episiotomy, epidural analgesia) and a higher rate of breastfeeding practice. There were no statistical differences in maternal outcomes (postpartum hemorrhage, third-or-four-degree laceration) or neonatal outcomes (Apgar< 7 at 5 min; birth weight < 2500 gr; macrosomia; shoulder dystocia, neonatal care transfer). Discussion: There were differences in transfers from MLU to OU between nulliparous and multiparous; the main reason for transfer is the request for analgesia. Epidural analgesia should be considered when analyzing maternal outcomes. Conclusion: An alongside midwifery-led unit is a safe option with a low incidence of complications. This model of care can be positively implemented at the Public Healthcare System. 22024-01-0120242024-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/302189https://dx.doi.org/urn:doi:10.1016/j.wombi.2024.01.003reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengAgència de Gestió d'Ajuts Universitaris i de Recerca https://doi.org/10.13039/501100003030 2021/SGR-01489open accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.https://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3021892026-06-06T12:50:31Z
dc.title.none.fl_str_mv First alongside midwifery led unit in a high complexity public hospital in Spain
Maternal and neonatal outcomes
title First alongside midwifery led unit in a high complexity public hospital in Spain
spellingShingle First alongside midwifery led unit in a high complexity public hospital in Spain
Alcaraz-Vidal, Lucía|||0000-0001-8369-9352
Birth
Birthplace
Midwifery
Low-risk
Pregnancy
Midwife-led care
Alongside midwifery-led unit
title_short First alongside midwifery led unit in a high complexity public hospital in Spain
title_full First alongside midwifery led unit in a high complexity public hospital in Spain
title_fullStr First alongside midwifery led unit in a high complexity public hospital in Spain
title_full_unstemmed First alongside midwifery led unit in a high complexity public hospital in Spain
title_sort First alongside midwifery led unit in a high complexity public hospital in Spain
dc.creator.none.fl_str_mv Alcaraz-Vidal, Lucía|||0000-0001-8369-9352
Velasco, Inés|||0000-0002-6143-6970
Pascual, Montse
Gol i Gomez, Roser
Escuriet, Ramón|||0000-0002-7277-3331
Comas, Carmina|||0000-0001-6631-0165
author Alcaraz-Vidal, Lucía|||0000-0001-8369-9352
author_facet Alcaraz-Vidal, Lucía|||0000-0001-8369-9352
Velasco, Inés|||0000-0002-6143-6970
Pascual, Montse
Gol i Gomez, Roser
Escuriet, Ramón|||0000-0002-7277-3331
Comas, Carmina|||0000-0001-6631-0165
author_role author
author2 Velasco, Inés|||0000-0002-6143-6970
Pascual, Montse
Gol i Gomez, Roser
Escuriet, Ramón|||0000-0002-7277-3331
Comas, Carmina|||0000-0001-6631-0165
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Birth
Birthplace
Midwifery
Low-risk
Pregnancy
Midwife-led care
Alongside midwifery-led unit
topic Birth
Birthplace
Midwifery
Low-risk
Pregnancy
Midwife-led care
Alongside midwifery-led unit
description Problem: Midwifery led units are rare in Spain. Background: Midwife-Led Care (MLC) is a widely extended model of care and, within this, the alongside midwifery-led units (AMLU) are those hospital-based and located in close connection with obstetric units. In Spain, CL is the first center belonging to the National Health System of these characteristics. Aim: To evaluate the first year of activity of this pioneering unit. Methods: An observational cross-sectional study was carried out to assess maternal and neonatal outcomes of births facilitated at CL by comparing with those births that fulfilled the criteria to be admitted at the AMLU but were assisted at the standard obstetric care unit of the hospital. Findings: 174 (20,3%) women and birthing people decided to give birth at CL, whereas 684 (79,7%) gave birth at the Obstetric Unit of the Hospital. Women assisted at the AMLU had lower intervention rates (episiotomy, epidural analgesia) and a higher rate of breastfeeding practice. There were no statistical differences in maternal outcomes (postpartum hemorrhage, third-or-four-degree laceration) or neonatal outcomes (Apgar< 7 at 5 min; birth weight < 2500 gr; macrosomia; shoulder dystocia, neonatal care transfer). Discussion: There were differences in transfers from MLU to OU between nulliparous and multiparous; the main reason for transfer is the request for analgesia. Epidural analgesia should be considered when analyzing maternal outcomes. Conclusion: An alongside midwifery-led unit is a safe option with a low incidence of complications. This model of care can be positively implemented at the Public Healthcare System.
publishDate 2024
dc.date.none.fl_str_mv 2
2024-01-01
2024
2024-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/302189
https://dx.doi.org/urn:doi:10.1016/j.wombi.2024.01.003
url https://ddd.uab.cat/record/302189
https://dx.doi.org/urn:doi:10.1016/j.wombi.2024.01.003
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv Agència de Gestió d'Ajuts Universitaris i de Recerca https://doi.org/10.13039/501100003030 2021/SGR-01489
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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