Nohuz E, Brunel A, Tarraga E, Albaut M, Paganelli C, Gillot V, Julien G, Larregain N, Tarrit V, Allegre G, Gerbaud L. [The access of independent midwives to maternity ward technical facilities: the experimentation of a level-1 department].
ACTA ACUST UNITED AC 2015;
43:271-7. [PMID:
25819393 DOI:
10.1016/j.gyobfe.2015.02.005]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2014] [Accepted: 02/16/2015] [Indexed: 11/26/2022]
Abstract
OBJECTIVES
The first aim of this study was to evaluate the access of independent midwives to the technical facilities of a level-1 maternity hospital, with a follow-up of 2 years. The second aim was to evaluate the transfer of clinical responsibility, when a patient stops being managed by the independent midwife to be taken care of by the hospital team.
PATIENTS AND METHODS
A retrospective study including 51 patients. Analysis of maternal and perinatal data.
RESULTS
Of the 51 births, there were 42 vaginal deliveries without intervention (82.35%), 3 instrumental deliveries (5.88%), 6 caesarean sections (11.76%). The midwife-led care was completed in 70.59% of cases. The rate of transfer of clinical responsibility during labor was 25.49%. We conducted a neonatal transfer due to a respiratory distress syndrome.
DISCUSSION AND CONCLUSION
The access to technical support appears as an opportunity for independent midwives to establish a special relationship with their patients. However, this device preserves the possibility of a traditional hospital care when needed. This way, access to the technical support is a safe alternative that has the consent of the users (patients and midwives) as well as of the entire hospital team. Moreover, such device allowed an increase of 5% per year of our obstetrical activity with an estimated increase of 10% per year.
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