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UNPLANNED VISITS AND MIDWIFE-LED ANTENATAL CARE

INTRODUCTION Midwives provide antenatal care to women to ensure the health of both mother and baby, according to women’s needs. This study aims to investigate demographic and social, clinical and obstetrical factors that may be associated with unplanned visits to the emergency by nulliparous and multiparous women who received midwifery care during the antenatal period.
METHODS This was a retrospective cohort study with data collection from medical records of the CHU Saint-Pierre hospital. A total of 971 women gave birth between 1 January and 31 December 2017 and received midwifery-led care during their pregnancy. Descriptive statistics and multivariable logistic regression models with 95% confidence intervals (95% CI) were performed separately for nulliparous and multiparous women.
RESULTS For nulliparae (n=246), the odds of visiting emergency services during pregnancy were 1.45 times (95% CI: 1.08–2.27) higher in women with more previous pregnancies than women with less previous pregnancies, 3.57 times (95% CI: 1.43–11.11) more
likely in women without than with high-level hypertension, and 1.09 times (95% CI: 1.01–1.25) more likely in women with less previous midwifery-led visits than women with more previous midwifery-led visits. For multiparae (n=444), the odds of visiting emergency services during pregnancy were 2.12 times (95% CI: 1.06–6.07) higher in women presenting risk factors at first consultation than women without such factors.
CONCLUSIONS For nulliparous and multiparous women, some characteristics seem to be associated with unplanned visits. Spontaneous visits may be driven by a need for careperceived by women and/or their partner but not specifically by urgent or unfavorable medical conditions.

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Informasi Detail
Judul Seri
European Journal of Midwifery
No. Panggil
618.2
Penerbit
Heraklion, Crete, Greece : EU European Publishing.,
Deskripsi Fisik
14 p
Bahasa
English
ISBN/ISSN
2585-2906
Klasifikasi
618.2
Tipe Isi
text
Tipe Media
unspecified
Tipe Pembawa
-
Edisi
2022;6(December):72
Subjek
kebidanan
Midwifery
Info Detail Spesifik
-
Pernyataan Tanggungjawab
Versi lain/terkait

Tidak tersedia versi lain

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