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Review
. 2019 Jul 8;90(6-S):41-52.
doi: 10.23750/abm.v90i6-S.8621.

The midwifery-led care model: a continuity of care model in the birth path

Alba Ricchi  1 , Franco Rossi, Patrizia Borgognoni, Maria Chiara Bassi, Giovanna Artioli, Chiara Foa, Isabella Neri
Affiliations
Review

The midwifery-led care model: a continuity of care model in the birth path

Alba Ricchi et al. Acta Biomed. .

Abstract

Background and aim of the study: The birth path is affected by a fragmentation in the patient care process, creating a discontinuity of this last one. The pregnant woman has to interface with many professionals, both during the pregnancy, the childbirth and the puerperium. However, during the last ten years, there has been an increasing of the pregnancy care operated by the midwife, who is considered to be the operator with the right competences, who can take care of every pregnancy and may avail herself of other professionals' contributions in order to improve the outcomes of maternal and neonatal health.

Aim: To verify whether there are proofs of effectiveness that support the caseload midwifery care model, and if it is possible to apply this model in the birth path in Italy.

Methods: A revision of literature has been done using some search engine (Google, Bing) and specific databases (MEDLINE, CINAHL, Embase, Home - ClinicalTrials.gov). There has also been a consultation of the Italian regulations, the national guidelines and the recommendations of WHO.

Results: The search string, properly adapted to the three databases, has given the following results: MEDLINE 64 articles, CINAHL 94 articles, Embase 88 articles. From this selection, 14 articles have been extracted: 1 systematic review, 3 controlled random trial, 7 observational studies, 3 qualitative studies.

Conclusions: The caseload midwifery care seems to be an effective and reliable organisational/caring method. It responds to the criterions of quality and security, to the needs of women not only during the pregnancy but also during the post-partum phase. For these reasons, it seems very useful also for the birth path in the Italian reality.

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Conflict of interest statement

Each author declares that he or she has no commercial associations (e.g. consultancies, stock ownership, equity interest, patent/licensing arrangement etc.) that might pose a conflict of interest in connection with the submitted article

References

    1. WHO Recommendations on antenatalcare for a positive pregnancy experience. WHO Library Cataloguing. 2016. p. 176.
    1. Ministero della Sanità. Regolamento concernente l’individuazione della figura e del relativo profilo professionale dell’ostetrica/o. [Regulations concerning the identification of the figure and the relative professional profile of the midwife.] D. M. n.740, 1994
    1. Ministero della Sanità. Progetto Obiettivo Materno Infantile. [Mother and Child Project Objective] D. M. 2000
    1. Ministero della salute, il Comitato per il Percorso Nascita nazionale istituito con tavolo di monitoraggio [The Committee for the National Birth Path] D.M. 29 luglio 2015
    1. Conferenza unificata stato-regioni e stato-città: Linee di indirizzo per la promozione edil miglioramento della qualità, della sicurezza e del percorso nascita; [Guidelines for the promotion and improvement of quality, safety and of the birth path] Visto il PattoperlaSalute 2010-2012