Women's maternity care needs and related service models in rural areas: A comprehensive systematic review of qualitative evidence |
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| Authors: | Ha Hoang Quynh Le Kathryn Ogden |
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| Institution: | 1. Centre for Rural Health, University of Tasmania, Locked Bag 1372, Launceston, Tasmania 7250, Australia;2. School of Medicine, University of Tasmania, Locked Bag 1377, Launceston, Tasmania 7250, Australia;1. University of Newcastle, Faculty Health and Medicine, NSW, Australia;2. Hunter New England Nursing and Midwifery Research Centre, Australia;3. Hunter New England Health, Australia;1. Clinical and Population Perinatal Health Research, The Kolling Institute of Medical Research, University of Sydney, New South Wales (NSW), Australia;2. Discipline of Obstetrics, Gynaecology and Neonatology, University of Sydney at Royal North Shore Hospital, St. Leonards, NSW 2065, Australia;1. The University of Sydney, Sydney Nursing School (M02), NSW 2006, Australia;2. The Royal Hospital for Women, Centre for Midwifery and Women''s Health, Level 1, Barker Street, Randwick, NSW 2031, Australia;3. The University of Technology, Faculty of Health, Centre for Midwifery, Child and Family Health, PO Box 123, Broadway, Ultimo, NSW 2007, Australia;4. The University of Sydney, The University Centre for Rural Health, PO Box 3074, Lismore, NSW 2480, Australia |
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| Abstract: | BackgroundUnderstanding the needs of rural women in maternity care and service models available to them is significant for the development of effective policies and the sustainability of rural communities. Nevertheless, no systematic review of studies addressing these needs has been conducted.ObjectivesTo synthesise the best available evidence on the experiences of women's needs in maternity care and existing service models in rural areas.MethodsLiterature search of ten electronic databases, digital theses, and reference lists of relevant studies applying inclusion/exclusion criteria was conducted. Selected papers were assessed using standardised critical appraisal instruments from JBI-QARI. Data extracted from these studies were synthesised using thematic synthesis.Findings12 studies met the inclusion criteria. There were three main themes and several sub-themes identified. A comprehensive set of the maternity care expectations of rural women was reported in this review including safety (7), continuity of care (6) and quality of care (6), and informed choices needs (4). In addition, challenges in accessing maternity services also emerged from the literature such as access (6), risk of travelling (9) and associated cost of travel (9). Four models of maternity care examined in the literature were medically led care (5), GP-led care (4), midwifery-led care (7) and home birth (6).ConclusionThe systematic review demonstrates the importance of including well-conducted qualitative studies in informing the development of evidence-based policies to address women's maternity care needs and inform service models. Synthesising the findings from qualitative studies offers important insight for informing effective public health policy. |
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| Keywords: | Maternity care Maternity and service quality Maternity services Rural areas Models of care |
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