A comparison of midwife-led care versus obstetrician-led care for low-risk women in Japan |
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| Authors: | Mariko Iida Shigeko Horiuchi Kumiko Nagamori |
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| Institution: | 1. Department of Midwifery in St. Luke''s International University, Japan;2. St. Luke''s Birth Clinic, Japan;1. RCSI Hospitals Group, 111 St Stephen?s Green, Dublin 2, Ireland;2. National University of Ireland Galway and Saolta University Health Care Group, Ireland;3. Trinity College Dublin, Dublin 2, Ireland;4. The Queen?s University of Belfast, Northern Ireland, UK;1. Centre for Midwifery, Child and Family Health, University of Technology Sydney, 235 Jones St, Ultimo, NSW 2007, Australia;2. Canterbury Hospital, Sydney Local Health District, 575 Canterbury Rd, Campsie, NSW 2194, Australia;3. Health Services Management, University of Technology Sydney, 235 Jones St, Ultimo, NSW 2007, Australia;1. Nursing Department, Obstetrics and Gynaecology Hospital of Fudan University, Shanghai, China;2. Obstetric Out-patient Clinics, Obstetrics and Gynaecology Hospital of Fudan University, Shanghai, China;3. Labour Unit, Obstetrics and Gynaecology Hospital of Fudan University, Shanghai, China;1. Department of Family Practice, University of British Columbia, Vancouver, Canada;2. National Maternity Hospital, Dublin, Ireland;3. School of Nursing, Midwifery and Health Systems, University College Dublin, Ireland;4. Florence Nightingale School of Nursing and Midwifery, King?s College London, UK;5. Faculty of Health Sciences, University of Southampton, UK |
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| Abstract: | BackgroundContinuity of midwife-led care is recommended in maternity care because of its various positive outcomes. In Japan, midwife-led care is receiving broad attention as well. In order to popularise midwifery care within the entire system of perinatal care in Japan, there is a need to show evidence that continuity of midwife care for women will bring about positive outcomes.AimThe objectives of this study were to compare the health outcomes of women and infants who received midwife-led care with obstetrician-led care in Japan.MethodsThis was an observational study using non-random purposive sampling with a survey questionnaire. Settings where midwife-led care and obstetrician-led care were chosen by purposive samples. Participants were low-risk women who received antenatal care and delivered a term-singleton-infant at the participating settings during the research period. Measurements were: Women-centred care pregnancy questionnaire, Stein's maternity blues questionnaire, and Edinburgh Postnatal Depression Scale.FindingsMidwife-led care was perceived by women to be beneficial and had no adverse outcomes compared to obstetrician-led care. Main findings are: (1) Perception of Women-centred care was higher; (2) Less premature rupture of membranes, and the Apgar scores of the infants were similar; (3) Exclusively breast-feeding during hospitalisation and at one-month postpartum; (4) Stein's maternity blues scale scores was lower in women who received midwife-led care than those who received obstetrician-led care.ConclusionsContinuity of midwife-led care was perceived by women to be beneficial and had no adverse outcomes. Therefore, midwife-led care in low-risk pregnancy could be applicable and recommended. |
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| Keywords: | Pregnant women Low-risk Midwife-led Obstetric outcomes Postpartum depression |
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