Freestanding midwife-led units: A narrative review
| العنوان: | Freestanding midwife-led units: A narrative review |
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| المؤلفون: | Dorota Sys, Barbara Baranowska, Grażyna Bączek, Urszula Tataj-Puzyna |
| المصدر: | Iranian Journal of Nursing and Midwifery Research Iranian Journal of Nursing and Midwifery Research, Vol 25, Iss 3, Pp 181-188 (2020) |
| بيانات النشر: | Medknow, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | birthing centers, review, Psychological intervention, Perinatal care, MEDLINE, Scopus, Review Article, Assessment and Diagnosis, 03 medical and health sciences, 0302 clinical medicine, Empirical research, Nursing, Medicalization, Maternity and Midwifery, 030212 general & internal medicine, midwifery, General Nursing, lcsh:RT1-120, Advanced and Specialized Nursing, lcsh:Nursing, 030504 nursing, perinatal care, Issues, ethics and legal aspects, Search terms, Birth setting, Narrative review, 0305 other medical science, Psychology |
| الوصف: | Background: Strengthening of midwives' position and support for freestanding birth centers, frequently referred to as Freestanding Midwife-led Units (FMUs), raise hopes for a return to humanized labor. Our study aimed to review published evidence regarding FMUs to systematize the knowledge of their functioning and to identify potential gaps in this matter. Materials and Methods: A structured integrative review of theoretical papers and empirical studies was conducted. The literature search included MEDLINE, Cochrane, Scopus, and Embase databases. The analysis included papers published in 1977–2017. Relevant documents were identified using various combinations of search terms and standard Boolean operators. The search included titles, abstracts, and keywords. Additional records were found through a manual search of reference lists from extracted papers. Results: Overall, 56 out of 107 originally found articles were identified as eligible for the review. Based on the critical analysis of published data, six groups of research problems were identified and discussed, namely, 1) specifics of FMUs, 2) costs of perinatal care at FMUs, 3) FMUs as a place for midwife education, 4) FMUs from midwives' perspective, 5) perinatal, maternal, and neonatal outcomes, and 6) FMUs from the perspective of a pregnant woman. Conclusions: FMUs offers a home-like environment and complex midwifery support for women with uncomplicated pregnancies. Although emergency equipment is available as needed, FMU birth is considered a natural spontaneous process. Midwives' supervision over low-risk labors may provide many benefits, primarily related to lower medicalization and fewer medical interventions than in a hospital setting. |
| تدمد: | 1735-9066 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a5fc6e52bb535399cebf7bce4e5f64eaTest https://doi.org/10.4103/ijnmr.ijnmr_209_19Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....a5fc6e52bb535399cebf7bce4e5f64ea |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17359066 |
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