Allen J, Kildea S, Stapleton H
Midwifery Research Unit, Australian Catholic University and Mater Research Institute - University of Queensland, Australia.
Mater Research Institute - University of Queensland and School of Nursing and Midwifery University of Queensland, Australia.
Midwifery. 2015 May;31(5):489-97. doi: 10.1016/j.midw.2015.01.009. Epub 2015 Jan 28.
caseload midwifery and CenteringPregnancy™ (a form of group antenatal care) are two models of maternity care that are separately associated with better clinical outcomes, maternal satisfaction scores and positive experiences compared to standard care. One study reported exclusively on younger women׳s experiences of caseload midwifery; none described younger women׳s experiences of group antenatal care. We retrieved no studies on the experiences of women who received a combination of caseload midwifery and group antenatal care.
examine younger women׳s experiences of caseload midwifery in a setting that incorporates group antenatal care.
a critical, focused ethnographic approach.
the study was conducted in an Australian hospital and its associated community venue from 2011 to 2013.
purposive sampling of younger (19-22 years) pregnant and postnatal women (n=10) and the caseload midwives (n=4) who provided group antenatal care within one midwifery group practice.
separate focus group interviews with women and caseload midwives, observations of the setting and delivery of group antenatal care, and examination of selected documents. Thematic analyses of the women׳s accounts have been given primary significance. Coded segments of the midwives interview data, field notes and documents were used to compare and contrast within these themes.
we report on women׳s first encounters with the group, and their interactions with peers and midwives. The group setting minimised the opportunity for the women and midwives to get to know each other.
this study challenges the practice of combining group antenatal care with caseload midwifery and recommends further research.
个案管理助产模式和“集中孕期护理”（一种集体产前护理形式）是两种孕产妇护理模式，与标准护理相比，它们分别与更好的临床结局、产妇满意度评分及积极体验相关。一项研究专门报道了年轻女性对个案管理助产模式的体验；但没有研究描述年轻女性对集体产前护理的体验。我们未检索到关于接受个案管理助产模式与集体产前护理相结合的女性体验的研究。
考察年轻女性在接受集体产前护理的背景下对个案管理助产模式的体验。
一种批判性、聚焦的人种志研究方法。
该研究于2011年至2013年在澳大利亚一家医院及其相关社区场所开展。
采用目的抽样法，选取了年轻（19 - 22岁）的孕妇和产后女性（n = 10）以及在一个助产士团队实践中提供集体产前护理的个案管理助产士（n = 4）。
分别对女性和个案管理助产士进行焦点小组访谈，观察集体产前护理的环境和实施情况，并查阅选定的文件。对女性叙述的主题分析具有首要意义。助产士访谈数据、现场记录和文件的编码片段用于在这些主题内进行比较和对照。
我们报告了女性与该群体的首次接触，以及她们与同伴和助产士的互动情况。群体环境减少了女性和助产士相互了解的机会。
本研究对将集体产前护理与个案管理助产模式相结合的做法提出了质疑，并建议进一步开展研究。
