Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, Kings' College London, UK.
Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, Kings' College London, UK.
Women Birth. 2024 Nov;37(6):101836. doi: 10.1016/j.wombi.2024.101836. Epub 2024 Oct 28.
Despite the recent introduction of midwifery services in India to improve maternal and newborn healthcare, there is limited research on women's perspectives on midwife-led care.
The Government of India initiated midwifery services guidelines in 2018 to improve the quality of care for pregnant women and newborns across the country. It is important to develop evidence-based strategies which can optimise the implementation of these new midwifery services.
This study explored women's attitudes and beliefs towards the implementation of midwife-led care in two southern states of India.
A convergent mixed methods design was employed using an online questionnaire and semi-structured online interviews. Quantitative data was analysed using descriptive statistics and qualitative analysis used a framework approach. Data from both sources were then integrated through merging techniques.
A total of 307 women completed the online survey, and 23 participated in in-depth interviews. The study highlighted inadequate knowledge of midwife-led care among women. Despite this, 60 % expressed optimism about its benefits. Key factors to women's acceptance included better understanding outcomes, having trust in midwives, receiving respectful care, and having autonomy in decision-making. They also required midwife-led birthing units would be clean, accessible, and well resourced.
Most participants perceived midwife-led care as beneficial, valuing its skilled, responsive and compassionate services.
Insights from this study have implications for the implementation of midwife-led care which should consider the informational needs, safety standards and cultural contexts of women and their families living in both urban and rural areas of India.
尽管印度最近引入了助产服务以改善产妇和新生儿的医疗保健，但对于妇女对助产士主导的护理的看法的研究有限。
印度政府于 2018 年推出了助产服务准则，以提高全国孕妇和新生儿的护理质量。制定基于证据的策略对于优化这些新的助产服务的实施非常重要。
本研究探讨了印度南部两个邦实施助产士主导的护理的妇女态度和信念。
采用了一种 convergent 混合方法设计，使用在线问卷和半结构化在线访谈。定量数据使用描述性统计进行分析，定性分析使用框架方法。然后通过合并技术整合来自两种来源的数据。
共有 307 名妇女完成了在线调查，23 名妇女参加了深入访谈。研究强调了妇女对助产士主导的护理知识不足。尽管如此，60%的人对其益处表示乐观。妇女接受的关键因素包括更好地了解结果、对助产士的信任、接受尊重的护理以及在决策中有自主权。她们还要求助产士主导的分娩单位要干净、方便和资源充足。
大多数参与者认为助产士主导的护理是有益的，重视其熟练、响应和富有同情心的服务。
本研究的结果对实施助产士主导的护理具有启示意义，应考虑到印度城乡地区妇女及其家庭的信息需求、安全标准和文化背景。
