Evidence map›Paper›PMID 30587163›Full record

ArticleBMC pregnancy and childbirth2018

A focus group study of women's views and experiences of maternity care as delivered collaboratively by midwives and health visitors in England.

Maria Raisa Jessica V Aquino, Ellinor K Olander, Rosamund M Bryar

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Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Maria Raisa Jessica V AquinoPrimary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK. ra532@medschl.cam.ac.uk.ORCID http://orcid.org/0000-0002-3989-1221
Ellinor K OlanderCentre for Maternal and Child Health Research, School of Health Sciences, City, University of London, London, UK.
Rosamund M BryarCentre for Maternal and Child Health Research, School of Health Sciences, City, University of London, London, UK.

Funding

City, University of London N/APsychology Postgraduate Affairs Group (PsyPAG) N/A
6 · The paper itself

Abstract

backgroundResearch suggests that collaboratively delivered maternity care can positively impact health outcomes. However, women's perspectives on models of care involving interprofessional collaboration between midwives and health visitors are not well understood. Accounts of women's maternity care experiences are key to improving maternity services. This study considered women's views and experiences of maternity care as collaboratively provided by midwives and health visitors in England.

methodsA qualitative focus group study with an exercise exploring women's ideal maternity care pathway was conducted. Three focus groups were conducted in London, England between June and August 2017 with women who had had a child within 18 months prior to the study. The participants (n = 12) were recruited from two Children's Centres in London, England. Data were analysed using thematic analysis.

resultsFour themes were identified: 'Women's experiences of maternity care from midwives and health visitors', 'Midwife-health visitor communication', 'Midwife-health visitor collaboration for tailored care', and 'Women's ideal maternity care pathway'. Regarding women's experiences of interprofessional collaboration between midwives and health visitors, this was rarely encountered, but welcomed by women. Women's observations of limited tailored care and co-ordination led to several suggestions to improve maternity care, including secure, shared medical recordkeeping systems, clarity on midwives' and health visitors' roles, as well as increased communication.

conclusionsMaternity care that is collaboratively delivered by midwives and health visitors, from the perspectives of the women in this study, is not routinely provided. However, women recognise the potential benefits of midwife-health visitor collaboration. Future research should explore service configurations that support integrated maternity care pathways, and evaluate the impact of midwife-health visitor collaboration on health and service outcomes.

Indexed as

Patient SatisfactionAdultCommunicationContinuity of Patient CareDelivery of Health CareEnglandFemaleFocus GroupsHumansInterprofessional RelationsMaternal Health ServicesMidwiferyNurses, Community HealthPatient Care TeamProfessional RoleQualitative ResearchHealth visitorInterprofessional collaborationMaternal healthMidwifePostnatalPregnancyQualitative enquiryThematic analysisWomen’s experiences

Identifiers

PMID30587163
PMCPMC6307134

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.