ArticleEuropean journal of midwifery2022
Implementation of a midwifery model of woman-centered care in practice: Impact on oxytocin use and childbirth experiences.
Article in European journal of midwifery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Mixed Methods Studies Using Secondary Analysis in Nursing and Midwifery: A Methodological Review.Journal of advanced nursing · 2025Pooled it
- How Woman-Centred Care Is Experienced and Understood in Maternity Services by Women and Professionals: A Rapid Review.Scandinavian journal of caring sciences · 2025Review
- Looking into opportunities for maternity continuum of care improvement within the primary health care system in Northwest Ethiopia: primary health care-oriented research.BMC health services research · 2025Article
- Time-out in prolonged labour: development of a care model to prevent secondary fear of childbirth.BMJ open quality · 2022Article
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Authors and funding
6 authors.
Funding
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Abstract
introductionTheoretical models for midwifery have been developed in different countries, but few have been evaluated. This study evaluated the implementation of a midwifery model of woman-centered care (MiMo) in practice.
methodsA mixed method study based on an implementation of MiMo was carried out in a labor ward at a university hospital in Sweden, with another labor ward as a reference. The qualitative core component was a secondary analysis of focus groups with midwives after the implementation. The supplemental quantitative components were oxytocin use for augmentation of labor and women's childbirth experiences before and after the implementation.
resultsThe midwives viewed MiMo as a useful tool for comprehending the birthing woman holistically, and for identifying what might disturb the birth process. Hindering factors were a lack of organizational stability and time, and midwives' unwillingness to understand the model. Oxytocin use decreased significantly only in the implementation ward (p=0.002) and a significant difference was found between wards in the post-implementation period (p=0.004). However, logistic regression analyses showed that the interaction between ward and time period, controlling for age, epidural use, and birth outcome, was not significant (p=0.304), indicating that the decrease was not significantly related to the implementation. Childbirth experience did not differ before and after the implementation.
conclusionsBy using MiMo in practice, midwives have a tool for comprehending the woman holistically and identifying disturbing factors during the birth. However, more research is needed for further implementation that should focus on the potential as well as hindering factors.
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