Simultanübersetzung englisch-deutsch
Input: Kontinuierliche Hebammenbetreuung und E-Health-Tools zur Unterstützung bei Schwangerschaft, Geburt und Wochenbett in dünn besiedelten Regionen am Beispiel Schweden
L. Nääs (SE)
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L. Nääs (SE)
Midwifery continuity of care and e-health tools in the work for support of childbirth during pregnancy, childbirth and postpartum care in sparsely populated areas.
- Evaluation of three different care models where midwifery continuity of care and e-health tools are included.
Organisation: Swedish Association of Midwives, Region Dalarna, Sweden
Background:
Midwives in Sweden have a tradition of being responsible for pregnancy and childbirth since the 18th century. Until today they have a self-evident place and responsibility for normal pregnancy and childbirth within the Swedish healthcare system. Almost all pregnant women take part in the same model, where the pregnant woman has her check-ups with a midwife in primary care and then gives birth in hospital with the support of a midwife. Both pregnancy and birth should be a positive experience that also strengthens gender equality in the family (1.).
Care models with midwifery continuity of care throughout pregnancy, childbirth and postpartum care are recommended by the WHO. Women's and children's health hereby benefit from lower incidence of interventions during childbirth, fewer miscarriages and premature births. Women are also more satisfied and the care is cheaper (2).
Pregnant women with fear of childbirth/mental health issues are a vulnerable group, especially in sparsely populated areas. The purpose of the project “DIN BARNMORSKA” (eng.: Your Midwife) is to evaluate and compare two continuity models with standard care for women with fear of childbirth/mental health issues from the perspective of pregnant women and midwives.
Method
•A group of midwives is responsible for a selection of pregnant women and takes care of contact and care during pregnancy, childbirth and the first period after the baby is born.
•Care contacts will take place in physical and digital form.
•All care is coordinated under a project manager.
•A working schedule that involves on-call duty will be applied.
The project wants to investigate the experience of using the continuity model during pregnancy and childbirth as well as e-health tools during pregnancy in order to determine satisfaction with the care.
Results
In order to develop care during pregnancy and childbirth, the midwife's skills and vital role for care need to be made visible. The midwife has a key role in caring for women throughout life, through her knowledge of fertility and reproduction and can create major health gains for society. It is important that governments take a leading role in providing adequate funding for training and regulation that enables collaboration between midwives and other professions in their work (3). Care for pregnant women needs to be developed and organised based on women's medical needs as well as their social and geographical conditions.
This project can further develop the care of pregnant women, as e-health tools provide a new way to ensure the care, continuity, support and accessibility of midwives during pregnancy, on the way to and during childbirth over long distances.