Effect of a continuity of midwifery care model that used a respectful maternal care framework in Korea: a non-randomized study
AimThis study evaluated “Team-Mamas,” a continuity of midwifery care intervention that used a respectful maternity care framework during the antenatal, labor, and postpartum periods. The research aimed to assess the impact of intervention on birth outcomes, birth satisfaction, birth experience, and...
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Frontiers Media S.A.
2025-05-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1578158/full |
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| author | Geumhee Jeong Hyun Kyoung Kim Uri Bang |
| author_facet | Geumhee Jeong Hyun Kyoung Kim Uri Bang |
| author_sort | Geumhee Jeong |
| collection | DOAJ |
| description | AimThis study evaluated “Team-Mamas,” a continuity of midwifery care intervention that used a respectful maternity care framework during the antenatal, labor, and postpartum periods. The research aimed to assess the impact of intervention on birth outcomes, birth satisfaction, birth experience, and maternal function.Participants and settingThis study employed a non-equivalent control group post-test design. The midwife companion program offered services including natural childbirth education, prenatal healthcare, birth rehearsal, childbirth support, infant care, and postpartum education and counseling. This program provided continuous support by midwives from the 28th week of gestation until 14 days after birth. There were 65 participants from 3 cities in Korea from March to November, 2023.ResultsThe intervention led to lower frequencies of episiotomy (p < 0.001), oxytocin augmentation (p = 0.005), epidural anesthesia (p = 0.007), and analgesic use (p < 0.001), as well as higher breastfeeding rates at 1 week (p = 0.012) and 4 weeks (p = 0.004) postpartum in the experimental group compared to the control group. Both birth satisfaction (p < 0.001) and birth experience (p < 0.001) scores were higher in the experimental group compared to the control group. No statistically significant differences were found between the two groups regarding neonatal birth weight (p = 0.346) and maternal function (p = 0.067).ConclusionMothers experienced satisfactory and safe birth outcomes when supported by a continuity of midwifery care intervention. We suggest promoting positive birth outcomes and experiences through integrated support that honors the dignity of mothers throughout pregnancy, labor, birth, and the postpartum period.Clinical trial registrationIdentifier (KCT0008956) in the Korean Clinical Research Information Service. |
| format | Article |
| id | doaj-art-9e507c1ef2dc48d48cdc7b4386feec9f |
| institution | OA Journals |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj-art-9e507c1ef2dc48d48cdc7b4386feec9f2025-08-20T02:14:54ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-05-011310.3389/fpubh.2025.15781581578158Effect of a continuity of midwifery care model that used a respectful maternal care framework in Korea: a non-randomized studyGeumhee Jeong0Hyun Kyoung Kim1Uri Bang2Department of Nursing, Hallym University, Chuncheon, Republic of KoreaDepartment of Nursing, Kongju National University, Gongju, Republic of KoreaDepartment of Nursing, Kongju National University, Gongju, Republic of KoreaAimThis study evaluated “Team-Mamas,” a continuity of midwifery care intervention that used a respectful maternity care framework during the antenatal, labor, and postpartum periods. The research aimed to assess the impact of intervention on birth outcomes, birth satisfaction, birth experience, and maternal function.Participants and settingThis study employed a non-equivalent control group post-test design. The midwife companion program offered services including natural childbirth education, prenatal healthcare, birth rehearsal, childbirth support, infant care, and postpartum education and counseling. This program provided continuous support by midwives from the 28th week of gestation until 14 days after birth. There were 65 participants from 3 cities in Korea from March to November, 2023.ResultsThe intervention led to lower frequencies of episiotomy (p < 0.001), oxytocin augmentation (p = 0.005), epidural anesthesia (p = 0.007), and analgesic use (p < 0.001), as well as higher breastfeeding rates at 1 week (p = 0.012) and 4 weeks (p = 0.004) postpartum in the experimental group compared to the control group. Both birth satisfaction (p < 0.001) and birth experience (p < 0.001) scores were higher in the experimental group compared to the control group. No statistically significant differences were found between the two groups regarding neonatal birth weight (p = 0.346) and maternal function (p = 0.067).ConclusionMothers experienced satisfactory and safe birth outcomes when supported by a continuity of midwifery care intervention. We suggest promoting positive birth outcomes and experiences through integrated support that honors the dignity of mothers throughout pregnancy, labor, birth, and the postpartum period.Clinical trial registrationIdentifier (KCT0008956) in the Korean Clinical Research Information Service.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1578158/fullmaternal health servicesmidwiferypregnant womenprenatal educationrespect |
| spellingShingle | Geumhee Jeong Hyun Kyoung Kim Uri Bang Effect of a continuity of midwifery care model that used a respectful maternal care framework in Korea: a non-randomized study Frontiers in Public Health maternal health services midwifery pregnant women prenatal education respect |
| title | Effect of a continuity of midwifery care model that used a respectful maternal care framework in Korea: a non-randomized study |
| title_full | Effect of a continuity of midwifery care model that used a respectful maternal care framework in Korea: a non-randomized study |
| title_fullStr | Effect of a continuity of midwifery care model that used a respectful maternal care framework in Korea: a non-randomized study |
| title_full_unstemmed | Effect of a continuity of midwifery care model that used a respectful maternal care framework in Korea: a non-randomized study |
| title_short | Effect of a continuity of midwifery care model that used a respectful maternal care framework in Korea: a non-randomized study |
| title_sort | effect of a continuity of midwifery care model that used a respectful maternal care framework in korea a non randomized study |
| topic | maternal health services midwifery pregnant women prenatal education respect |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1578158/full |
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