OBJECT: Analysis on the application of the low obstetric risk model in the hospitals of S. Maria della Misericordia in Perugia and Sant'Anna in Turin. PROJECT: Data was collected prospectively to analyze the Italian experience of the midwife-led birth model in the alongside midwifery units. In particular, the analysis focuses on the low obstetric risk and aims to be both qualitative and quantitative. Qualitative, in comparing the managerial/organizational hierarchy of the model, the responsables for screening women and the evaluation grids that have been used; quantitative as it draws an analogy between the outcomes of the Italian models with the English model of the Birthplace in England research program. Two environments with similar organizational models have been put in comparison: the Birth Center of Sant'Anna Hospital in Turin and the Hospital S. Maria della Misericordia in Perugia. RESULTS: In terms of managerial/organizational hierarchy, the two Italian show substantial differences, especially with regard to the professional profiles involved in screening. In particular, Perugia’s hospital still involves the gynecologist in the evaluation to admit women to the program, despite scientific evidence and the Professional Profile of the midwife confirm that the latter is the most suitable to recognize and diagnose the physiological pregnancy and to assist low-risk women during labor, delivery and post-partum. Furthermore, the comparison between evaluation grids for the screening of women shows that some exclusion criteria are not shared, for this reason grids that can be shared by all the birth centers are needed to make the outcomes more comparable. Finally, from a quantitative point of view, we can say that the outcomes of the Italian analysis exactly overlap with the English ones of the Birthplace in England research program.
Analisi dell'applicazione del modello basso rischio ostetrico (BRO) in Italia / A. Conti, P.A. Mauri, F. Parazzini. - [s.l] : Università degli Studi di Milano, 2018.
|Titolo:||Analisi dell'applicazione del modello basso rischio ostetrico (BRO) in Italia|
MAURI, PAOLA AGNESE [Methodology] (Corresponding)
PARAZZINI, FABIO [Validation]
|Data di pubblicazione:||2018|
|Settore Scientifico Disciplinare:||Settore MED/47 - Scienze Infermieristiche Ostetrico-Ginecologiche|
Settore MED/40 - Ginecologia e Ostetricia
|Citazione:||Analisi dell'applicazione del modello basso rischio ostetrico (BRO) in Italia / A. Conti, P.A. Mauri, F. Parazzini. - [s.l] : Università degli Studi di Milano, 2018.|
|Appare nelle tipologie:||08 - Relazione interna o rapporto di ricerca|