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Midwifery care increases positive birth outcomes and can be cost-savings

Por: Tarlazzi · E.

Commentary on: McLean KA, Souter VL, Nethery E. Expanding midwifery care in the United States: Implications for clinical outcomes and cost. Birth. 2023 Dec;50(4):935-945. doi: 10.1111/birt.12748. Epub 2023 Jul 14. PMID: 37449767.

Implications for practice and research

  • Wherever a midwifery model of care is implemented, women experience less caesarean section and other in labour interventions.

  • More research is needed on the cost-effect of the implementation of a midwifery-led model of care.

    • Context

    Since 2016, Miller and colleagues proposed the concept of ‘too much too soon and too little too late’ to describe an imbalance in maternity care in terms of both resources and the translation of evidence.1 The over-medicalisation of births in high-resource nations frequently results in less than ideal outcomes, and this varies greatly between states and regions. When compared with other industrialised nations, giving birth in the USA is...

    Black pregnant womens mother-father relationships and depressive symptoms

    Por: Tarlazzi · E. · Bertini · V.

    Commentary on: Rosemary A, Jenna M. W, Dawn P. Misra, and Carmen Giurgescu "Mother-Father Relationship and Depressive Symptoms Among Pregnant Black Women". West J Nurs Res 2023, 45(11) 1027–1034.

    Implications for practice and research

  • Future studies should evaluate the consistency of the three classes of mother–father relationships proposed by this research.

  • During pregnant women’s emotional well-being screening, particular attention should be given to the mother–father relationship as a potential predictor of depressive symptoms.

    • Context

    Black women have a higher rate of mortality and morbidity during pregnancy than women of other racial and ethnic groups.1 Moreover, during the perinatal period, African American women experience more trauma, socioeconomic inequity, stress and less access to healthcare and social support.1 There is also growing literature showing that black women experience a higher prevalence of depressive symptoms during pregnancy compared with white women.
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