Abstract
Background
There are still no health care system for 1:1 care during childbirth in state hospitals in Latvia. It could be by chance that midwife has only one women for shift in labor active period.
Midwives, obstetricians, neonatologists and women are talking in social media about necessity for 1:1 care model. This qualitative study gathered views of the professionals involved on how to improve intranatal care quality.
Methods
Nine semi-structured in-depth interviews were made about professionals views on realistic possibilities for better intranatal care quality ( 3 midwives, 3 neonatologists, 3 obstetricians). Previosely to gather the patients view on the intranatal care quality, there was a study in frame of the PhD thesis “Quality of perinatal health care and it`s influencing factors for patients who are living with chronical desiases in Latvia” carried out in Latvia , using the structured questionnaire. The questionnaire has been developed from a validated instrument “Womens Experience of Maternity Care” (author - National Health Service (Great Britain), 2010) and adapted to the situation in Latvia. The questionnaire is meant for woman regardless of their health status during the perinatal period or co-morbidities outside this period of care.
Findings
Intranatal care professionals pointed out the shortage of medical staff in both as in maternity centers of the capital, as in regional birth centers.
There are no guaranteed breaks in the work shift and they are too long at all, most intranatal care professionals are currently on call for 24 hours.
As for professionals equal knowledge in the field; there are distance learning courses that try to make it possible for professionals to speak in the same language, but they are not always organized in friendly manner.
The main proposals from intranatal care professionals were:
1. More staff on the shift, especially the midwives, to be able to provide 1:1 care.
2. Shifts should not be so long hours, at the moment the majority work 24 hours per shift.
3. There should be guaranteed brakes during the shift and possibility to go outside and take a fresh air.
4. There should be more lifelong education courses which are performed in friendly atmosphere.
Conclusions
Not only the attitude of professionals towards the quality of life and work must change, but also in workplaces, the management of the institution must strictly respect the right of employees to rest during work and provide adequate support to employees in the performance of their duties.
There are still no health care system for 1:1 care during childbirth in state hospitals in Latvia. It could be by chance that midwife has only one women for shift in labor active period.
Midwives, obstetricians, neonatologists and women are talking in social media about necessity for 1:1 care model. This qualitative study gathered views of the professionals involved on how to improve intranatal care quality.
Methods
Nine semi-structured in-depth interviews were made about professionals views on realistic possibilities for better intranatal care quality ( 3 midwives, 3 neonatologists, 3 obstetricians). Previosely to gather the patients view on the intranatal care quality, there was a study in frame of the PhD thesis “Quality of perinatal health care and it`s influencing factors for patients who are living with chronical desiases in Latvia” carried out in Latvia , using the structured questionnaire. The questionnaire has been developed from a validated instrument “Womens Experience of Maternity Care” (author - National Health Service (Great Britain), 2010) and adapted to the situation in Latvia. The questionnaire is meant for woman regardless of their health status during the perinatal period or co-morbidities outside this period of care.
Findings
Intranatal care professionals pointed out the shortage of medical staff in both as in maternity centers of the capital, as in regional birth centers.
There are no guaranteed breaks in the work shift and they are too long at all, most intranatal care professionals are currently on call for 24 hours.
As for professionals equal knowledge in the field; there are distance learning courses that try to make it possible for professionals to speak in the same language, but they are not always organized in friendly manner.
The main proposals from intranatal care professionals were:
1. More staff on the shift, especially the midwives, to be able to provide 1:1 care.
2. Shifts should not be so long hours, at the moment the majority work 24 hours per shift.
3. There should be guaranteed brakes during the shift and possibility to go outside and take a fresh air.
4. There should be more lifelong education courses which are performed in friendly atmosphere.
Conclusions
Not only the attitude of professionals towards the quality of life and work must change, but also in workplaces, the management of the institution must strictly respect the right of employees to rest during work and provide adequate support to employees in the performance of their duties.
| Original language | English |
|---|---|
| Publication status | Published - Sept 2023 |
| Event | International Normal Labour and Birth Conference 2022 - Aarhus, Denmark Duration: 12 Sept 2022 → 14 Sept 2022 https://www.qmnc.org/international-normal-labour-and-birth-conference-2022/ |
Conference
| Conference | International Normal Labour and Birth Conference 2022 |
|---|---|
| Country/Territory | Denmark |
| City | Aarhus |
| Period | 12/09/22 → 14/09/22 |
| Internet address |
Keywords*
- midwives, obstetricians, nonatologists, possibilities
Field of Science*
- 3.3 Health sciences
Publication Type*
- 3.4. Other publications in conference proceedings (including local)