Midwife led maternity care: Assessment of autonomy and dignity of mothers during labour using MOR index
Notice bibliographique
Résumé
Midwifery led care can play a critical role in promoting physiological births, and reducing over medicalization. Ministry and Indian Nursing council have brought out guidelines for Midwifery services. Midwife led care is paradigm shift which can address many of the issues that our country continue to face. Measuring respectful care over the childbearing cycle requires thoughtful assessment of several domains. The Mother on Respect index is a straightforward tool to measure the experience of respect during discussions with providers about maternity care options. Mother on Respect Index (MOR) was developed through participatory research process and has been administered to women in Canada and US and is a reliable and valid measure of respectful maternity care. Aim: To conduct a pilot study to assess Mother on Respect Index as a tool to measure autonomy and dignity of care perceived by mothers during labour.Objectives: To assess the autonomy and dignity of maternal care perceived by mothers during labour using Mother on Respect Index To find the association of MOR index with sociodemographic and baseline variablesHypothesis: There is no association of MOR index with selected sociodemographic and baseline variables.Research MethodologyResearch approach: Quantitative Non ExperimentalResearch Design: Cross Sectional Survey DesignTarget Population: Antenatal women of Western MaharashtraStudy population: Antenatal women attending selected tertiary care hospital in Western MaharashtraSampling Technique: Purposive SamplingSample Size: 200Tool: Mother on Respect IndexResult: 18 study subjects reported medium level of satisfaction between 37-60. Maximum 182 (91%) study subjects reported high level of satisfaction in Midwife Led Maternity Care. No association of Mother on respect index score with gravida, parity in study group at p value 0.05.There is no aassociation of Mother on respect index score with age, education, type of family, pregnancy status in study group at p value 0.05. There is a moderate positive correlation between total duration of labour and Mother on respect index score but the finding is not statistically significant as the p value calculated is 0.63. A moderate positive correlation between Modified Coopland Risk Assessment score as calculated p value <0.0001 this finding is statistically highly significant. Number of antenatal visit has shown a week positive correlation with Mother on Respect index as p value is 0.20 this finding is not statistically significant. Conclusion: The MOR index may assist institutions and care providers to evaluate the psychosocial impact of informed consent process and patient perceptions of the respect. MORi can measure differences between their expected and actual interactions during maternity care discussions with providers. Evidence based practice of MOR index as new quality and safety indicator in maternity care centre indicate paradigm shift towards person centred care.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,005 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,001 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».