Impact of Nurse–Midwife Collaboration on Reducing Maternal Morbidity and Mortality
DOI:
https://doi.org/10.22399/ijcesen.4234Keywords:
nurse-midwife collaboration, maternal morbidity, maternal mortality, prenatal care, interdisciplinary careAbstract
The collaboration between nurses and midwives plays a pivotal role in enhancing maternal health outcomes and significantly reducing morbidity and mortality rates among pregnant women. Through a seamless partnership, these healthcare professionals can provide comprehensive, evidence-based care that addresses the unique needs of expectant mothers. Nurse-midwife collaborations facilitate improved communication, shared decision-making, and coordinated care, which are critical in identifying potential complications early and implementing timely interventions. By working together, they ensure that pregnant women receive holistic support, encompassing physical health, mental well-being, and social factors that may affect their pregnancy experience. This teamwork not only boosts the overall quality of care but also empowers women, fostering a greater sense of safety and trust during pregnancy and childbirth. Furthermore, research has shown that integrated nurse-midwifery practices lead to better birth outcomes, including lower rates of cesarean deliveries, reduced postpartum complications, and improved neonatal health. The collaborative approach can also enhance access to prenatal and postnatal care, particularly in underserved communities, where maternal health disparities are often pronounced. By prioritizing teamwork and interdisciplinary education, healthcare systems can create a proactive environment that emphasizes preventative care and health education. Ultimately, fostering a strong alliance between nurses and midwives is essential for advancing maternal health, reducing inequities, and ensuring that every woman has the opportunity for a safe and healthy pregnancy.
References
1. Beek K, McFadden A, Dawson A. The role and scope of practice of midwives in humanitarian settings: a systematic review and content analysis. Hum Resour Health. 2019;17:5.
2. Blencowe H, Chou VB, Lawn JE, Bhutta ZA. Modelling stillbirth mortality reduction with the Lives Saved Tool. BMC Public Health. 2017;17:784.
3. Bohren MA, Vogel JP, Hunter EC. The mistreatment of women during childbirth in health facilities globally: a mixed-methods systematic review. PLoS Med. 2015;12:e1001847.
4. Every Woman Every Child. The global strategy for women's, children's and adolescents' health (2016-2030). New York: Every Woman Every Child; 2015.
5. Filby A, McConville F, Portela A. What prevents quality midwifery care? A systematic mapping of barriers in low and middle income countries from the provider perspective. PLoS One. 2016;11:e0153391.
6. Gavine A, MacGillivray S, McConville F, Gandhi M, Renfrew MJ. Pre-service and in-service education and training for maternal and newborn care providers in low- and middle-income countries: an evidence review and gap analysis. Midwifery. 2019;78:104-113.
7. Healthy Newborn Network. Numbers. 2019.
8. Homer CSE, Castro Lopes S, Nove A. Barriers to and strategies for addressing the availability, accessibility, acceptability and quality of the sexual, reproductive, maternal, newborn and adolescent health workforce: addressing the post-2015 agenda. BMC Pregnancy Childbirth. 2018;18:55.
9. Homer CSE, Friberg IK, Dias MAB. The projected effect of scaling up midwifery. Lancet. 2014;384:1146-1157.
10. International Confederation of Midwives. Essential competencies for midwifery practice: 2018 update. The Hague: International Confederation of Midwives; 2019.
11. International Confederation of Midwives. Global standards for midwifery education (2010), amended 2013. 2013.
12. Kingdon C, Downe S, Betrán AP. Interventions targeted at health professionals to reduce unnecessary caesarean sections: a qualitative evidence synthesis. BMJ Open. 2018;8:e025073.
13. Michel-Schuldt M, McFadden A, Renfrew M, Homer C. The provision of midwife-led care in low-and middle-income countries: an integrative review. Midwifery. 2020;84:102659.
14. Mwansa-Kambafwile J, Cousens S, Hansen T, Lawn JE. Antenatal steroids in preterm labour for the prevention of neonatal deaths due to complications of preterm birth. Int J Epidemiol. 2010;29:i122-i133.
15. Renfrew MJ, McFadden A, Bastos MH. Midwifery and quality care: findings from a new evidence-informed framework for maternal and newborn care. Lancet. 2014;384:1129-1145.
16. Sandall J, Soltani H, Gates S, Shennan A, Devane D. Midwifery-led continuity models versus other models of care for childbearing women. Cochrane Database Syst Rev. 2016;4:CD004667.
17. ten Hoope-Bender P, Nove A, Sochas L, Matthews Z, Homer CS, Pozo-Martin F. The 'Dream Team' for sexual, reproductive, maternal, newborn and adolescent health: an adjusted service target model to estimate the ideal mix of health care professionals to cover population need. Hum Resour Health. 2017;15:46.
18. UN Department of Economic and Social Affairs. World population prospects 2019. 2019.
19. UN Development Programme. Human Development Index (HDI). 2019.
20. UN Inter-agency Group for Child Mortality Estimation. Levels & trends in child mortality report 2019. New York: UNICEF; 2019.
21. UN Population Fund. Midwives on the front line: delivering midwifery services in difficult times: a snapshot from selected Arab countries. Cairo: UN Population Fund Arab States Regional Office; 2016.
22. UN Population Fund. State of world population 2015: shelter from the storm. New York: UN Population Fund; 2015.
23. UN Population Fund. UNFPA Midwifery Programme strategy. New York: UN Population Fund; 2018.
24. UN Population Fund, WHO, International Confederation of Midwives. The state of the world's midwifery 2014: a universal pathway. A woman's right to health. New York: UN Population Fund; 2014.
25. Van Lerberghe W, Matthews Z, Achadi E. Country experience with strengthening of health systems and deployment of midwives in countries with high maternal mortality. Lancet. 2014;384:1215-1225.
26. Van Wagner V, Epoo B, Nastapoka J, Harney E. Reclaiming birth, health, and community: midwifery in the Inuit villages of Nunavik, Canada. J Midwifery Womens Health. 2007;52:384-391.
27. WHO. Delivered by women, led by men (Human Resources for Health Observer Series No.24). Geneva, Switzerland: World Health Organization; 2019.
28. WHO. Midwives' voices, midwives' realities: findings from a global consultation on providing quality midwifery care. Geneva, Switzerland: World Health Organization; 2016.
29. WHO. Midwifery educator core competencies. Geneva, Switzerland: World Health Organization; 2014.
30. WHO. Strengthening quality midwifery education for universal health coverage 2030: framework for action. Geneva: World Health Organization; 2019.
31. WHO High-Level Commission on Health Employment and Economic Growth. 2017.
32. WHO, UNICEF, UN Population Fund, World Bank, UN Population Division. Trends in maternal mortality: 2000 to 2017. Geneva, Switzerland: World Health Organization; 2019.
33. Williams DR, Collins C. Racial residential segregation: a fundamental cause of racial disparities in health. Public Health Rep 2001;116:404–16.
34. Forde AT, Crookes DM, Suglia SF, Demmer RT. The weathering hypothesis as an explanation for racial disparities in health: a systematic review. Ann Epidemiol 2019;33:1–18.e3.
35. Louis JM, Menard MK, Gee RE. Racial and ethnic disparities in maternal morbidity and mortality. Obstet Gynecol 2015;125:690–4.
36. Noursi S, Saluja B, Richey L. Using the ecological systems theory to understand Black/White disparities in maternal morbidity and mortality in the United States. J Racial Ethn Health Disparities 2021;8:661–9.
37. Kennedy-Moulton K, Miller S, Persson P, Rossin-Slater M, Wherry L, Aldana G. Maternal and infant health inequality: new evidence from linked administrative data. National Bureau of Economic Research Working Paper Series No. 30693; 2022.
38. Braveman P, Dominguez TP, Burke W, Dolan SM, Stevenson DK, Jackson FM, et al. Explaining the Black-White disparity in preterm birth: a consensus statement from a multi-disciplinary scientific work group convened by the March of Dimes. Front Reprod Health 2021;3:684207.
39. Bailey ZD, Feldman JM, Bassett MT. How structural racism works - racist policies as a root cause of U.S. racial health inequities. New Engl J Med 2021;384:768–73.
40. Howell EA, Zeitlin J. Improving hospital quality to reduce disparities in severe maternal morbidity and mortality. Semin Perinatol 2017;41:266–72.
41. U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. Healthy People 2030. Accessed June 6, 2023.
42. Wallace ME. Trends in pregnancy-associated homicide, United States, 2020. Am J Public Health 2022;112:1333–6.
43. Fine A, Kotelchuck M. Rethinking MCH: the life course model as an organizing framework. Concept paper (version 1.1). U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau; 2010.
44. Crear-Perry J, Correa-de-Araujo R, Lewis Johnson T, McLemore MR, Neilson E, Wallace M. Social and structural determinants of health inequities in maternal health. J Womens Health 2021;30:230–5.
45. Noursi S, Clayton JA, Campbell J, Sharps P. The intersection of maternal morbidity and mortality and intimate partner violence in the United States. Curr Womens Health Rev 2020;16:298–312.
46. Braveman P. The social determinants of health and health disparities. Oxford University Press; 2023.
47. Neerland C, Slaughter-Acey J, Behrens K, Claussen AM, Usset T, Bilal-Roby S, et al. An evidence map for social and structural determinants for maternal morbidity and mortality: a systematic review. Obstet Gynecol 2024;143;383–92.
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