Need of integrated care model for positive childbirth experience in Indian maternity care services

Title

Need of integrated care model for positive childbirth experience in Indian maternity care services

Creator

Leela T.K.; Baboo S.

Description

BACKGROUND: Integrated care (IC) models are an emerging trend in healthcare reforms worldwide, especially in the maternal healthcare system. This research focuses on the scope of an integrated model for intrapartum care of women and explores the experience of birth under two intrapartum care modelsbiomedical and midwifery models, respectively. The term positive childbirth experience (PCE) is a concept defined by the World Health Organization (WHO) in the recommendations on intrapartum care for a PCE. MATERIALS AND METHOD: This study is convinced to employ a qualitative approach to explore how birth is experienced by women under maternity healthcare services in Kerala. A semi?structured interview was conducted to tap into the lived reality of birthing of sixteen first?time mothers (primipara) aged between 20 and 30 years under these two models. Furthermore, five participants have been specifically interviewed after their vaginal birth after a C?section (VBAC) experience. To achieve a systematic cross?case thematic analysis, systematic text condensation (STC) has been employed as a data analysis method. RESULTS: Four main categories were identified through the analysis as follows: (1) information and knowledge, (2) confidence, (3) quality of care, and (4) health?promoting perspective. These central themes evolved from 11 subthemes. CONCLUSION: The data analysis reveals both negative and positive experiences under two care models. It emphasizes the urgent need to reframe the biomedical?focused care model and adopt an integrated approach that aligns with the global intrapartum care model proposed by the World Health Organization (WHO) in 2018 and the definition of IC mentioned in the paper. 2024 Journal of Education and Health Promotion.

Source

Journal of Education and Health Promotion, Vol-13, No. 1

Date

2024-01-01

Publisher

Wolters Kluwer Medknow Publications

Subject

Integrated care model; intrapartum care; positive childbirth experience

Coverage

Leela T.K., Department of Psychology, CHRIST (Deemed to be University), Karnataka, Bengaluru, India; Baboo S., Department of Psychology, CHRIST (Deemed to be University), Karnataka, Bengaluru, India

Rights

All Open Access; Gold Open Access; Green Open Access

Relation

ISSN: 22779531

Format

Online

Language

English

Type

Article

Identifier

https://doi.org/10.4103/jehp.jehp_1015_23

https://www.scopus.com/inward/record.uri?eid=2-s2.0-85214352646&doi=10.4103%2fjehp.jehp_1015_23&partnerID=40&md5=72bd333098285f121f42ed1ce707da27