Team-Based Care To Support Physiologic Birth: A Review Of Literature

<p>Abstract</p> <p>Introduction: Physiologic birth practices support the normal processes of childbirth, are associated with improved outcomes, and can prevent unnecessary intervention. Defensive maternity practice contributes to the overuse of medical interventions and decrease in physiologic birth practices. Team-based maternity care has been studied as a method to improve safety through improved communication and teamwork skills. The purpose of this literature review was to explore whether team-based care can be used as a strategy to promote physiologic birth through decreasing defensive maternity practices. </p> <p>Methods: The search engines OVID, CINAHL, Pub Med, Google Scholar and the Cochrane Library were used to identify relevant studies for the review. Search terms included, physiologic birth, team-based maternity care, defensive maternity practice, electronic fetal monitoring (EFM), and cesarean delivery. Intermittent auscultation (IA) was considered proxy for physiologic birth practice and was examined in the research comparing IA to EFM. The data were organized according to major content area then synthesized to summarize the state of the science and implications for practice and future research.</p> <p>Results: EFM in low risk pregnancies was not associated with improved outcomes and is associated with increased cesarean rates. Overuse of EFM was associated with fear of litigation as was increased cesarean rates. Team-based care was associated with improved communication. There was some evidence suggesting that team-based care supports physiologic maternity practices. </p> <p>Discussion: A team based-care model may provide a forum to discuss and implement practices that support physiologic birth care. Professional organizations should partner to examine how they can encourage maternity professionals to support physiologic birth. Future research is necessary to evaluate the efficacy of these strategies.</p>

Name thesis:degree_name

Doctor of Nursing Practice (DNP)

Level thesis:degree_level

Open Access Thesis

Discipline thesis:degree_discipline

Yale University School of Nursing

Year

2017

Author dc:creator

• Heath, Annemarie

Contributors dc:contributor

• Holly Powell Kennedy

• cesarean delivery, defensive maternity practice, electronic fetal monitoring, physiologic birth, team based care

Repository record dc:identifier

https://elischolar.library.yale.edu/ysndt/1065

OAI identifier oai:identifier

oai:elischolar.library.yale.edu:ysndt-1064