In this paper, we discuss midwifery led units (MLUs) in the global maternal health context as a strategic way to offer women-centered care and maximize the health outcomes of women and infants. Bauer Media Group consists of: Bauer Consumer Media Ltd, Company number: 01176085,  Bauer Radio Ltd, Company Number: 1394141 Registered Office: Media House, Peterborough Business Park, Lynch Wood, Peterborough, PE2 6EA H Bauer Publishing, Company Number: LP003328 Registered Office: Academic House, 24-28 Oval Road, London, NW1 7DT. Midwifery Led Unit review due. In high-income countries, MLUs offer a respite from the medicalization of childbirth that has gradually worsened, such as in Switzerland, where over 30% of births are now delivered by cesarean. Purpose: To promote global investment in MLUs by describing the benefits, current advances and future directions of this model of care. J Matern Fetal Neonatal Med. DOI: http://doi.org/10.5334/aogh.2794, Edmonds JK, Ivanof J, Kafulafula U. Midwife Led Units: Transforming Maternity Care Globally. BMC Pregnancy Childbirth. Planning for a baby can get expensive, so start your Amazon baby wishlist now to keep everything in one place and spread the cost. Ensuring that all midwives have core competencies for practice is essential to realizing three global health initiatives: WHO’s Global Strategy for Women’s, Children’s and Adolescent’s Health 2016–2030, the Sustainable Development Goals and Universal Health Care Coverage by 2030 [5]. When labour starts, your body produces oxytocin, which shapes the frequency, length and strength of your contractions. A recent WHO report outlines a seven-step action plan to strengthen the quality of midwifery education to these international standards [4]. There is a critical need to examine MLUs in low- and middle-income countries where 99% of global maternal and neonatal deaths continue to occur. Whether you go for a tour or just check out their websites, do some research and look into the following areas: If you fit the criteria for giving birth in that particular midwife-led unit. Global Standards for Midwifery Education. Midwife Led Units: Transforming Maternity Care Globally. DOI: https://doi.org/10.1016/S0140-6736(16)31472-6, Keating A, Fleming VE. Many women can labour and give birth without any medical intervention and enjoy the calm safe environment the MLU provides. Strengthening quality midwifery education for Universal Health Coverage 2030: Framework for action. 2017; 17(1): 210. In contrast, freestanding midwifery units are geographically separate from the hospital obstetric unit and women must transfer via ambulance or vehicle in the event of complications in labor [12]. Disqus. A team of midwives, supported by healthcare assistants, run the unit. Conclusion: Renewed commitment to research and the implementation of MLUs across a variety of settings is needed to address the practice, education and policy issues associated with this evidence-based strategy. Year of the Nurse and the Midwife. You have to be 37 weeks to deliver here.’. We've now pulled all of our experience and expertise together to bring you the Mother&Baby Gold Collection of mattresses, which have been designed to give your baby the best night's sleep possible. Midwifery. DOI: https://doi.org/10.1136/bmjgh-2016-000096, Hermus MA, Boesveld IC, Hitzert M, et al. 2016; 29(5): 407–415. This means they can quickly transfer to the medical labour ward if they want an epidural or if there is a complication. Notably, the global shift from home to facility-based care, that drove the relative success of Millennium Development Goal 5, had the unintended consequence of increasing unnecessary and costly interventions beyond the amount needed to reduce mortality. DOI: https://doi.org/10.1002/14651858.CD004667.pub5, Betran AP, Temmerman M, Kingdon C, et al. Accordingly, MLUs also provide a space within which midwives can practice to their fullest potential with more professional autonomy than in a traditional obstetric setting [13]. It opened a midwife-led ward in December 2013 which, in its first year, handled 530 births. Accessed January 15, 2020. Midwife-led units (MLUs) are one example of how the midwifery model of care is being integrated into existing health systems to transform maternal health around the world. The unit is run by midwives and offers you a calm environment to deliver your baby with your chosen birth partner(s) and midwife. QECH has provided space within its existing infrastructure for the MLU and a memorandum of understanding has been signed between the university and hospital. It is one extreme in maternity care, with “too little, too late” at the other extreme. Clinical guidelines, policies and procedures for the ward are complete. If your pregnancy is low risk, using the midwife-led ward is offered as an option. The ethos of birth centres is to treat labour and birth as a straightforward, normal thing to happen, rather than a risky event (NCT, 2011). Women and healthcare providers’ perceptions of a midwife-led unit in a Swiss university hospital: A qualitative study.

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