Integrative review on midwives' practices in prenatal care
Nessipbekova, Galiya (2020)
Nessipbekova, Galiya
2020
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https://urn.fi/URN:NBN:fi:amk-2020082519856
https://urn.fi/URN:NBN:fi:amk-2020082519856
Tiivistelmä
Background: Midwifery care affects all levels of medical care for women. Prenatal midwives not only satisfy the physical, emotional, psychosocial needs of pregnant women, they also establish good relationships with patients and their families by providing safe, compassionate, competent, and ethical care. Aim: To analyze the midwives’ independent, dependent, and collaborative roles and methods in prenatal care. Design: An integrative review was conducted. The CINAHL Plus (EBSCO) Full Text was searched between 2012-2020. Methods: Out of 87 original publications, 9 fulfilled the inclusion criteria. The Joanna Briggs Institute critical appraisal tools were applied to assess the quality of articles. Data were analyzed by a thematic analysis method. Results: The analysis revealed four main independent roles and three independent midwifery methods. The identified roles of midwives included: ensuring human rights with warm individual approach; preparing women for childbirth and recognizing pregnancyrelated needs/expectations; psychological support; women's advice and motivation. The following independent midwifery methods were identified from the data: health methods; health promotion methods; methods for solving the mental health problems of pregnant women encouraging pregnant women to their choice. Conclusion: A strong emphasis should be put on independent roles and methods of Kazakhstani prenatal midwives, which in turn will contribute to the formation of separate and independent midwifery care. An independent and developed prenatal midwifery is a guarantee of normal birth rates and a decrease in maternal mortality, as well as an opportunity for professional growth for midwives.