PhD Defence Rekiku Fikre Abebe
Supervisor: Dr. J.S. Gubbels
Co-supervisors: Dr. S.M.P.L. Gerards, Dr. T. Teklesilasie
Keywords: Midwifery-led care, continuum of care, Maternal outcomes, Ethiopia
"The effect of midwifery-led continuum of care to improve maternal and newborn outcomes in Ethiopia"
A study in Ethiopia assessed the impact of midwifery-led continuum of care on maternal and neonatal outcomes. A nonrandomized controlled trial in the Sidama region revealed that women receiving midwifery-led continuum of care experienced higher rates of spontaneous vaginal birth, reduced cesarean sections, and lower preterm birth rates compared to those in shared care. This model shows promise for addressing Ethiopia's high maternal and newborn mortality rates. Additionally, the study found that midwifery-led care significantly improved maternal satisfaction during antenatal, intrapartum, and postpartum periods. Women valued their involvement in decision-making, appreciated the information provided by midwives, and emphasized the importance of strong relationships with their caregivers. Prioritizing maternal satisfaction through supportive and informative care not only enhances the healthcare experience but also contributes to better health outcomes in low-resource settings.
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