IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v21y2024i5p629-d1395351.html
   My bibliography  Save this article

Intrapartum Quality of Care among Healthy Women: A Population-Based Cohort Study in an Italian Region

Author

Listed:
  • Simona Fumagalli

    (School of Medicine and Surgery, University of Milano Bicocca, 20900 Monza, Italy
    Department of Obstetrics, Foundation IRCCS San Gerardo dei Tintori, 20900 Monza, Italy)

  • Antonella Nespoli

    (School of Medicine and Surgery, University of Milano Bicocca, 20900 Monza, Italy
    Department of Obstetrics, Foundation IRCCS San Gerardo dei Tintori, 20900 Monza, Italy)

  • Maria Panzeri

    (School of Medicine and Surgery, University of Milano Bicocca, 20900 Monza, Italy)

  • Edda Pellegrini

    (Maternal and Child Committee, Lombardy Region, 20124 Milan, Italy)

  • Michele Ercolanoni

    (ARIA, 20124 Milan, Italy)

  • Paul Stefan Vrabie

    (ARIA, 20124 Milan, Italy)

  • Olivia Leoni

    (Welfare Department, Epidemiologic Observatory, Lombardy Region, 20124 Milan, Italy)

  • Anna Locatelli

    (School of Medicine and Surgery, University of Milano Bicocca, 20900 Monza, Italy
    Department of Obstetrics, Foundation IRCCS San Gerardo dei Tintori, 20900 Monza, Italy)

Abstract

Although the quality of care during childbirth is a maternity service’s goal, less is known about the impact of the birth setting dimension on provision of care, defined as evidence-based intrapartum midwifery practices. This study’s aim was to investigate the impact of hospital birth volume (≥1000 vs. <1000 births/year) on intrapartum midwifery care and perinatal outcomes. We conducted a population-based cohort study on healthy pregnant women who gave birth between 2018 and 2022 in Lombardy, Italy. A total of 145,224 (41.14%) women were selected from nationally linked databases. To achieve the primary aim, log-binomial regression models were constructed. More than 70% of healthy pregnant women gave birth in hospitals (≥1000 births/year) where there was lower use of nonpharmacological coping strategies, higher likelihood of epidural analgesia, episiotomy, birth companion’s presence at birth, skin-to-skin contact, and first breastfeeding within 1 h ( p -value < 0.001). Midwives attended almost all the births regardless of birth volume (98.80%), while gynecologists and pediatricians were more frequently present in smaller hospitals. There were no significant differences in perinatal outcomes. Our findings highlighted the impact of the birth setting dimension on the provision of care to healthy pregnant women.

Suggested Citation

  • Simona Fumagalli & Antonella Nespoli & Maria Panzeri & Edda Pellegrini & Michele Ercolanoni & Paul Stefan Vrabie & Olivia Leoni & Anna Locatelli, 2024. "Intrapartum Quality of Care among Healthy Women: A Population-Based Cohort Study in an Italian Region," IJERPH, MDPI, vol. 21(5), pages 1-12, May.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:5:p:629-:d:1395351
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/21/5/629/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/21/5/629/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Cristina Canova & Anna Cantarutti, 2020. "Population-Based Birth Cohort Studies in Epidemiology," IJERPH, MDPI, vol. 17(15), pages 1-6, July.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Munum Hassan & Kinza Saif & Muhammad Saad Ijaz & Zouina Sarfraz & Azza Sarfraz & Karla Robles-Velasco & Ivan Cherrez-Ojeda, 2023. "Mean Temperature and Drought Projections in Central Africa: A Population-Based Study of Food Insecurity, Childhood Malnutrition and Mortality, and Infectious Disease," IJERPH, MDPI, vol. 20(3), pages 1-21, February.
    2. Bukola G. Olutola & Paulina Phoobane, 2023. "A Bibliometric Analysis of Literature on Prenatal Exposure to Air Pollution: 1994–2022," IJERPH, MDPI, vol. 20(4), pages 1-14, February.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:21:y:2024:i:5:p:629-:d:1395351. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.