Continuity of care on the health of mothers and child in the postnatal period through an Obstetric Clinic's experience.

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OBJECTIVE To establish and implement a women-centred continuity of midwifery care service specifically focused on urogynecological conditions. DESIGN Observational study was conducted. SETTING R. Guzzardi Hospital – Vittoria (Italy) POPULATION 441 women received midwifery care in the first 40 days after childbirth. The target population consisted of low-risk mothers and newborns who delivered in our hospital during January and December 2022. METHODS . 122 quantitative variables were extracted. A preliminary statistical analysis was conducted, allowing us to describe our sample of women and the results obtained during the first and second check-ups for comparison. Subsequently, using the statistical software, it was possible to correlate the variables, identifying those that were statistically significant. MAIN OUTCOME MEASURES Improved pelvic floor function, reduced urinary incontinence, and enhanced postnatal care continuity, particularly for immigrant women. RESULTS The cesarean section is associated with a high score in the pelvic-perineal assessment (p value = 0.0069). Higher values of lacerations and/or episiotomy were recorded in induced deliveries (p value= 0.0097). Urgency urinary incontinence, and stress urinary incontinence, are associated with a pelvic floor with poor tone and functionality (I assessment: p value = 0,00371) (II assessment: p value 8.843 e-06). Over 10% of women with urinary disorders at the first check-up achieved complete recovery, while the remaining 4% persisted with urogynaecology symptoms. The tone and functionality of the pelvic floor improved in 15% of cases initially marked by a low score. CONCLUSION Midwife-led care improves women’s well-being and empowerment, particularly in postpartum urogynaecological health, supporting recovery and personal development.
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Continuity of care on the health of mothers and child in the postnatal period through an Obstetric Clinic's experience. | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL This is a preprint and has not been peer reviewed. Data may be preliminary. 14 February 2025 V1 Latest version Share on Continuity of care on the health of mothers and child in the postnatal period through an Obstetric Clinic's experience. Authors : P. Consiglio [email protected] , M. Billeri , R. Giammanco , V. Iozzia , C. Careri , G. Gintoli , R. Giurdanella , E. Scrofani , and P.G. Turtulici Authors Info & Affiliations https://doi.org/10.22541/au.173953879.94193207/v1 199 views 109 downloads Contents Abstract Supplementary Material Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract OBJECTIVE To establish and implement a women-centred continuity of midwifery care service specifically focused on urogynecological conditions. DESIGN Observational study was conducted. SETTING R. Guzzardi Hospital – Vittoria (Italy) POPULATION 441 women received midwifery care in the first 40 days after childbirth. The target population consisted of low-risk mothers and newborns who delivered in our hospital during January and December 2022. METHODS . 122 quantitative variables were extracted. A preliminary statistical analysis was conducted, allowing us to describe our sample of women and the results obtained during the first and second check-ups for comparison. Subsequently, using the statistical software, it was possible to correlate the variables, identifying those that were statistically significant. MAIN OUTCOME MEASURES Improved pelvic floor function, reduced urinary incontinence, and enhanced postnatal care continuity, particularly for immigrant women. RESULTS The cesarean section is associated with a high score in the pelvic-perineal assessment (p value = 0.0069). Higher values of lacerations and/or episiotomy were recorded in induced deliveries (p value= 0.0097). Urgency urinary incontinence, and stress urinary incontinence, are associated with a pelvic floor with poor tone and functionality (I assessment: p value = 0,00371) (II assessment: p value 8.843 e-06). Over 10% of women with urinary disorders at the first check-up achieved complete recovery, while the remaining 4% persisted with urogynaecology symptoms. The tone and functionality of the pelvic floor improved in 15% of cases initially marked by a low score. CONCLUSION Midwife-led care improves women’s well-being and empowerment, particularly in postpartum urogynaecological health, supporting recovery and personal development. Supplementary Material File (postnatal clinic__manuscript bjog v.02.docx) Download 59.28 KB Information & Authors Information Version history V1 Version 1 14 February 2025 Copyright This work is licensed under a Non Exclusive No Reuse License. Keywords delivery: assisted vaginal delivery: caesarean section delivery: perineal care general obstetrics pelvic pain perineal trauma puerperium Authors Affiliations P. Consiglio [email protected] Azienda Sanitaria Provinciale di Ragusa View all articles by this author M. Billeri Azienda Sanitaria Provinciale di Ragusa View all articles by this author R. Giammanco Azienda Sanitaria Provinciale di Ragusa View all articles by this author V. Iozzia Azienda Sanitaria Provinciale di Ragusa View all articles by this author C. Careri Azienda Sanitaria Provinciale di Ragusa View all articles by this author G. Gintoli Azienda Sanitaria Provinciale di Ragusa View all articles by this author R. Giurdanella Azienda Sanitaria Provinciale di Ragusa View all articles by this author E. Scrofani Azienda Sanitaria Provinciale di Ragusa View all articles by this author P.G. Turtulici Azienda Sanitaria Provinciale di Ragusa View all articles by this author Metrics & Citations Metrics Article Usage 199 views 109 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation P. Consiglio, M. Billeri, R. Giammanco, et al. Continuity of care on the health of mothers and child in the postnatal period through an Obstetric Clinic's experience.. Authorea . 14 February 2025. DOI: https://doi.org/10.22541/au.173953879.94193207/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . 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