Journal article
Disaster in pregnancy: Midwifery continuity positively impacts infant neurodevelopment, QF2011 study
BMC pregnancy and childbirth, Vol.18, 309
2018
Abstract
Background: Research shows that continuity of midwifery carer in pregnancy improves maternal and neonatal outcomes. This study examines whether midwifery group practice (MGP) care during pregnancy affects infant neurodevelopment at 6-months of age compared to women receiving standard hospital maternity care (SC) in the context of a natural disaster. Methods: This prospective cohort study included 115 women who were affected by a sudden-onset flood during pregnancy. They received one of two models of maternity care: MGP or SC. The women's flood-related objective stress, subjective reactions, and cognitive appraisal of the disaster were assessed at recruitment into the study. At 6-months postpartum they completed the Ages and Stages Questionnaire (ASQ-3) on their infants' communication, fine and gross motor, problem solving, and personal-social skills. Results: Greater maternal objective and subjective stress predicted worse infant outcomes. Even when controlling for maternal stress from the flood, infants of mothers who were in the MGP model of maternity care performed better than infants of mothers in SC on two of the five ASQ-3 domains (fine motor and problem solving) at 6-months of age. Furthermore, infants in the SC model were more likely to be identified as at risk for delayed development on these domains than infants in the MGP model of care. Conclusions: Continuity of midwifery care has positive effects on infant neurodevelopment when mothers experience disaster-related stress in pregnancy, with significantly better outcomes on two developmental domains at 6months compared to infants whose mothers received standard hospital care.
Details
- Title
- Disaster in pregnancy: Midwifery continuity positively impacts infant neurodevelopment, QF2011 study
- Authors
- Gabrielle Simcock (Author) - University of QueenslandS Kildea (Author) - University of QueenslandS Kruske (Author) - Institute of Urban Indigenous HealthD P Laplante (Author) - University of QueenslandG Elgbeili (Author) - Douglas Mental Health Institute, CanadaS King (Author) - Douglas Mental Health Institute, Canada
- Publication details
- BMC pregnancy and childbirth, Vol.18, 309; 9
- Publisher
- BioMed Central Ltd.
- Date published
- 2018
- DOI
- 10.1186/s12884-018-1944-5
- ISSN
- 1471-2393; 1471-2393
- Copyright note
- Copyright © The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
- Organisation Unit
- University of the Sunshine Coast, Queensland; Thompson Institute
- Language
- English
- Record Identifier
- 99451430102621
- Output Type
- Journal article
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- Obstetrics & Gynecology
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