Table 3.
Study author and title | Type of intervention | Intervention details | Outcomes (Person-centered care (PCC), labor and delivery, perinatal, mental health) | |
---|---|---|---|---|
Person-centered Objective: Autonomy | ||||
1. | Brown, 2015 | Autonomy | Systematic review and meta-analysis of RCTs of women-held case records, thematic analysis of qualitative data Sample size: 21 |
PCC Outcomes: Improved communication with providers, especially shared communication. |
2. | De Koninck | Autonomy | Intervention: Continuity midwifery model implemented into birth centers that employed 3–6 midwives to provide care to one woman through prenatal, birth, and postpartum. Where: Canada Population: Pregnant women Study design: Intervention and matched controls Sample size: 10 |
PCC Outcomes: Improved communication with continuity midwifery model. Women reported holding back questions during rushed doctor visits. Continuity midwifery clients reported feeling respected and more humanized. |
3. | Horey, 2015 | Autonomy | Systematic review and meta-analysis of RCTs involving decision support for women with a prior caesarean, narrative synthesis of qualitative data. Sample size: 84 |
PCC Outcomes: Perceived benefits to having choices and information, but only information in appropriate context of risk and benefits. |
4. | Walsh, 1999 | Autonomy | Intervention: Continuity midwifery Where: England Population: Multiparous women Study Design: Ethnographic interviews Sample size: 10 |
PCC Outcomes: Women valued having continuity because it was easier to feel comfortable and ask questions. Felt empowered in labor. |
Person-centered Objective: Supportive Care | ||||
5. | Kildea, 2012 | Supportive Care | Intervention: Specialist antenatal clinic for Australian Aboriginal and Torres Strait Islander women. Where: Australia Population: Australian Aboriginal and Torres Strait Islander women Study Design: A triangulation mixed-methods approach (including individual and focus group interviews; surveys) Sample size: 19 |
PCC Outcomes: Appreciated flexible drop-in schedule of the clinic. |
6. | Stapleton, 2013 | Supportive Care | Intervention: Specialty antenatal clinic for women from refugee backgrounds. Where: Australia Population: Women from refugee backgrounds Study Design: mixed-methods, data from hospital databases, a chart audit, surveys and interviews with service users, providers and stakeholders Sample size: 10 |
PCC Outcomes: Women appreciated the continuity model because it saved them time with translation; they didn’t have to repeat conversations. |
Person-centered Objective: Social support | ||||
7. | Hazard, 2009 | Social Support | Intervention: Hispanic Labor Friends assisted women with communication with healthcare providers and emotional/physical Where: United States Population: Hispanic immigrant women Study Design: Descriptive qualitative inquiry Sample size: 21 |
PCC Outcomes: Women appreciated having the linguistic and cultural connection with Hispanic doulas. Women reported better informed consent. |
8. | Herrman, 2012 | Social Support | Intervention: Group ANC Where: United States Population: Pregnant women Study Design: A thematic and iterative analysis Sample size: 33 |
PCC Outcomes: Felt respected. Felt more informed by drawing from other women’s experiences. |
9. | Risisky, 2013 | Social Support | Intervention: Group ANC Where: United States Population: Pregnant women Study Design: Thematic analysis Sample size: 10 |
PCC Outcomes: Women reported richer information sharing in the group environment |