Achievements and Challenges in the Development of a Nurse-Led Respectful Delivery Care Model Provided by Partners in Health in Rural Mexico.
Gustavo Nigenda, Mariana Montaño, Zeus Aranda and 7 others
PMID 39439405WHAT IT FOUND
In rural Mexico, a nurse-led birthing center increased free birth position use from 20% to 71% and companion presence from 7% to 80%.
Episiotomy rates dropped from 22% to 4%. These changes occurred without a significant rise in adverse events.
Key findings
01Respectful care indicators such as free birth position and companion presence showed significant increases over the study period.
02The rate of episiotomy decreased significantly from 22% to 4%.
03Provider-related adverse events and newborn care complications remained very low throughout the period.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
The study is observational and cannot prove that the nurse-led model caused the improvements in care practices. The sample was self-selected, so the results may not apply to all women in the region. Data collection periods varied for different indicators, making some comparisons difficult. Staff turnover and training cycles for nursing interns may have influenced the trends observed over time.
Declared interests
The authors declare no conflicts of interest.
The easy way to misread this
Do not interpret the improvements in respectful care indicators as proof that the nurse-led model is superior to other models. This was an observational study without a control group, so other factors, such as changing hospital policies or staff training, could explain the trends.