13 research outputs found
Caring to make a difference with vulnerable women: the impact of targeted support on birth-related outcomes and experiences
We report findings from a mixed-methods study to compare
birth outcomes and experiences between vulnerable women
who had or had not received targeted support from a
specialist midwifery team and/or a third-sector organisation. Sociodemographic and birth-related outcome data from a
12-month birth cohort were used to explore differences
between a) vulnerable and non-vulnerable women; and b)
vulnerable women who had and those who had not received
targeted support. Seventeen women who had or had not
received targeted support were interviewed. Vulnerable
mothers were significantly more likely to be younger, from a
minority ethnic group, access care later in pregnancy and
have a baby born earlier and at a lower birth weight. A higher
percentage of women who received targeted support had a
spontaneous birth, a vaginal presentation at birth and were
less likely to use anaesthesia during labour when compared
with unsupported vulnerable women. Targeted support was
associated with reassurance, increased parental confidence
and wellbeing. Key practice and policy-based implications are
considered