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Related Experiment Video

Updated: Jul 16, 2025

Author Spotlight: In Vitro Endometrial Models to Study Epithelial-Stroma and Embryo Interactions
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Two Pregnancy Care Models in Poland-A Descriptive-Comparative Study.

Marta Gallas1, Aleksandra Gaworska-Krzemińska1, Katarzyna Pogorzelczyk2

  • 1Institute of Nursing and Midwifery, Department of Nursing Management, Medical University of Gdansk, M. Sklodowskiej-Curie Street 3a, 80-227 Gdansk, Poland.

Clinics and Practice
|September 22, 2023
PubMed
Summary

The Coordinated Care for Pregnant Women Program (CCP) significantly improved pain management and midwife assistance during childbirth compared to the traditional model. Women in the CCP reported higher satisfaction and a greater desire to return for future births.

Keywords:
caremidwifemodelpregnancyqualitysatisfaction

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Area of Science:

  • Maternal Health
  • Healthcare Systems Research
  • Public Health Policy

Background:

  • The World Health Organization (WHO) advocates for increased research into health systems to optimize healthcare delivery.
  • Effective management of healthcare systems is crucial for providing high-quality services within financial constraints.
  • Different organizational models of prenatal care exist, impacting patient outcomes and satisfaction.

Purpose of the Study:

  • To compare the effectiveness and patient satisfaction of the Coordinated Care for Pregnant Women Program (CCP) against the traditional model of care (TM).
  • To evaluate key aspects of maternal and infant care, including pain management, midwife assistance, and patient return intentions.
  • To identify areas for improvement in prenatal care systems in Poland.

Main Methods:

  • A diagnostic survey was conducted on a large cohort of Polish women.
  • 1697 women in the traditional care model (TM) and 3216 women in the Coordinated Care for Pregnant Women Program (CCP) participated.
  • Data were collected using a National Health Fund survey and an author-developed survey.

Main Results:

  • 85% of CCP participants received effective pain management versus 67% in TM (p < 0.001).
  • Midwife assistance in infant care was higher in CCP (90%) compared to TM (60%) (p < 0.001).
  • Significantly more CCP patients (74%) desired to return for subsequent childbirth compared to TM patients (43%) (p < 0.001).

Conclusions:

  • The Coordinated Care for Pregnant Women Program (CCP) demonstrates superior patient satisfaction and care quality compared to the traditional model.
  • Continued education is needed to inform women about the roles of obstetrician-gynecologists and midwives in pregnancy management.
  • Enhancing pain management options and analgesia availability in Polish hospitals remains a critical area for improvement.