Implementation and evaluation of the WHO maternity care model: a convergent parallel mixed-methods study protocol

Area of Science:

• Maternal Health
• Obstetrics
• Public Health

Background:

• The World Health Organization (WHO) emphasizes intrapartum care for respectful, personalized, and women-centered services.
• Negative childbirth experiences can lead to mental disorders and increased cesarean section rates.

Purpose of the Study:

• To investigate the effectiveness of the WHO's intrapartum care model.
• To assess the impact of the WHO model on women's childbirth experiences and mental well-being.

Main Methods:

• Convergent parallel mixed-methods study with quasi-experimental and qualitative phases.
• 108 pregnant women randomized to WHO model intervention or routine care.
• Data collection includes validated questionnaires (DFS, CEQ 2.0, EPDS, PTSD SS) and qualitative interviews.

Main Results:

• Quantitative data on delivery fear, childbirth experience, postpartum depression, and PTSD will be collected.
• Qualitative data will explore mothers' subjective views on the WHO model's impact.
• Combined analysis of quantitative and qualitative findings.

Conclusions:

• The WHO intrapartum care model is expected to prevent mental health disorders associated with negative childbirth experiences.
• Implementation may help control the rise in cesarean sections.
• This model promotes a more positive and centered birthing experience.