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“Midwife Polyclinic” Service Model: An Example of Good Clinical Practice from the Capital of Türkiye”

Yıl 2025, Cilt: 7 Sayı: 2, 110 - 129, 10.06.2025
https://doi.org/10.57224/jhpr.1625061

Öz

The World Health Organization envisions a world where every pregnant woman and newborn receives quality care throughout pregnancy, delivery, and the postpartum period. Midwives are the primary care providers in many antenatal care settings. Healthcare providers emphasize the midwife-led continuity of care model as a way to establish a positive, trusting, and empathetic relationship with pregnant women. In many countries, midwives and obstetric nurses tend to provide relatively high levels of contact and continuity of care with pregnant women compared to other health professionals. In this study, the aim is to present how midwife polyclinics should be established and their functions by presenting them in light of international literature and guidelines and by synthesizing them within the scope of evidence-based practices and to present an application example (model) that can be used at national and international levels by introducing the sample midwife polyclinic service project established within the Ankara Etlik Zübeyde Hanım Gynecology and Obstetrics Training and Research Hospital.

Kaynakça

  • Janke TM, Makarova N, Schmittinger J, Ebinghaus M, Blome C, Zyriax BC. Women's needs and expectations in midwifery care–Results from the qualitative MiCa (midwifery care) study. Part 1: Preconception and pregnancy. Heliyon. 2024;10(4): e25862. doi:10.1016/j.heliyon.2024.e25862
  • Bahri Khomami M, Walker R, Kilpatrick M, de Jersey S, Skouteris H, Moran LJ. The role of midwives and obstetrical nurses in the promotion of healthy lifestyle during pregnancy. Ther Adv Reprod Health. 2021 Aug 6;15:26334941211031866. doi: 10.1177/26334941211031866.
  • Okafor UB, Goon DT. Providing physical activity education and counseling during pregnancy: A qualitative study of midwives' perspectives. Niger J Clin Pract. 2021; 24(5):718-728.
  • NICE(National Institute for Care and Health Excellence). Intrapartum care for healthy women and babies. 2014. Available from: https://www.nice.org.uk/guidance/cg190. Erişim Tarihi: 15.12.2024.
  • WHO (World Health Organization). Standards for improving quality of maternal and new- born care in health facilities. 2016a. Available from: http://www.who.int/maternal_child_adolescent/documents/improving-maternal-newborn-care-quality/en/. Erişim Tarihi: 15.12.2024.
  • WHO (World Health Organization). WHO recommendations: intrapartum care for a positive childbirth experience. 2018. Available from: http://www.ncbi.nlm.nih.gov/books/NBK513809/ Erişim Tarihi: 15.12.2024.
  • Batinelli L, Thaels E, Leister N, McCourt C, Bonciani M, Rocca-Ihenacho L. What are the strategies for implementing primary care models in maternity? A systematic review on midwifery units. BMC Pregnancy Childbirth. 2022; 22:123 https://doi.org/10.1186/s12884-022-04410-x.
  • Souto SPAD, Silva RCGD, Prata AP, Guerra MJ, Couto C, Albuquerque RS. Midwives’ interventions for reducing fear of childbirth in pregnant women: a scoping review. JBI Evidence Synthesis. 2022; 20(12):2867-2935. doi: 10.11124/JBIES-21-00382.
  • Hollowell J, Puddicombe D, Rowe R, Linsell L, Hardy P, Stewart M, et al. The Birthplace national prospective cohort study: perinatal and maternal outcomes by planned place of birth BMJ. 2011;23:343:d7400. doi: 10.1136/bmj.d7400. Available from: http://openaccess.city.ac.uk/3650/1/Birthplace_Clinical_Report_SDO_FR4_08-1604-140_V03.pdf.Erişim Tarihi: 15.12.2024.
  • Scarf VL, Rossiter C, Vedam S, Dahlen HG, Ellwood D, Forster D, et al. Maternal and perinatal outcomes by planned place of birth among women with low-risk pregnancies in high-income countries: a systematic review and meta-analysis. Midwifery. 2018;1(62):240-255.
  • Yu S, Fiebig DG, Scarf V, Viney R, Dahlen HG, Homer C. Birth models of care and intervention rates: the impact of birth centres. Health Policy. 2020;124(12):1395-1402.
  • Sağıroğlu E, Esencan, TY. Farklı ülkelerde uygulanan ebelik hizmet modelleri. Sağlık ve Toplum 2024;34 (3):11-20.
  • Amelink-Verburg MP, Buitendijk, SE. Pregnancy and labour in the Dutch mater-nity care system: what is normal? The role division between midwives and obstetricians. Journal of Midwifery & Women’s Health. 2010;55(3):216–225. doi:10.1016/j.jmwh.2010.01.00.
  • Remvik-Larsen L, Gran AMW, Dahl, B. Midwives’ experiences of facilitating nor- mal birth in midwifery-led units in Norway: A qualitative study. European Journal of Midwifery. 2023;7:1-8. https://doi.org/10.18332/ejm/173388
  • Maternity care in different countries midwife’s contribution. Available from: https://www.researchgate.net/publication/301496735_Maternity_care_in_different_countries_Midwife's_contribution. Erişim Tarihi: 05.04.2025.
  • Ekawati FM, Widyasari A, Rahmi HRA, Ame CGP, Tuteja A. Core recommendations of effective preconception counselling services in low-and-middle-income countries–A scoping review. Sex ReprodHealthc. 2024;41:101005. https://doi.org/10.1016/j.srhc.2024.101005.
  • Maas VY, Poels M, Hölscher IM, van Vliet-Lachotzki EH, Franx A, Koster MP. How to improve preconception care in a local setting? Views from Dutch multi- disciplinary healthcare providers. Midwifery. 2022;107:103274. doi: 10.1016/j.midw.2022.103274.
  • Skogsdal Y. Preconception health in Sweden: The impact of lifestyle factors and the role of midwife’s counselling. Doctoral thesis, Örebro University. 2021:81. Available from: https://oru.diva-portal.org/smash/record.jsf?pid=diva2%3A1535519&dswid=-1555. Erişim Tarihi: 18.12.2024.
  • Abayomi JC, Charnley MS, Cassidy L, Mccann MT, Jones J, Wright M, Newson LM. A patient andpublic involvement investigation into healthy eating and weight management advice during pregnancy. Int J Qual Health Care 2020;32 (1):28-34.
  • Karataş Baran G, Kose C, Ustun Y. Validity and Reliability Study of the Questionnaire on Communicating Bad News for Healthcare Professionals Adapted into Turkish. Journal of Nursology. 2024;27(3):248-258. doi:10.17049/jnursology.1424868.
  • WHO(World Health Organization). Preconception Care: Report of a regional expert group consultation. 2013. Available from: https://iris.who.int/bitstream/handle/10665/205637/B5124.pdf?sequence=1. Erişim Tarihi: 05.04.2025.
  • WHO(World Health Organization). Preconception care: maximizing the gains for maternal and child health. A Policy Brief. 2013. Available from: https://cdn.who.int/media/docs/default-source/mca-documents/maternal-nb/preconception_care_presentation_slides.pdf?sfvrsn=c2a5dde6_5. Erişim Tarihi: 15.12.2024.
  • Homer CSE, Friberg IK, Dias MAB, ten Hoope-Bender P, Sandall J, Speciale AM, et al. The projected effect of scaling up midwifery. Lancet. 2014;384(9948):1146–1157.
  • Sandall J, Soltani H, Gates S, Shennan A, Devane D. Midwife-led continuity models versus other models of care for childbearing women. Cochrane Database Syst Rev. 2016;4:CD004667. doi: 10.1002/14651858.CD004667. Sandall J, Soltani H, Gates S, Shennan A, Devane D. Midwife led continuity models versus other models of care for childbearing women. Cochrane Database Syst Rev. 2016 Apr 28;4(4):CD004667. doi: 10.1002/14651858.CD004667.
  • ACOG (American College of Obstetricians and Gynecologists) Committee Opinion No. 762: Prepregnancy counseling. Obstet Gynecol 2019;133(01):e78–e89. https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2019/01/prepregnancy-counseling. Erişim Tarihi: 16.12.2024.
  • NICE (National Institute for Health Care and Excellence). Pre-conception - advice and management. 2019. Available from: https://cks.nice.org.uk/pre-conception-advice-and-management#!topicsummary.Erişim Tarihi: 16.12.2024.
  • RANZCOG (Royal Australian and New Zealand College of Obstetricians and Gynaecologists). Pre-pregnancy Counselling (CObs3a). Melbourne;2017. Available from: https://ranzcog.edu.au/wp-content/uploads/Pre-Pregnancy-Counselling.pdf. Erişim Tarihi: 16.12.2024.
  • American Academy of Family Physicians. Preconception Care (Position Paper) 2015. Available from:https://www.aafp.org/about/policies/all/preconception-care.html. Erişim Tarihi: 15.12.2024.
  • WHO (World Health Organization). WHO recommendations on antenatal care for a positive pregnancy experience WHO recommendations on antenatal care for a positive pregnancy experience. 2016b. Available from: https://www.who.int/publications/i/item/WHO-RHR-18.02#:~:text=The%20recommended%20interventions%20span%20five,utilization%20and%20quality%20of%20ANC. Erişim Tarihi: 15.12.2024.
  • Özerdoğan N. Prekonsepsiyonel Bakımda Güncel Yaklaşımlar. Türkiye Klinikleri Doğum-Kadın Sağlığı ve Hastalıkları Hemşireliği - Özel Konular. 2023. Available from: https://www.turkiyeklinikleri.com/journal/dogum-kadin-sagligi-ve-hastaliklari-hemsireligi-ozel-konular/446/issue/2023/9/2-0/prekonsepsiyonel-bakimda-guncel-yaklasimlar/tr-index.html.
  • T.C. Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü Kadın ve Üreme Sağlığı Dairesi Başkanlığı. Doğum öncesi bakım yönetim rehberi. 2018. Available from: https://hsgm.saglik.gov.tr/tr/?option=com_sppagebuilder&view=page&id=63. Erişim Tarihi: 15.12.2024.
  • Shamsabadi A, Qaderi K, Mirzapour P, Mojdeganlou H, Mojdeganlou P, Pashaei Z, et al. Telehealth systems for midwifery care management during the COVID-19 pandemic: a systematic review. Journal of Iranian Medical Council. 2023;6(2):240-250.
  • Fikre R, Gubbels J, Teklesilasie W, Gerards S. Effectiveness of midwifery-led care on pregnancy outcomes in low- and middle-income countries: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2023 May 26;23(1):386. doi: 10.1186/s12884-023-05664-9.
  • Overgaard C, Møller AM, Fenger-Grøn M, Knudson LB, Sandall J. Freestanding midwifery unit versus obstetric unit: A matched cohort study of outcomes in low-risk women. BMJ Open. 2011;1:e000262. https://doi.org/10.1136/bmjopen-2011-000262.
  • Agusta NS, Astuti AW. Implementation of Preconception Care: A Scoping Review. Women, Midwives and Midwifery. 2025;5(1);59-73. https://doi.org/10.36749/wmm.5.1.59-73.2025
  • Bagheri A, Simbar M, Samimi M, Nahidi F, Alavimajd H, Sadat Z. Comparing the Implications of Midwifery-Led Care and Standard Model on Maternal and Neonatal Outcomes during Pregnancy, Childbirth and Postpartum. J Midwife Reprod Health. 2021;9(3):2863-2072. https://doi.org/10.22038/jmrh.2021.55639.1678.
  • Jiang XM, Chen QY, Guo SB, Jin LZ, Huang XX, Liu XW, Hong JX, Qu HB, Hu RF. Effect of midwife-led care on birth outcomes of primiparas. Int J Nurs Pract. 2018 Dec;24(6):e12686. doi: 10.1111/ijn.12686.
  • Hailemeskel S, Alemu K, Christensson K, Tesfahun E, Lindgren H. Midwife-led continuity of care improved maternal and neonatal health outcomes in north Shoa zone, Amhara regional state, Ethiopia: A quasi-experimental study. Women Birth. 2022 Jul;35(4):340-348. doi: 10.1016/j.wombi.2021.08.008.
  • Rana TG, Rajopadhyaya R, Bajracharya B, Karmacharya M, Osrin D. Comparison of midwifery-led and consultant-led maternity care for low-risk deliveries in Nepal. Health Policy Plan. 2003 Sep;18(3):330-7. doi: 10.1093/heapol/czg039.
  • Attanasio LB, Alarid‐Escudero F, Kozhimannil KB. Midwife‐led care and obstetrician‐led care for low‐risk pregnancies: A cost comparison. Birth. 2020 Mar;47(1):57-66. doi: 10.1111/birt.12464.
  • Rocca-Ihenacho L, Batinelli L, Thaels E, Rayment J, Newburn M, McCourt C. Midwifery UnitStandards. City University of London; 2018. Available from: http://www.midwiferyunitnetwork.org/mu-standards/ Erişim Tarihi: 15.12.2024.
  • ICM (International Confederation of Midwives). Essential Competencies for Midwifery Practice 2024. Available from: https://internationalmidwives.org/resources/essential-competencies-for-midwifery-practice/ . Erişim Tarihi: 05.04.2025.
  • Balçık Çolak M, Öztürk Can H. Ebelikte Yeterlilik, Yetkinlik ve Teknoloji Kullanımı. Turkiye Klinikleri. 2021;6(2):340-349. doi: 10.5336/healthsci.2020-75575.3.
  • McNeill J, Doran J, Lynn F, Anderson G, Fiona Alderdice F. Public health education for midwives and midwifery students: a mixed methods study. BMC Pregnancy Childbirth 2012;12:142.doi:10.1186/1471-2393-12-142
  • Kessler JL and Phillippi JC. Incorporating a primary care practicum in midwifery education. J Midwifery Womens Health. 2015;60:258–262.
  • Bramhall E. Effective communication skills in nursing practice. Nurs Stand 2014;29:53–59.

“Ebe Polikliniği” Hizmet Modeli: Türkiye Başkentinden İyi Klinik Uygulama Örneği”

Yıl 2025, Cilt: 7 Sayı: 2, 110 - 129, 10.06.2025
https://doi.org/10.57224/jhpr.1625061

Öz

Dünya Sağlık örgütü, her gebe kadının ve yenidoğanın gebelik, doğum ve doğum sonrası dönem boyunca kaliteli bakım aldığı bir dünya öngörmektedir. Ebeler, birçok antenatal bakım ortamında birincil bakım sağlayıcılarıdır. Sağlık hizmeti sağlayıcıları, gebe kadınlarla olumlu, güvenilir ve empatik bir ilişki kurmanın bir yolu olarak ebe liderliğindeki bakım sürekliliği modelini vurgulamaktadır. Birçok ülkede, ebeler ve doğum hemşireleri, diğer sağlık profesyonellerine kıyasla gebe kadınlarla nispeten yüksek düzeyde temas ve bakım sürekliliğini sağlama eğilimindedir. Bu çalışmada Anakara Etlik Zübeyde Hanım Kadın Hastalıkları ve Doğum Eğitim ve Araştırma Hastanesi bünyesinde oluşturulan örnek ebe polikliniği hizmet projesinin tanıtımı ile, ebe polikiniklerinin nasıl oluşturulması gerektiğini ve işlevlerini uluslararası literatür ve rehberler ışığında ve kanıta dayalı uygulamalar kapsamında sentezleyerek ortaya koymak ve ulusal ve uluslararası düzeyde kullanılabilecek bir uygulama örneği(modeli) sunmaktır.

Etik Beyan

Kullanılan literatür kaynaklar bölümünde gösterilmiştir.

Destekleyen Kurum

yoktur

Teşekkür

Teşekkür Beyanı: Ebe polikliniği hizmetini yürüten Ebe Çiğdem ALİ’ye teşekkür ederiz.

Kaynakça

  • Janke TM, Makarova N, Schmittinger J, Ebinghaus M, Blome C, Zyriax BC. Women's needs and expectations in midwifery care–Results from the qualitative MiCa (midwifery care) study. Part 1: Preconception and pregnancy. Heliyon. 2024;10(4): e25862. doi:10.1016/j.heliyon.2024.e25862
  • Bahri Khomami M, Walker R, Kilpatrick M, de Jersey S, Skouteris H, Moran LJ. The role of midwives and obstetrical nurses in the promotion of healthy lifestyle during pregnancy. Ther Adv Reprod Health. 2021 Aug 6;15:26334941211031866. doi: 10.1177/26334941211031866.
  • Okafor UB, Goon DT. Providing physical activity education and counseling during pregnancy: A qualitative study of midwives' perspectives. Niger J Clin Pract. 2021; 24(5):718-728.
  • NICE(National Institute for Care and Health Excellence). Intrapartum care for healthy women and babies. 2014. Available from: https://www.nice.org.uk/guidance/cg190. Erişim Tarihi: 15.12.2024.
  • WHO (World Health Organization). Standards for improving quality of maternal and new- born care in health facilities. 2016a. Available from: http://www.who.int/maternal_child_adolescent/documents/improving-maternal-newborn-care-quality/en/. Erişim Tarihi: 15.12.2024.
  • WHO (World Health Organization). WHO recommendations: intrapartum care for a positive childbirth experience. 2018. Available from: http://www.ncbi.nlm.nih.gov/books/NBK513809/ Erişim Tarihi: 15.12.2024.
  • Batinelli L, Thaels E, Leister N, McCourt C, Bonciani M, Rocca-Ihenacho L. What are the strategies for implementing primary care models in maternity? A systematic review on midwifery units. BMC Pregnancy Childbirth. 2022; 22:123 https://doi.org/10.1186/s12884-022-04410-x.
  • Souto SPAD, Silva RCGD, Prata AP, Guerra MJ, Couto C, Albuquerque RS. Midwives’ interventions for reducing fear of childbirth in pregnant women: a scoping review. JBI Evidence Synthesis. 2022; 20(12):2867-2935. doi: 10.11124/JBIES-21-00382.
  • Hollowell J, Puddicombe D, Rowe R, Linsell L, Hardy P, Stewart M, et al. The Birthplace national prospective cohort study: perinatal and maternal outcomes by planned place of birth BMJ. 2011;23:343:d7400. doi: 10.1136/bmj.d7400. Available from: http://openaccess.city.ac.uk/3650/1/Birthplace_Clinical_Report_SDO_FR4_08-1604-140_V03.pdf.Erişim Tarihi: 15.12.2024.
  • Scarf VL, Rossiter C, Vedam S, Dahlen HG, Ellwood D, Forster D, et al. Maternal and perinatal outcomes by planned place of birth among women with low-risk pregnancies in high-income countries: a systematic review and meta-analysis. Midwifery. 2018;1(62):240-255.
  • Yu S, Fiebig DG, Scarf V, Viney R, Dahlen HG, Homer C. Birth models of care and intervention rates: the impact of birth centres. Health Policy. 2020;124(12):1395-1402.
  • Sağıroğlu E, Esencan, TY. Farklı ülkelerde uygulanan ebelik hizmet modelleri. Sağlık ve Toplum 2024;34 (3):11-20.
  • Amelink-Verburg MP, Buitendijk, SE. Pregnancy and labour in the Dutch mater-nity care system: what is normal? The role division between midwives and obstetricians. Journal of Midwifery & Women’s Health. 2010;55(3):216–225. doi:10.1016/j.jmwh.2010.01.00.
  • Remvik-Larsen L, Gran AMW, Dahl, B. Midwives’ experiences of facilitating nor- mal birth in midwifery-led units in Norway: A qualitative study. European Journal of Midwifery. 2023;7:1-8. https://doi.org/10.18332/ejm/173388
  • Maternity care in different countries midwife’s contribution. Available from: https://www.researchgate.net/publication/301496735_Maternity_care_in_different_countries_Midwife's_contribution. Erişim Tarihi: 05.04.2025.
  • Ekawati FM, Widyasari A, Rahmi HRA, Ame CGP, Tuteja A. Core recommendations of effective preconception counselling services in low-and-middle-income countries–A scoping review. Sex ReprodHealthc. 2024;41:101005. https://doi.org/10.1016/j.srhc.2024.101005.
  • Maas VY, Poels M, Hölscher IM, van Vliet-Lachotzki EH, Franx A, Koster MP. How to improve preconception care in a local setting? Views from Dutch multi- disciplinary healthcare providers. Midwifery. 2022;107:103274. doi: 10.1016/j.midw.2022.103274.
  • Skogsdal Y. Preconception health in Sweden: The impact of lifestyle factors and the role of midwife’s counselling. Doctoral thesis, Örebro University. 2021:81. Available from: https://oru.diva-portal.org/smash/record.jsf?pid=diva2%3A1535519&dswid=-1555. Erişim Tarihi: 18.12.2024.
  • Abayomi JC, Charnley MS, Cassidy L, Mccann MT, Jones J, Wright M, Newson LM. A patient andpublic involvement investigation into healthy eating and weight management advice during pregnancy. Int J Qual Health Care 2020;32 (1):28-34.
  • Karataş Baran G, Kose C, Ustun Y. Validity and Reliability Study of the Questionnaire on Communicating Bad News for Healthcare Professionals Adapted into Turkish. Journal of Nursology. 2024;27(3):248-258. doi:10.17049/jnursology.1424868.
  • WHO(World Health Organization). Preconception Care: Report of a regional expert group consultation. 2013. Available from: https://iris.who.int/bitstream/handle/10665/205637/B5124.pdf?sequence=1. Erişim Tarihi: 05.04.2025.
  • WHO(World Health Organization). Preconception care: maximizing the gains for maternal and child health. A Policy Brief. 2013. Available from: https://cdn.who.int/media/docs/default-source/mca-documents/maternal-nb/preconception_care_presentation_slides.pdf?sfvrsn=c2a5dde6_5. Erişim Tarihi: 15.12.2024.
  • Homer CSE, Friberg IK, Dias MAB, ten Hoope-Bender P, Sandall J, Speciale AM, et al. The projected effect of scaling up midwifery. Lancet. 2014;384(9948):1146–1157.
  • Sandall J, Soltani H, Gates S, Shennan A, Devane D. Midwife-led continuity models versus other models of care for childbearing women. Cochrane Database Syst Rev. 2016;4:CD004667. doi: 10.1002/14651858.CD004667. Sandall J, Soltani H, Gates S, Shennan A, Devane D. Midwife led continuity models versus other models of care for childbearing women. Cochrane Database Syst Rev. 2016 Apr 28;4(4):CD004667. doi: 10.1002/14651858.CD004667.
  • ACOG (American College of Obstetricians and Gynecologists) Committee Opinion No. 762: Prepregnancy counseling. Obstet Gynecol 2019;133(01):e78–e89. https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2019/01/prepregnancy-counseling. Erişim Tarihi: 16.12.2024.
  • NICE (National Institute for Health Care and Excellence). Pre-conception - advice and management. 2019. Available from: https://cks.nice.org.uk/pre-conception-advice-and-management#!topicsummary.Erişim Tarihi: 16.12.2024.
  • RANZCOG (Royal Australian and New Zealand College of Obstetricians and Gynaecologists). Pre-pregnancy Counselling (CObs3a). Melbourne;2017. Available from: https://ranzcog.edu.au/wp-content/uploads/Pre-Pregnancy-Counselling.pdf. Erişim Tarihi: 16.12.2024.
  • American Academy of Family Physicians. Preconception Care (Position Paper) 2015. Available from:https://www.aafp.org/about/policies/all/preconception-care.html. Erişim Tarihi: 15.12.2024.
  • WHO (World Health Organization). WHO recommendations on antenatal care for a positive pregnancy experience WHO recommendations on antenatal care for a positive pregnancy experience. 2016b. Available from: https://www.who.int/publications/i/item/WHO-RHR-18.02#:~:text=The%20recommended%20interventions%20span%20five,utilization%20and%20quality%20of%20ANC. Erişim Tarihi: 15.12.2024.
  • Özerdoğan N. Prekonsepsiyonel Bakımda Güncel Yaklaşımlar. Türkiye Klinikleri Doğum-Kadın Sağlığı ve Hastalıkları Hemşireliği - Özel Konular. 2023. Available from: https://www.turkiyeklinikleri.com/journal/dogum-kadin-sagligi-ve-hastaliklari-hemsireligi-ozel-konular/446/issue/2023/9/2-0/prekonsepsiyonel-bakimda-guncel-yaklasimlar/tr-index.html.
  • T.C. Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü Kadın ve Üreme Sağlığı Dairesi Başkanlığı. Doğum öncesi bakım yönetim rehberi. 2018. Available from: https://hsgm.saglik.gov.tr/tr/?option=com_sppagebuilder&view=page&id=63. Erişim Tarihi: 15.12.2024.
  • Shamsabadi A, Qaderi K, Mirzapour P, Mojdeganlou H, Mojdeganlou P, Pashaei Z, et al. Telehealth systems for midwifery care management during the COVID-19 pandemic: a systematic review. Journal of Iranian Medical Council. 2023;6(2):240-250.
  • Fikre R, Gubbels J, Teklesilasie W, Gerards S. Effectiveness of midwifery-led care on pregnancy outcomes in low- and middle-income countries: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2023 May 26;23(1):386. doi: 10.1186/s12884-023-05664-9.
  • Overgaard C, Møller AM, Fenger-Grøn M, Knudson LB, Sandall J. Freestanding midwifery unit versus obstetric unit: A matched cohort study of outcomes in low-risk women. BMJ Open. 2011;1:e000262. https://doi.org/10.1136/bmjopen-2011-000262.
  • Agusta NS, Astuti AW. Implementation of Preconception Care: A Scoping Review. Women, Midwives and Midwifery. 2025;5(1);59-73. https://doi.org/10.36749/wmm.5.1.59-73.2025
  • Bagheri A, Simbar M, Samimi M, Nahidi F, Alavimajd H, Sadat Z. Comparing the Implications of Midwifery-Led Care and Standard Model on Maternal and Neonatal Outcomes during Pregnancy, Childbirth and Postpartum. J Midwife Reprod Health. 2021;9(3):2863-2072. https://doi.org/10.22038/jmrh.2021.55639.1678.
  • Jiang XM, Chen QY, Guo SB, Jin LZ, Huang XX, Liu XW, Hong JX, Qu HB, Hu RF. Effect of midwife-led care on birth outcomes of primiparas. Int J Nurs Pract. 2018 Dec;24(6):e12686. doi: 10.1111/ijn.12686.
  • Hailemeskel S, Alemu K, Christensson K, Tesfahun E, Lindgren H. Midwife-led continuity of care improved maternal and neonatal health outcomes in north Shoa zone, Amhara regional state, Ethiopia: A quasi-experimental study. Women Birth. 2022 Jul;35(4):340-348. doi: 10.1016/j.wombi.2021.08.008.
  • Rana TG, Rajopadhyaya R, Bajracharya B, Karmacharya M, Osrin D. Comparison of midwifery-led and consultant-led maternity care for low-risk deliveries in Nepal. Health Policy Plan. 2003 Sep;18(3):330-7. doi: 10.1093/heapol/czg039.
  • Attanasio LB, Alarid‐Escudero F, Kozhimannil KB. Midwife‐led care and obstetrician‐led care for low‐risk pregnancies: A cost comparison. Birth. 2020 Mar;47(1):57-66. doi: 10.1111/birt.12464.
  • Rocca-Ihenacho L, Batinelli L, Thaels E, Rayment J, Newburn M, McCourt C. Midwifery UnitStandards. City University of London; 2018. Available from: http://www.midwiferyunitnetwork.org/mu-standards/ Erişim Tarihi: 15.12.2024.
  • ICM (International Confederation of Midwives). Essential Competencies for Midwifery Practice 2024. Available from: https://internationalmidwives.org/resources/essential-competencies-for-midwifery-practice/ . Erişim Tarihi: 05.04.2025.
  • Balçık Çolak M, Öztürk Can H. Ebelikte Yeterlilik, Yetkinlik ve Teknoloji Kullanımı. Turkiye Klinikleri. 2021;6(2):340-349. doi: 10.5336/healthsci.2020-75575.3.
  • McNeill J, Doran J, Lynn F, Anderson G, Fiona Alderdice F. Public health education for midwives and midwifery students: a mixed methods study. BMC Pregnancy Childbirth 2012;12:142.doi:10.1186/1471-2393-12-142
  • Kessler JL and Phillippi JC. Incorporating a primary care practicum in midwifery education. J Midwifery Womens Health. 2015;60:258–262.
  • Bramhall E. Effective communication skills in nursing practice. Nurs Stand 2014;29:53–59.
Toplam 46 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Ebelik (Diğer)
Bölüm Derleme
Yazarlar

Gonca Karataş Baran 0000-0002-7996-6144

Kadriye Kızıltepe 0000-0002-2274-6992

Yaprak Ustun 0000-0002-1011-3848

Yayımlanma Tarihi 10 Haziran 2025
Gönderilme Tarihi 22 Ocak 2025
Kabul Tarihi 8 Nisan 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 7 Sayı: 2

Kaynak Göster

APA Karataş Baran, G., Kızıltepe, K., & Ustun, Y. (2025). “Ebe Polikliniği” Hizmet Modeli: Türkiye Başkentinden İyi Klinik Uygulama Örneği”. Sağlık Profesyonelleri Araştırma Dergisi, 7(2), 110-129. https://doi.org/10.57224/jhpr.1625061
AMA Karataş Baran G, Kızıltepe K, Ustun Y. “Ebe Polikliniği” Hizmet Modeli: Türkiye Başkentinden İyi Klinik Uygulama Örneği”. Sağlık Pro Arş Dergisi. Haziran 2025;7(2):110-129. doi:10.57224/jhpr.1625061
Chicago Karataş Baran, Gonca, Kadriye Kızıltepe, ve Yaprak Ustun. “‘Ebe Polikliniği” Hizmet Modeli: Türkiye Başkentinden İyi Klinik Uygulama Örneği’”. Sağlık Profesyonelleri Araştırma Dergisi 7, sy. 2 (Haziran 2025): 110-29. https://doi.org/10.57224/jhpr.1625061.
EndNote Karataş Baran G, Kızıltepe K, Ustun Y (01 Haziran 2025) “Ebe Polikliniği” Hizmet Modeli: Türkiye Başkentinden İyi Klinik Uygulama Örneği”. Sağlık Profesyonelleri Araştırma Dergisi 7 2 110–129.
IEEE G. Karataş Baran, K. Kızıltepe, ve Y. Ustun, “‘Ebe Polikliniği” Hizmet Modeli: Türkiye Başkentinden İyi Klinik Uygulama Örneği’”, Sağlık Pro Arş Dergisi, c. 7, sy. 2, ss. 110–129, 2025, doi: 10.57224/jhpr.1625061.
ISNAD Karataş Baran, Gonca vd. “‘Ebe Polikliniği” Hizmet Modeli: Türkiye Başkentinden İyi Klinik Uygulama Örneği’”. Sağlık Profesyonelleri Araştırma Dergisi 7/2 (Haziran2025), 110-129. https://doi.org/10.57224/jhpr.1625061.
JAMA Karataş Baran G, Kızıltepe K, Ustun Y. “Ebe Polikliniği” Hizmet Modeli: Türkiye Başkentinden İyi Klinik Uygulama Örneği”. Sağlık Pro Arş Dergisi. 2025;7:110–129.
MLA Karataş Baran, Gonca vd. “‘Ebe Polikliniği” Hizmet Modeli: Türkiye Başkentinden İyi Klinik Uygulama Örneği’”. Sağlık Profesyonelleri Araştırma Dergisi, c. 7, sy. 2, 2025, ss. 110-29, doi:10.57224/jhpr.1625061.
Vancouver Karataş Baran G, Kızıltepe K, Ustun Y. “Ebe Polikliniği” Hizmet Modeli: Türkiye Başkentinden İyi Klinik Uygulama Örneği”. Sağlık Pro Arş Dergisi. 2025;7(2):110-29.

SAĞLIK PROFESYONELLERİ ARAŞTIRMA DERGİSİ / JOURNAL OF HEALTH PROFESSIONALS RESEARCH /J HEALTH PRO RES