Abstract
Introduction:Primary maternity care services are globally provided according to various organisational models. Two models are common in Finland: a maternity health clinic and an integrated maternity and child health clinic. The aim of this study was to clarify whether there is a relation between the organisational model of the maternity health clinics and the utilisation of maternity care services, and certain maternal and perinatal health outcomes.Methods:A comparative, register-based cross-sectional design was used. The data of women (N = 2741) who had given birth in the Turku University Hospital area between 1 January 2009 and 31 December 2009 were collected from the Finnish Medical Birth Register. Comparisons were made between the women who were clients of the maternity health clinics and integrated maternity and child health clinics.Results:There were no clinically significant differences between the clients of maternity health clinics and integrated maternity and child health clinics regarding the utilisation of maternity care services or the explored health outcomes.Conclusions:The organisational model of the maternity health clinic does not impact the utilisation of maternity care services or maternal and perinatal health outcomes. Primary maternity care could be provided effectively when integrated with child health services.
Highlights
Primary maternity care services are globally provided according to various organisational models
The timing of the first antenatal visit of women who had used the services of a separate maternity health clinic, earlier in pregnancy, was explained by both the model of the clinic [F(1, 2705) = 8.84, p = 0.003], age [F(1, 2705) = 11.21, p = 0.001) and nulliparity [F(1, 2705) = 4.04, p = 0.044]
The findings of this study indicate that the organisational model of the maternity health clinic does not have a notable impact on the utilisation of maternity care services
Summary
Primary maternity care services are globally provided according to various organisational models. The aim of this study was to clarify whether there is a relation between the organisational model of the maternity health clinics and the utilisation of maternity care services, and certain maternal and perinatal health outcomes. Comparisons were made between the women who were clients of the maternity health clinics and integrated maternity and child health clinics. Conclusions: The organisational model of the maternity health clinic does not impact the utilisation of maternity care services or maternal and perinatal health outcomes. Primary maternity care could be provided effectively when integrated with child health services. Primary maternity care in Finland is provided by the municipal maternity and child health clinic system that was mandated by law in 1944 to guarantee free health-care services for every pregnant woman and all children under the school age (age of seven). Over 99.5% of child-bearing families are estimated to be users of these clinics [11]
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