Conceptual Framework Quality Maternal and Newborn Care

Abstract

Maternal death and stillbirth occur worldwide and, although countries have made progress on maternal and newborn care leading to reduce maternal mortality and stillbirth rates, more effort is needed to reach Sustainable Development Goals (SDGs). The majority of causes of maternal death and stillbirth are prevented with quality care during childbirth; evidence shows that midwifery is pivotal for leveling up the quality of maternal and newborn care in all countries. The framework for Quality Maternal and Newborn Care (QMNC) was developed based on the definition of midwifery practice for being a standard care for childbearing women, newborn infants, and families across the continuum throughout pregnancy, birth, and postpartum. This framework consists of evidence-based practice; organizational care, that promotes accessibility and quality care and integrates midwives into the health system; values of care, where women and families receive respectful care; a philosophy which optimise physiological birth; and care providers who are knowledgeable, skilled, and competent to deliver the quality care. In conclusion, the QMNC Framework contributes to midwifery, including practices, organizations, values, philosophy, and care providers. This framework can apply to all women and newborns and in all settings, regardless of health status, income, or education, to enhance improvement in care quality and the best maternal and newborn outcomes.