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CONFERENCE PROCEEDING
The midwifery minimum data set applied to birth care (B-MMDS): An implementation science project
1
University of Pavia, Department of Public Health- Experimental and Forensic Medicine, Pavia, Italy
2
University of Milan, Department of Biomedical Sciences for Health, Milan, Italy
3
IRCCS Policlinico San Donato, Health Professions Research and Development Unit, San Donato Milanese, Italy
4
ASST Cremona, Direction of Health Professions, Cremona, Italy
Eur J Midwifery 2026;10(Supplement 1):A585
ABSTRACT
BACKGROUND:
The challenge of the current midwifery practice is transitioning to midwifery models of care in clinical contexts. The Midwifery Minimum Data Set applied to Birth care (B-MMDS) addresses the need to boost accuracy and consistency in clinical documentation to measure midwives' impact on public health. The B-MMDS' scope of practice covers women, newborns and families receiving intrapartum and early postnatal care in a hospital setting.
OBJECTIVES:
To implement the B-MMDS into the electronic health record (EHR) system in a hospital's maternity ward, which is the most common place of birth in Italy.
METHODS:
This study designs a multi-phase implementation project according to the Consolidated Framework for Implementation Research (CFIR). Phase 1 outlined a theory-driven B-MMDS that fits birth care in a hospital setting through potential linkages between subsets of midwifery-sensitive outcomes, midwifery interventions, and NANDA diagnoses. Phase 2 – ongoing – involves midwives' training to familiarize themselves with the B-MMDS. Phase 3 – planned – will include midwives using the B-MMDS as part of the EHR to document their care as a validation process.
RESULTS:
The first milestone was reached by outlining a theory-driven B-MMDS comprising two maternal and neonatal domains with the respective linked diagnoses, interventions and outcomes. The expected results from the subsequent phases are related to data analysis from the midwives' training program and the validation process through the B-MMDS use in clinical practice.
CONCLUSIONS:
The B-MMDS implementation represents a first attempt to standardize midwifery data collection in Italy and to deeply understand the interaction between outcomes, interventions and diagnoses within midwifery models of care.
KEY MESSAGE:
The study and use of the B-MMDS will increase the evidence available concerning the salutogenic framework of maternity care, which is essential to plan care strategies to act on crucial health outcomes for the current and future population. Poster session 2 (Group A)
The challenge of the current midwifery practice is transitioning to midwifery models of care in clinical contexts. The Midwifery Minimum Data Set applied to Birth care (B-MMDS) addresses the need to boost accuracy and consistency in clinical documentation to measure midwives' impact on public health. The B-MMDS' scope of practice covers women, newborns and families receiving intrapartum and early postnatal care in a hospital setting.
OBJECTIVES:
To implement the B-MMDS into the electronic health record (EHR) system in a hospital's maternity ward, which is the most common place of birth in Italy.
METHODS:
This study designs a multi-phase implementation project according to the Consolidated Framework for Implementation Research (CFIR). Phase 1 outlined a theory-driven B-MMDS that fits birth care in a hospital setting through potential linkages between subsets of midwifery-sensitive outcomes, midwifery interventions, and NANDA diagnoses. Phase 2 – ongoing – involves midwives' training to familiarize themselves with the B-MMDS. Phase 3 – planned – will include midwives using the B-MMDS as part of the EHR to document their care as a validation process.
RESULTS:
The first milestone was reached by outlining a theory-driven B-MMDS comprising two maternal and neonatal domains with the respective linked diagnoses, interventions and outcomes. The expected results from the subsequent phases are related to data analysis from the midwives' training program and the validation process through the B-MMDS use in clinical practice.
CONCLUSIONS:
The B-MMDS implementation represents a first attempt to standardize midwifery data collection in Italy and to deeply understand the interaction between outcomes, interventions and diagnoses within midwifery models of care.
KEY MESSAGE:
The study and use of the B-MMDS will increase the evidence available concerning the salutogenic framework of maternity care, which is essential to plan care strategies to act on crucial health outcomes for the current and future population. Poster session 2 (Group A)
| eISSN: | 2585-2906 |
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