Family-centered maternity care in the new millennium: is it real or is it imagined?

E Zwelling, C R Phillips

Journal: The Journal of perinatal & neonatal nursing 2002;15(3):1-12

PMID: 11785574

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Abstract

Family-centered maternity care (FCMC) has become a familiar phrase in today's maternity services; however, the actual implementation in many hospitals is likely to be more "staff-centered" than "family-centered." This article gives an overview of the historical development of family-centered care and the importance of this model of care to a new or growing family's ability to adapt to the stress of birth and parenting. The current status of FCMC is reviewed in relation to prenatal education, intrapartum care, mother-baby nursing, and family visitation. Many lessons have been learned about implementing FCMC over the past 20 years. Suggestions are provided regarding the development of a vision and mission, the institutional culture, systems and clinical management, staff attitudes, and involvement of families.

Address: Phillips+Fenwick, Santa Cruz, California, USA.

DOI: 10.1097/00005237-200112000-00002

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MeSH Terms: Adaptation, Psychological, Adult, Delivery Rooms, Family, Family Nursing, Female, Forecasting, Humans, Infant, Newborn, Life Change Events, Male, Maternal Health Services, Maternal-Child Nursing, Models, Organizational, Models, Psychological, Needs Assessment, Obstetrics and Gynecology Department, Hospital, Organizational Objectives, Patient-Centered Care, Philosophy, Nursing, Pregnancy, Psychological Theory, Stress, Psychological, United States