Factors Attributing the Quality of Caseload Service Model in Developed Countries: A Systematic Review

Ridha Annisa Hakim, Dewi Rokhanawati


Universitas Aisyiyah Yogyakarta



Background: Globally, the prevalence pregnant women who experience anxiety at childbirth is around 14%. The caseload service model is proven to be safe and satisfying for clients. This study aimed to systematically review the factors attributing the quality of caseload service model in developed countries.

Subjects and Method: A systematic review was conducted by searching articles from PubMed and Science Direct databases. The inclusion criteria were: (1) Studies on the anxiety of pregnant women facing labor; (2) Client perspective, midwife experience, and organizational structure in conducting caseload care with a caseload approach; (3) Full text, article published around 2008 to 2018, and international journal. Appraisal study was using the Critical Appraisal Skills Program (CASP). The synthesis method were using PEOS modification.

Results: The caseload service model was established to handling cases of antenatal, childbirth, and neonatal care. Caseload of forty cases each year was assigned to each caseload midwife. Caseload midwives should not work more than 12 hours in a 24 hours period. Caseload service model provided an endorphin support system for women to mitigate pain and reduce stress related to birth delivery. This method made a close psychological connection between client and midwife.

Conclusion: Caseload service is a modified midwifery care model that can be used to mitigate pain and to reduce stress for women facing birth delivery.

Keywords: caseload service model, midwifery practice, pregnant women

Correspondence: Ridha Annisa Hakim. Universitas Aisyiyah Yogyakarta. Jl. Siliwangi (Ring Road West) No. 63 Mlangi, Nogotirto, Gamping, Sleman, Yogyakarta, 55292. Email: hakimridha@gmail.com. Mobile: 085729007792.

DOI: https://doi.org/10.26911/the6thicph.03.81

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