Pregnant women who give birth vaginally

Integrated Obstetric Collaborative Care Model at Mackay Memorial Hospital Mackay Memorial Hospital has established an interdisciplinary obstetric collaborative care model that provides seamless, family-centered maternity care through multidisciplinary collaboration. The team includes obstetricians, pediatricians, certified midwives, labor and delivery nurses, prenatal education nurses, pharmacists, physical therapists, respiratory therapists, social workers, dietitians, chaplains, discharge planning case managers, and health information specialists.

Prenatal Care: Individualized childbirth counseling, telephone consultation within 24 hours before delivery, and childbirth education to improve knowledge and birth preparedness.

Collaborative Care: Integrated teamwork among obstetricians, midwives, and nurses with active family participation.

Labor Support: Non-pharmacological pain relief using relaxation kits, peanut balls, and birthing balls.

Maternal Safety: Standardized care pathways, continuous maternal–fetal monitoring, and early multidisciplinary intervention.

Postpartum Care: Breastfeeding support, postpartum depression screening, education, and telephone follow-up.

Digital Health: Health information systems supporting education, care coordination, and quality monitoring.

Outcomes: The model enhances maternal and neonatal safety, improves care quality and childbirth experience, promotes breastfeeding and normal birth, and delivers sustainable, high-quality maternity care.

Prenatal Understanding

Preparation for Childbirth

Supportive Labor Experience

Ensuring Maternal and Neonatal Safety

Psychosocial Support

Postnatal Care and Compassionate Follow-Up

Total number of individuals served by the obstetrician/midwife/nursing collaborative care model was 646 from December 2024 to May 2025.

• The average cesarean section rate is 31.1%, which is lower than the 39.0% rate observed in medical centers.

• The incidence of severe (fourth-degree) perineal lacerations is significantly lower, with an occurrence rate of 1.94%.

• The rate of evaluation and treatment for emergency high-risk obstetric patients within 60 minutes of arrival is 100%.

• The completion rate of safety protocol implementation/measures for pregnant women and their fetuses is 99.1%.

• The rate of antenatal/prenatal consultation for newborns delivered between 23 and 34 weeks of gestation to maternal patients who were hospitalized for threatened preterm labor (TPL) for $\geq 24$ hours is 100%.

• The achievement rate for the joint participation of the obstetrician, pediatrician, midwife, or nurse in the delivery process/system is 100%.

• The achievement rate for interdisciplinary team discussion meetings involving Obstetrics, Pediatrics, Midwifery, and Nursing professionals is 100%.

• The overall satisfaction rate of laboring patients with the obstetrician/midwife/nursing collaborative care service is 100%.

• Employee satisfaction with the obstetrician/midwife/nursing collaborative care service has increased

252 international journal publications

Mackay Memorial Hospital is committed to the core values of “Holistic Healthcare and Professional Service,” providing patient-centered maternity care through an interdisciplinary collaborative care model. The obstetric team includes obstetricians, certified midwives, labor and delivery nurses, pediatricians, clinical pharmacists, physical therapists, respiratory therapists, dietitians, medical social workers, hospital chaplains, discharge planning case managers, and health information system developers. Together, the team delivers individualized, evidence-based, and family-centered care throughout pregnancy, childbirth, and the postpartum period.

As a tertiary medical center, the hospital has extensive experience in managing high-risk pregnancies and obstetric emergencies. Standardized clinical protocols, multidisciplinary teamwork, and rapid response systems ensure timely interventions, enhance maternal and neonatal safety, and improve clinical outcomes.

The hospital also emphasizes education, research, and professional development through comprehensive training, interdisciplinary learning, and continuous quality improvement. By integrating digital health technologies with collaborative practice, Mackay Memorial Hospital continues to advance safe, innovative, and sustainable maternity care while serving as a national benchmark for obstetric collaborative care in Taiwan.