Strategic Human Resource Management and the "Silver Hour": An Economic Analysis of Midwifery-Led Care in Private and Public Healthcare Systems

Abstract

In the rapidly evolving landscape of maternal health, the integration of clinical excellence with sophisticated management frameworks has become essential for institutional survival. This study examines the role of Strategic Human Resource Management (SHRM) in optimizing the "Silver Hour" the critical period following high-risk obstetric interventions. By bridging the gap between Midwifery-led care and commercial efficiency models, this research explores how optimized staffing ratios and evidence-based management reduce the "Cost of Poor Quality" (CoPQ). Using a mixed-methods approach across three major maternity centers, the study identifies a direct correlation between nursing autonomy and reduced litigation costs. The findings suggest that a management-centric approach to obstetrical nursing not only improves neonatal and maternal morbidity rates but also enhances the commercial viability of maternity units through improved resource velocity and reduced staff turnover.