Introduction: In the Netherlands birth centres have recently become an alternative option as places where women with uncomplicated pregnancies can give birth. This article focusses on the job satisfaction of three groups of maternity care providers (community midwives, clinical care providers and maternity care assistants) working in or with a birth centre compared to those working only in a hospital or at home.
Methods: In 2015, an existing questionnaire was adapted and distributed to maternity care providers and 4073 responses were received.
Background: CenteringPregnancy (CP) is a multifaceted group based care-model integrated in routine prenatal care, combining health assessment, education, and support. CP has shown some positive results on perinatal outcomes. However, the effects are less obvious when limited to the results of randomized controlled trials: as there are few trials and there is a variation in reported outcomes.
View Article and Find Full Text PDFObjective: The aim of this study was to calculate preference weights for the Labor and Delivery Index (LADY-X) to make it suitable as a utility measure for perinatal care studies.
Methods: In an online discrete choice experiment, 18 pairs of hypothetical scenarios were presented to respondents, from which they had to choose a preferred option. The scenarios describe the birth experience in terms of the seven LADY-X attributes.
Background: Birth centres are regarded as settings where women with uncomplicated pregnancies can give birth, assisted by a midwife and a maternity care assistant. In case of (threatening) complications referral to a maternity unit of a hospital is necessary. In the last decade up to 20 different birth centres have been instituted in the Netherlands.
View Article and Find Full Text PDFObjectives: To validate the Labor and Delivery Index (LADY-X), a new delivery-specific utility measure.
Study Design And Setting: In a test-retest design, women were surveyed online, 6 to 8 weeks postpartum and again 1 to 2 weeks later. For reliability testing, we assessed the standard error of measurement (S.
Objective: To determine the effectiveness of a client or care-provider strategy to improve the implementation of external cephalic version.
Design: Cluster randomized controlled trial.
Setting: Twenty-five clusters; hospitals and their referring midwifery practices randomly selected in the Netherlands.
Background: External cephalic version (ECV) reduces the rate of elective cesarean sections as a result of breech presentation. Several studies have shown that not all eligible women undergo an ECV attempt. The aim of this study was to evaluate the implementation of ECV in the Netherlands and to explain variation in implementation rates with hospital characteristics and individual factors.
View Article and Find Full Text PDFBackground: In obstetrics, effectiveness and cost-effectiveness studies often present several specific outcomes with likely contradicting results and may not reflect what is important for women. A birth-specific outcome measure that combines the core domains into one utility score would solve this problem. The aim of this study was to investigate which domains are most relevant for women's overall experience of labor and birth and should be included in such a measure.
View Article and Find Full Text PDFObjective: guidelines recommend that external cephalic version (ECV) should be offered to all women with a fetus in breech presentation at term. However, only 50-60% of the women receive an ECV attempt. We explored the determinants (barriers and facilitators) affecting the uptake of the guidelines among gynaecologists and midwives in the Netherlands.
View Article and Find Full Text PDFBackground: Early-onset Group B haemolytic streptococcus infection (EOGBS) is an important cause of neonatal morbidity and mortality in the first week of life. Primary prevention of EOGBS is possible with intra-partum antibiotic prophylaxis (IAP.) Different prevention strategies are used internationally based on identifying pregnant women at risk, either by screening for GBS colonisation and/or by identifying risk factors for EOGBS in pregnancy or labour.
View Article and Find Full Text PDFObjectives: To determine the prevalence of female genital mutilation (FGM) in women giving birth in 2008 in the Netherlands.
Method: A retrospective questionnaire study was conducted.The study covered all 513 midwifery practices in the Netherlands.
Background: Breech presentation occurs in 3 to 4% of all term pregnancies. External cephalic version (ECV) is proven effective to prevent vaginal breech deliveries and therefore it is recommended by clinical guidelines of the Royal Dutch Organisation for Midwives (KNOV) and the Dutch Society for Obstetrics and Gynaecology (NVOG). Implementation of ECV does not exceed 50 to 60% and probably less.
View Article and Find Full Text PDFObjective: to establish which factors are associated with birthing positions throughout the second stage of labour and at the time of birth.
Design: retrospective cohort study.
Setting: primary care midwifery practices in the Netherlands.