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The comparison of birth outcomes and birth experiences of low-risk women in different sized midwifery practices in the Netherlands

Yvonne Fontein, J.A.C.A.

Authors

J.A.C.A. Yvonne Fontein



Abstract

Objective: To examine maternal birth outcomes and birth experiences of low-risk women in the Netherlands in different sized midwifery practices.

Design: Descriptive study using postal questionnaires six weeks after the estimated due date.

Setting: Women were recruited from urban, semi-rural and rural areas from small-sized practices (1—2 midwives), medium-sized practices (3—4 midwives) or large-sized practices (5 or more).

Participants: 718 Dutch speaking women with uncomplicated pregnancies, a representative sample of women in 143 midwifery practices in the Netherlands who had given birth in the period between 20 April and 20 May 2007.

Measurements: Distribution of place of birth categories and interventions, categories, birth experience, woman—midwife relationship and presence of own midwife after referral. Data were analyzed with Statistical Package for Social Sciences (SPSS).

Findings: Women in practices with a maximum of two midwives were significantly more likely to experience lower rates of referral, interventions in general and specifically pain relief by means of pethidine, CTG registration and unplanned caesarean sections. Women with a maximum of two midwives were significantly more likely to know their midwife or midwives and were more frequently supported by their own midwife after referral in comparison to women in practices with more than two midwives. The presence of the woman’s own midwife added value to the birth experience. Women with a maximum of two midwives had higher levels of a positive birth experience than women in practices with more than two midwives.

Key conclusion: Midwifery practices with a maximum of twomidwives contribute to non=interventionist birth and a positive birth experience.

Implications: Awareness of the study results and further study is recommended to discuss reorganization of care in order to achieve significant reductions on referral and interventions during childbirth and positive maternal birth experiences

Journal Article Type Article
Acceptance Date Jan 22, 2010
Online Publication Date Mar 5, 2010
Publication Date 2010-09
Deposit Date Jan 10, 2022
Journal Women and Birth
Print ISSN 1871-5192
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 23
Issue 3
Pages 103-110
DOI https://doi.org/10.1016/j.wombi.2010.01.002
Keywords Midwifery; Birth interventions; Birth outcomes; Referral; Practice size
Public URL http://researchrepository.napier.ac.uk/Output/2833465





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