Women's characteristics and care outcomes of caseload midwifery care in the Netherlands : A retrospective cohort study
| العنوان: | Women's characteristics and care outcomes of caseload midwifery care in the Netherlands : A retrospective cohort study |
|---|---|
| المؤلفون: | Raymond De Vries, Marianne Nieuwenhuijze, Suze Jans, Pien Offerhaus, Chantal W P M Hukkelhoven |
| المساهمون: | RS: CAPHRI - R6 - Promoting Health & Personalised Care, Health promotion |
| المصدر: | BMC Pregnancy and Childbirth BMC Pregnancy and Childbirth, Vol 20, Iss 1, Pp 1-11 (2020) BMC Pregnancy and Childbirth, 20(1):517, 1-11. BioMed Central Ltd BMC Pregnancy and Childbirth 20 (2020) 1 BMC Pregnancy and Childbirth, 20(1) BMC Pregnancy Childbirth, 1, 20 BMC Pregnancy and Childbirth, 20(517) |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | CONTINUITY, Perineum, Cohort Studies, 0302 clinical medicine, Life, CH - Child Health, Pregnancy, Medicine, Birth outcomes, 030212 general & internal medicine, Referral and Consultation, Vaginal delivery, Netherlands, Primary health care, Perinatal mortality, RISK, 030219 obstetrics & reproductive medicine, Obstetrics, Incidence, Midwife, Pregnancy Outcome, Obstetrics and Gynecology, Patient referral, Retrospective study, Women's characteristics, Human experiment, Caseload midwifery, Maternal care, Apgar score, Female, Cohort analysis, Prenatal care, Healthy Living, Human, Cohort study, Research Article, Adult, medicine.medical_specialty, REFERRALS, Referral, BIRTH, Nullipara, Reproductive medicine, Major clinical study, Midwifery, lcsh:Gynecology and obstetrics, Pregnancy outcome, Obstetrician, Multipara, 03 medical and health sciences, Young Adult, health services administration, Humans, Maternal Health Services, LABOR, lcsh:RG1-991, Maternal age, Retrospective Studies, business.industry, Retrospective cohort study, medicine.disease, Delivery, Obstetric, MODEL, Outcome assessment, Continuity of care, ELSS - Earth, Life and Social Sciences, Healthy for Life, business, Controlled study |
| الوصف: | Background The maternity care system in the Netherlands is well known for its support of community-based midwifery. However, regular midwifery practices typically do not offer caseload midwifery care – one-to-one continuity of care throughout pregnancy and birth. Because we know very little about the outcomes for women receiving caseload care in the Netherlands, we compared caseload care with regular midwife-led care, looking at maternal and perinatal outcomes, including antenatal and intrapartum referrals to secondary (i.e., obstetrician-led) care. Methods We selected 657 women in caseload care and 1954 matched controls (women in regular midwife-led care) from all women registered in the Dutch Perinatal Registry (Perined) who gave birth in 2015. To be eligible for selection the women had to be in midwife-led antenatal care beyond 28 gestational weeks. Each woman in caseload care was matched with three women in regular midwife-led care, using parity, maternal age, background (Dutch or non-Dutch) and region. These two cohorts were compared for referral rates, mode of birth, and other maternal and perinatal outcomes. Results In caseload midwifery care, 46.9% of women were referred to obstetrician-led care (24.2% antenatally and 22.8% in the intrapartum period). In the matched cohort, 65.7% were referred (37.4% antenatally and 28.3% in the intrapartum period). In caseload care, 84.0% experienced a spontaneous vaginal birth versus 77.0% in regular midwife-led care. These patterns were observed for both nulliparous and multiparous women. Women in caseload care had fewer inductions of labour (13.2% vs 21.0%), more homebirths (39.4% vs 16.1%) and less perineal damage (intact perineum: 41.3% vs 28.2%). The incidence of perinatal mortality and a low Apgar score was low in both groups. Conclusions We found that when compared to regular midwife-led care, caseload midwifery care in the Netherlands is associated with a lower referral rate to obstetrician-led care – both antenatally and in the intrapartum period – and a higher spontaneous vaginal birth rate, with similar perinatal safety. The challenge is to include this model as part of the current effort to improve the quality of Dutch maternity care, making caseload care available and affordable for more women. |
| وصف الملف: | text/html; application/octet-stream; application/x-www-form-urlencoded; charset=utf-8; application/pdf |
| اللغة: | English |
| تدمد: | 1471-2393 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c73343141247a410b1b609e5be9fc571 https://doi.org/10.1186/s12884-020-03204-3 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....c73343141247a410b1b609e5be9fc571 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14712393 |
|---|