Abstract:
OBJECTIVE:The postpartum period is an important time in the lives of new mothers, their children and their families. The aim of postpartum care is 'to detect health problems of mother and/or baby at an early stage, to encourage breastfeeding and to give families a good start' (Wiegers, 2006). The Netherlands maternity care system aims to enable every new family to receive postpartum care in their home by a maternity care assistant (MCA). In order to better understand this approach, in this study we focus on women who experienced the postpartum care by the MCA as 'less than good' care. Our research questions are; among postpartum women in the Netherlands, what is the uptake of MCA care and what factors are significantly associated with women's rating of care provided by the MCA. Design and setting This study uses data from the 'DELIVER study', a dynamic cohort study, which was set up to investigate the organization, accessibility and quality of primary midwifery care in the Netherlands. Participants In the DELIVER population 95.6% of the women indicated that they had received postpartum maternity care by an MCA in their home. We included the responses of 3170 women. MEASUREMENTS AND FINDINGS:To assess the factors that were significantly associated with reporting 'less than good (postpartum) care' by the MCA, a full cases backward logistic regression model was built using the multilevel approach in Generalized Linear Mixed Models. FINDINGS:The mean rating of the postpartum care by the MCA was 8.8 (on a scale from 1-10), and 444 women (14%) rated the postpartum maternity care by the MCA as 'less than good care'. In the full cases multivariable analysis model, odds of reporting 'less than good care' by the MCA were significantly higher for women who were younger (women 25-35 years had an OR 1.32, CI 0.96-1.81 and women 35 years), multiparous (OR 1.27, CI 1.01-1.60) and had a higher level of education (women with a middle level had an OR 1.84,CI 1.22-2.79, and women with a high level of education had an OR 2.11, CI 1.40-3.18 compared to women with a low level of education). Odds of reporting 'less than good care' were higher for women who, received the minimum amount of hours (OR 1.86, CI 1.45-2.38), in their opinion received not enough or too many hours maternity care assistance (OR 1.47, CI 1.01-2.15 and OR 5.15, CI 3.25-8.15, respectively), received care from two or more different MCAs (2 MCAs OR 1.61 CI 1.24-2.08, ≥3 MCAs OR 3.01, CI 1.98-4.56 compared to 1 MCA) and rated the care of the midwife as less than good care (OR 4.03, CI 3.10-5.25) . The odds of reporting 'less than good care' were lower for women whose reason for choosing maternity care assistance was to get information and advice (OR 0.52, CI 0.41-0.65). KEY CONCLUSIONS:We conclude that (the postpartum) MCA care is well utilised, and highly rated by most women. IMPLICATIONS FOR PRACTICE:The approach to care in the Netherlands addresses the needs as outlined by NICE and WHO. Although no data exists around the impact of use on maternal infant outcomes, this approach might be useful in other jurisdictions. MCA care might be improved if the hours of MCA care were tailored, and care by multiple MCAs minimised.
journal_name
Midwiferyjournal_title
Midwiferyauthors
Baas CI,Wiegers TA,de Cock TP,Erwich JJHM,Spelten ER,Hutton EKdoi
10.1016/j.midw.2017.09.007subject
Has Abstractpub_date
2017-12-01 00:00:00pages
128-136eissn
0266-6138issn
1532-3099pii
S0266-6138(17)30204-8journal_volume
55pub_type
杂志文章相关文献
MIDWIFERY文献大全abstract:OBJECTIVE:the principal objective of this study was to assess the quality of blood loss estimates by midwives and student midwives. The secondary objectives were: to assess the intraobserver agreement of visual blood estimates and the rate of underestimation of blood loss by participants, and to estimate the sensitivit...
journal_title:Midwifery
pub_type: 杂志文章,多中心研究
doi:10.1016/j.midw.2017.12.017
更新日期:2018-04-01 00:00:00
abstract::In the UK a midwife is unlikely to meet many deaf women during her working life. Therefore very few midwives have a wealth of experience in providing care for these women. Postnatal discussion with one woman showed us that despite our good intentions the care we had given her was inadequate for her individual needs. W...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/s0266-6138(05)80004-x
更新日期:1992-12-01 00:00:00
abstract:OBJECTIVE:this study aims to identify the aetiological relationships of psychosocial factors in postnatal traumatic symptoms among Japanese primiparas and multiparas. DESIGN:a longitudinal, observational survey. SETTING:participants were recruited at three institutions in Tokyo, Japan between April 2013 and May 2014....
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2016.10.008
更新日期:2017-01-01 00:00:00
abstract::Research has indicated that homophobia amongst health professionals, including midwives, has negative consequences for the care received by lesbian clients. Social scientists recognise that homophobia is neither inevitable nor universal, rather it is culturally specific and culturally constructed. This recognition is ...
journal_title:Midwifery
pub_type: 杂志文章,评审
doi:10.1016/s0266-6138(99)90060-8
更新日期:1999-09-01 00:00:00
abstract:OBJECTIVES:to examine the transfers from primary maternity units to a tertiary hospital in New Zealand by describing the frequency, timing, reasons and outcomes of those who had antenatal or pre-admission birthplace plan changes, and transfers in labour or postnatally. DESIGN:mixed methods prospective (concurrent) coh...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2015.04.018
更新日期:2015-09-01 00:00:00
abstract:INTRODUCTION:Asian women suffer the largest proportion of the world's maternal deaths. To reduce this, policymakers and healthcare providers must encourage women with traditionally low rates of maternal health care utilization to access services. OBJECTIVE:The purpose of this study is to provide a comprehensive review...
journal_title:Midwifery
pub_type: 杂志文章,评审
doi:10.1016/j.midw.2017.10.019
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVES:The primary objective of this study was to examine the association between the first assessed cervical dilatation in a labourward and the use of oxytocin augmentation during labour. Further analysis was performed by examining the actual stage of labour at the point oxytocin was first administered to those wo...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2020.102683
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVE:The Internet plays a major role for pregnant women in seeking knowledge and for getting in touch with like-minded women. The information is available at all hours and can be accessed anywhere. The information provides the women with a sense of control and confidence but the large amount of information availab...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2016.06.020
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVE:To examine breastfeeding experiences up to 6 weeks postpartum for mothers administered intranasal fentanyl, subcutaneous fentanyl or intramuscular pethidine for intrapartum analgesia. DESIGN:A secondary analysis was undertaken using the per-protocol dataset to examine the third phase of a larger randomised c...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2017.03.024
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVE:to review all published papers examining medical diagnosis of Ogilvie's syndrome and pregnancy with a view to assessing the implications of the diagnosis and the condition itself for childbearing women, midwives and medical practitioners. DESIGN:systematic review. SEARCH STRATEGY:MEDLINE, CINAHL, EMBASE, We...
journal_title:Midwifery
pub_type: 杂志文章,评审
doi:10.1016/j.midw.2008.09.003
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:Postnatal care is critical to detect and manage postpartum complications in the early stages as well as to prevent potentially life-threatening health conditions that lead to maternal death. However, postnatal care utilization is persistently low in Ethiopia. The aim of this study is to assess the magnitude ...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2018.12.002
更新日期:2019-03-01 00:00:00
abstract:OBJECTIVE:to explore whether the UK Government agenda for partnership working and choice was realised or desired for women during pregnancy and childbirth. DESIGN:a qualitative study was used to explore women's experience of partnership working with midwives. Data was generated using a diary interview method throughou...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2015.09.001
更新日期:2016-01-01 00:00:00
abstract::The need to develop midwives who improve maternal and neonatal outcomes underpins decisions to adopt competence-based education models in low- and middle-income countries. Competence-based education means a shift in the training of midwives to include student self-directed performance-oriented training. Sustaining the...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2018.01.015
更新日期:2018-04-01 00:00:00
abstract:OBJECTIVE:to evaluate the effectiveness of continuing training for traditional birth attendants (TBAs) on their reproductive knowledge and performance. SETTING:Mzuzu Central Hospital in the northern region of Malawi. PARTICIPANTS AND ANALYSIS: a total of 81 TBAs trained during 2004 and 2006 in Mzuzu, Malawi received c...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2009.12.008
更新日期:2011-10-01 00:00:00
abstract:OBJECTIVE:to address the social aspects of pregnancy and the views of pregnant women regarding prenatal assistance in Brazil. DESIGN:this qualitative study was focused on describing the Social Representations of prenatal care held by pregnant women. The discourse of the collective subject (DCS) framework was used to a...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2009.04.008
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVE:to explore the postpartum experiences of Cambodian born migrant women who gave birth for the first time in Victoria, Australia between 2000 and 2010. DESIGN:an ethnographic study with 35 women using semi-structured and unstructured interviews and participant observation; this paper draws on interviews with 2...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2012.06.021
更新日期:2013-07-01 00:00:00
abstract:BACKGROUND:women who give birth in supine position are more likely to have an episiotomy than women who give birth in sitting position. A confounding effect may be that women in upright positions in second stage of labour are asked to lie down if a professional needs to perform an episiotomy. This prospective cohort st...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2016.01.010
更新日期:2016-03-01 00:00:00
abstract:BACKGROUND:there is growing evidence that fathers also experience post partum depression (PPD). However, paternal PPD has been less studied than maternal PPD. Very few studies have investigated PPD in first-time fathers from northwestern China. OBJECTIVE:the purpose of this study was to investigate the occurrence and ...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2016.01.005
更新日期:2016-04-01 00:00:00
abstract:OBJECTIVE:a feasibility study to evaluate the effect of an educational programme on midwives' knowledge, skills, attitudes and implementation of routine antenatal enquiry for domestic violence. DESIGN:pre-, post- and follow-up survey. SETTING:an acute Trust within the South West of England. PARTICIPANTS:79 of the 82...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2005.05.002
更新日期:2006-03-01 00:00:00
abstract:OBJECTIVE:to examine satisfaction with care and services in relation to antenatal care and prenatal testing and to present what women say about what can be done better to improve antenatal care for women from an Islamic background. DESIGN:in-depth interviews of women's perceptions and experiences of care received rela...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1054/midw.2002.0296
更新日期:2002-03-01 00:00:00
abstract:OBJECTIVES:psychosocial variables can be protective or risk factors for excessive gestational weight gain (GWG). Parity has also been associated with GWG; however, its effect on psychosocial risk factors for GWG is yet to be determined. The aim of this study was to investigate if, and how, psychosocial factors vary in ...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2015.09.009
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:mothers living with HIV are encouraged not to breastfeed as it can transmit HIV to their infants. However, there is little known about how Thai women with HIV perceive and experience their infant feeding practices. This paper explores the breastfeeding experiences among Thai women living with ...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2017.03.007
更新日期:2017-05-01 00:00:00
abstract:OBJECTIVES:to develop appropriate tools to assess midwives' attitudes and behaviour in relation to decision making involving risk. DESIGN:a questionnaire and series of vignettes were developed and testes to explore midwives' intrapartum decision making in relation to their attitudes towards risk. An innovative online ...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2010.05.011
更新日期:2011-10-01 00:00:00
abstract:OBJECTIVE:to describe women's experiences of an abortion in the second trimester. DESIGN:qualitative design using semi-structured interviews. SETTING/PARTICIPANTS:six women were interviewed after a second trimester abortion. METHODS:the women were interviewed in person after they were discharged from the hospital. I...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2011.07.011
更新日期:2012-10-01 00:00:00
abstract:OBJECTIVES:to provide a narrative overview of the values schema underpinning women׳s expectations of public maternity-care services using an episodes-of-care framework. DESIGN:focus-group discussions and in-depth interviews were undertaken with Western Australian women who had opted for public maternity care to determ...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2014.12.009
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVE:to explain how women who choose to give birth at home perceive and manage the risks related to childbirth. DESIGN:a qualitative, methodological approach drawing upon the principles of grounded theory. Data were gathered by in-depth interviews with women who had given birth at home. SETTING:the study was con...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2011.11.001
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVE:to determine the functional status of fathers whose wives were pregnant or in the early postnatal period. SAMPLE AND SETTING:the research population comprised 3750 fathers whose wives were pregnant or in the early postnatal period, and who were registered at a primary health clinic in the province centre. Th...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2007.12.001
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVES:to explore reported hospital policies and practices during normal childbirth in maternity wards in Jeddah, Saudi Arabia, to assess and verify whether these practices are evidence-based. DESIGN:quantitative design, in the form of a descriptive questionnaire, based on a tool extracted from the literature. SE...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2014.03.006
更新日期:2014-07-01 00:00:00
abstract:OBJECTIVE:Although smoking during pregnancy can have severe health consequences for the (unborn) child, 9% of Dutch pregnant women smoke at any time during their pregnancy. Midwives in the Netherlands are a responsible party in the provision of quit-smoking counselling for pregnant women by means of the 7-step `V-MIS' ...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2018.12.015
更新日期:2019-04-01 00:00:00
abstract::Every year 85,000 women die from obstructed labour and many many more lose their baby and have debilitating physical damage as a result. In this paper the extent of the problem is described. Methods by which obstructed labour can be prevented are given. Early detection and prompt referral for appropriate treatment are...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/s0266-6138(05)80060-9
更新日期:1992-03-01 00:00:00