Experiences of women who planned birth in a birth centre compared to alternative planned places of birth. Results of the Dutch Birth Centre Study |
| |
| Affiliation: | 1. Department of Obstetrics and Gynaecology, Erasmus University Medical Centre, PO Box 2040, 3000 CA Rotterdam, The Netherlands;2. Department of Child Health, TNO, PO Box 2215, 2316 ZL Leiden, The Netherlands;3. Department of Obstetrics, Leiden University Medical Centre, PO Box 9600, 2300 RC Leiden, The Netherlands;4. Midwifery Practice Trivia, Werkmansbeemd 2, 4907 EW Oosterhout, The Netherlands;5. Jan van Es Institute, Netherlands Expert Centre Integrated Primary Care, Wisselweg 33, 1314 CB Almere, The Netherlands;6. NIVEL (Netherlands Institute for Health Services Research), PO Box 1568, 3500 BN Utrecht, The Netherlands;7. Department of Medical Decision Making, Leiden University Medical Centre, PO Box 9600, 2300 RC Leiden, The Netherlands;8. Department of Life Style, TNO, PO Box 2215, 2316 ZL Leiden, The Netherlands;1. Department of Social Pharmacy and Pharmaceutical Legislation, University of Belgrade - Faculty of Pharmacy, Vojvode Stepe 450, 11221 Belgrade, Serbia;2. Hospital Pharmacy Bergen, Sjukehusapoteket i Bergen, Jonas Lies Vei 89, 5008 Bergen, Norway;3. Department of Global Public Health and Primary Care/Centre for Pharmacy, University of Bergen, P.O 7804, N-5018 Bergen, Norway;4. PharmacoEpidemiology and Drug Safety Research Group, School of Pharmacy, University of Oslo, P.O 1068 Blindern, 0316 Oslo, Norway;1. Department of Obstetrics and Gynecology, Division of Obstetrics & Prenatal Medicine, University Medical Centre Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands;2. Rotterdam University of Applied Science, Center of Expertise Innovations in Care, P.O. Box 25035, 3001 HA Rotterdam, The Netherlands;3. Department of Psychiatry, University Medical Centre Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands;1. Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden;2. Department of Women’s and Children’s Health, Karolinska Institutet, Stockholm, Sweden;3. Research Unit Women’s and Children’s Health, The Juliane Marie Centre, Copenhagen University Hospital, Rigshospitalet, Denmark;4. Institute of Gynecology, Obstetrics and Paediatrics, Faculty of Health and Medical Sciences, Copenhagen University, Denmark;5. School of Health Sciences, Department of Midwifery, Faculty of Nursing, University of Iceland, Iceland;6. Landpitali, University Hospital, Women’s and Children’s Care, Iceland;7. Clinical Research Department, University Hospital of North Norway, Tromsø, Norway;1. School of Nursing and Midwifery, Curtin University, GPO Box U1987, Perth, Western Australia, Australia;2. Department of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, PO Box 134, Subiaco, Western Australia 6904, Australia;1. Faculty of Medicine, Department of Women''s and New Born Health Promotion-School of Midwifery, University of Chile, Santiago, Chile;2. Faculty of Medicine, School of Public Health, Santiago, University of Chile, Chile;3. Nell Hodgson Woodruff School of Nursing and Rollins School of Public Health, Emory University, United States;4. Department of Nursing, Universidad Autónoma de Santo Domingo, San Francisco de Macorís, Dominican Republic;5. University Regional Hospital San Vicente de Paul, San Francisco de Macorís, Dominican Republic;6. School of Midwifery, Universidad de Sao Paulo, Brazil;7. School of Midwifery, Universidad de La República, Uruguay;8. Universidad Mayor Nacional de San Marcos, Peru;9. School of Midwifery Universidad Católica de La Plata, Argentina;10. Hospital Santa Rosa Lima, Peru;11. Johns Hopkins Bloomberg School of Public Health, United States |
| |
| Abstract: | ![]()
Objectiveto assess the experiences with maternity care of women who planned birth in a birth centre and to compare them to alternative planned places of birth, by using the responsiveness concept of the World Health Organization.Designthis study is a cross-sectional study using the ReproQ questionnaire filled out eight to ten weeks after birth. The primary outcome was responsiveness of birth care. Secondary outcomes included overall grades for birth care and experiences with the birth centre services. Regression analyses were performed to compare experiences among the planned places of birth. The study is part of the Dutch Birth Centre Study.Settingthe women were recruited by 82 midwifery practices in the Netherlands, within the study period 1 August 2013 and 31 December 2013.Participantsa total of 2162 women gave written consent to receive the questionnaire and 1181 (54.6%) women completed the questionnaire.Measurements and findingswomen who planned to give birth at a birth centre:(1) had similar experiences as the women who planned to give birth in a hospital receiving care of a community midwife.(2) had significantly less favourable experiences than the women who planned to give birth at home. Differences during birth were seen on the domains dignity (OR=1.58, 95% CI=1.09–2.27) and autonomy (OR=1.77, 95% CI=1.25–2.51), during the postpartum period on the domains social considerations (OR=1.54, 95% CI=1.06–2.25) and choice and continuity (OR=1.43, 95% CI=1.00–2.03).(3) had significantly better experiences than the women who planned to give birth in a hospital under supervision of an obstetrician. Differences during birth were seen on the domains dignity (OR=0.51, 95% CI=0.31–0.81), autonomy (OR=0.59, 95% CI=0.35–1.00), confidentiality (OR=0.57, 95% CI=0.36–0.92) and social considerations (OR=0.47, 95% CI=0.28–0.79). During the postpartum period differences were seen on the domains dignity (OR=0.61, 95% CI=0.38–0.98), autonomy (OR=0.52, 95% CI=0.31–0.85) and basic amenities (OR=0.52, 95% CI=0.30–0.88). More than 80% of the women who received care in a birth centre rated the facilities, the moment of arrival/departure and the continuity in the birth centre as good.Key conclusions and implications for practicein the last decades, many birth centres have been established in different countries, including the United Kingdom, Australia, Sweden and the Netherlands. For women who do not want to give birth at home a birth centre is a good choice: it leads to similar experiences as a planned hospital birth. Emphasis should be placed on ways to improve autonomy and prompt attention for women who plan to give birth in a birth centre as well as on the improvement of care in case of a referral. |
| |
| Keywords: | Birth centre Responsiveness Client experiences Home birth Obstetric unit |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
