The purpose of the analysis would be to assess women’s skills that have the caliber of maternity care characteristics

The purpose of the analysis would be to assess women’s skills that have the caliber of maternity care characteristics

To do so even more understanding is required in different care pathways girls normally realize. This research shows that worry road of females in the maternity care and attention on the Netherlands try hardly ever straightforward. A lot of women turned away from number 1 to supplementary care and you will straight back on least immediately following, while pregnant otherwise throughout the labor and delivery otherwise each other. Most women been antenatal care and you may concluded postnatal proper care that have an excellent midwife into the number 1 worry, but simply more than 50 % of them gave birth into the a hospital, overseen of the an excellent gynecologist, and often assisted because of the a (supplementary care) midwife. This will be distinctive from brand new care highway of women from inside the pregnancy care and attention in the us otherwise Canada, in which a hefty greater part of lady discovered antenatal and you may natal proper care from a doctor [seven, 8]. The newest Dutch trend out of antenatal care and attention a whole lot more is comparable to one in The united kingdomt, where about half away from pregnant women receive antenatal worry away from a great midwife only and you can in which healthcare physicians are involved in brand new proper care regarding just more a 3rd of women . The key change is actually, but not, one from the Netherlands the involvement out of hospital physicians has recommendation, that is: transfer away from responsibility from one worry seller (the newest midwife) to some other (the new gynecologist), during England that it usually means that mutual worry. Brand new finding that nearly all feamales in this research got that or more ultrasound scans is not different from one to about Us and you will The united kingdomt, but in The united kingdomt alot more ladies had an internet dating check (86%) or an enthusiastic anomaly search (97%) . A striking difference in holland while the Usa and you will The united kingdomt is located in how many treatments during the work and you may birth. As an instance: from the Netherlands nearly ten% of women experienced scientific induction out-of work, in the us 34%, as well as in England 30%. Furthermore: about Netherlands twenty seven.5% of women gotten some sort of discomfort cures, in the usa 86% and also in England 93% [7, 9].


This new chemical methods to own top-notch medication and general feedback of top-notch proper care in almost any setup and also by some other care and attention business showed that females, no matter what parity, were extremely positive about the standard of the newest pregnancy proper care they gotten. It seems the top-notch care and attention given that experienced from the females is higher throughout the proper care system. However with reference to new worry during labor and you may delivery the fresh top-notch care results is actually high whenever female understand its care and attention supplier, after they offer beginning at home, when they give birth from inside the primary care of course he could be aided by their midwife.

Importance and you can limits

To build up a great CQI tool to test maternity worry general, questionnaires was made to safeguards of several aspects of pregnancy care and attention, so you’re able to render all of the respondent with a way to relate this lady knowledge. The outcome, but not, sugar daddy for free Baltimore MD is a wide variety of skills, proving a number of care paths. The outcome thus show aspects of top-notch proper care as knowledgeable by feamales in different worry settings. It wasn’t you’ll be able to giving an in depth image of the latest representativeness of try, due to the insufficient similar studies. There is certainly signal that ladies which have simple births had been some overrepresented regarding shot: 29.3% gave beginning at home, that have good estimated national domestic delivery rate out-of 29% .


Wiegers TA, Zee van der J, Keirse MJNC: Maternity worry in the Netherlands: The brand new Changing Household Delivery Price. Beginning. 1998, 25: 190-197. /j.1523-536X.0.x.

Borquez HA, Wiegers TA: A comparison out-of labor and birth experiences of women taking when you look at the an effective birthing middle and also at family from the Netherlands. Midwifery. 2006, 22: 339-347. /j.midw..