scholarly journals Women's Suggestions for Improving Midwifery Care in The Netherlands

Birth ◽  
2015 ◽  
Vol 42 (4) ◽  
pp. 369-378 ◽  
Author(s):  
Carien I. Baas ◽  
Jan Jaap H. M. Erwich ◽  
Therese A. Wiegers ◽  
T. Paul de Cock ◽  
Eileen K. Hutton
Keyword(s):  
The Netherlands ◽  
Midwifery Care

Shoulder dystocia in primary midwifery care in the Netherlands

2015 ◽  
Vol 95 (2) ◽  
pp. 203-209 ◽  
Author(s):  
Athanasios F. Kallianidis ◽  
Marrit Smit ◽  
Jos Van Roosmalen
Keyword(s):  
The Netherlands ◽  
Shoulder Dystocia ◽  
Midwifery Care

Ambulance Transfer in Case of Postpartum Hemorrhage after Birth in Primary Midwifery Care in The Netherlands: A Prospective Cohort Study

Birth ◽  
2015 ◽  
Vol 42 (3) ◽  
pp. 227-234 ◽  
Author(s):  
Ineke Stolp ◽  
Marrit Smit ◽  
Sanne Luxemburg ◽  
Thomas van den Akker ◽  
Jan de Waard ◽  
...  
Keyword(s):  
Cohort Study ◽  
The Netherlands ◽  
Prospective Cohort Study ◽  
Postpartum Hemorrhage ◽  
Prospective Cohort ◽  
Midwifery Care

scholarly journals Variation in referrals to secondary obstetrician-led care among primary midwifery care practices in the Netherlands: a nationwide cohort study

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Pien M Offerhaus ◽  
Caroline Geerts ◽  
Ank de Jonge ◽  
Chantal WPM Hukkelhoven ◽  
Jos WR Twisk ◽  
...  
Keyword(s):  
Cohort Study ◽  
The Netherlands ◽  
Midwifery Care ◽  
Care Practices

scholarly journals Exclusive breastfeeding after home versus hospital birth in primary midwifery care in the Netherlands

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
TP de Cock ◽  
J. Manniën ◽  
C. Geerts ◽  
T. Klomp ◽  
A. de Jonge
Keyword(s):  
The Netherlands ◽  
Exclusive Breastfeeding ◽  
Midwifery Care ◽  
Hospital Birth

scholarly journals Client-Related Factors Associated with a “Less than Good” Experience of Midwifery Care during Childbirth in the Netherlands

Birth ◽  
2016 ◽  
Vol 44 (1) ◽  
pp. 58-67 ◽  
Author(s):  
Carien I. Baas ◽  
Therese A. Wiegers ◽  
T. Paul de Cock ◽  
Jan Jaap H. M. Erwich ◽  
Evelien R. Spelten ◽  
...  
Keyword(s):  
The Netherlands ◽  
Related Factors ◽  
Midwifery Care ◽  
Factors Associated

scholarly journals Women’s characteristics and care outcomes of caseload midwifery care in the Netherlands: a retrospective cohort study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Pien Offerhaus ◽  
Suze Jans ◽  
Chantal Hukkelhoven ◽  
Raymond de Vries ◽  
Marianne Nieuwenhuijze
Keyword(s):  
The Netherlands ◽  
Maternity Care ◽  
Perinatal Outcomes ◽  
Vaginal Birth ◽  
Current Effort ◽  
Midwifery Care ◽  
Caseload Midwifery ◽  
Multiparous Women ◽  
Mode Of Birth ◽  
Care Outcomes

Abstract 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.

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