The online version of this article (https://doi.org/10.1186/s12884-017-1615-y) contains supplementary material, which is available to authorized users.
To compare experienced continuity of care among women who received midwife-led versus obstetrician-led care. Secondly, to compare experienced continuity of care with a. experienced quality of care during labor and b. perception of labor.
We conducted a questionnaire survey in a region in the Netherlands in 2014 among 790 women after they gave birth. To measure experienced continuity of care, the Nijmegen Continuity Questionnaire was used. Quality of care during labor was measured with the Pregnancy and Childbirth Questionnaire, and to measure perception of labor we used the Childbirth Perception Scale.
Three hundred twenty five women consented to participate (41%). Of these, 187 women completed the relevant questions in the online questionnaire. 136 (73%) women were in midwife-led care at the onset of labor, 15 (8%) were in obstetrician-led care throughout pregnancy and 36 (19%) were referred to obstetrician-led care during pregnancy. Experienced personal and team continuity of care during pregnancy were higher for women in midwife-led care compared to those in obstetrician-led care at the onset of labor. Experienced continuity of care was moderately correlated with experienced quality of care although not significantly so in all subgroups. A weak negative correlation was found between experienced personal continuity of care by the midwife and perception of labor.
This study suggests that experienced continuity of care depends on the care context and is significantly higher for women who are in midwife-led compared to obstetrician-led care during labor. It will be a challenge to maintain the high level of experienced continuity of care in an integrated maternity care system.
Experienced continuity of care seems to be a distinctive concept that should not be confused with experienced quality of care or perception of labor and should be considered as a complementary aspect of quality of care.
Additional file 1: Table S1. Cross-boundry continuity. The mean score for cross-boundary continuity of care for women referred during pregnancy and women referred during labor. Table S2 Item means and total scale score of the Pregnancy and Childbirth Questionnaire. Table S3 Item means and total subscale score of the Childbirth Perception Scale. (DOCX 18 kb)12884_2017_1615_MOESM1_ESM.docx
Sandall J, Soltani H, Gates S, Shennan A, Devane D. Midwife-led continuity models versus other models of care for childbearing women. Cochrane Database Syst Rev. 2015;9:CD004667.
Evers AC, Brouwers HA, Hukkelhoven CW, Nikkels PG, Boon J, van Egmond-Linden A, Hillegersberg J, Snuif YS, Sterken-Hooisma S, Bruinse HW, Kwee A. Perinatal mortality and severe morbidity in low and high risk term pregnancies in the Netherlands: prospective cohort study. BMJ. 2010;341(1756–1833; 0959–535):c5639. CrossRefPubMed
Society for Maternal-Fetal Medicine (SMFM) Quality and Safety and Health Policy Committees, Bailit JL, Gregory KD, Srinivas S, Westover T, Grobman WA, Saade GR. Society for Maternal-Fetal Medicine (SMFM) special report: current approaches to measuring quality of care in obstetrics. Am J Obstet Gynecol. 2016;215(3):B8–B16. CrossRef
Hodnett ED. Pain and women's satisfaction with the experience of childbirth: a systematic review. Am J Obstet Gynecol. 2002;186(5 Suppl Nature):S160–72. PubMed
Bernitz S, Oian P, Sandvik L, Blix E. Evaluation of satisfaction with care in a midwifery unit and an obstetric unit: a randomized controlled trial of low-risk women. BMC Pregnancy Childbirth. 2016;16(1):143-016-0932-x. CrossRef
Beattie M, Lauder W, Atherton I, Murphy DJ. Instruments to measure patient experience of health care quality in hospitals: a systematic review protocol. Syst Rev. 2014;3:4-4053-3-4. CrossRef
Diemen: College voor Zorgverzekeringen: Verloskundig Vademecum. 2003.
Tracy SK, Hartz DL, Tracy MB, Allen J, Forti A, Hall B, White J, Lainchbury A, Stapleton H, Beckmann M, Bisits A, Homer C, Foureur M, Welsh A, Kildea S. Caseload midwifery care versus standard maternity care for women of any risk: M@NGO, a randomised controlled trial. Lancet. 2013;382(9906):1723–32. CrossRefPubMed
Armonk NIC: <br />IBM SPSS Statistics for Windows. Released 2013., 22.0:.
Perdok H, Jans S, Verhoeven C, van Dillen J, Mol BW, de Jonge A. Intrapartum referral from primary to secondary Care in the Netherlands: a retrospective cohort study on management of labor and outcomes. Birth. 2015;42(2):156-64.
- Continuity of care is an important and distinct aspect of childbirth experience: findings of a survey evaluating experienced continuity of care, experienced quality of care and women’s perception of labor
Corine J. Verhoeven
Jeroen van Dillen
Tjerk Jan Schuitmaker
François G. Schellevis
Ank de Jonge
- BioMed Central
Neu im Fachgebiet Gynäkologie und Geburtshilfe
Meistgelesene Bücher aus dem Fachgebiet
e.Med Kampagnen-Visual, Mail Icon II