Opinions of maternity care professionals about integration of care during labor for "moderate risk" indications: A delphi study in the Netherlands

Hilde Perdok, Lidwine Mokkink, Jeroen van Dillen, Myrte Westerneng, Suze Jans, Ben Willem Mol, Ank de Jonge

Research output: Contribution to journalArticlepeer-review

14 Citations (Scopus)

Abstract

Background: The percentage of referrals during labor from primary midwife-led care to obstetrician-led care has increased over the past years in The Netherlands. Most women are referred for indications with a moderate increase in risk and are looked after by clinical midwives. This study aims to provide insight into the opinions of maternity care professionals about integration of care and involvement of primary care midwives in the intrapartum care of women with "moderate risk" factors. Methods: A Delphi study consisting of three rounds was conducted. A purposively selected heterogenic panel of 50 professionals, including obstetricians, primary care midwives, clinical midwives, and obstetric nurses, answered questions anonymously. Results: Although primary care midwives would like to expand their responsibilities and tasks with respect to "moderate risk" indications, consensus among panel members was only reached concerning prolonged rupture of membranes for which the primary care midwife could remain the caregiver. Conclusion: This study shows that most participants support more integration of care during labor. The lack of consensus among Dutch maternity care professionals with regard to the distribution of responsibilities and tasks for "moderate risk" indications is a challenge. Further studies should explore how to deal with differences in opinions among professionals when integrating maternity care systems.

Original languageEnglish
Pages (from-to)195-205
Number of pages11
JournalBirth
Volume41
Issue number2
DOIs
Publication statusPublished or Issued - Jun 2014

Keywords

  • Care during labor
  • Health care integration
  • Health manpower
  • Midwifery
  • Obstetrics

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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