Women-centered care: Implementation of CenteringPregnancy (R) in The Netherlands
| Autor: | Marlies Rijnders, Suze Jans, Matty Crone, Inger Aalhuizen, Symone Detmar |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty pregnancy outcomes Breastfeeding Primary care Prenatal care Midwifery 03 medical and health sciences Maternity care Young Adult 0302 clinical medicine Pregnancy Surveys and Questionnaires Medicine Humans 030212 general & internal medicine Pregnancy outcomes Exercise Netherlands Retrospective Studies 030219 obstetrics & reproductive medicine CenteringPregnancy business.industry Pregnancy Outcome Obstetrics and Gynecology Retrospective cohort study Prenatal Care Odds ratio group prenatal care Patient Acceptance of Health Care Confidence interval Breast Feeding Logistic Models Outcome and Process Assessment Health Care women-centered care vulnerable women Patient Satisfaction Family medicine Female business |
| Zdroj: | Birth, 46(3), 450-460 |
| DOI: | 10.1111/birt.12413 |
| Popis: | INTRODUCTION: In response to a relatively high perinatal mortality rate in The Netherlands, the Dutch Health Ministry recommended changes to maternity care, opening a pathway toward more integrated woman-centered services. Because of its potential to positively influence risk factors for adverse pregnancy outcomes, CenteringPregnancy (CP) group prenatal care was implemented. METHODS: We performed a retrospective cohort study (n = 2318) and survey on women's experiences (n = 222) in eight primary care midwifery practices to investigate outcome differences between CP and traditional individual prenatal care. Data from the period 2011-2013 were analyzed. RESULTS: Primiparous and multiparous CP women attended more prenatal care visits compared with women who received individual care (adjusted odds ratio [aOR] 1.23 [95% confidence interval [CI] 1.18-1.29] and 1.29 [1.21-1.36]). Fewer primiparous CP women used pain relief during labor (0.56 [0.43-0.73]), and they initiated breastfeeding more often (1.74 [1.15-2.62]). Women participating in CP were more likely to feel that their wishes with respect to medication use (69.1% vs 54.4%, P = 0.039), physical activities (72.8% vs 52.5%, P = 0.008), and relaxation exercises (67.9% vs 35.6%, P ≤ 0.001) were listened to by care providers. They also felt more supported to actively participate in their care (89.6% vs 68.5%, P = 0.001) and felt more able to voice opinions about care (92.7% vs 73.9%, P = 0.002). CONCLUSIONS: The CP model is a good approach aligning with Dutch policy calling for women-centered care and responding to the needs of pregnant women. This study supports CP scale-up in The Netherlands and adds to the pool of international knowledge about CP implementation. |
| Databáze: | OpenAIRE |
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