The Dutch Birth Centre Study: study design of a programmatic evaluation of the effect of birth centre care in the Netherlands

BMC Pregnancy and Childbirth

Karin M. van der Pal-de Bruin¹  Eric A.P. Steegers²  Marlies E.B. Rijnders¹  Johanna P. de Graaf²  Arie Franx⁸  Marc A. Bruijnzeels⁴  Henk A. Akkermans⁵  M. Elske van den Akker-van Marle⁶  Inge C. Boesveld⁴  Marit F. Hitzert²  Therese A. Wiegers⁷  Marieke A.A. Hermus³ 

[1] Department of Child Health, TNO, Leiden, 2301 CE, The Netherlands;Department of Obstetrics and Gynaecology, Erasmus University Medical Centre, Rotterdam, 3000 CA, The Netherlands;Midwifery Practice Trivia, Werkmansbeemd 2, Oosterhout, 4907 EW, The Netherlands;Jan van Es Institute, Netherlands Expert Centre Integrated Primary Care, Randstad 2145-a 1314 BG, Almere, The Netherlands;Department of Management, Tilburg School of Economics and Management, Tilburg, 5000 LE, The Netherlands;Department of Medical decision making, Leiden University Medical Center, Leiden, 2300 RC, The Netherlands;NIVEL (Netherlands Institute for Health Services Research), Utrecht, 3500 BN, The Netherlands;Division Woman and Baby, University Medical Centre Utrecht, Utrecht, 3508 GA, The Netherlands

关键词: Integrated care;    Perinatal mortality;    Outcome assessment (Health care);    Communication;    Midwifery;    Home childbirth;    Pregnancy outcome;    Delivery obstetric;    Delivery rooms;    Birthing centres;   

Others  :  1219957
DOI  :  10.1186/s12884-015-0585-1

 received in 2014-12-11, accepted in 2015-07-03,  发布年份 2015

【 摘 要 】

Background

Birth centres are regarded as settings where women with uncomplicated pregnancies can give birth, assisted by a midwife and a maternity care assistant. In case of (threatening) complications referral to a maternity unit of a hospital is necessary. In the last decade up to 20 different birth centres have been instituted in the Netherlands. This increase in birth centres is attributed to various reasons such as a safe and easy accessible place of birth, organizational efficiency in integration of care and direct access to obstetric hospital care if needed, and better use of maternity care assistance. Birth centres are assumed to offer increased integration and quality of care and thus to contribute to better perinatal and maternal outcomes. So far there is no evidence for this assumption as no previous studies of birth centres have been carried out in the Netherlands.

Design

The aims are 1) Identification of birth centres and measuring integration of organization and care 2) Measuring the quality of birth centre care 3) Effects of introducing a birth centre on regional quality and provision of care 4) Cost-effectiveness analysis 5) In depth longitudinal analysis of the organization and processes in birth centres.

Different qualitative and quantitative methods will be used in the different sub studies. The design is a multi-centre, multi-method study, including surveys, interviews, observations, and analysis of registration data and documents.

Discussion

The results of this study will enable users of maternity care, professionals, policy makers and health care financers to make an informed choice about the kind of birth location that is appropriate for their needs and wishes.

【 授权许可】

   
2015 Hermus et al.

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