Training GPs to improve their management of work-related problems: results of a cluster randomized controlled trial

Background: Paying attention to their patients’ work and recognizing work-related problems is challenging for many general practitioners (GPs). Objectives: To assess the effect of training designed to improve the care for patients with work-related problems in general practice. Methods: A cluster randomized controlled trial among 32 Dutch GPs....

How do Dutch GPs address work-related problems? A focus group study

Background: In the Netherlands, there is a lack of knowledge about general practitioners’ (GPs) perception of their role regarding patients’ occupation and work related problems (WRP). As work and health are closely related, and patients expect help from their GPs in this area, a better understanding is needed of GPs’ motivation to address WRP....

Change in primary midwife-led care in the Netherlands in 2000-2008: A descriptive study of caesarean sections and other interventions among 807,437 low risk births

Objective: to study whether an increase in intrapartum referrals in primary midwife-led care births in the Netherlands is accompanied by an increase in caesarean sections. Design: nationwide descriptive study. Setting: The Netherlands Perinatal Registry. Participants: 807,437 births of nine year cohorts of women with low risk pregnancies in...

Corrigendum to 'Change in primary midwife-led care in the Netherlands in 2000-2008: A descriptive study of caesarean sections and other interventions among 789,795 low risk births'

Persisting rise in referrals during labor in primary midwife-led care in The Netherlands

Background: There are concerns about the Dutch maternity care system, characterized by a strict role division between primary and secondary care. The objective of this study was to describe trends in referrals and in perinatal outcomes among labors that started in primary midwife-led care. Methods: We performed a descriptive study of all 789,795...

Risk of perineal damage is not a reason to discourage a sitting birthing position: A secondary analysis

Aim: To examine the association between semi-sitting and sitting position at the time of birth and perineal damage amongst low-risk women in primary care. Background: Evidence on the association between birthing positions and perineal trauma is not conclusive. Most studies did not distinguish between positions during the second stage of labour...

Are there inequalities in choice of birthing position?. Sociodemographic and labour factors associated with the supine position during the second stage of labour

Objective: to establish which factors are associated with birthing positions throughout the second stage of labour and at the time of birth. Design: retrospective cohort study. Setting: primary care midwifery practices in the Netherlands. Participants: 665 low-risk women who received midwife-led care. Measurements and findings: a postal...

Women's positions during the second stage of labour: Views of primary care midwives

Aim. This paper is a report of a study to explore the views of midwives on women's positions during the second stage of labour. Background. Many authors recommend encouraging women to use positions that are most comfortable to them. Others advocate encouragement of non-supine positions, because offering 'choice' is not enough to reverse the...

Baringshoudingen tijdens de uitdrijving: opvattingen van eerstelijns verloskundigen

Increased blood loss in upright positions originates from perineal damage

Toegenomen bloedverlies in verticale baringshouding veroorzaakt door prenineumletsel

Hebben vrouwen die zittend bevallen een verhoogd risico op ernstig bloedverlies? Ank de Jonge en collega’s onderzochten dit bij 1646 vrouwen die bevielen onder leiding van de eerstelijns verloskundige. Conclusie: Halfzittende en zittende baringshoudingen leiden alleen tot een toename in bloedverlies bij vrouwen met perineumletsel.