Er komen twaalf vrouwen bij de verloskundige: De introductie van CenteringPregnancy® in Nederland

CenteringPregnancy ® is geboortezorg in groepsvorm. Door de kennis en de culturele waarden van alle deelnemers actief in te zetten, ontstaat een dynamische zorgomgeving. De rol van de zorgverlener is niet langer traditioneel informatief-didactisch, maar faciliterend. Uit onderzoek blijkt dat zwangeren in kwetsbare groepen door deze aanpak beter...

Group based prenatal care in a low-and high risk population in the Netherlands: a study protocol for a stepped wedge cluster randomized controlled trial

Background. CenteringPregnancy (CP) is a multifaceted group based care-model integrated in routine prenatal care, combining health assessment, education, and support. CP has shown some positive results on perinatal outcomes. However, the effects are less obvious when limited to the results of randomized controlled trials: as there are few trials...

Good reliability and validity for a new utility instrument measuring the birth experience, the Labor and Delivery Index

Objectives To validate the Labor and Delivery Index (LADY-X), a new delivery-specific utility measure. Study Design and Setting In a test–retest design, women were surveyed online, 6 to 8 weeks postpartum and again 1 to 2 weeks later. For reliability testing, we assessed the standard error of measurement (S.E.M.) and the intraclass correlation...

Implementation of client versus care-provider strategies to improve external cephalic version rates: A cluster randomized controlled trial

Onjective: To determine the effectiveness of a client or care-provider strategy to improve the implementation of external cephalic version. Design: Cluster randomized controlled trial.Setting: Twenty-five clusters; hospitals and their referring midwifery practices randomly selected in the Netherlands. Population: Singleton breech presentation...

Calculating Preference Weights for the Labor and Delivery Index: A Discrete Choice Experiment on Women’s Birth Experiences

Objective The aim of this study was to calculate preference weights for the Labor and Delivery Index (LADY-X) to make it suitable as a utility measure for perinatal care studies. Methods In an online discrete choice experiment, 18 pairs of hypothetical scenarios were presented to respondents, from which they had to choose a preferred option. The...

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

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...

Patients' and professionals' barriers and facilitators to external cephalic version for breech presentation at term, a qualitative analysis in the Netherlands

Objective: external cephalic version (ECV) is a relatively simple and safe manoeuvre and a proven effective approach in the reduction of breech presentation at term. There is professional consensus that ECV should be offered to all women with a fetus in breech presentation, but only up to 70% of women eligible for ECV undergo an ECV attempt. The...

Facilitators and barriers to external cephalic version for breech presentation at term among health care providers in the Netherlands: A quantitative analysis

OBJECTIVE: guidelines recommend that external cephalic version (ECV) should be offered to all women with a fetus in breech presentation at term. However, only 50-60% of the women receive an ECV attempt. We explored the determinants (barriers and facilitators) affecting the uptake of the guidelines among gynaecologists and midwives in the...

Implementation of external cephalic version in the Netherlands: A retrospective cohort study

Background: External cephalic version (ECV) reduces the rate of elective cesarean sections as a result of breech presentation. Several studies have shown that not all eligible women undergo an ECV attempt. The aim of this study was to evaluate the implementation of ECV in the Netherlands and to explain variation in implementation rates with...

A comprehensive representation of the birth-experience: Identification and prioritization of birth-specific domains based on a mixed-method design

Background: In obstetrics, effectiveness and cost-effectiveness studies often present several specific outcomes with likely contradicting results and may not reflect what is important for women. A birth-specific outcome measure that combines the core domains into one utility score would solve this problem. The aim of this study was to...