Outcomes on effect, costs and experiences are identical for women with low-risk pregnancies who plan birth in a birth centre compared with women who plan to give birth in a hospital. Women who... Show moreOutcomes on effect, costs and experiences are identical for women with low-risk pregnancies who plan birth in a birth centre compared with women who plan to give birth in a hospital. Women who planned home birth had better outcomes on al aspects mentioned. Oppurtunities to easily optimize the outcomes for women who do not want to give birth at home, have been identified. Birth centres have the beste potential to easily implement these opportunities. After this implementantiona, and with the fact that more and more obstetric units in the Netherlands are dealing with capacitty problems, birth centres are an added value as birth location for women who don't plan to give birth at home. Show less
Boere, I.; Smit, M.; Roest, A.A.W.; Lopriore, E.; Lith, J.M.M. van; Pas, A.B. te 2015
In this thesis, the primary aim was to gain insight into management of obstetric emergencies occurring in primary midwifery care in the Netherlands. Secondly, we aimed to develop preventative... Show moreIn this thesis, the primary aim was to gain insight into management of obstetric emergencies occurring in primary midwifery care in the Netherlands. Secondly, we aimed to develop preventative strategies and tools to optimise care in case of an obstetric emergency. From 2008-2010, a unique dataset of 198 cases of obstetric emergencies was provided by midwives working in primary care who participated in the __CAVE-Study__. We used both qualitative research (audit) as well as quantitative research methods. We studied preventative tools such as pulse oximetry in primary midwifery care and developed and assessed 25 quality indicators for the development of a multidisciplinary guideline for post-partum haemorrhage (PPH, defined as __ 1000 mL blood loss after childbirth) in the Netherlands. We have summarised and discussed the studies performed in relation to each other, both from the perspective of midwifery care in the Netherlands, but also as embedded in the Dutch obstetrical care system. Finally, we have made specific recommendations concerning the development of guidelines, cooporation and the use of technology in primary midwifery care Show less
Smit, M.; Ganzeboom, A.; Dawson, J.A.; Walther, F.J.; Bustraan, J.; Roosmalen, J.J.M. van; Pas, A.B. te 2014
