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

M.A.A. Hermus, T.A. Wiegers, Margaretha Hitzert, I.C. Boesveld, E.M. van den Akker-van Marle, Henk Akkermans, M.A. Bruijnzeels, A. Franx, J.P. de Graaf, M.E.B. Rijnders, E.A.P. Steegers, K.M. Van der Pal-De Bruin

Research output: Contribution to journalArticleScientificpeer-review

Abstract

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 andmeasuring 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.

Keywords: Birthing centres, Delivery rooms, Delivery obstetric, Pregnancy outcome, Home childbirth, Midwifery, Communication, Outcome assessment (Health care), Perinatal mortality, Integrated care
Original languageEnglish
Article number148
JournalBMC Pregnancy and Childbirth
Volume15
DOIs
Publication statusPublished - 2015

Fingerprint

Birthing Centers
Netherlands
Midwifery
Home Childbirth
Organizational Efficiency
Organizations
Delivery Rooms
Perinatal Mortality
Administrative Personnel
Obstetrics
Cost-Benefit Analysis

Keywords

  • birthing centres
  • delivery rooms
  • delivery obstetric
  • pregnancy outcome
  • home childbirth
  • midwifery
  • communication
  • outcome assessment
  • perinatal mortality
  • integrated care

Cite this

Hermus, M. A. A., Wiegers, T. A., Hitzert, M., Boesveld, I. C., van den Akker-van Marle, E. M., Akkermans, H., ... Van der Pal-De Bruin, K. M. (2015). 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, 15, [148]. https://doi.org/10.1186/s12884-015-0585-1
Hermus, M.A.A. ; Wiegers, T.A. ; Hitzert, Margaretha ; Boesveld, I.C. ; van den Akker-van Marle, E.M. ; Akkermans, Henk ; Bruijnzeels, M.A. ; Franx, A. ; de Graaf, J.P. ; Rijnders, M.E.B. ; Steegers, E.A.P. ; Van der Pal-De Bruin, K.M. / The Dutch Birth Centre Study : Study design of a programmatic evaluation of the effect of birth centre care in the Netherlands. In: BMC Pregnancy and Childbirth. 2015 ; Vol. 15.
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Hermus, MAA, Wiegers, TA, Hitzert, M, Boesveld, IC, van den Akker-van Marle, EM, Akkermans, H, Bruijnzeels, MA, Franx, A, de Graaf, JP, Rijnders, MEB, Steegers, EAP & Van der Pal-De Bruin, KM 2015, '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, vol. 15, 148. https://doi.org/10.1186/s12884-015-0585-1

The Dutch Birth Centre Study : Study design of a programmatic evaluation of the effect of birth centre care in the Netherlands. / Hermus, M.A.A.; Wiegers, T.A.; Hitzert, Margaretha; Boesveld, I.C.; van den Akker-van Marle, E.M.; Akkermans, Henk; Bruijnzeels, M.A.; Franx, A.; de Graaf, J.P.; Rijnders, M.E.B.; Steegers, E.A.P.; Van der Pal-De Bruin, K.M.

In: BMC Pregnancy and Childbirth, Vol. 15, 148, 2015.

Research output: Contribution to journalArticleScientificpeer-review

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T2 - Study design of a programmatic evaluation of the effect of birth centre care in the Netherlands

AU - Hermus, M.A.A.

AU - Wiegers, T.A.

AU - Hitzert, Margaretha

AU - Boesveld, I.C.

AU - van den Akker-van Marle, E.M.

AU - Akkermans, Henk

AU - Bruijnzeels, M.A.

AU - Franx, A.

AU - de Graaf, J.P.

AU - Rijnders, M.E.B.

AU - Steegers, E.A.P.

AU - Van der Pal-De Bruin, K.M.

PY - 2015

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KW - delivery rooms

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KW - communication

KW - outcome assessment

KW - perinatal mortality

KW - integrated care

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