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Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Berufssituation der Hebammen in Einrichtungen mit und ohne hebammengeleitete Geburtshilfe in einem Schweizer Kanton
Authors: Grylka, Susanne
Borner, Barbara
Pehlke-Milde, Jessica
et. al: No
DOI: 10.1055/a-1083-7028
Published in: Zeitschrift für Geburtshilfe und Neonatologie
Volume(Issue): 224
Issue: 02
Pages: 93
Pages to: 102
Issue Date: 26-Feb-2020
Publisher / Ed. Institution: Thieme
ISSN: 0948-2393
Language: German
Subjects: Hebammengeleitete Geburtshilfe; Kontinuität in der Betreuung; Berufssituation; Kompetenz; Physiologischer Prozess
Subject (DDC): 618: Gynecology, obstetrics and midwifery
Abstract: Introduction: Compared to traditional models of care, midwife-led models of care provide better opportunities for midwives to make use of their full scope of practice. This has consequences for their professional satisfaction. The aim of this survey was to gain an overview of the occupational situation of midwives in the maternity units of a Swiss canton and to compare the situations between institutions with and without midwife-led care. Methods: An online-survey was developed based on a literature search. All 17 institutions with maternity units in the canton of Zurich were eligible to participate. Data was analysed descriptively using Stata 15. Results: 16 maternity units (94.1%) participated in the survey: 12 public hospitals, 2 private hospitals, and 2 midwifery-led birthing centres. A total of 5 units (31.3%) provided midwife-led births or were birthing centres. In institutions providing midwife-led care, women and midwives were more likely to know each other before admission to birth (60.0 vs. 9.1%, p=0.063), fewer routine interventions were carried out (e. g. venous access: 20.0 vs. 81.8%, p=0.036), midwives had more decision-making competences as well as responsibility (e. g. autonomous discharge check-up: 60.0 vs. 9.1%, p=0.063) and used supervisions more often (60.0 vs. 9.1%, p=0.013). Conclusion: Fostering midwife-led models of care increases continuity of care and decreases the application of routine interventions. It also fosters the independent assumption of tasks.
Further description: Copyright 2020 Thieme
Fulltext version: Accepted version
License (according to publishing contract): Licence according to publishing contract
Restricted until: 2021-02-28
Departement: Health Professions
Organisational Unit: Institute of Midwifery (IHB)
Published as part of the ZHAW project: Berufszufriedenheit Hebammen
Appears in Collections:Publikationen Gesundheit

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