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Models of Risk Selection in Maternal and Newborn Care: Exploring the Organization of Tasks and Responsibilities of Primary Care Midwives and Obstetricians in Risk Selection across The Netherlands

Author

Listed:
  • Bahareh Goodarzi

    (Department of Midwifery Science, AVAG, Amsterdam Public Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands)

  • Corine Verhoeven

    (Department of Midwifery Science, AVAG, Amsterdam Public Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands
    Queen’s Medical Centre, Division of Midwifery, School of Health Sciences, University of Nottingham, Nottingham NG7 2HA, UK
    Department of Obstetrics and Gynaecology, Maxima Medical Centre, De Run 4600, 5504 DB Veldhoven, The Netherlands)

  • Durk Berks

    (Department of Obstetrics and Gynaecology, Dijklander Ziekenhuis, Maelsonstraat 3, 1624 NP Hoorn, The Netherlands)

  • Eline F. de Vries

    (Department of Quality of Care and Health Economics, National Institute for Public Health and the Environment, P.O. Box 1, 3720 MA Bilthoven, The Netherlands
    Department of Public Health and Primary Care, Campus the Hague, Leiden University Medical Center, 2511 DP Den Haag, The Netherlands)

  • Ank de Jonge

    (Department of Midwifery Science, AVAG, Amsterdam Public Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands)

Abstract

An effective system of risk selection is a global necessity to ensure women and children receive appropriate care at the right time and at the right place. To gain more insight into the existing models of risk selection (MRS), we explored the distribution of different MRS across regions in The Netherlands, and examined the relation between MRS and primary care midwives’ and obstetricians’ satisfaction with different MRS. We conducted a nationwide survey amongst all primary midwifery care practices and obstetrics departments. The questionnaire was completed by 312 (55%) primary midwifery care practices and 53 (72%) obstetrics departments. We identified three MRS, which were distributed differently across regions: (1) primary care midwives assess risk and initiate a consultation or transfer of care without discussing this first with the obstetrician, (2) primary care midwives assess risk and make decisions about consultation or transfer of care collaboratively with obstetricians, and (3) models with other characteristics. Across these MRS, variations exist in several aspects, including the routine involvement of the obstetrician in the care of healthy pregnant women. We found no significant difference between MRS and professionals’ level of satisfaction. An evidence- and value-based approach is recommended in the pursuit of the optimal organization of risk selection. This requires further research into associations between MRS and maternal and perinatal outcomes, professional payment methods, resource allocation, and the experiences of women and care professionals.

Suggested Citation

  • Bahareh Goodarzi & Corine Verhoeven & Durk Berks & Eline F. de Vries & Ank de Jonge, 2022. "Models of Risk Selection in Maternal and Newborn Care: Exploring the Organization of Tasks and Responsibilities of Primary Care Midwives and Obstetricians in Risk Selection across The Netherlands," IJERPH, MDPI, vol. 19(3), pages 1-15, January.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:3:p:1046-:d:727352
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