2019/12/18 by Stengel, Verena, Borde, Theda
#610 Medical sciences #Betreuungsqualität #Hebammenbetreuung #Hebammenpräsenz #Klinikgeburt #Medicine #Mütterbefragung #hospital births #midwifery care #midwifery presence #mothers’ survey #quality of care rating
paper · doi:10.3205/zhwi000014
Background and study aim: Studies have shown that 1:1 care by a midwife during labour has a positive effect on the health of mothers and children. Against a background of constraints in the capacity for midwifery care in Berlin hospitals, the point of view of mothers on the presence of midwives and quality of care was examined retrospectively in this study. Methods: The presence of midwives sub partu and the rating of the extent of care (as a quality measure for care) were recorded by mothers who gave birth in Berlin in the years 2016/17 by means of a semi-quantitative online questionnaire. The responses of 567 mothers with spontaneous onset of labour who received standard care were analysed using descriptive methods, χ2-Tests and a binary logistic regression. Results: 55% (n=311) of the respondents indicated that the self-rated presence of a midwife was ≤50% of the time from admission to the labour ward until birth. These mothers rated the extent of care as too little far more often than mothers who experienced constant midwifery presence (50% midwifery presence: OR 3.41 [CI 1.95-7.82], <50% midwifery presence: OR 8.95 [CI 4.52-18.86], p<0.001). The longer the midwife was present during labour, the more positive the rating of care. Discussion: Midwifery presence was less and satisfaction with the quality of care were found to be inferior in comparison to previous studies in German hospitals. The perceived presence of the midwife is an essential feature for mothers’ satisfaction with care received during labour. Conclusion: The results of this study indicate the existence of a problem in the provision of midwifery care in Berlin. Further studies including mothers’ perspectives on the presence of a midwife during labour are necessary.