ArticleBMC pregnancy and childbirth2016
Opinions of maternity care professionals and other stakeholders about integration of maternity care: a qualitative study in the Netherlands.
Article in BMC pregnancy and childbirth, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Let's talk to women, not about them: pregnant women's perspectives on integrated maternity care in the southwestern region of the Netherlands.BMC pregnancy and childbirth · 2026Article
- Multiple Chronic Conditions Before Pregnancy and Risk of Adverse Maternal Health Outcomes: Population-Based Cohort Study.BJOG : an international journal of obstetrics and gynaecology · 2026Article
- How has the integration of midwives into primary healthcare settings impacted access to care? A qualitative descriptive study from Ontario, Canada.BMC health services research · 2025Article
- Understanding how midwife-led continuity of care can be implemented and under what circumstances: a realist review.BMJ open · 2025Review
- Co-creation of a health literate-sensitive training and conversation aid to support shared decision-making in maternity care.PEC innovation · 2024Article
- Implementing group care in Dutch and Surinamese maternity and child care services: the vital importance of addressing outer context barriers.BMC pregnancy and childbirth · 2024Article
- The future of midwife-led continuity of care: Call for a dialogue.Dialogues in health · 2024Article
- Exploring and prioritising strategies for improving uptake of postnatal care services in Thyolo, Malawi: A qualitative study.PLOS global public health · 2024Article
- Integrated maternity care: A concept analysis.PloS one · 2024Article
- Health literate-sensitive shared decision-making in maternity care: needs for support among maternity care professionals in the Netherlands.BMC pregnancy and childbirth · 2023Article
- Key Maternity Care Stakeholders' Views on Midwives' Professional Autonomy.Healthcare (Basel, Switzerland) · 2023Article
- Midwives' Perception Regarding Conditions Influencing the Implementation of the Natural Childbirth Promotion Program in Iran: A Qualitative Study.International journal of community based nursing and midwifery · 2023Article
- Domains of competence in midwifery students: a basis for developing a competence assessment tool for iranian undergraduate midwifery students.BMC medical education · 2022Article
- Exploring Women's Experiences of Maternity Service Delivery in Regional Tasmania: A Descriptive Qualitative Study.Healthcare (Basel, Switzerland) · 2022Article
- 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.International journal of environmental research and public health · 2022Article
- Experiences of Dutch maternity care professionals during the first wave of COVID-19 in a community based maternity care system.PloS one · 2021Article
- Article
- The midwifery-led care model: a continuity of care model in the birth path.Acta bio-medica : Atenei Parmensis · 2019Review
- How good is collaboration between maternity service providers in the Netherlands?Journal of multidisciplinary healthcare · 2019Article
- Creating an Optimality Index - Netherlands: a validation study.BMC pregnancy and childbirth · 2018Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study aims to give insight into the opinions of maternity care professionals and other stakeholders on the integration of midwife-led care and obstetrician-led care and on the facilitating and inhibiting factors for integrating maternity care.
methodsQualitative study using interviews and focus groups from November 2012 to February 2013 in the Netherlands. Seventeen purposively selected stakeholder representatives participated in individual semi-structured interviews and 21 in focus groups. One face-to-face focus group included a combined group of midwives, obstetricians and a paediatrician involved in maternity care. Two online focus groups included a group of primary care midwives and a group of clinical midwives respectively. Thematic analysis was performed using Atlas.ti. Two researchers independently coded the interview and focus group transcripts by means of a mind map and themes and relations between them were described.
resultsThree main themes were identified with regard to integrating maternity care: client-centred care, continuity of care and task shifting between professionals. Opinions differed regarding the optimal maternity care organisation model. Participants considered the current payment structure an inhibiting factor, whereas a new modified payment structure based on the actual amount of work performed was seen as a facilitating factor. Both midwives and obstetricians indicated that they were afraid to loose autonomy.
conclusionsAn integrated maternity care system may improve client-centred care, provide continuity of care for women during labour and birth and include a shift of responsibilities between health care providers. However, differences of opinion among professionals and other stakeholders with regard to the optimal maternity care organisation model may complicate the implementation of integrated care. Important factors for a successful implementation of integrated maternity care are an appropriate payment structure and maintenance of the autonomy of professionals.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.