Creating an Optimality Index – Netherlands: a validation study

Thompson, Suzanne; Nieuwenhuijze, Marianne; Budé, Luc; Vries, Raymond De; Low, Lisa Kane

doi:10.1186/s12884-018-1735-z

Cited by 13 publications

(14 citation statements)

References 30 publications

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“…A framework was identified which was considered to best support reflective evidence-based practice. The Optimality Index 27 is validated for use in the United States 28 and the Netherlands 29 .…”

Section: The Prototypementioning

confidence: 99%

“…Lecturers were positive about the prototype but pointed out that activities that contribute to achieving increased agency as an objective must be paramount. It was felt that using the Netherlands version of the Optimality Index (OI-NL) 29 in combination with reflective practice would be innovative, as it would encourage discussion and reflection on the evidence base for physiologic birth practices.…”

Section: From Initial To Final Prototype: Review and Iterationmentioning

confidence: 99%

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“A powerful midwifery vision”: Dutch student midwives’ educational needs as advocates of physiological childbirth

et al. 2019

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Section: The Prototypementioning

confidence: 99%

Section: From Initial To Final Prototype: Review and Iterationmentioning

confidence: 99%

“A powerful midwifery vision”: Dutch student midwives’ educational needs as advocates of physiological childbirth

et al. 2019

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“…A framework was identified that was considered to best support reflective evidence‐based practice. The Optimality Index is validated for use in the United States and the Netherlands . The Optimality Index has been described as an evidence‐based tool maternity care professionals can use to appraise both processes and outcomes of maternity care for women at low and medium risk.…”

Section: The Prototypementioning

confidence: 99%

“…Lecturers were positive about the prototype but pointed out that activities that contribute to achieving increased agency as an objective must be paramount. It was felt that using the Netherlands version of the Optimality Index (OI‐NL) in combination with reflective practice would be innovative, as it would encourage discussion and reflection on the evidence base for physiologic birth practices.…”

Section: The Prototypementioning

confidence: 99%

Creating Guardians of Physiologic Birth: The Development of an Educational Initiative for Student Midwives in the Netherlands

Thompson

Nieuwenhuijze

Low

et al. 2019

J Midwife Womens Health

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Women want positive birth experiences with high quality maternity care that is neither too much, too soon, nor too little, too late. Research confirms the effectiveness of midwifery care, and the midwifery approach to birth as physiologic may counter the upward trend of the unnecessary medicalization of birth. The role of guardian of physiologic birth is seen as central to midwifery practice; however, medical hegemony has led to the subordination of midwives, which inhibits them in fulfilling the role as guardian of physiologic birth. Learning to become powerful advocates of physiologic birth creates midwives able to speak up for effective, evidence-based maternity care and challenge the unnecessary use of obstetric intervention. Midwifery education has a role to fulfil in molding midwives who are able to assume this role. This brief report describes the development of an educational prototype aimed at increasing student midwife agency as an advocate of physiologic birth. This was done using rapid prototyping (RP) methodology, in which important stakeholders gave input and feedback during the educational design and development process. Input from stakeholders led to the inclusion of persuasive communication strategies and discussion and debate as teaching methodologies in order to increase student midwife agency to argue for physiologic birth. Reflective evidence-based practice, using the Optimality Index-Netherlands, allowed students to reflect on their practice while providing a framework for discussion. Working with the RP methodology allowed for the development of a prototype that reflected the needs of midwifery stakeholders and was mindful of material and human resources.

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“…10 Turkey and the Netherlands have adjusted the optimality index used in the United States (OI-US) and the results of their studies have shown that OI-TR and OI-NL, adapted to the maternity protection system in these countries, are valid and reliable for assessing maternity care. 11,12 The aim of this study is to use the US based Optimality Index (OI-US) to initiate the possibility of developing an adequate national-level database for women with low-and medium-risk pregnancies and, based on the obtained information from the optimality index, to assess the feasibility and possible application in deciding on delivery settings, as well as in the postpartum and neonatal outcome.…”

Section: Introductionmentioning

confidence: 99%

Optimal Outcome Factors In Maternity And Newborn Care For Inpatient (Hospital Maternity Ward-HMW) And Outpatient Deliveries (Outhospital Maternity Clinics -OMC)

Lukač

Šulović

Ilić

et al. 2021

Preprint

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Background and objectives: The aim of this study was to use the Optimality Index (OI-US) to initiate the possibility of developing an adequate national-level database for women with low- and medium-risk pregnancies but also to assess the feasibility and possible application in inpatient and outpatient delivery settings. Numerous worldwide associations support the option of women giving birth at maternity outpatient clinics or even at home. The assessments of requirements that need to be met and what could be characterized as the birth potential constitute the basis for making the right decision regarding childbirth. Materials and Methods: The study is based on a prospective follow-up of pregnant women and new mothers (100 participants) who were monitored and gave birth at the hospital maternity ward (HMW) and pregnant women and new mothers (100 participants) who were monitored and gave birth at the outhospital maternity clinics (OMC). Selected patients were classified according to the criteria of low- and medium-risk and each of the parameters of the OI and the total OI were compared. Results: The results of this study confirm the benefits of intrapartum and neonatal outcome, when delivery was carried out in an outpatient setting. The median OI of intrapartum components was significantly higher in the outpatient setting compared to the hospital maternity ward (97 range from 24 to 100 vs 91 range from 3 to 100). The median OI of neonatal components was significantly higher in the outpatient compared to the inpatient delivery. (99 range from 97 to 100 vs 96 range from 74 to 100). Certain components from the intrapartum and neonatal period highly contribute to the significantly better total OI in the outpatient conditions in relation to hospital conditions. Conclusion: Outpatient care and delivery provide multiple benefits for both the mother and the newborn.

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Creating an Optimality Index – Netherlands: a validation study

Cited by 13 publications

References 30 publications

“A powerful midwifery vision”: Dutch student midwives’ educational needs as advocates of physiological childbirth

“A powerful midwifery vision”: Dutch student midwives’ educational needs as advocates of physiological childbirth

Creating Guardians of Physiologic Birth: The Development of an Educational Initiative for Student Midwives in the Netherlands

Optimal Outcome Factors In Maternity And Newborn Care For Inpatient (Hospital Maternity Ward-HMW) And Outpatient Deliveries (Outhospital Maternity Clinics -OMC)

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