Die Effektivität der Eins-zu-eins-Betreuung während der Geburt. Eine Literaturübersicht

Knape, N; Schnepp, Wilfried; Krahl, Andreas; Sayn-Wittgenstein, Friederike zu

doi:10.1055/s-0033-1355382

Cited by 8 publications

(11 citation statements)

References 8 publications

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“…Blood pressure measurement during labor is important for evaluating maternal health and diagnosis of critical disorders like bleeding (31). Based on numerous studies, bleeding is one of the major causes of maternal death due to pregnancy and child birth, worldwide, preventable by early detection and treatment (32). Hypotension is a sign of bleeding that can prevented by precise control.…”

Section: Discussionmentioning

confidence: 99%

Quality Assessment of Peripartum Care

Changaee¹,

Simbar²,

Irajpour³

et al. 2014

Iran Red Crescent Med J

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Background:Maternal health improvement is one of the eight goals of the third millennium development, set in 2000. Pregnancy complications are the most important causes of maternal mortality worldwide. Proper and qualified health care access is one the most important factors for reducing maternal and neonatal mortality rates.Objectives:This study aimed to determine quality of peripartum care in Lorestan province in 2013.Materials and Methods:This was a descriptive cross-sectional study, in which quality of peripartum care was assessed among 200 women (sample size was determined according to other studies), referred to Lorestan province public hospitals. Quality assessment according to the WHO was used for the framework of structure, process and outcome. Data was collected by a researcher-made checklist, developed based on the administered instructions by Iran Health Ministry. The checklists were filled by observation. The calculated quality scores were expressed as percentage. SPSS version 18 was used for data analysis.Results:The mean percentages of compatibility with desirable situation were 54%, 57% and 66% in first, second and third stage of labor, respectively. The lowest scores were related to: Leopold maneuvers in the first stage, hand washing in the second stage and pulse control in the third stage of labor.Conclusions:Quality of peripartum care is moderate in Lorestan province, therefore, continuous evaluation of quality of care by administrators and hospital staff is essential to improve this quality and will ultimately result in maternal and neonatal health improvement.

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Section: Discussionmentioning

confidence: 99%

Quality Assessment of Peripartum Care

Changaee¹,

Simbar²,

Irajpour³

et al. 2014

Iran Red Crescent Med J

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“…Die Betreuung der Kontrollgruppe wurde, wie in Nordamerika meist üblich, durch geburtshilflich ausgerichtete Krankenschwestern übernommen und die Geburt ärztlich geleitet [4]. Es wird vermutet, dass die eher medizinisch geprägte Versorgung das Outcome der Studie verstärkt hat und dass gerade in Ländern mit einer medizinisch und technisch geprägten Betreuung eine den Bedürfnissen und Wünschen der Frauen angepasste Geburt nur mit einer ergänzenden psychosozialen Betreuungsperson ermöglicht werden kann [10].…”

Section: Geschichte Der Doulasunclassified

“…Auch in Settings, in denen das Mitbringen einer Begleitperson nicht üblich ist, konnten positive Effekte auf den Geburtsverlauf durch eine weibliche Angehörige festgestellt werden [10].…”

Section: Geschichte Der Doulasunclassified

“…Wird eine Eins-zu-Eins-Betreuung durch Hebammen geleistet, welche die Frau im besten Fall bereits in der Schwangerschaft kennengelernt hat, oder fand sich eine geringe Arbeitsbelastung der Hebamme, konnten dieselben positiven Effekte auf das Geburtsoutcome betrachtet werden, wie in der Studie von Bohren und Kollegen [10]…”

Section: Geschichte Der Doulasunclassified

“…Steigende Geburtenzahlen, Stellenabbau als Einsparungspotenzial, zunehmende administrative Aufgaben und umfassendere Dokumentationsaufgaben aufgrund forensischer Aspekte haben in Deutschland zu einem Hebammenmangel in den Krankenhäusern, aber auch in der Freiberuflichkeit geführt [10].…”

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Hebammenmangel in deutschen Kreißsälen – Doulas füllen die Lücke

Hartmann¹

2019

Hebamme

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Durch den Fachkräftemangel fehlen Hebammen in den Kreißsälen der Krankenhäuser, aber auch freiberufliche Hebammen sind zunehmend rar. Deshalb steht vielen Frauen nicht die Betreuung zur Verfügung, die sie sich während und nach der Geburt wünschen. Die Rolle der Doulas wird dadurch immer wichtiger. Dieser Beitrag widmet sich dem aktuellen Forschungsstand zur Bedeutung der Doulas und setzt sich mit Konflikten und Potenzialen in der Zusammenarbeit mit Hebammen auseinander.

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Perceptions and experiences of labour companionship: a qualitative evidence synthesis

Bohren

Berger

Munthe‐Kaas

et al. 2019

Cochrane Database of Systematic Reviews

203

197

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BackgroundLabour companionship refers to support provided to a woman during labour and childbirth, and may be provided by a partner, family member, friend, doula or healthcare professional. A Cochrane systematic review of interventions by Bohren and colleagues, concluded that having a labour companion improves outcomes for women and babies. The presence of a labour companion is therefore regarded as an important aspect of improving quality of care during labour and childbirth; however implementation of the intervention is not universal. Implementation of labour companionship may be hampered by limited understanding of factors affecting successful implementation across contexts.ObjectivesThe objectives of the review were to describe and explore the perceptions and experiences of women, partners, community members, healthcare providers and administrators, and other key stakeholders regarding labour companionship; to identify factors affecting successful implementation and sustainability of labour companionship; and to explore how the findings of this review can enhance understanding of the related Cochrane systematic review of interventions.Search methodsWe searched MEDLINE, CINAHL, and POPLINE K4Health databases for eligible studies from inception to 9 September 2018. There were no language, date or geographic restrictions.Selection criteriaWe included studies that used qualitative methods for data collection and analysis; focused on women’s, partners’, family members’, doulas', providers', or other relevant stakeholders' perceptions and experiences of labour companionship; and were from any type of health facility in any setting globally.Data collection and analysisWe used a thematic analysis approach for data extraction and synthesis, and assessed the confidence in the findings using the GRADE‐CERQual approach. We used two approaches to integrate qualitative findings with the intervention review findings. We used a logic model to theorise links between elements of the intervention and health and well‐being outcomes. We also used a matrix model to compare features of labour companionship identified as important in the qualitative evidence synthesis with the interventions included in the intervention review.Main resultsWe found 51 studies (52 papers), mostly from high‐income countries and mostly describing women's perspectives. We assessed our level of confidence in each finding using the GRADE‐CERQual approach. We had high or moderate confidence in many of our findings. Where we only had low or very low confidence in a finding, we have indicated this.Labour companions supported women in four different ways. Companions gave informational support by providing information about childbirth, bridging communication gaps between health workers and women, and facilitating non‐pharmacological pain relief. Companions were advocates, which means they spoke up in support of the woman. Companions provided practical support, including encouraging women to move around, providing massage, and holding her hand. Finally, companions...

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Die Effektivität der Eins-zu-eins-Betreuung während der Geburt. Eine Literaturübersicht

Cited by 8 publications

References 8 publications

Quality Assessment of Peripartum Care

Quality Assessment of Peripartum Care

Hebammenmangel in deutschen Kreißsälen – Doulas füllen die Lücke

Perceptions and experiences of labour companionship: a qualitative evidence synthesis

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