Gesundheitssystembedingte Kosten für Arbeitgeber und Arbeitnehmer in Deutschland

Albrecht, Martín; Schliwen, Anke; Wolfschütz, Alina

doi:10.5771/9783845239804

Cited by 2 publications

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“…For example, Iravani et al [ 3 ] explored women’s needs and expectations during normal labour and delivery in general, whereas other research more specifically addressed complex needs of vulnerable women [ 4 ] and maternity care needs in rural areas [ 5 ]. In Germany, there has been some research on the subjective views and experiences of women within the realm of midwifery care since the turn of the millennium [ 6 – 12 ]. However, comprehensive research within the context of the German healthcare system to better understand and appraise the interplay between women’s needs pertaining to and services rendered in midwifery care is lacking.…”

Section: Introductionmentioning

confidence: 99%

“…acupuncture, homeopathy), and special emotional support for bonding or grief counselling, provided they have the required training and qualifications. Such complimentary services, some of which have to be paid for privately, are offered both by caseload midwives (47.6%) and those who are both employed in a hospital and self-employed (34.7%) [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

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Experiences and wishes of women regarding systemic aspects of midwifery care in Germany: a qualitative study with focus groups

Mattern

Lohmann

Ayerle

2017

BMC Pregnancy Childbirth

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BackgroundKnowledge of pregnant women’s and mothers’ viewpoints on midwifery care is crucial for its appropriate delivery and research. In Germany, comprehensive research to more fully understand women’s needs in pregnancy, labour, birth and the postpartum period until weaning is lacking. International studies provide some knowledge of women’s expectations, their choices, and subjective criteria indicating good midwifery care.MethodsThis study explores pregnant women’s and mothers’ experiences, needs and wishes regarding systemic aspects of midwifery care (access, availability, choices, model of midwifery care; maternity care in the healthcare system). 50 women participated in 10 focus groups in 5 states of Germany. The groups were heterogeneous with regard to age, parity, model of maternity care used, and rating of satisfaction. Women with limited educational years (n = 9) were personally contacted by midwives and reached by social media. Also, mothers living in a mother-child home (n = 6) or attending a peer group for grieving parents (n = 5) were included. The digitally documented focus groups were systematically analysed in an itinerary hermeneutic manner.ResultsThree themes were identified: (a) Knowledge or lack of awareness of midwifery care, (b) availability of and access to midwives, and (c) midwifery care in the healthcare system. Theme (a) entails the scope of midwifery care and the midwife’s competence, but also a lack of information, inconsistent counselling, and difficulty identifying midwives. Theme (b) encompasses aspects such as the availability, accessibility and selection of a midwife, the effort involved in looking for a midwife, the challenge of transition points, and family midwives. Theme (c) relates interprofessional cooperation, gaps/inadequacies of care during latency phase, alternative models of care, and the importance of family and peer groups for women.ConclusionsMidwifery care and research in Germany must address the issue of imparting relevant information about midwifery services. Interprofessional cooperation and management of transition points ought to be improved in the interests of the women concerned. Moreover, the quality of antenatal classes, support during latency phase, and intrapartum care in hospitals need to be addressed. Lastly, the special needs of vulnerable women in midwifery care must become a major focus in Germany.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Experiences and wishes of women regarding systemic aspects of midwifery care in Germany: a qualitative study with focus groups

Mattern

Lohmann

Ayerle

2017

BMC Pregnancy Childbirth

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“…Moreover, in outcome-oriented consultation, the midwife should have several contacts with the pregnant woman and be the one attending her before, during, and after the birth process. This is not standard in Germany, where 98% of all children are born in delivery rooms at hospitals with midwives working shifts (Albrecht et al, 2012). Usually, the midwife in the hospital and the pregnant woman have just a single AC in which to prepare for the birthing.…”

Section: Carlmentioning

confidence: 99%

Midwife-led antenatal consultation: towards a communication model

Siegle¹,

Roes²

2022

Cent Eur J Nurs Midw

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Aim: Evidence on effective communication in antenatal consultations between midwives and pregnant women is lacking. In a study, antenatal consultations implementation outcomes were evaluated. From the data, relevant aspects emerged concerning communication during consultations. This paper presents selected results and proposes a theoretical foundation for antenatal consultations. Design: A qualitative design. Methods: Semi-structured interviews were conducted with ten midwives, eight pregnant women, eight managers, and eight physicians in two hospitals. The interviews were audiotaped, transcribed, and analyzed with framework analysis using the following steps: 1) Familiarization; 2) Coding: first, inductive coding (open coding to identify new themes), followed by deductive coding (by theory-predefined codes); 3) Development and application of an analytic framework; 4) Data-charting in a matrix; and 5) Interpretation. Results: Amongst others, the following findings emerged from the data: communication about childbirth is influenced by the perceptions and conceptions of the midwife and the pregnant woman herself; pregnant women's degree of participation in the consultation process depends to a significant extent on the attitude of the midwife. Conclusion: To assure the success of consultations, we propose a consultation model comprising the following elements: the life world of the woman and midwife, the construction of a social reality, and the mediation of mutual goals, expectations, intentions, wishes, and beliefs.

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Gesundheitssystembedingte Kosten für Arbeitgeber und Arbeitnehmer in Deutschland

Cited by 2 publications

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Experiences and wishes of women regarding systemic aspects of midwifery care in Germany: a qualitative study with focus groups

Experiences and wishes of women regarding systemic aspects of midwifery care in Germany: a qualitative study with focus groups

Midwife-led antenatal consultation: towards a communication model

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