Glasgow Caledonian University, Govan Mbeki, Cowcaddens Road, Glasgow, Scotland, United Kingdom.
Women Birth. 2010 Sep;23(3):103-10. doi: 10.1016/j.wombi.2010.01.002. Epub 2010 Mar 5.
To examine maternal birth outcomes and birth experiences of low-risk women in the Netherlands in different sized midwifery practices.
Descriptive study using postal questionnaires six weeks after the estimated due date.
Women were recruited from urban, semi-rural and rural areas from small-sized practices (1-2 midwives), medium-sized practices (3-4 midwives) or large-sized practices (5 or more).
718 Dutch speaking women with uncomplicated pregnancies, a representative sample of women in 143 midwifery practices in the Netherlands who had given birth in the period between 20 April and 20 May 2007.
Distribution of place of birth categories and intervention categories, birth experience, woman-midwife relationship and presence of own midwife after referral. Data were analyzed with Statistical Package for Social Sciences (SPSS).
Women in practices with a maximum of two midwives were significantly more likely to experience lower rates of referral, interventions in general and specifically pain relief by means of pethidine, CTG registration and unplanned caesarean sections. Women with a maximum of two midwives were significantly more likely to know their midwife or midwives and were more frequently supported by their own midwife after referral in comparison to women in practices with more than two midwives. The presence of the woman's own midwife added value to the birth experience. Women with a maximum of two midwives had higher levels of a positive birth experience than women in practices with more than two midwives.
Midwifery practices with a maximum of two midwives contribute to non-interventionist birth and a positive birth experience.
Awareness of the study results and further study is recommended to discuss reorganization of care in order to achieve significant reductions on referral and interventions during childbirth and positive maternal birth experiences.
研究荷兰低危产妇在不同规模助产士实践中的分娩结局和分娩体验。
使用邮寄问卷的描述性研究，在预计分娩日期后六周进行。
从城市、半农村和农村地区招募了来自小型实践（1-2 名助产士）、中型实践（3-4 名助产士）或大型实践（5 名或以上）的女性。
718 名荷兰语女性，怀孕情况简单，是荷兰 143 家助产实践中代表性样本的一部分，这些女性于 2007 年 4 月 20 日至 5 月 20 日期间分娩。
分娩地点类别和干预类别、分娩体验、产妇-助产士关系以及转诊后是否有自己的助产士。使用社会科学统计软件包（SPSS）分析数据。
在最多有两名助产士的实践中，女性转诊率、一般干预率以及特定干预率（如哌替啶止痛、CTG 登记和无计划剖宫产）显著较低。最多有两名助产士的女性更有可能认识自己的助产士，并且在转诊后更频繁地得到自己的助产士的支持，而不是在有两名以上助产士的实践中的女性。助产士的存在增加了分娩体验的价值。最多有两名助产士的女性比有两名以上助产士的女性更有可能有积极的分娩体验。
最多有两名助产士的助产士实践有助于非干预性分娩和积极的分娩体验。
建议了解研究结果并进一步研究，以讨论护理的重新组织，以实现分娩期间转诊和干预的显著减少，并获得积极的产妇分娩体验。
