Perinatal morbidity and mortality / Perinatale morbiditeit en mortaliteit Maternal morbidity and mortality / Maternale morbiditeit en mortaliteit Deliveries (in particular those involving unplanned referral from primary to secondary- or tertiary care) / Bevallingen (betreffende een ongeplande overdracht van eerstelijns zorg naar tweede- of derdelijns zorg)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All patients of five Local Obstetrical Collaboratives (LOCs) in the Netherlands; Including all antenatal and perinatal unplanned referrals by primary care midwives to clinical care in a secondary or tertiary hospital after 22 weeks of gestation and up until 2 hours postpartum
Exclusion criteria
Exclusion criteria: All antenal and perinatal unplanned patient referrals by primary care midwives to clinical care in a secondary or tertiary hospital before 22 weeks of gestation and more than 2 hours postpartum
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Perinatal and maternal morbidity and mortality rates | — |
Secondary
| Measure | Time frame |
|---|---|
| - Participants' view of their learning experience and satisfaction with the intervention using an evaluation questionnaire - Changes in attitudes, knowledge and skills of obstetrical professionals using the Safety Attitude Questionnaire for Teamwork and Safety Climate (SAQ) and Interprofessional Collaboration Measurement Scale (IPCMS) - Changes in behaviour by monitoring telephone conversations to study communication during referrals and a vignettes study about decision making during labour - Patient satisfaction after intrapartum referral | — |
Contacts
EMGO Institute - VUmc | Department of public & occupational health Office C-570| Van der Boechorststraat 7