Perinatal mortality in the Netherlands is relatively high compared to other countries in Europe. In the Netherlands, primary care (independent midwives) provides care to low risk pregnancies and secondary care (gynaecologists) takes care of high risk pregnancies. There are a lot of handovers between primary and secondary care. Dutch audits concluded that in this chain of obstetric care process management could be improved. Main causes of perinatal mortality (so called BIG4) are: preterm delivery
Conditions
Interventions
multiprofessional, simulation-based obstetric team training
Sponsors
ZonMw
Eligibility
Inclusion criteria
Inclusion criteria: four hospitals will join the trial. Each hospital with surrounding primary care will form a cluster (study group). Within each cluster, teams will be formed by ambulance care providers, maternity nurses, primary midwives, obstetric nurses, secondary care midwives, residents, and gynaecologists.
Exclusion criteria
Exclusion criteria: none specifically
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| perinatal mortality and occurrence of BIG 4 disorders | — |
Secondary
| Measure | Time frame |
|---|---|
| team performance and satisfaction of patients and health providers | — |
Contacts
Public ContactF.R. Banga
Department of Obstetrics and Gynaecology Máxima Medical Centre
Outcome results
None listed