Sunday, September 4, 2011

The road to childbirth may be different

There is much to be gained in primary care childbirth, both in approach and in terms of counseling women. This suggests that TNO Marlies Rijnders Wednesday, June 1 promotes effective interventions in primary obstetrics.
In the Netherlands relatively many women during pregnancy and childbirth referred to a gynecologist for specialist care. For example, for a cesarean. Marlies Rijnders's research shows that this percentage is still increasing referrals. Afterwards watch women after a referral is often negative return on their labor.
Rijnders points in her study of two interventions, which often references are used: the turning of the baby if at the end of pregnancy in a breech lies. And the home rupture of membranes to delivery procedure.



Safe and effective

Turning the baby is an ancient and safe operation that can prevent hospitalization. In one quarter of pregnant women with a breech baby is not rotated. The rupture of the membranes brings home more often a spontaneous delivery in motion and prevent hospitalization. Rijnders is adamant: "More research is needed into effective interventions that meet the needs of women and avoid unnecessary referrals".


Women earn good guidance

Referral is still necessary, it is good preparation and counseling of pregnant women is essential. Childbirth takes place just not always as expected. Dutch women seem to have high expectations regarding childbirth. "There should not be used to dampen those expectations but on tailoring care to the expectations of women," said Rijnders.


Marlies Rijnders works as a senior researcher at TNO obstetrics and maternity care and promotes today, Wednesday, June 1st at 13:00 am at the University of Amsterdam in the Lutheran Church on the Singel 411, Amsterdam. She defends her thesis "Interventions to midwife led care in the Netherlands to Achieve optimal birth outcomes: effects and women's experiences. "

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