Midwifery delivery room

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The midwifery delivery room in Germany is a midwife-led obstetric care model in the clinic, in which midwives independently care for healthy pregnant women before, during and after the birth without a medical obstetrician.

If complications arise during this time, the woman is transferred to the usual delivery room . Which women are allowed to be cared for in the midwifery delivery room and when a transfer must be arranged is decided on the basis of an inclusion and exclusion criteria catalog that is developed by an interdisciplinary team of midwives, medical obstetricians and paediatricians. The midwifery delivery room is an extension of the existing obstetric services in a hospital and is not intended to replace it. The low-intervention care that is made possible in the midwifery delivery room was almost only possible in out-of-hospital obstetrics in Germany until this care concept was developed, i.e. in the context of a home birth or a delivery in the birth center .

background

The idea of ​​the midwifery delivery room arose against the background of being able to offer women with little or no risk of pregnancy a low-intervention and self-determined obstetrics in a clinical setting. At the same time, this enables midwives to carry out their original activities independently.

Due to the dissatisfaction with clinical obstetrics, the concept was developed in Scandinavia, Great Britain and Austria in the early 1990s and is now firmly established there. In Germany, the idea was first taken up in 1998 by the then President of the Federation of German Midwives Magdalene Weiß and then pursued in a working group of midwives. The first midwifery delivery room in Germany was founded in 2003 in the Bremerhaven Reinkenheide Clinic . Midwifery delivery room models from Denmark, Sweden and Great Britain served as models. The concept was scientifically supported from the start by the Midwifery Research Association. There are now 16 midwifery delivery rooms in Germany.

Course of care

Women who want to take advantage of this care make contact with the midwifery team during pregnancy, so they get to know the model of the midwifery delivery room and the midwives working there before the birth. For this purpose, a certain number of contacts - usually two in the last trimester of pregnancy - are planned in the so-called midwifery consultation during pregnancy . In addition, the pregnant woman usually has the opportunity to take part in offers such as delivery room tours , acupuncture consultations and various courses. The aim is to create a trusting relationship that should support low-intervention obstetrics.

The inclusion and exclusion criteria are checked again when the child is admitted to the birth. One-to-one care is sought during the birth, which enables the midwife to care for the woman giving birth continuously and individually. The midwife only uses naturopathic procedures to facilitate the birth; if these are insufficient, the woman giving birth will continue to be cared for in the normal delivery room. A second midwife is present during the actual birth. In the event of irregularities or complications, the midwife consults the doctor. As a rule, this procedure does not mean a change of premises or staff for the woman. If the model is implemented consistently, the midwifery team will also provide care during the puerperium .

Studies have shown that this type of care leads to greater satisfaction among women. The self-determination of women and support could be identified as the most important factors for this. The high level of continuity in support is also considered advantageous.

Web links

literature

Individual evidence

  1. ↑ Friederike zu Sayn-Wittgenstein: Rethinking obstetrics. Verlag Hans Huber, Stuttgart 2007, pp. 104-105
  2. ↑ a b Hebammenforschung.de: Handbook midwife delivery room - From the idea to implementation  ( page no longer available , search in web archives )  Info: The link was automatically marked as defective. Please check the link according to the instructions and then remove this notice. (PDF 452kB) (PDF)@1@ 2Template: Toter Link / www.hebammenforschung.de  
Deutscher HebammenVerband eV: German Midwife Association eV: Midwife delivery rooms. In: www.hebammenverband.de. Retrieved August 24, 2016 .