One-to-one care routines and compliance with the national professional recommendation on continuous intrapartum support in Norway: A national survey

Birgitte G. Bjerga, Birgitte G. Bjerga and Mari Risa, Mari Risa and Ellen Blix, Ellen Blix and Aase S. Devold Pay, Aase S. Devold Pay (2019) One-to-one care routines and compliance with the national professional recommendation on continuous intrapartum support in Norway: A national survey. European Journal of Midwifery, 3 (1). pp. 1-5. ISSN 2585-2906

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Abstract

INTRODUCTION In 2010, the Norwegian Directorate of Health introduced the guideline ‘Safe maternity services – quality standards for maternal care’. These standards include adequate staffing with health care personnel for birth units
to ensure responsible monitoring and treatment. Birth units are to follow the professional recommendation that every woman has a midwife present during established labor. This study presents data from birth units on compliance with the
national recommendation for one-to-one care during labor.
METHODS A web-based questionnaire was emailed to chief midwives of all birth units in Norway (n=48) in May 2018. The questionnaire contained a total of nine multiple-choice, scaled-response-format, and free-text questions. RESULTS The questionnaire response rate was 100%. All birth units reported that they offered women one-to-one care during labor to a large extent. Sixty-five per cent of the birth units had procedures to ensure that midwives were present
during established labor. Deviations from the recommendation were recorded in one-fourth of birth units. Thirty-eight per cent of respondents reported that staff training had been provided; 56% of birth units stated that the recommendation led to an increased presence of midwives during labor. Financial constraints (35%) and difficulty of compliance (27%) were cited as obstacles to meeting the recommendation for one-to-one care during labor. CONCLUSIONS The majority of birth units reported that they follow the recommendation for one-to-one care during established labor, but compliance with this recommendation in practice remains unclear. Areas of improvement relate to routines describing the presence of midwives during labor, registration of deviations, and staff training in one-to-one care.

Item Type:	Article
Uncontrolled Keywords:	one-to-one care, continuity of care, clinical recommendation, labor, questionnaire
Subjects:	R Medicine > R Medicine (General)
Divisions:	Faculty of Medicine, Health and Life Sciences > School of Medicine
Depositing User:	Mrs Ni Made Yunia Dwi Savitri
Date Deposited:	15 Jun 2022 03:19
Last Modified:	15 Jun 2022 03:19
URI:	http://eprints.triatmamulya.ac.id/id/eprint/1189

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