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Developing quality indicators for assessing quality of birth centre care: a mixed- methods study.

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Researchers identified 30 quality indicators for birth centres in the Netherlands. This study provides a foundation for evaluating birth centre care and developing evidence-based recommendations for future services.

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Area of Science:

  • Maternal Health
  • Healthcare Quality Improvement
  • Midwifery Care

Background:

  • Birth centres offer a home-like environment for uncomplicated pregnancies, with midwife-led care.
  • The Netherlands has seen an increase in birth centres, assuming improved integrated care quality.
  • Evidence supporting the quality assumption of Dutch birth centres is currently lacking.

Purpose of the Study:

  • To develop a comprehensive set of structure and process indicators to measure the quality of care in Dutch birth centres.
  • To lay the groundwork for evidence-based recommendations on the organization and functioning of future birth centres.

Main Methods:

  • A mixed-methods approach was employed, starting with a literature review to identify determinants of quality.
  • A Delphi study involving a multidisciplinary expert panel (n=63) was used to refine the list of determinants.
  • Experts rated determinants based on relevance and feasibility for assessing birth centre care quality.

Main Results:

  • A panel of 42 experts completed two Delphi rounds.
  • Thirty determinants for structure and process quality indicators were identified for Dutch birth centres.
  • These indicators aim to assess the quality of care provided in birth centre settings.

Conclusions:

  • Thirty determinants for structure and process quality indicators for birth centre care have been identified.
  • This set of indicators will be validated through the ongoing Dutch Birth Centre Study.
  • The findings will inform future organization and functioning of birth centres in the Netherlands.