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Getting midwives back to hospitals: A discrete choice experiment
Jessica Rheindorf1, Christian Hagist1, Christian Schlereth1
1WHU Otto-Beisheim School of Management, Germany.
International Journal of Nursing Studies
|June 7, 2024
Summary
Midwives want to provide birth assistance but prefer midwife-led units over physician supervision. Supporting these units can help fill vacancies and improve maternal care.
Area of Science:
- Healthcare Management
- Midwifery
- Health Services Research
Background:
- Global shortage of midwives due to poor working conditions.
- Hospitals struggle to fill midwife vacancies.
- German midwives often leave birth assistance within seven years, typically working under physician supervision.
Purpose of the Study:
- To provide recommendations for retaining midwives in maternity wards.
- To understand job preferences of midwives not currently providing birth assistance.
- To inform policy and hospital management for faster vacancy filling and improved maternal care.
Main Methods:
- Discrete choice experiment (DCE) using an online survey.
- Survey distributed to midwives in Germany via email and social media.
- Analysis of 241 midwives not offering birth assistance using multinomial logit and hierarchical Bayes estimation.
Main Results:
- Midwives desire to provide birth assistance but reject physician supervision.
- A 15% income increase would make 16% accept physician-led settings.
- 44% would offer birth assistance in midwife-led units, with further income increases boosting acceptance.
Conclusions:
- Midwife-led care is recognized as safe and effective for healthy women.
- Policy makers should increase support for midwife-led units.
- These units can help address midwife shortages and enhance healthcare for childbearing women.
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