Følges fastsatte kvalitetskrav i fødselsomsorgen?

Johansen, Lars Thomas; Pay, Aase Serine Devold; Broen, Lise; Roland, Brit; Øian, Pål

doi:10.4045/tidsskr.16.1070

Cited by 6 publications

(6 citation statements)

References 6 publications

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“…This finding is unexpected because these women are initially a part of a general population, with access to universal health care and good nutritional status. Previous research has established that all labor wards in Norway have selection criteria according to governmental quality requirements [14]; therefore, it is likely that the women are classified into an appropriate group. Labor care units face greater challenges in the modern context; for example, with increasing age and overweight among pregnant women [21,22].…”

Section: Discussionmentioning

confidence: 99%

“…However, one-fourth of the units had routines that deviated from national recommendations [13], such as routine admission CTG or intermittent CTG in low-risk women, or CTG without access to ST waveform analysis or fetal blood sampling. An earlier Norwegian study found that one-fifth of the units had not developed local criteria for when to apply different fetal monitoring methods [14]. There is still a lack of knowledge about how these routines are applied in practice.…”

Section: Intrapartum Care In Norwaymentioning

confidence: 99%

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Recommendations for intrapartum fetal monitoring are not followed in low-risk women: A study from two Norwegian birth units

Rosset

Lindahl

Blix

et al. 2020

Sexual & Reproductive Healthcare

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Section: Discussionmentioning

confidence: 99%

Section: Intrapartum Care In Norwaymentioning

confidence: 99%

Recommendations for intrapartum fetal monitoring are not followed in low-risk women: A study from two Norwegian birth units

Rosset

Lindahl

Blix

et al. 2020

Sexual & Reproductive Healthcare

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“…The majority of birth units have introduced written procedures to ensure that midwives are present during established labor. In a 2015 study examining the implementation of the Norwegian Directorate of Health's quality standards for maternity institutions, about half of the institutions did not have written criteria covering this practice 8 . Written procedures are essential for the provision of good health care services 9 .…”

Section: Discussionmentioning

confidence: 99%

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

Bjerga¹,

Risa²,

Blix³

et al. 2019

Eur J Midwifery

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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.

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“…Virksomhetene har ansvaret for at hver enkelt fødselshjelper har den kompetansen som kreves, og de må sørge for regelmessig opplaering og trening. Helsetilsynet har i sine kartlegginger vist at nesten halvparten av fødeinstitusjonene ikke gjennomførte praktisk trening i henhold til nasjonale krav (8,13). Med det øker også risikoen for at enkelte fødselshjelpere ikke har de ferdighetene.…”

Section: Virksomhetens Ansvarunclassified

Room for improvement in maternity care

Johansen¹,

Braut²,

Øian³

2022

Tidsskriftet

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Lars Thomas Johansen er spesialist i fødselshjelp og kvinnesykdommer og seniorrådgiver i Statens helsetilsyn. Forfa eren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter. Geir Sverre Braut er spesialist i samfunnsmedisin og ansa ved Stavanger universitetssjukehus. Forfa eren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter.Pål Øian er spesialist i fødselshjelp og kvinnesykdommer, professor emeritus og tidligere overlege ved Universitetssykehuset Nord-Norge. Forfa eren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter.

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Følges fastsatte kvalitetskrav i fødselsomsorgen?

Cited by 6 publications

References 6 publications

Recommendations for intrapartum fetal monitoring are not followed in low-risk women: A study from two Norwegian birth units

Recommendations for intrapartum fetal monitoring are not followed in low-risk women: A study from two Norwegian birth units

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

Room for improvement in maternity care

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