A survey of midwives' views on providing aspects of antenatal care in Estonia

Jeffrey V Lazarus, Kristiina Rull, Dyfed Wyn Huws, Vibeke Rasch, Jerker Liljestrand

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

OBJECTIVE: to survey the views of midwives in Estonia about who they considered should have responsibility for carrying out certain aspects of antenatal care (ANC) in Estonia. DESIGN, SETTING AND STUDY POPULATION: in collaboration with key stakeholder organisations, the authors developed eight statements on aspects of ANC and five combinations of possible professionals (including midwives obstetrician-gynaecologists and various combinations of the two) who could have responsibility for carrying out those aspects of ANC and included them in a self-administered questionnaire. The questionnaire was sent with a covering letter and stamped addressed return envelope to all 366 midwives in Estonia. Two postal reminders were sent to non-responders. RESULTS: the response rate was 73.5%. There was no consensus among respondents about whose responsibility it was to diagnose pregnancy, carry out the risk assessment of a pregnancy, or carry out fetal monitoring during pregnancy. There was consensus among respondents that either midwives or obstetrician-gynaecologists could have responsibility for referring for further tests and examinations if a pregnancy was thought to be at risk. There was also consensus that counselling, biometry and blood pressure monitoring should be the sole responsibility of midwives. KEY CONCLUSIONS: despite national policy to shift ANC towards being midwifery-led and despite provisions in a European Directive permitting most roles in ANC to be performed autonomously by trained midwives, there is no consensus among Estonian midwives that all aspects of ANC should be their responsibility at present. Thorough research is required to establish which specific ANC roles Estonian midwives are not willing to take responsibility for, and to examine why they are not willing to take on such roles.
OriginalsprogEngelsk
TidsskriftMidwifery
Vol/bind24
Udgave nummer4
Sider (fra-til)399-404
Antal sider6
ISSN0266-6138
DOI
StatusUdgivet - 1. dec. 2008

Fingeraftryk

Estonia
Prenatal Care
Midwifery
Consensus
Fetal Monitoring
Surveys and Questionnaires
Counseling
Organizations

Citer dette

Lazarus, Jeffrey V ; Rull, Kristiina ; Wyn Huws, Dyfed ; Rasch, Vibeke ; Liljestrand, Jerker. / A survey of midwives' views on providing aspects of antenatal care in Estonia. I: Midwifery. 2008 ; Bind 24, Nr. 4. s. 399-404.
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abstract = "OBJECTIVE: to survey the views of midwives in Estonia about who they considered should have responsibility for carrying out certain aspects of antenatal care (ANC) in Estonia. DESIGN, SETTING AND STUDY POPULATION: in collaboration with key stakeholder organisations, the authors developed eight statements on aspects of ANC and five combinations of possible professionals (including midwives obstetrician-gynaecologists and various combinations of the two) who could have responsibility for carrying out those aspects of ANC and included them in a self-administered questionnaire. The questionnaire was sent with a covering letter and stamped addressed return envelope to all 366 midwives in Estonia. Two postal reminders were sent to non-responders. RESULTS: the response rate was 73.5{\%}. There was no consensus among respondents about whose responsibility it was to diagnose pregnancy, carry out the risk assessment of a pregnancy, or carry out fetal monitoring during pregnancy. There was consensus among respondents that either midwives or obstetrician-gynaecologists could have responsibility for referring for further tests and examinations if a pregnancy was thought to be at risk. There was also consensus that counselling, biometry and blood pressure monitoring should be the sole responsibility of midwives. KEY CONCLUSIONS: despite national policy to shift ANC towards being midwifery-led and despite provisions in a European Directive permitting most roles in ANC to be performed autonomously by trained midwives, there is no consensus among Estonian midwives that all aspects of ANC should be their responsibility at present. Thorough research is required to establish which specific ANC roles Estonian midwives are not willing to take responsibility for, and to examine why they are not willing to take on such roles.",
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author = "Lazarus, {Jeffrey V} and Kristiina Rull and {Wyn Huws}, Dyfed and Vibeke Rasch and Jerker Liljestrand",
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A survey of midwives' views on providing aspects of antenatal care in Estonia. / Lazarus, Jeffrey V; Rull, Kristiina; Wyn Huws, Dyfed; Rasch, Vibeke; Liljestrand, Jerker.

I: Midwifery, Bind 24, Nr. 4, 01.12.2008, s. 399-404.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - A survey of midwives' views on providing aspects of antenatal care in Estonia

AU - Lazarus, Jeffrey V

AU - Rull, Kristiina

AU - Wyn Huws, Dyfed

AU - Rasch, Vibeke

AU - Liljestrand, Jerker

PY - 2008/12/1

Y1 - 2008/12/1

N2 - OBJECTIVE: to survey the views of midwives in Estonia about who they considered should have responsibility for carrying out certain aspects of antenatal care (ANC) in Estonia. DESIGN, SETTING AND STUDY POPULATION: in collaboration with key stakeholder organisations, the authors developed eight statements on aspects of ANC and five combinations of possible professionals (including midwives obstetrician-gynaecologists and various combinations of the two) who could have responsibility for carrying out those aspects of ANC and included them in a self-administered questionnaire. The questionnaire was sent with a covering letter and stamped addressed return envelope to all 366 midwives in Estonia. Two postal reminders were sent to non-responders. RESULTS: the response rate was 73.5%. There was no consensus among respondents about whose responsibility it was to diagnose pregnancy, carry out the risk assessment of a pregnancy, or carry out fetal monitoring during pregnancy. There was consensus among respondents that either midwives or obstetrician-gynaecologists could have responsibility for referring for further tests and examinations if a pregnancy was thought to be at risk. There was also consensus that counselling, biometry and blood pressure monitoring should be the sole responsibility of midwives. KEY CONCLUSIONS: despite national policy to shift ANC towards being midwifery-led and despite provisions in a European Directive permitting most roles in ANC to be performed autonomously by trained midwives, there is no consensus among Estonian midwives that all aspects of ANC should be their responsibility at present. Thorough research is required to establish which specific ANC roles Estonian midwives are not willing to take responsibility for, and to examine why they are not willing to take on such roles.

AB - OBJECTIVE: to survey the views of midwives in Estonia about who they considered should have responsibility for carrying out certain aspects of antenatal care (ANC) in Estonia. DESIGN, SETTING AND STUDY POPULATION: in collaboration with key stakeholder organisations, the authors developed eight statements on aspects of ANC and five combinations of possible professionals (including midwives obstetrician-gynaecologists and various combinations of the two) who could have responsibility for carrying out those aspects of ANC and included them in a self-administered questionnaire. The questionnaire was sent with a covering letter and stamped addressed return envelope to all 366 midwives in Estonia. Two postal reminders were sent to non-responders. RESULTS: the response rate was 73.5%. There was no consensus among respondents about whose responsibility it was to diagnose pregnancy, carry out the risk assessment of a pregnancy, or carry out fetal monitoring during pregnancy. There was consensus among respondents that either midwives or obstetrician-gynaecologists could have responsibility for referring for further tests and examinations if a pregnancy was thought to be at risk. There was also consensus that counselling, biometry and blood pressure monitoring should be the sole responsibility of midwives. KEY CONCLUSIONS: despite national policy to shift ANC towards being midwifery-led and despite provisions in a European Directive permitting most roles in ANC to be performed autonomously by trained midwives, there is no consensus among Estonian midwives that all aspects of ANC should be their responsibility at present. Thorough research is required to establish which specific ANC roles Estonian midwives are not willing to take responsibility for, and to examine why they are not willing to take on such roles.

KW - Adult

KW - Clinical Competence

KW - Cross-Sectional Studies

KW - Estonia

KW - Female

KW - Humans

KW - Middle Aged

KW - Midwifery

KW - Nurse's Role

KW - Nurse-Patient Relations

KW - Nursing Methodology Research

KW - Practice Guidelines as Topic

KW - Pregnancy

KW - Pregnancy Complications

KW - Prenatal Care

KW - Prenatal Diagnosis

KW - Quality Assurance, Health Care

KW - Questionnaires

U2 - 10.1016/j.midw.2007.05.004

DO - 10.1016/j.midw.2007.05.004

M3 - Journal article

VL - 24

SP - 399

EP - 404

JO - Midwifery

JF - Midwifery

SN - 0266-6138

IS - 4

ER -