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Classification > W - MEDICINE > WQ - OBSTETRICS > WQ 500 General works. Postnatal care
WQ 500 General works. Postnatal care |
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Caring for mothers and newborns after uncomplicated delivery / Nadia Benahmed / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2014)
ISSN : D/2014/10.273/82 : € 0,00
Study HSR 2013-15
Languages : Dutch (nla)
Descriptors: Indexation
2013-15 ; Infant, Newborn ; Length of Stay ; Maternal Health Services ; Postnatal care ; Postpartum Period ; Pregnancy ; R232 ; statistics and numerical data [Subheading]
Classification
WQ 500 General works. Postnatal careContents note: SCIENTIFIC REPORT .8 -- 1 INTRODUCTION 8 -- 1.1 POSTNATAL CARE MATTERS FOR MANY 8 -- 1.2 THE TREND TOWARDS SHORTER HOSPITAL STAY AFTER CHILDBIRTH IN ITS SOCIETAL -- CONTEXT .9 -- 1.2.1 Shorter length of stay after childbirth 9 -- 1.2.2 The formalisation of support resources during the transition to parenthood 9 -- 1.2.3 Relevance of studying postnatal care 11 -- 1.3 SCOPE OF THE STUDY.11 -- 1.4 DEFINITIONS 11 -- 1.4.1 Healthy mothers and term infants 11 -- 1.4.2 Postnatal period 11 -- 1.4.3 Postnatal home care (Kraamzorg / Soins postnataux) .12 -- 1.4.4 Maternity home care assistance (Kraamhulp / Soutien maternel à domicile) 12 -- 1.4.5 Early discharge .12 -- 2 ORGANISATION, UPTAKE AND FINANCING OF POSTNATAL CARE IN BELGIUM 12 -- 2.1 ORGANISATION OF POSTNATAL CARE AND MATERNITY HOME CARE ASSISTANCE IN BELGIUM 12 -- 2.1.1 Postnatal care. 12 -- 2.1.2 Maternity home care assistance 16 -- 2.1.3 Agencies for prevention and support to young children and their parents .17 -- 2.1.4 Coordination initiatives at early discharge from the maternity clinic 20 -- 2.2 PATTERNS OF CARE USE DURING THE POSTNATAL PERIOD .22 -- 2.2.1 Data selection 22 -- 2.2.2 Total number of deliveries 23 -- 2.2.3 Place of childbirth .23 -- 2.2.4 Type of delivery .23 -- 2.2.5 Characteristics of inpatient postnatal care use .24 -- 2.2.6 Characteristics of outpatient postnatal care use 30 -- 3 PRESENT REGISTRATION OF PERINATAL DATA .35 -- 3.1 REGISTRATION OF PERINATAL DATA 35 -- 3.2 REGISTRATION OF NEONATAL (RE)ADMISSIONS .35 -- 4 POSTNATAL CARE IN BELGIUM THROUGH THE EYES OF HEALTH CARE PROFESSIONALS AND MOTHERS: A FOCUS GROUP STUDY .36 -- 4.1 INTRODUCTION .36 -- 4.2 METHODS 36 -- 4.2.1 Design 36 -- 4.2.2 Data collection 36 -- 4.2.3 Ethical approval .39 -- 4.2.4 Data-analysis .39 -- 4.3 FINDINGS FROM THE FOCUS GROUPS WITH PROFESSIONAL CARE PROVIDERS 40 -- 4.3.1 Mothers are not well prepared for and stand alone in the postnatal period 40 -- 4.3.2 Postnatal care starts during pregnancy 40 -- 4.3.3 Problems related to the length of hospital stay .41 -- 4.3.4 Answers to shorter hospital stays after childbirth 43 -- 4.3.5 Requirements to provide integrated postnatal care in outpatient settings 47 -- 4.3.6 Support for parents .48 -- 4.3.7 Vulnerable families 51 -- 4.4 FINDINGS FROM THE FOCUS GROUPS WITH MOTHERS .52 -- 4.4.1 Postnatal hospital stay 52 -- 4.4.2 Length of postnatal hospital stay .54 -- 4.4.3 Discharge from hospital 54 -- 4.4.4 The first weeks at home with a new baby 55 -- 4.5 GENERAL CONCLUSION .58 -- 4.5.1 Limitations 58 -- 4.5.2 The views of health care professionals and mothers compared 58 -- 5 ORGANISATION OF POSTNATAL CARE IN THE UK, THE NETHERLANDS AND SWEDEN .64 -- 5.1 METHODS 64 -- 5.1.1 Selection of countries .64 -- 5.1.2 Data sources 64 -- 5.2 ORGANISATION OF CHILDBIRTH AND POSTNATAL CARE IN THE UK, THE NETHERLANDS AND SWEDEN: RESULTS 64 -- 5.2.1 Main birth attendants and place of birth 64 -- 5.2.2 Length of hospital stay and definition of early discharge .65 -- 5.3 ANSWERS TO SHORT POSTNATAL HOSPITAL STAYS 65 -- 5.3.1 Preparation for early discharge during pregnancy 66 -- 5.3.2 Clear early discharge criteria for mothers and newborns 67 -- 5.3.3 High quality follow-up in the early postnatal period 68 -- 5.4 BUILDING BLOCKS FOR POSTNATAL CARE 73 -- 6 CONSEQUENCES OF SHORT POSTNATAL HOSPITAL STAYS (WITH FOLLOW-UP AT HOME) FOR THE QUALITY OF CARE 75 -- 6.1 INTRODUCTION .75 -- 6.2 METHODS 75 -- 6.2.1 Search in the indexed literature 75 -- 6.2.2 Search in the grey literature 77 -- 6.2.3 Selection process .77 -- 6.3 LITERATURE OVERVIEW .77 -- 6.3.1 Length of stay and quality of care for the mother 77 -- 6.3.2 Length of stay and quality of care for the newborn .79 -- 6.3.3 Vulnerable groups 80 -- 6.3.4 Building care models for early discharge .81 -- 6.3.5 Determinants of early discharge 82 -- 6.3.6 Discharge criteria .83 -- 6.4 CONCLUSION 84 -- 7 FINANCING OF POSTNATAL CARE .85 -- 7.1 FINANCING AND REIMBURSEMENT OF MATERNITY STAY .85 -- 7.1.1 B2 budget distribution over hospitals .85 -- 7.1.2 Room and health care professionals' fees and supplements 87 -- 7.1.3 Co-payments 87 -- 7.2 FINANCING AND REIMBURSEMENT OF POSTNATAL MIDWIFERY CARE 87 -- 7.2.1 Financing 87 -- 7.2.2 Reimbursement .88 -- 7.3 FINANCING AND REIMBURSEMENT OF MATERNITY HOME CARE ASSISTANCE.88 -- 7.3.1 Financing 88 -- 7.3.2 Reimbursement .88 -- 7.4 COST CONSEQUENCES OF SHORT POSTNATAL HOSPITAL STAYS WITH FOLLOW-UP AT HOME 89 -- 7.4.1 Background .89 -- 7.4.2 Methods.89 -- 7.4.3 Results 97 -- 7.4.4 Limitations 105 -- 7.4.5 Discussion and conclusions 105 -- 8 BUILDING BLOCKS FOR INTEGRATED AND SEAMLESS POSTNATAL CARE IN BELGIUM 107 -- REFERENCE LIST 108 Link for e-copy: http://kce.fgov.be/sites/default/files/page_documents/KCE_232_Postnatal_care_Rep [...] Format of e-copy: PDF (1,35 Mb) Record link: http://kce.docressources.info/index.php?lvl=notice_display&id=3459 Hold
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Barcode Call number Media type Location Section Status 10273-02947 https://kce.fgov.be/node/2609 Report KCE Library (10.124) Available
ISSN : D/2014/10.273/83 : € 0,00
Study HSR 2013-15
Languages : English (eng)
Descriptors: Indexation
2013-15 ; Infant, Newborn ; Length of Stay ; Maternal Health Services ; Postnatal care ; Postpartum Period ; Pregnancy ; R232 ; statistics and numerical data [Subheading]
Classification
WQ 500 General works. Postnatal careContents note: 1. COMPETENCES FOR THE ORGANISATION OF MATERNITY HOME CARE ASSISTANCE 2-- 2. LIST OF NOMENCLATURE CODES FOR THE SELECTION OF DELIVERIES IN THE IMA-AIM DATABASE 4-- 3. NUMBER OF DELIVERIES PER YEAR IN BELGIUM (INPATIENT & OUTPATIENT) 5-- 4. NUMBER OF DELIVERIES AND NUMBER OF M BEDS BY HOSPITAL 6-- 5. EXPLANATION NOMENCLATURE CODES FOR MIDWIFE CONSULTATIONS 7-- 6. LENGTH OF STAY BY NUMBER OF DELIVERIES FOR EACH MATERNITY WARD 9-- 7. LENGTH OF STAY PER HOSPITAL IN FUNCTION OF THE DELIVERIES PER BED RATIO FOR 2011. 10-- 8. MEAN LENGTH OF STAY IN FUNCTION OF THE PROPORTION OF CAESAREAN SECTIONS 11-- 9. INFORMED CONSENT FORM FOCUS GROUP INTERVIEWS 12-- 9.1. INFORMATIE VOOR DEELNEMERS 12-- 9.2. TOESTEMMINGSVERKLARING 13-- 10. INTERVIEW GUIDE MATERNITY HOME CARE ASSISTANCE SERVICES 14-- 10.1. INTRODUCTIE 14-- 10.2. VRAGEN 15-- 11. INTERVIEW GUIDE FOR MOTHERS WITH CLASSIC HOSPITAL STAY 16-- 11.1. INTRODUCTIE 16-- 11.2. VRAGEN 17-- 12. INTERVIEW GUIDE FOR MOTHERS WITH A SHORT HOSPITAL STAY 20-- 12.1. INTRODUCTIE 20-- 12.2. VRAGEN 21-- 13. INTERVIEW GUIDE FOR PHYSICIANS AND MIDWIVES 24-- 13.1. INTRODUCTIE 24-- 13.2. VRAGEN 25-- 14. QUOTES FROM FOCUS GROUP INTERVIEWS WITH HEALTH CARE PROFESSIONALS AND MOTHERS 27-- 14.1. QUOTES FROM HEALTH CARE PROFESSIONALS 27 Link for e-copy: http://kce.fgov.be/sites/default/files/page_documents/KCE_232S_postnatal_Care_Su [...] Format of e-copy: PDF (464 Kb) Record link: http://kce.docressources.info/index.php?lvl=notice_display&id=3461 Hold
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Barcode Call number Media type Location Section Status 10273-02949 https://kce.fgov.be/node/2609 Report KCE Library (10.124) Available
ISSN : D/2014/10.273/82 : € 0,00
Study HSR 2013-15
Languages : Dutch (nla)
Descriptors: Indexation
2013-15 ; Infant, Newborn ; Length of Stay ; Maternal Health Services ; Postnatal care ; Postpartum Period ; Pregnancy ; R232 ; statistics and numerical data [Subheading]
Classification
WQ 500 General works. Postnatal careContents note: FORWORD 1 -- ABSTRACT 2 -- SYNTHESE 5 -- 1. INTRODUCTION 7 -- 1.1. POSTNATAL CARE MATTERS FOR MANY 7 -- 1.2. THE TREND TOWARDS SHORTER HOSPITAL STAYS AFTER CHILDBIRTH IN ITS SOCIETAL CONTEXT 7 -- 1.2.1. Shorter length of stay after childbirth 7 -- 1.2.2. The formalisation of support resources during the transition to parenthood 7 -- 1.3. GOAL: CONCEPTUALISATION OF BUILDING BLOCKS FOR INTEGRATED AND SEAMLESS POSTNATAL CARE IN BELGIUM 8 -- 1.4. DEFINITIONS 8 -- 1.4.1. Healthy mothers and term infants 8 -- 1.4.2. Postnatal period 8 -- 1.5. METHODS 8 -- 2. PROBLEMS IN THE ORGANISATION OF POSTNATAL CARE 9 -- 2.1. MACRO LEVEL PROBLEMS 9 -- 2.2. DISPERSED LOCAL INITIATIVES 10 -- 3. BUILDING BLOCKS FOR INTEGRATED AND SEAMLESS POSTNATAL CARE IN BELGIUM 10 -- 3.1. PLAN AND COORDINATE POSTNATAL CARE 12 -- 3.1.1. A multidisciplinary perinatal care network around each mother and newborn 12 -- 3.1.2. Coordinate, register and prepare by means of a shared web-based maternity record 13 -- 3.1.3. Perinatal care coordinators 14 -- 3.1.4. National Perinatal Care Platform 15 -- 3.2. ANTENATAL PREPARATION RESULTING IN AN INDIVIDUAL POSTNATAL CARE PLAN 15 -- 3.3. PROVIDE SEAMLESS POSTNATAL CARE, LESS AT HOSPITAL, MORE AT HOME 16 -- 3.3.1. Shift inpatient to outpatient care after uncomplicated vaginal delivery 16 -- 3.3.2. Discharge: seamless care with a clinical pathway 18 -- 3.3.3. Guarantee follow-up at home during the first week of life 18 -- 3.4. DEVELOP AND IMPLEMENT UNIFORM READMISSION PROCEDURES FOR NEWBORNS AND THEIR MOTHERS 20 -- 3.5. PROCESSES IN SUPPORT OF QUALITY OF POSTNATAL CARE 21 -- 3.5.1. Quality criteria based on clinical guideline for postnatal care 21 -- 3.5.2. Upgrade competences and foresee appropriate training for midwives and physicians 21 -- 3.6. SUPPORT PARENTS IN THEIR (NEW) CARING ROLE 21 -- 3.6.1. Provide maternity home assistance 21 -- 3.6.2. Foster peer support 22 -- 3.7. PAYMENT SYSTEMS TO FACILITATE INTEGRATED AND SEAMLESS POSTNATAL CARE AND IN SUPPORT OF SHORTER HOSPITAL STAYS 23 -- 3.8. SPECIAL ATTENTION FOR EQUAL ACCESS TO POSTNATAL CARE 24 -- 3.9. NEED FOR SCIENTIFIC RESEARCH 25 -- 4. CONCLUDING REMARKS 26 -- 4.1. CORE ACTIVITIES 28 -- 4.2. REQUIREMENTS 28 -- REFERENCES 30 Link for e-copy: http://kce.fgov.be/sites/default/files/page_documents/KCE_232Cs_Postnatal_care_S [...] Format of e-copy: PDF (527 Kb) Record link: http://kce.docressources.info/index.php?lvl=notice_display&id=3460 Hold
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Barcode Call number Media type Location Section Status 10273-02948 https://kce.fgov.be/node/2609 Report KCE Library (10.124) Available
ISBN : 978-2-8073-0305-8 : € 39,00
Languages : French (fre)
Descriptors: Indexation
Delivery, Obstetric ; Handbooks ; Labor, Obstetric ; Obstetric Labor Complications ; Postpartum Period ; Premature Birth ; Term Birth
Classification
WQ 500 General works. Postnatal careRecord link: http://kce.docressources.info/index.php?lvl=notice_display&id=4251 Hold
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Barcode Call number Media type Location Section Status 10273-03312 WK 500 / BAR Book KCE Library (10.124) Available
ISSN : D/2014/10.273/79 : € 0,00
Studie HSR 2013-15
Languages : Dutch (nla)
Descriptors: Indexation
2013-15 ; Infant, Newborn ; Length of Stay ; Maternal Health Services ; Postnatal care ; Postpartum Period ; Pregnancy ; R232 ; statistics and numerical data [Subheading]
Classification
WQ 500 General works. Postnatal careAbstract: In het budgetvoorstel voor de gezondheidszorg van de regering vindt men een maatregel om het verblijf in de kraamkliniek na de bevalling in te korten. Dit voorstel volgt daarmee een internationale trend, waarbij vrouwen met hun pasgeboren baby steeds vroeger de kraamafdeling verlaten. Volgens het Federaal Kenniscentrum voor de Gezondheidszorg (KCE) is dit in België, waar de duur van de kraamverblijven nog steeds hoger ligt dan in de meeste andere westerse landen, ook mogelijk, maar daarvoor is wel een grondige reorganisatie van de postnatale zorg noodzakelijk. Het KCE stelt een model voor, gebaseerd op de wetenschappelijke literatuur, op voorbeelden uit het buitenland en op het advies van moeders en de betrokken zorgverstrekkers. Het stelt voor om postnatale zorg beter te integreren in de periode die start in de zwangerschap en die doorloopt tot enkele weken na de geboorte. Het dringt ook aan op initiatieven om ouders in hun nieuwe rol te ondersteunen, met daarbij extra aandacht voor kwetsbare gezinnen. Contents note: VOORWOORD 1 -- SAMENVATTING 2 -- ACHTERGROND 2 -- DOEL 2 -- METHODEN 3 -- RESULTATEN 3 -- POSTNATALE ZORG IN BELGIË 3 -- BOUWSTENEN VOOR EEN BETERE POSTNATALE ZORG IN BELGIË 4 -- CONCLUSIE 4 -- SYNTHESE 5 -- INHOUDSTAFEL 5 -- 1. INLEIDING 7 -- 1.1. DE VERBLIJFSDUUR IN DE KRAAMKLINIEK WORDT KORTER 7 -- 1.1.1. Hoeveel geboorten zijn er in België? 7 -- 1.1.2. Definities en methoden 8 -- 2. WELKE ZIJN DE BELANGRIJKSTE PROBLEMEN IN DE ORGANISATIE VAN DE POSTNATALE ZORG IN BELGIË? 9 -- 2.1. OP MACROSCOPISCH NIVEAU 9 -- 2.2. OP LOKAAL NIVEAU 10 -- 3. AANBEVELINGEN VOOR GEÏNTEGREERDE EN CONTINUE POSTNATALE ZORG 11 -- 3.1. PLANNEN EN COÖRDINEREN VAN EEN TOTAALTRAJECT VAN ZWANGERSCHAP TOT POSTPARTUM 13 -- 3.1.1. Een multidisciplinair perinataal netwerk rond elke (toekomstige) moeder en kind 13 -- 3.1.2. Een elektronisch moederschapsdossier 13 -- 3.1.3. Een perinatale zorgcoördinator 15 -- 3.1.4. Een Nationaal Platform voor Perinatale Zorg 16 -- 3.2. REEDS VÓÓR DE GEBOORTE EEN PLAN OPSTELLEN VOOR INDIVIDUELE POSTNATALE ZORG 16 -- 3.3. MEER POSTNATALE ZORG THUIS, MINDER IN HET ZIEKENHUIS, MET EEN VERZEKERDE ZORGCONTINUÏTEIT 17 -- 3.3.1. Na een normale bevalling de postnatale zorg van het ziekenhuis naar huis verschuiven 17 -- 3.3.2. Ten minste gedurende de eerste week zorgen voor postnatale zorg aan huis 18 -- 3.3.3. Mogelijke besparingen 19 -- 3.3.4. Formaliseer het ontslag uit de kraamkliniek: naadloze zorg door middel van een klinisch zorgpad 20 -- 3.4. OPSTELLEN EN IMPLEMENTEREN VAN UNIFORME PROCEDURES VOOR DE HEROPNAME VAN PASGEBORENEN EN HUN MOEDERS 22 -- 3.5. DE KWALITEIT VAN DE POSTNATALE ZORG GARANDEREN 22 -- 3.5.1. Kwaliteitscriteria op basis van de klinische praktijkrichtlijnen 22 -- 3.5.2. De opleiding van professionele zorgverleners verbeteren en een passende opleiding voorzien voor vroedvrouwen en artsen 22 -- 3.6. OUDERS ONDERSTEUNEN IN HUN (NIEUWE) ROL 23 -- 3.6.1. De kraamhulp uitbreiden 23 -- 3.6.2. Informele steunnetwerken stimuleren 24 -- 3.7. HET FINANCIERINGSSYSTEEM AANPASSEN 25 -- 3.8. SPECIALE AANDACHT VOOR EEN GELIJKE TOEGANG TOT POSTNATALE ZORG 26 -- 3.9. ONDERZOEK IN HET DOMEIN ONDERSTEUNEN 27 -- 3.9.1. De nodige menselijke middelen plannen 27 -- 3.9.2. Statistieken verzamelen 28 -- 4. CONCLUSIE 28 Link for e-copy: https://kce.fgov.be/sites/default/files/page_documents/KCE_232As_Postnatale_zorg [...] Format of e-copy: PDF (513 Kb) Record link: http://kce.docressources.info/index.php?lvl=notice_display&id=3463 Hold
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Barcode Call number Media type Location Section Status 10273-02951 https://kce.fgov.be/nl/node/2612 Report KCE Library (10.124) Available Permalink
