Der Hebammenkreißsaal

English summary: Midwife-led concepts of care in hospitals exist worldwide in different organizational forms. The thesis on hand examines the new model of midwife-led care in Germany. The purpose of the prospective study was to determine the outcomes of low-risk women and their children in the midwife-led unit compared to the obstetrician-managed delivery unit. The main outcome variables were maternal and neonatal morbidity, mode of delivery, medical interventions, complementary and...
More Description

English summary: Midwife-led concepts of care in hospitals exist worldwide in different organizational forms. The thesis on hand examines the new model of midwife-led care in Germany. The purpose of the prospective study was to determine the outcomes of low-risk women and their children in the midwife-led unit compared to the obstetrician-managed delivery unit. The main outcome variables were maternal and neonatal morbidity, mode of delivery, medical interventions, complementary and alternative therapies, postnatal physical symptoms, postnatal wellbeing and breastfeeding. Women's views on the care they experienced during labour and birth relating to choice, control, continuity of care and relationship to caregivers as well as birth experience are assessed. Midwife-led care offers real benefits to low-risk women and their children during labour and birth and an increased likelihood of a physiological birth. Positive effects on the health and wellbeing of women and children are evident. German text. German description: Hebammengeleitete klinische Versorgungskonzepte existieren international in verschiedenen Formen. Die vorliegende Arbeit untersucht das - in Deutschland neue - Versorgungskonzept Hebammenkreisssaal anhand einer prospektiv kontrollierten Studie. Ziel ist, fur Deutschland Aufschluss uber die Auswirkungen des Versorgungskonzeptes Hebammenkreisssaal im Vergleich zum ublichen, arztlich geleiteten Kreisssaalmodell zu erhalten. Gesunde Schwangere werden im klinischen Setting wahrend der Schwangerschaft und Geburt ausschliesslich von Hebammen betreut. Primare Endpunkte der Studie sind das maternale und kindliche Outcome, medizinische und hebammengeburtshilfliche Interventionen, das Stillverhalten sowie das physische und das psychische mutterliche Wohlbefinden nach der Geburt. Ferner wird die Einstellung der Frauen zu relevanten Aspekten der erfahrenen Betreuung wahrend der Geburt explorativ untersucht. Hebammen, die im klinischen Setting gesunde Schwangere und Gebarende eigenverantwortlich betreuen, fordern demnach die Moglichkeiten einer physiologischen Geburt. Ihre Betreuung besitzt positive Auswirkungen auf die Gesundheit und das Wohlbefinden von Mutter und Kind.