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dc.contributor.authorZinsser, Laura A.-
dc.contributor.authorStoll, Kathrin-
dc.contributor.authorGross, Mechthild Maria-
dc.date.accessioned2018-07-13T13:09:05Z-
dc.date.available2018-07-13T13:09:05Z-
dc.date.issued2016-
dc.identifier.issn0266-6138de_CH
dc.identifier.issn1532-3099de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/8083-
dc.description.abstractObjective: Supporting healthy and normal physiological birth is part of the global maternity care agenda. Rising rates of interventions have been attributed to several factors, including characteristics, attitudes and preferences of childbearing women and their care providers. In this paper, the application of a scale that measures midwives' attitudes towards supporting normal labour and birth is described as well as factors that are associated with favourable attitudes, such as general self-efficacy, years in midwifery practice, and primary practice setting. Design: In this cross-sectional study an online questionnaire was sent out via e-mail to midwives in two regions of South Germany. The questionnaire contained a validated general self-efficacy scale, a 38-item instrument that measures attitudes towards supporting normal birth among German midwives and questions about midwives' practice experiences and educational preparation. Findings: On average, participants (n=188) were 39 years old (SD=10.3), and had 12 years of experience caring for women during labour and birth (SD=9.6). Multivariate modelling revealed that higher general self-efficacy, working primarily in out-of-hospital settings and having provided intrapartum care for fewer years were significantly associated with midwives' favourable attitudes towards supporting physiological birth (variance explained R(2)=29.0%, n=184). General self-efficacy (1.4%) and years of work experience (3.3%) contributed less of the variance in the outcome than work setting (24.5%). Sources of knowledge about normal birth were not significantly associated with the outcome and reduced the overall variance explained by 0.2%. Conclusions: The study has shown that, compared to work setting, the general self-efficacy of German midwives, years providing intrapartum care and sources of knowledge about normal birth had comparatively little impact on their attitude towards supporting normal physiologic birth. Increasing exposure to out-of-hospital birth among German midwives throughout education and practice and fostering the skills and confidence necessary to support normal birth in hospital settings are important strategies to decrease unnecessary obstetric interventions.de_CH
dc.language.isoende_CH
dc.publisherElsevierde_CH
dc.relation.ispartofMidwiferyde_CH
dc.rightsLicence according to publishing contractde_CH
dc.subjectSettingde_CH
dc.subjectBirthde_CH
dc.subjectSupportde_CH
dc.subjectPhysiologicde_CH
dc.subject.ddc618.4: Geburtde_CH
dc.titleMidwives' attitudes towards supporting normal labour and birth : a cross-sectional study in South Germanyde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Hebammenwissenschaft und reproduktive Gesundheit (IHG)de_CH
dc.identifier.doi10.1016/j.midw.2016.05.006de_CH
zhaw.funding.euNode_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.end102de_CH
zhaw.pages.start98de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume39de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
Appears in collections:Publikationen Gesundheit

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Zinsser, L. A., Stoll, K., & Gross, M. M. (2016). Midwives’ attitudes towards supporting normal labour and birth : a cross-sectional study in South Germany. Midwifery, 39, 98–102. https://doi.org/10.1016/j.midw.2016.05.006
Zinsser, L.A., Stoll, K. and Gross, M.M. (2016) ‘Midwives” attitudes towards supporting normal labour and birth : a cross-sectional study in South Germany’, Midwifery, 39, pp. 98–102. Available at: https://doi.org/10.1016/j.midw.2016.05.006.
L. A. Zinsser, K. Stoll, and M. M. Gross, “Midwives’ attitudes towards supporting normal labour and birth : a cross-sectional study in South Germany,” Midwifery, vol. 39, pp. 98–102, 2016, doi: 10.1016/j.midw.2016.05.006.
ZINSSER, Laura A., Kathrin STOLL und Mechthild Maria GROSS, 2016. Midwives‘ attitudes towards supporting normal labour and birth : a cross-sectional study in South Germany. Midwifery. 2016. Bd. 39, S. 98–102. DOI 10.1016/j.midw.2016.05.006
Zinsser, Laura A., Kathrin Stoll, and Mechthild Maria Gross. 2016. “Midwives’ Attitudes towards Supporting Normal Labour and Birth : A Cross-Sectional Study in South Germany.” Midwifery 39: 98–102. https://doi.org/10.1016/j.midw.2016.05.006.
Zinsser, Laura A., et al. “Midwives’ Attitudes towards Supporting Normal Labour and Birth : A Cross-Sectional Study in South Germany.” Midwifery, vol. 39, 2016, pp. 98–102, https://doi.org/10.1016/j.midw.2016.05.006.


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