Utilization Modified Delphi Technique to Develop Home Birth Guidelines for Midwives: Prenatal Screening for Qualification and Transfering Hospital Birth

• Main Authors: LIN, PEI-YING。, 林沛瀅
• Other Authors: Gau, MEEI-LING 。
• Format: Others
• Language: zh-TW
• Published: 2019
• Online Access: http://ndltd.ncl.edu.tw/handle/6e9d8y

碩士 === 國立臺北護理健康大學 === 護理助產及婦女健康系護理助產研究所 === 107 === Background: There is a lack of evidence-based home birth delivery guidelines for low-risk women planning home deliveries. A well-developed home birth system to integrate with the current healthcare system in Taiwan should include formal collaborative agreements between home birth and hospital providers, clear and mutually agreed-upon stratification of risk, and protocols for the transfer of care. Purpose: The purpose of this study is to develop planning home birth qualification indicators for transfer of care using the Modified Delphi Method. It aims to provide future guidelines for co-working relationships between obstetricians and midwives in prenatal care, and will promote better home birth outcomes through providing comprehensive assessment and recommendations. Methods: From the literature survey and a first round of expert questionnaires, a total of 96 potential indicators were proposed. Of these, 42 potential indicators were eliminated after a round of collective voting in a meeting of experts. After further expert discussion, 48 conceptual indicators and a second expert questionnaire were accepted. The results of the next expert meeting were similar and no new clinical guidelines were added. The subsequent planned home-based delivery guidelines for midwives includes: prenatal screening for qualification and transfer hospital birth, four chapters describing care, ten projects, and 48 qualitative indicators. Conclusions: Taiwan's clinical midwifery could use these home birth guidelines to provide low-risk healthy pregnant women with detailed clinical evaluations and appropriate recommendations. Women inquiring about planned home birth should be informed of the risks and benefits based on recent evidence. These guidelines are a blueprint for maternal and child-sharing interactions, which can improve the quality of communication between midwifery and medical staff, and work to promote better maternal and child birth outcomes