title: [Introduction of the Birthcenter System (according to Belegsystem) in Germany--comments].
abstract: Recent years have undoubtedly been a time of dynamic changes for German midwives, which had had their source in numerous social, economic and political changes. The medical care cost growth, lack of profitability of medical centers and an increasing number of redundancies have been given lots of attention in various discussions. The above mentioned problems have started to concern the professional group of German midwives, thus giving birth to the introduction of innovatory system of obstetric care in German hospitals, known as Belegsystem. In Europe the Belegsystem has been introduced in certain Scandinavian countries, Great Britain, Austria and Switzerland. In Germany the first labour room within the Belegsystem rules has been opened on 1 June 2003 in Brema (Klinikum Bremerhaven Reinkenheide). The following two Centers have been opened in Hamburg at the beginning of 2004 (Allgemeines Krankenhaus Hamburg-Harburg i Allgemeines Krankenhaus Hamburg-Barmbek). The folllowing article presents the functioning rules and procedures of the Belegsystem labour rooms in Germany, as one of the labour care alternatives.
authors.affiliation: Geburtshilfliche Abteilung, Kreiskrankenhaus Gross-Gerau, Gross-Gerau, Frankfurt-am-Main, Germany.
authors.forename: Elzbieta
authors.initials: E
authors.lastname: Kraśnianin
authors.forename: Andrzej
authors.initials: A
authors.lastname: Semczuk
mesh_terms: D000328:Adult; D016550:Birthing Centers / Q000191:economics / Q000458:organization & administration*; D005260:Female; D005858:Germany; D006293:Health Promotion / Q000458:organization & administration; D006801:Humans; D007229:Infant Welfare / Q000191:economics; D007231:Infant, Newborn; D008427:Maternal Health Services / Q000191:economics / Q000458:organization & administration*; D008429:Maternal Welfare / Q000191:economics; D008880:Midwifery / Q000191:economics / Q000458:organization & administration*; D024802:Nurse's Role; D007744:Obstetric Labor Complications / Q000191:economics / Q000451:nursing*; D011247:Pregnancy; D015397:Program Evaluation; D000078329:Workforce