Professional attitudes towards normal childbirth in a shared care unit.
OBJECTIVE
to identify and compare obstetricians', midwives' and, assistant personnel's attitudes towards Clinical Practice Guidelines (CPG) for normal birth of The National Health System.


METHODS
quantitative methodology using a self-completed questionnaire regarding the recommendations of the CPG for normal birth with two five-point Likert scales that measured the degree of agreement and the level of applicability.


METHODS
a Labour Ward: Catalonia, Spain.


METHODS
a total sample of 96 professionals (obstetricians=32, midwives=44 and assistant personnel=20) answered the questionnaire.


RESULTS
midwives and obstetricians often have significantly divergent levels of agreement on key recommendations. Assistant personnel have more similar opinions to midwives', even though they are a more diverse group. Midwives are more in line with the recommendations of CPG for normal birth than obstetricians and assistant personnel. Concerning the applicability, obstetricians showed greater degree of applicability, followed by the other two groups.


CONCLUSIONS
given that there is divergence in opinion on agreement and applicability between professional groups it is necessary to identify areas of accordance, disagreement or ambiguity of knowledge and practice among all care providers, so that midwives can facilitate normal childbirth in a shared-model unit.
Delivery Ward, Sabadell Hospital, Barcelona, Spain.
María del Rosario
Mdel R
Ruiz
Stress and Health Research Group (GIES), Faculty of Psychology, Universitat Autònoma de Barcelona, Campus Universitari s/n, 08193 Bellaterra (Cerdanyola del Vallès), Barcelona, Spain. Electronic address: joaquin.limonero@uab.cat.
Joaquín T
JT
Limonero
D001291:Attitude of Health Personnel; D005260:Female; D017408:Guidelines as Topic / Q000592:standards*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008880:Midwifery / Q000379:methods / Q000592:standards*; D009321:Natural Childbirth / Q000523:psychology*; D009775:Obstetrics and Gynecology Department, Hospital; D010820:Physicians / Q000523:psychology / Q000592:standards*; D011247:Pregnancy; D013030:Spain; D011795:Surveys and Questionnaires
Midwifery; Normal childbirth; Professional attitudes; Shared care model