Mam-Care: How women and doctors can improve obstetrics in Bonn

How obstetrics can be rethought - University Bonn

As part of the MAM-CARE project, the youth group of the University of Bonn analyzes the quality of obstetrical care in Germany from a dual perspective: both of the childbearing and medical specialists. Under the direction of Prof. Dr. Nadine Scholten follows the group an integrative approach by combining medical care data with survey and interview data. For example, mothers report on their experiences at birth, while obstetrics experts describe their practical challenges. A total of 1,102 mothers, 875 experts and 1,373 midwives took part in the examination.

In the first three years of the project, significant knowledge was gained in the first three years of the project that indicate positive aspects and opportunities for improvement in German obstetrics. Prof. Scholten, who also heads the research center for health communication and supply research, emphasizes that the results represent a solid basis for future optimizations.

focal points: dam cutting and fundus printing

A central aspect of research is the critical view of certain obstetric practices. For example, the so -called fundus printing, an external pressure on the stomach during the vaginal birth, is often used despite the lack of evidence -based support. This method is experienced as traumatic by many women. Studies show that assistant doctors use this intervention more frequently than experienced specialists, which indicates the need to revise in training and clinical practice.

In addition, the evidence is increasingly being questioned for the use of dam sections. While it was originally assumed that these interventions are necessary to avoid dam cracks, there is hardly any evidence of this. Surveys show that every seventh vaginally born mother suffers a dam, although many women were not sufficiently informed about the decision and a significant number was not agreed with it.

self -determination in the delivery room

Another important aspect is the self -determination of the childbirth. As part of the MAM Care study, it was found that the satisfaction of women is strongly correlated with the possibility of choosing the end position at birth itself. Despite this finding, almost 40 percent of those surveyed who had to give birth to the question was that this was not their own choice. In order to improve this situation, the research team plans to enable women to give women more scope for women in the next project phase by subtle incentives. These approaches aim to introduce small but effective changes in birth care that do not restrict the freedom of choice of women.

In summary, it can be said that research at the University of Bonn offers valuable perspectives for contemporary obstetrics. The combination of quantitative and qualitative data makes it possible to better understand the needs and experiences of mothers and the challenges of medical staff. This creates a solid basis for future -oriented adjustments in the area of ​​obstetrical care in Germany.