出版社：Utrecht University, Maastricht University, Groningen University
摘要：Introduction : Four years ago Martorell Hospital began changing its strategies relating to assisting birth, labour, post-partum and breastfeeding. The reasons for doing this included scientific evidence and the demand by users and are aimed at improving the level of care by personalising childbirth. These changes are not always enough because people want to share a special moment with us but, in many cases and for various reasons are choosing another hospital. Objective : Personalising childbirth assistance, post-partum support, breastfeeding and adapting the clinical practice. Materials and methods : Below are a series of actions that are being done to help positively influence the population: the presentation of our professional services to users, this gives them to opportunity to speak directly to parents through talks, guided tours to see the facilities and to evaluate them and the application of a Birth Plan (document worked with reference to the ASSIR). Protocols have been modified and done through a process of re-engineering (Normal Part Assistance, Perinatal Bereavement, skin to skin, breastfeeding, post-partum support and early discharge). We have made a major effort to individualize care, offering workshops for mothers breastfeeding during their hospital stay, from giving out high quality leaflets with post-partum information, including warning signs for the mother and baby, mail contact for questions, 24 hour phone number for an on call midwife and breastfeeding support until they visit the CAP. We have created partnerships with local organisations and agencies participating in the community (networking). We have been exhibiting in groups organised by councils and working international events such as the World Breastfeeding Week with all the councils health catchment area. We have promoted the service externally by participating in local fairs to present the portfolio of services, we have organized a photography competition towards breastfeeding. We have taken part in radio and television and local newspaper interviews and we have published articles digitally to try to influence the people in the local area.
