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Therese A. Wiegers, PhD.

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Therese A. Wiegers, PhD.

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    1. Dit is de Nivel titeldia. Geen tekst toevoegen.Dit is de Nivel titeldia. Geen tekst toevoegen.

    2. Structure of this presentation Some international data Birth in the Netherlands Professionals in maternity care Maternity care assistance

    3. Infant mortality rate, deaths per 1,000 live births in 1970 and 2006 (* = 2005, ** = 2004)

    4. Cesarean section rate in 1990 and latest available year

    5. Number of home births and hospital births in the Netherlands since 1965

    11. The advantages of the MCA being present in the household are: The MCA can make sure the mother gets enough rest The MCA can observe the interaction between the mother and her baby and react immediately The MCA can give information and instruction on (breast)feeding and baby care at relevant moments The MCA can observe the physical and psychological condition of the mother and baby and report to the midwife or GP

    14. Age distribution of MCA

    15. Age distribution of MCA at the time they filled in the questionnaire, at the time they started working as MCA and at the time they stopped working as MCA

    16. Work arrangements of MCA

    17. MCA’s opinion about their work

    18. Plans to keep working or stop working, for all respondents and for different age groups

    19. Summary The job of an MCA is: highly satisfactory but: mostly part time often insecure at irregular times Making it less appealing to young women, who prefer a full time, secure job.

    20. Conclusion the profession of MCA is relatively old, leading to a large number leaving the coming years; almost a third of MCAs have contracts without fixed working hours; the way the work is organized is not very attractive to young people; this will lead to a new shortage of maternity care assistants; which will ultimately threaten the maternity care system in the Netherlands.

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