{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:47:15Z","timestamp":1747183635957,"version":"3.40.5"},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,5,8]],"date-time":"2024-05-08T00:00:00Z","timestamp":1715126400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001826","name":"ZonMw","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Standardization of health systems often hinders client\u2010centered care. This study investigates whether allowing more flexibility in the planning range of the Dutch home\u2010based postpartum care service improves its quality of care, as innovative approach to client\u2010centered care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A randomized controlled trial was conducted (2017\u20132019), in which pregnant women who intended to breastfeed were assigned into two groups (1:1). The intervention group was allowed to receive care up to the 14th\u2010day postpartum, instead of the first 8\u201310 consecutive days (\u201cusual care\u201d). Primary outcome measure was the proportion of newborns still receiving exclusively breastmilk on final caring day of the service. This so\u2010called <jats:italic>successful breastfeeding rate<\/jats:italic> is currently used by the Dutch health sector to measure the quality of care. Secondary outcome measures were <jats:italic>self\u2010care experience<\/jats:italic>, <jats:italic>overall care experience<\/jats:italic>, and <jats:italic>exclusive breastfeeding duration rate<\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Based on data from 1275 participants, there was no difference in exclusive breastfeeding on final caring day (86,7% intervention group vs. 88,9% control group, RR: 1.03, 95% CI: 0.98\u20131.07). Both groups showed similar <jats:italic>self\u2010care experiences<\/jats:italic>. Women in the intervention group had slightly poorer <jats:italic>overall care experience<\/jats:italic> and lower <jats:italic>exclusive breastfeeding duration rates<\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study found no effect on the quality of care when allowing more flexibility in the planning range of home\u2010based postpartum care. Women can, therefore, be offered more flexibility to suit them. Given the confusion in interpreting the sector's current main quality indicator, we call for an inclusive dialogue on how to best measure the quality of home\u2010based postpartum care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/birt.12824","type":"journal-article","created":{"date-parts":[[2024,5,8]],"date-time":"2024-05-08T08:43:40Z","timestamp":1715157820000},"page":"649-658","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Client\u2010centered flexible planning of home\u2010based postpartum care: A randomized controlled trial on the quality of care"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3995-2012","authenticated-orcid":false,"given":"Fleur J.","family":"Lambermon","sequence":"first","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology Radboud University Medical Center  Nijmegen The\u00a0Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noortje T. L.","family":"van Duijnhoven","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology Radboud University Medical Center  Nijmegen The\u00a0Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Dedding","sequence":"additional","affiliation":[{"name":"Department of Metamedica AmsterdamUMC  Amsterdam The\u00a0Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan A. M.","family":"Kremer","sequence":"additional","affiliation":[{"name":"IQ Healthcare Radboud university medical center  Nijmegen The\u00a0Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,5,8]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2019.102574"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m252"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12361"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)60696-6"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2014.05.001"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2010.04.007"},{"key":"e_1_2_9_8_1","article-title":"Schedules for home visits in the early postpartum period","volume":"8","author":"Yonemoto N","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1475-9276-11-61"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2017.09.007"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.321.7261.593"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2524.2006.00664.x"},{"volume-title":"Kraamzorg. Verzekerd Van Een Goed Begin?","year":"2015","author":"Latta JM","key":"e_1_2_9_13_1"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-8-27"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2006.10.006"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h530"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-018-2735-z"},{"volume-title":"Indicatorenset Integrale Geboortezorg","year":"2020","author":"CPZ","key":"e_1_2_9_18_1"},{"volume-title":"Kernboodschap Van de Kraamzorg","year":"2016","author":"Geboortezorg Bo","key":"e_1_2_9_19_1"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.7717\/peerj.2092"},{"volume-title":"Factsheet CLiK (CLi\u00ebnt Informatie Kraamzorg) en MEQ","year":"2017","author":"AWKG","key":"e_1_2_9_21_1"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0117031"},{"volume-title":"Peiling melkvoeding van zuigelingen 2015","year":"2015","author":"Peeters D","key":"e_1_2_9_23_1"},{"volume-title":"Indicatorenset Integrale Geboortezorg","year":"2019","author":"CPZ","key":"e_1_2_9_24_1"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2021.103068"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2020.102737"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13006-019-0247-4"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-014-0569-2"}],"container-title":["Birth"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/birt.12824","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,12]],"date-time":"2024-08-12T07:20:34Z","timestamp":1723447234000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/birt.12824"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,8]]},"references-count":27,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1111\/birt.12824"],"URL":"https:\/\/doi.org\/10.1111\/birt.12824","archive":["Portico"],"relation":{},"ISSN":["0730-7659","1523-536X"],"issn-type":[{"type":"print","value":"0730-7659"},{"type":"electronic","value":"1523-536X"}],"subject":[],"published":{"date-parts":[[2024,5,8]]},"assertion":[{"value":"2020-04-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-04-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}