Table 7 Recommendations to achieve sustainability of ML-AC

Recommendations to achieve sustainability of ML-AC

√ Evaluate perceived benefits of all stakeholders, including the pregnant women.

√ Establish and keep institutionalization of ML-AC through

 ○ securing of staff budget,

 ○ timeslots for appointments,

 ○ meetings for evaluation on a regular basis,

 ○ a designated room and

 ○ well established interprofessional collaboration.

√ Establish and keep routinization through

 ○ agreed upon structural organization of e.g., appointments by outpatient services,

 ○ information flow and

 ○ documentation

√ Embed ML-AC into the operational guidelines of the hospital.

√ Secure long-term reimbursement.

√ Secure support of management, midwives and physicians for ML-AC.

√ Offer continuing education for midwives offering ML-AC.

√ Evaluate and adapt topics of ML-AC on a regular basis with all midwives in the hospital.