16 Chapter 1 Chapter 4 presents the findings of individual interviews with community midwives working in the Netherlands in order to explore different attitudes toward childbirth interventions. (Q2) Chapter 5 reports the outcomes of our follow-up study in which we explored how knowledge and skills influence midwives’ clinical decision-making on the appropriate use of childbirth interventions. (Q3) Chapter 6 describes the validation of the Birth Beliefs Scale for maternity care professionals. In addition, we have compared the birth beliefs of maternity care professionals working in different maternity care networks. (Q4) Chapter 7 provides the results of a document analysis on variation in regional protocols as one of the factors contributing to practice variations. (Q5) In chapter 8, we discuss the main findings of the studies contained within this thesis and we reflect on the methodological strengths and limitations of those studies. We interpret the findings in a broader perspective and discuss the implications for practice and future research.
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