Table 4 Determinants related to treatment of the woman, mentioned by care providers (n = 25)

Antibiotic prophylaxis in the woman

Procedural clarity (guideline)

0

0

1

1

Logistics birth at home GBS positive mother without risk factor

N

No standard treatment in case of PROM/ –preterm birth and unknown results swab

N

Complexity (guideline)

0

1

0

0

Easy to follow

P

Compatibility (guideline)

0

1

0

1

Is already in practice

P

P

Outcome expectations (user)

4

3

6

0

Over treatment (IAP, hospital birth, observation baby)

N

N

N

No over treatment

N

P

Under treatment

N

N

Increase AB resistance problem

N

No increase AB resistance problem

P

More tailored care in case of GBS carrier ship and PROM

N

P

Increase hospital birth/decrease home birth

N

N

Personal benefits / drawbacks (user)

0

1

1

0

No extra work for primary care midwives

P

N

Client/patient satisfaction (user)

0

0

2

0

GBS positive without risk factor: AB prophylaxis desired by woman

N

Suits women critical of AB prophylaxis

P

Staff capacity (organisational context)

1

1

1

1

Enough capacity in hospital

N

N

P

P

Material resources and facilities (organisational context)

1

2

1

2

No problem in daily practice

P

P

Penicillin not always available in hospital because of pharmacy policy

N

N

N

N

Financial resources (organisational context)

1

0

1

0

No reimbursement

N

N

Total numbers of determinants, related to

7

9

13

5

the guideline itself

0

2

1

2

the user (care provider)

4

4

9

0

the organisational context

3

3

3

3

the socio-political context

0

0

0

0