Isabel Artieta-Pinedo, PhD, RN, is Midwife, Zuazo Health Centre, Primary Care Research Unit of Bizkaia, Osakidetza-Basque Health Service, Bilbao, Spain.
Carmen Paz-Pascual, RN, is Midwife, Sestao Health Centre, Osakidetza-Basque Health Service, and Lecturer, Midwifery Training Unit of the Basque Country, Bilbao, Bizkaia, Spain.
Gonzalo Grandes, MD, MS, is Specialist in Family and Community Medicine, Epidemiologist, and Head, Primary Care Research Unit of Bizkaia, Osakidetza-Basque Health Service, Bilbao, Bizkaia, Spain.
Gurutze Remiro-Fernandezdegamboa, RN, is Midwife, Cruces Hospital (Bizkaia); and Itziar Odriozola-Hermosilla, RN, is Midwife, Basurto Hospital (Bizkaia), Osakidetza-Basque Health Service, and Tutor for Clinical Placements, Midwifery Training Unit of the Basque Country, Bilbao, Bizkaia, Spain.
Amaia Bacigalupe, is Bachelor in Sociology; and Janire Payo, RN, is Bachelor in Psychology, Primary Care Research Unit of Bizkaia, Osakidetza-Basque Health Service, Bilbao, Bizkaia, Spain.
Accepted for publication January 8, 2010.
This study was supported by the Department of Health of the Basque Government (Grant 200411004) and by the Carlos III Institute of Health of the Ministry of Health of Spain cofinanced by the FEDER funds of the European Union (RETICS G03/170 and RD06/0018/0018). The authors thank all the pregnant women and the primary care and hospital resident midwives who participated in this study; Magdalena Ureta, pediatric nurse at the Basque Health Service, and Guadalupe Manzano, professor of psychology at the University of La Rioja, for their help in designing this study; and Imanol Montoya, biostatistician of the Primary Care Research Unit of Bizkaia-Osakidetza, for his support with data quality control and statistical analyses.
Corresponding author: Isabel Artieta-Pinedo, PhD, RN, Unidad de Investigación de Atención Primaria-Osakidetza, Luis Power 18, 4a planta, E-48014, Bilbao, Bizkaia, Spain (e-mail: [email protected]).