Luisa Dörflinger

Digital Maternity Records: Physician's and and Midwife's perspective on motivation and usability

Bachelor's Thesis

Digital Maternity Records: Physician's and and Midwife's perspective on motivation and usability


Michael Nissen (M.Sc.), Prof. Dr. B. Eskofier, Adriana Titzmann (UKE)


11 / 2020 – 04 / 2020


Maternity logbooks play an essential role in antenatal care and have been introduced in Germany in
1968 [1]. The logbook contains all relevant health information and medical investigations from the
start of pregnancy until after birth [2]. The current state-of-the-art is to still enter all information
by hand into this logbook.
Pregnancy-care and possible complications are complex and extensive, hence the idea of a
digital form of the maternity logbook arose. Digitalized records allow electronical data comparison
for a better understanding of pregnancies, potential risks, impairments and their cause [3]. Digital
data collection offers a faster and wider comparison, better access possibilities and thus faster
reaction in emergency and prevention of data loss [4]. Furthermore, digitalization can facilitate
the data input to enable the staff to focus on the patient by reducing paper work. Additionally,
a central data source enables a better communication between physicians among each other and
midwifes [3, 4].
A crucial factor for a successful adoption of digital maternity records are the physicians and
midwifes that have to include the tool into their workflow. Therefore, their requirements, requests
and motivation to use potential tools and software should be understood [4]. Requirement
Engineering and User Acceptance are important in the introduction of new software [5].
The aim of this thesis is to identify medical professionals’ motivation factors, requirements
and key components with respect to the adoption of a digital maternity record system.


[1] S. Schling, P. Hillemanns, and M. Groÿ. Zur historie des mutterpasses und seines aktualisierungsbedarfs. 213(2):4248.
[2] K. Vetter and M. Goeckenjan. Schwangerenvorsorge in deutschland. 56(12):16791685. ZSCC: 0000007.
[3] Guido Noelle, Rainer Herpers, Daniel Hellmuth, and Ramona Christ-Köhler. Entwicklung eines elektronischen mutterpasses.
In Christoph Zacharias, Klaus W. ter Horst, Kurt-Ulrich Witt, Volker Sommer, Marc Ant, Ulrich Essmann,
and Laurenz Mülheims, editors, Forschungsspitzen und Spitzenforschung: Innovationen an der FH Bonn-Rhein-Sieg,
Festschrift für Wulf Fischer, pages 5159. Physica-Verlag HD.
[4] Albert Boonstra and Manda Broekhuis. Barriers to the acceptance of electronic medical records by physicians from
systematic review to taxonomy and interventions. 10(1):231.
[5] Bireswar Dutta and Hsin-Ginn Hwang. The adoption of electronic medical record by physicians: A PRISMA-compliant
systematic review. 99(8):e19290.