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Midwifes

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https://www.readbyqxmd.com/read/28923021/the-design-and-implementation-of-an-obstetric-triage-system-for-unscheduled-pregnancy-related-attendances-a-mixed-methods-evaluation
#1
Sara Kenyon, Alistair Hewison, Sophie-Anna Dann, Jolene Easterbrook, Catherine Hamilton-Giachritsis, April Beckmann, Nina Johns
BACKGROUND: No standardised system of triage exists in Maternity Care and local audit identified this to be problematic. We designed, implemented and evaluated an Obstetric Triage System in a large UK maternity unit. This includes a standard clinical triage assessment by a midwife, within 15 min of attendance, leading to assignment to a category of clinical urgency (on a 4-category scale). This guides timing of subsequent standardised immediate care for the eight most common reasons for attendance...
September 18, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28923011/nurse-midwives-ability-to-diagnose-acute-third-and-fourth-degree-obstetric-lacerations-in-western-kenya
#2
Leeya F Pinder, Kelsey H Natsuhara, Thomas F Burke, Svjetlana Lozo, Monica Oguttu, Leah Miller, Brett D Nelson, Melody J Eckardt
BACKGROUND: Obstetric fistula devastates the lives of women and is found most commonly among the poor in resource-limited settings. Unrepaired third- and fourth-degree perineal lacerations have been shown to be the source of approximately one-third of the fistula burden in fistula camps in Kenya. In this study, we assessed potential barriers to accurate identification by Kenyan nurse-midwives of these complex perineal lacerations in postpartum women. METHODS: Nurse-midwife trainers from each of the seven sub-counties of Siaya County, Kenya were assessed in their ability to accurately identify obstetric lacerations and anatomical structures of the perineum, using a pictorial assessment tool...
September 18, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28901005/delivery-arrangements-for-health-systems-in-low-income-countries-an-overview-of-systematic-reviews
#3
REVIEW
Agustín Ciapponi, Simon Lewin, Cristian A Herrera, Newton Opiyo, Tomas Pantoja, Elizabeth Paulsen, Gabriel Rada, Charles S Wiysonge, Gabriel Bastías, Lilian Dudley, Signe Flottorp, Marie-Pierre Gagnon, Sebastian Garcia Marti, Claire Glenton, Charles I Okwundu, Blanca Peñaloza, Fatima Suleman, Andrew D Oxman
BACKGROUND: Delivery arrangements include changes in who receives care and when, who provides care, the working conditions of those who provide care, coordination of care amongst different providers, where care is provided, the use of information and communication technology to deliver care, and quality and safety systems. How services are delivered can have impacts on the effectiveness, efficiency and equity of health systems. This broad overview of the findings of systematic reviews can help policymakers and other stakeholders identify strategies for addressing problems and improve the delivery of services...
September 13, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28893750/cost-effectiveness-of-planned-birth-in-a-birth-centre-compared-with-alternative-planned-places-of-birth-results-of-the-dutch-birth-centre-study
#4
Marit Hitzert, Marieke Maa Hermus, Inge Ic Boesveld, Arie Franx, Karin Km van der Pal-de Bruin, Eric Eap Steegers, EIske Me van den Akker-van Marle
OBJECTIVES: To estimate the cost-effectiveness of a planned birth in a birth centre compared with alternative planned places of birth for low-risk women. In addition, a distinction has been made between different types of locations and integration profiles of birth centres. DESIGN: Economic evaluation based on a prospective cohort study. SETTING: 21 Dutch birth centres, 46 hospital locations where midwife-led birth was possible and 110 midwifery practices where home birth was possible...
September 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/28887813/progression-of-care-among-women-who-use-a-midwife-for-prenatal-care-who-remains-in-midwife-care
#5
Yiska Loewenberg Weisband, Maria F Gallo, Mark A Klebanoff, Abigail B Shoben, Alison H Norris
BACKGROUND: Prenatal care provided by midwives provides a safe and cost-effective alternative to care provided by physicians. However, no studies have evaluated the frequency of women who leave midwifery care, in a hospital setting. Our study objectives were to measure the frequency of transfers of care to physicians, to describe the sociodemographic and pregnancy-related characteristics of women who transferred to the care of a physician during prenatal care and at delivery, and to assess correlates of these transfers...
September 9, 2017: Birth
https://www.readbyqxmd.com/read/28882131/an-evaluation-of-interprofessional-group-antenatal-care-a-prospective-comparative-study
#6
Zoë G Hodgson, Lee Saxell, Julian K Christians
BACKGROUND: Maternal and neonatal outcomes are influenced by the nature of antenatal care. Standard pregnancy care is provided on an individual basis, with one-on-one appointments between a client and family doctor, midwife or obstetrician. A novel, group-based antenatal care delivery model was developed in the United States in the 1990s and is growing in popularity beyond the borders of the USA. The purpose of this study was to evaluate outcomes in clients receiving interprofessional group perinatal care versus interprofessional individual care in a Canadian setting...
September 7, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28882109/obstetric-care-providers-knowledge-practice-and-associated-factors-towards-active-management-of-third-stage-of-labor-in-sidama-zone-south-ethiopia
#7
Zelalem Tenaw, Zemenu Yohannes, Abdela Amano
BACKGROUND: Active management of third stage of labor played a great role to prevent child birth related hemorrhage. However, maternal morbidity and mortality related to hemorrhage is high due to lack of knowledge and skill of obstetric care providers 'on active management of third stage of labor. Our study was aimed to assess knowledge, practice and associated factors of obstetric care providers (Midwives, Nurses and Health officers) on active management of third stage of labor in Sidama Zone, South Ethiopia...
September 7, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28881464/immediate-postpartum-contraception-a-survey-needs-assessment-of-a-national-sample-of-midwives
#8
Michelle H Moniz, Lee Roosevelt, Halley P Crissman, Emily K Kobernik, Vanessa K Dalton, Michele H Heisler, Lisa Kane Low
INTRODUCTION: Immediate postpartum long-acting, reversible contraception (LARC)-providing intrauterine devices (IUDs) and contraceptive implants immediately following birth-is an effective strategy to prevent unintended pregnancies and improve birth spacing. We measured US certified nurse-midwives' (CNMs') and certified midwives' (CMs') knowledge, training needs, current practice, and perceived barriers to providing immediate postpartum LARC. METHODS: We invited currently practicing CNM and CM members of the American College of Nurse-Midwives to complete an online survey about their knowledge and experience with the use of LARC and analyzed eligible questionnaires using descriptive statistics...
September 7, 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/28877674/health-professional-s-knowledge-and-use-of-the-partograph-in-public-health-institutions-in-eastern-ethiopia-a-cross-sectional-study
#9
Haymanot Mezmur, Agumasie Semahegn, Balewgizie Sileshi Tegegne
BACKGROUND: The partograph is a vital tool for health professionals who need to be able to identify pathological labor. It is used to recognize complications in childbirth on time and to take appropriate actions. We aimed to assess the knowledge and utilization of the partograph and associated factors among health professionals at public health institutions in eastern Ethiopia. METHODS: An institution based cross-sectional quantitative study was carried out among health professionals who were working in public health institutions...
September 6, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28872652/rutinunders%C3%A3-kning-med-ultraljud-kan-ge-besked-om-avvikelser-vid-diagnostiserad-missbildning-kr%C3%A3-vs-multidisciplin%C3%A3-rt-omh%C3%A3-ndertagande-av-b%C3%A3-de-foster-och-f%C3%A3-r%C3%A3-ldrar
#10
Jenny Hammarqvist Vejde, Annika Dellgren, Michaela Granfors
Routine pregnancy ultrasound scans can detect malformations. Multidisciplinary care of both the foetus and parent is required following diagnosed malformations In Sweden, all women are invited to at least one ultrasound examination during pregnancy. The »Routine ultrasound screening« is usually performed by a midwife around 18 weeks of gestation. There are several aims of the examination: to check viability, to detect multiple fetuses, to determine the location of the placenta, to check the amount of amniotic fluid, to estimate the date of delivery (if this had not been done earlier) and to detect structural fetal malformations...
August 29, 2017: Läkartidningen
https://www.readbyqxmd.com/read/28864141/who-uses-a-midwife-for-prenatal-care-and-for-birth-in-the-united-states-a-secondary-analysis-of-listening-to-mothers-iii
#11
Yiska Loewenberg Weisband, Maria F Gallo, Mark Klebanoff, Abigail Shoben, Alison H Norris
BACKGROUND: Although midwife care is slowly but consistently increasing in the United States, not much is known regarding women who use a midwife. Our objectives were to compare the sociodemographic and health history characteristics, and the quality of patient-provider communication, between women who used a midwife and those who used a physician for prenatal care and/or birth. METHODS: We performed a cross-sectional analysis of the nationally representative Listening to Mothers III survey...
August 29, 2017: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/28863336/patient-provider-communication-maternal-anxiety-and-self-care-in-pregnancy
#12
Jennifer Nicoloro-SantaBarbara, Lisa Rosenthal, Melissa V Auerbach, Christina Kocis, Cheyanne Busso, Marci Lobel
RATIONALE: Favorable relationships with health care providers predict greater patient satisfaction and adherence to provider recommendations. However, the specific components of patient-provider relationships that account for these benefits have not been identified. The potential benefits of strong patient-provider relationships in pregnancy may be especially important, as care providers have frequent, intimate interactions with pregnant women that can affect their emotions and behaviors...
August 18, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28856777/perinatal-mortality-disparities-between-public-care-and-private-obstetrician-led-care-a-propensity-score-analysis
#13
Nicole Adams, David Tudehope, Kristen S Gibbons, Vicki Flenady
OBJECTIVE: To examine whether disparities in stillbirth, neonatal and perinatal mortality rates between public and private hospitals are due to differences in population characteristics and/or clinical practices. DESIGN: Retrospective cohort study. SETTING: A metropolitan tertiary centre encompassing public and private hospitals. Women accessed care from either a private obstetrician or public models of care - predominantly midwife-led or care shared between midwives, general practitioners and obstetricians...
August 30, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28855084/women-s-experiences-of-self-reporting-health-online-prior-to-their-first-midwifery-visit-a-qualitative-study
#14
Helle Johnsen, Jette Aaroe Clausen, Dorte Hvidtjørn, Mette Juhl, Hanne Kristine Hegaard
BACKGROUND: Information and communication technologies are increasingly used in health care to meet demands of efficiency, safety and patient-centered care. At a large Danish regional hospital, women report their physical, mental health and personal needs prior to their first antenatal visit. Little is known about the process of self-reporting health, and how this information is managed during the client-professional meeting. AIM: To explore women's experiences of self-reporting their health status and personal needs online prior to the first midwifery visit, and how this information may affect the meeting between the woman and the midwife...
August 27, 2017: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/28853524/-cerebral-palsy-at-the-age-of-modern-obstetrics-ancient-beliefs-versus-solid-facts
#15
Shali Mazaki-Tovi
For many decades the conventional wisdom was that the sole etiology for cerebral palsy is difficult delivery. The adverse outcome associated with cerebral palsy was intuitively related to complications during labor. The blame, unjustifiably and recklessly, was placed on devoted physicians and midwifes. This wrongful accusation, that one may describe as "scientific blood libel" is unprecedented in medicine. In his article, Professor Blickstein scrupulously revises the scientific evidence connecting birth asphyxia and cerebral palsy and refutes the common belief that the only cause for cerebral palsy is complicated delivery...
August 2017: Harefuah
https://www.readbyqxmd.com/read/28853380/becoming-a-reflective-practitioner-fifth-edition-johns-christopher-becoming-a-reflective-practitioner-fifth-edition-376pp-%C3%A2-34-99-wiley-blackwell-9781119193920-1119193923-formula-see-text
#16
(no author information available yet)
Reflection is now high on the agenda of every practising nurse and midwife, as it is a key aspect of the revalidation process introduced last year by the Nursing and Midwifery Council.
August 30, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28851782/evaluating-maternity-units-a-prospective-cohort-study-of-freestanding-midwife-led-primary-maternity-units-in-new-zealand-clinical-outcomes
#17
Celia P Grigg, Sally K Tracy, Mark Tracy, Rea Daellenbach, Mary Kensington, Amy Monk, Virginia Schmied
OBJECTIVE: To compare maternal and neonatal birth outcomes and morbidities associated with the intention to give birth in a freestanding primary level midwife-led maternity unit (PMU) or tertiary level obstetric-led maternity hospital (TMH) in Canterbury, Aotearoa/New Zealand. DESIGN: Prospective cohort study. PARTICIPANTS: 407 women who intended to give birth in a PMU and 285 women who intended to give birth at the TMH in 2010-2011. All of the women planning a TMH birth were 'low risk', and 29 of the PMU cohort had identified risk factors...
August 29, 2017: BMJ Open
https://www.readbyqxmd.com/read/28831867/-nothing-ventured-nothing-gained
#18
(no author information available yet)
Winifred Oluchukwu Eboh qualified as a registered general nurse in 1984 and as a midwife 18 months later. She moved into higher education 17 years ago, completing a PhD in public health in 2004, and is now lecturer in adult nursing at the University of Essex.
August 23, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28816812/caring-for-childbearing-women-in-crisis-midwife-pilgrim
#19
Lynn Clark Callister
No abstract text is available yet for this article.
September 2017: MCN. the American Journal of Maternal Child Nursing
https://www.readbyqxmd.com/read/28814285/quality-of-midwife-provided-intrapartum-care-in-amhara-regional-state-ethiopia
#20
Tegbar Yigzaw, Fantu Abebe, Lalem Belay, Yewulsew Assaye, Equlinet Misganaw, Ashebir Kidane, Desalegn Ademie, Jos van Roosmalen, Jelle Stekelenburg, Young-Mi Kim
BACKGROUND: Despite much progress recently, Ethiopia remains one of the largest contributors to the global burden of maternal and newborn deaths and stillbirths. Ethiopia's plan to meet the sustainable development goals for maternal and child health includes unprecedented emphasis on improving quality of care. The purpose of this study was to assess the quality of midwifery care during labor, delivery and immediate postpartum period. METHODS: A cross-sectional study using multiple data collection methods and a 2-stage cluster sampling technique was conducted from January 25 to February 14, 2015 in government health facilities of the Amhara National Regional State of Ethiopia...
August 16, 2017: BMC Pregnancy and Childbirth
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