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abnormal midwifery

Ellie Wernham, Jason Gurney, James Stanley, Lis Ellison-Loschmann, Diana Sarfati
BACKGROUND: Internationally, a typical model of maternity care is a medically led system with varying levels of midwifery input. New Zealand has a midwife-led model of care, and there are movements in other countries to adopt such a system. There is a paucity of systemic evaluation that formally investigates safety-related outcomes in relationship to midwife-led care within an entire maternity service. The main objective of this study was to compare major adverse perinatal outcomes between midwife-led and medical-led maternity care in New Zealand...
September 2016: PLoS Medicine
Miyoko Tsukisawa
In this paper we present a comparative analysis of Shushi-Sanbaron (Japanese characters) and the original book, Lehrbuch der Hebammenkunst. After the legal reorganisation of the medical professions in Germany in the mid nineteenth century, the textbook Lehrbuch der Hebammenkunst was published for certified midwives. This book has two distinct characteristics; it was written from the physician's standpoint regarding the importance of the professional hierarchy of obstetricians and midwives, and it also served as a practical educator for midwives...
December 2015: Nihon Ishigaku Zasshi. [Journal of Japanese History of Medicine]
Kaori Baba, Yaeko Kataoka, Kaori Nakayama, Yukari Yaju, Shigeko Horiuchi, Hiromi Eto
BACKGROUND: The Japan Academy of Midwifery developed and disseminated the '2012 Evidence-based Guidelines for Midwifery Care (Guidelines for Midwives)' for low-risk births to achieve a more uniform standard of care during childbirth in Japan. The objective of this study was to cross-sectional survey policy implementation regarding care during the second stage of labor at Japanese hospitals, clinics, and midwifery birth centers, and to compare those policies with the recommendations in Guidelines for Midwives...
2016: BMC Pregnancy and Childbirth
Sandra Healy, Eileen Humphreys, Catriona Kennedy
BACKGROUND: Risk and risk assessment are increasingly affecting how maternity services are governed with rates of intervention continuing to rise in obstetric-led services for low-risk women. AIM: This review synthesises original research that examines how perceptions of risk impact on midwives' and obstetricians' facilitation of care for low-risk women in labour. METHODS: A five stage process for conducting integrative reviews was employed...
April 2016: Women and Birth: Journal of the Australian College of Midwives
Jyai Allen, Kristen Gibbons, Michael Beckmann, Mark Tracy, Helen Stapleton, Sue Kildea
BACKGROUND: Adolescent pregnancy is associated with adverse outcomes including preterm birth, admission to the neonatal intensive care unit, low birth weight infants, and artificial feeding. OBJECTIVE: To determine if caseload midwifery or young women's clinic are associated with improved perinatal outcomes when compared to standard care. DESIGN: A retrospective cohort study. SETTING: A tertiary Australian hospital where routine maternity care is delivered alongside two community-based maternity care models specifically for young women aged 21 years or less: caseload midwifery (known midwife) and young women's clinic (rostered midwife)...
August 2015: International Journal of Nursing Studies
Jenny Ingram, Debbie Johnson, Marion Copeland, Cathy Churchill, Hazel Taylor, Alan Emond
AIM: To produce a simple tool with good transferability to provide a consistent assessment of tongue appearance and function in infants with tongue-tie. METHODS: The Bristol Tongue Assessment Tool (BTAT) was developed based on clinical practice and with reference to the Hazelbaker Assessment Tool for Lingual Frenulum Function (ATLFF). This paper documents 224 tongue assessments using the BTAT. There were 126 tongue assessments recorded using the BTAT and ATLFF tools to facilitate comparisons between them...
July 2015: Archives of Disease in Childhood. Fetal and Neonatal Edition
Rosemary Dodds, Deborah Neiger
In light of the recent NCT petition to Health Minister Dr Dan Poulter MP to update guidelines for the diagnosis and treatment of tongue-tied babies to avoid stress and difficulties feeding for babies and their families, discussion has been sparked amongst mothers, midwives, health visitors and breastfeeding counsellors as to how exactly services could be improved. Access to evidence-based, family-centred care is vital to address this potentially distressing condition. But are we too quick to jump in with a diagnosis that may ultimately be of no clinical significance? This articles presents two professional perspectives on the issue and highlights the pertinent research available...
October 2014: Practising Midwife
Janneke T Gitsels-van der Wal, Pieternel S Verhoeven, Judith Manniën, Linda Martin, Hans S Reinders, Evelien Spelten, Eileen K Hutton
BACKGROUND: Two prenatal screening tests for congenital anomalies are offered to all pregnant women in the Netherlands on an opt-in basis: the Combined Test (CT) for Down syndrome at twelve weeks, and the Fetal Anomaly Scan (FAS) at around twenty weeks. The CT is free for women who are 36 or older; the FAS is free for all women. We investigated factors associated with the CT and FAS uptake. METHOD: This study is part of the DELIVER study that evaluated primary care midwifery in the Netherlands...
2014: BMC Pregnancy and Childbirth
Janneke T Gitsels-van der Wal, Judith Manniën, Lisanne A Gitsels, Hans S Reinders, Pieternel S Verhoeven, Mohammed M Ghaly, Trudy Klomp, Eileen K Hutton
BACKGROUND: In the Netherlands, prenatal screening follows an opting in system and comprises two non-invasive tests: the combined test to screen for trisomy 21 at 12 weeks of gestation and the fetal anomaly scan to detect structural anomalies at 20 weeks. Midwives counsel about prenatal screening tests for congenital anomalies and they are increasingly having to counsel women from religious backgrounds beyond their experience. This study assessed midwives' perceptions and practices regarding taking client's religious backgrounds into account during counseling...
2014: BMC Pregnancy and Childbirth
Erica Gibson
BACKGROUND: This research focuses on how women understand and experience labour as related to two competing views of childbirth pain. The biomedical view is that labour pain is abnormal and anaesthesia/analgesia use is encouraged to relieve the pain. The midwifery view is that pain is a normal part of labour that should be worked with instead of against. AIMS: To determine differences in the preparation for and experiences with labour pain by women choosing midwives versus obstetricians...
September 2014: Women and Birth: Journal of the Australian College of Midwives
Valerie Finigan
No abstract text is available yet for this article.
2014: Midwives
Helen Bird
No abstract text is available yet for this article.
2013: Midwives
Shahida Zaidi, Ferdousi Begum, Jaydeep Tank, Pushpa Chaudhury, Haleema Yasmin, Mangala Dissanayake
Since 2008, the FIGO Initiative for the Prevention of Unsafe Abortion and its Consequences has contributed to ensuring the substitution of sharp curettage by manual vacuum aspiration (MVA) and medical abortion in selected hospitals in participating countries of South-Southeast Asia. This initiative facilitated the registration of misoprostol in Pakistan and Bangladesh, and the approval of mifepristone for "menstrual regulation" in Bangladesh. The Pakistan Nursing Council agreed to include MVA and medical abortion in the midwifery curriculum...
July 2014: International Journal of Gynaecology and Obstetrics
Natasha Carr, Paula Foster
Midwives are increasingly performing the examination of the newborn. his article considers the importance of the examination of the hips in the screening process. The significance of history taking, knowledge of risk factors and the hip examination will be explored. The necessity for early detection and treatment of hip abnormalities, along with referral pathways that the National Screening Committee quires will be highlighted. The impact of late detection of developmental dysplasia of the hip (DDH) on the lives of families and children will also be considered...
March 2014: Practising Midwife
Chantal Csajka, Aurélie Jaquet, Ursula Winterfeld, Yvonne Meyer, Adrienne Einarson, Alice Panchaud
PRINCIPLE: Healthcare professionals' (HCPs') perception of risk associated with drug use in pregnancy may have an impact on the pharmacological treatment of some women. The aim of this study was to examine this risk perception in a sample of Swiss HCPs with a special focus on their knowledge and use of available specialised information sources. METHOD: An online, French and German, questionnaire was e-mailed to 7,136 members of four Swiss professional societies (gynaecologists, paediatricians, midwives and pharmacists)...
2014: Swiss Medical Weekly
Natasha Carr, Paula Foster
Midwives are increasingly performing the examination of the newborn. In the second of a four-part series, this article considers the importance of the cardiovascular examination in the screening process. The significance of history taking, knowledge of risk factors and auscultation of the heart will be explored. The necessity for early detection and treatment of congenital cardiac abnormalities, along with the prerequisite referral pathways that the Newborn infant physical examination (NIPE) requires will also be highlighted...
February 2014: Practising Midwife
Lia Mara Netto Dornelles, Fiona Maccallum Professor, Rita de Cássia Sobreira Lopes Professor, Cesar Augusto Piccinini Professor, Eduardo Pandolfi Passos Professor
OBJECTIVE: to explore women's fears during pregnancy following conception via assisted reproductive technology (ART). METHODS: 19 expectant first-time mothers were interviewed during the third trimester of pregnancy using a semi-structured schedule. Perceptions of and feelings about pregnancy were assessed. Content analysis was used to identify themes and subthemes. FINDINGS: four overarching themes emerged: the baby's survival, the health of the baby, the efficacy of the mother and childbirth...
March 2014: Midwifery
Hildur Kristjansdottir, Helga Gottfredsdottir
OBJECTIVE: we aimed to gain insights into women's reflection on their experience of receiving a false-positive screening result for fetal anomalies, more than 11 months from birth. DESIGN AND SETTING: the women constituted a subgroup of participants in a larger cohort study (n=1111) where the purpose was to explore women's experience of maternity services, their health, well-being, attitudes and expectations during pregnancy and after birth. Semi-structured interviews were collected from 14 women 11-21 months after birth who had been screened positive for fetal chromosomal abnormality in early pregnancy...
June 2014: Midwifery
Nina Asplin, Hans Wessel, Lena Marions, Susanne Georgsson Öhman
OBJECTIVE: to explore what women who have had a pregnancy terminated due to a detected fetal malformation perceived as having been important in their encounters with caregivers for promoting their healthy adjustment and well-being. METHOD: an exploratory descriptive design was used. Semi-structured interviews were audiotaped, and the information pathway described. The text was processed through qualitative content analysis in six steps. SETTING: four fetal care referral centres in Stockholm, Sweden...
June 2014: Midwifery
Alan Emond, Jenny Ingram, Debbie Johnson, Peter Blair, Andrew Whitelaw, Marion Copeland, Alastair Sutcliffe
TRIAL DESIGN: A randomised, parallel group, pragmatic trial. SETTING: A large UK maternity hospital. PARTICIPANTS: Term infants <2 weeks old with a mild or moderate degree of tongue-tie, and their mothers who were having difficulties breastfeeding. OBJECTIVES: To determine if immediate frenotomy was better than standard breastfeeding support. INTERVENTIONS: Participants were randomised to an early frenotomy intervention group or a 'standard care' comparison group...
May 2014: Archives of Disease in Childhood. Fetal and Neonatal Edition
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