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Midwife, midwifery

Emma T Tonkin, Heather Skirton, Maggie Kirk
This paper details a competency framework to help address the need for structured guidance around genetic and genomic education and training for midwives. A one-day expert panel consensus meeting was convened to review and revise a previously published joint framework for nurses, midwives and health visitors. Fifteen midwives from practice, management, education and policy and three genetic counsellors (two with midwifery backgrounds) attended. An in-depth knowledge of genetics/genomics was not a requirement...
September 14, 2018: Nurse Education in Practice
Maryam Tabatabaeian, Masoumeh Kordi, Salameh Dadgar, Habibollah Esmaeily, Talat Khadivzadeh
INTRODUCTION: Preeclampsia is the most common medical complication in pregnancy; along with bleeding and infection, it is one of the three causes of death in pregnant women. Most of these deaths were due to delays in the diagnosis and improper midwifery management and care. On the other hand, the quality of midwifery education has a profound effect on the proper provision of services. Therefore, the present study has been done to compare the effect of simulation-, blended-, and lecture-based education on simulated midwife performance in the management of preeclampsia and eclampsia...
2018: Journal of Education and Health Promotion
Jocelyn Toohill, Emily Callander, Haylee Fox, Daniel Lindsay, Jenny Gamble, Debra Creedy, Jennifer Fenwick
Objective Fear of childbirth is known to increase a woman's likelihood of having a Caesarean section. Continuity of midwifery care is known to reduce this risk, but less than 8% of women have access to this relationship-based, primary care model. The aims of this study were to determine whether healthcare use and access to continuity models are equal across different indicators of socioeconomic status for women who are fearful of birth. Methods A secondary analysis was conducted of data obtained during a randomised controlled trial of a psychoeducation intervention by trained midwives to minimise childbirth fear (the Birth Emotions and Looking to Improve Expectant Fear (BELIEF) study)...
September 25, 2018: Australian Health Review: a Publication of the Australian Hospital Association
Jean Patterson, Aleksandra K Mącznik, Suzanne Miller, Bridget Kerkin, Sally Baddock
BACKGROUND: Becoming a competent midwife is a complex process. The aim of midwifery education is to support the development of competence in midwifery skills, knowledge and to prepare graduates to meet the responsibilities inherent in the midwifery role. AIM: To explore the experiences of our alumni midwives, ask how well they perceived their midwifery programme had prepared them for beginning midwifery practice and to identify any curriculum changes, or postgraduate study topics, that would support the transition to midwifery practice...
September 13, 2018: Women and Birth: Journal of the Australian College of Midwives
Li Thies-Lagergren, Margareta Johansson
BACKGROUND: Parents' birth experiences affect bonding with their infant, which in turn may influence the child's future health. Parents' satisfaction with childbirth is multi-dimensional and dependent on both expectations and experiences. Increasing involvement of partners in intrapartum care may lead to an assumption that the birthing couple shares attitudes and expectations of intrapartum care. There is a limited knowledge regarding the uniformity of couples' experiences of labour and birth...
September 11, 2018: Women and Birth: Journal of the Australian College of Midwives
Marion Hunter, Elizabeth Smythe, Deborah Spence
The aim of this study was to reveal what enables, safeguards and sustains midwives to provide labour care in freestanding midwifery-led units. DESIGN: A hermeneutic phenomenological study was undertaken in the Auckland region of New Zealand. In-depth interviews were conducted with 14 participants: 11 midwives who provide care in freestanding midwifery-led units and three obstetricians who provide antenatal consultations on site in midwifery-led units. MAIN FINDINGS: Confidence is necessary to provide intrapartum care in freestanding midwifery units...
August 24, 2018: Midwifery
Michelle M Butler, Judith T Fullerton, Cheryl Aman
OBJECTIVE: To obtain consensus amongst midwifery experts globally about the essential competencies for basic midwifery practice. DESIGN: A modified Delphi approach, involving a three-round online survey. PARTICIPANTS: Midwifery leaders, educators and regulators in all ICM regions, along with representatives of organisations affiliated to ICM. METHODS: The research team worked closely with a Core Working Group and a Task Force...
August 17, 2018: Midwifery
Régine Goemaes, Jill Shawe, Dimitri Beeckman, Elsie Decoene, Sofie Verhaeghe, Ann Van Hecke
OBJECTIVE: To explore factors influencing the implementation of advanced midwife practitioner roles. DESIGN: Semi-structured individual face-to-face and focus group interviews were conducted. Data analysis was performed using the Framework Method. SETTING AND PARTICIPANTS: A purposive sample (n = 32) included chief nursing officers, middle managers, head midwives/nurses, primary care team leaders, midwives with and without advanced midwife practitioner roles, heads of midwifery educations, and obstetricians...
August 11, 2018: Midwifery
Adele Baldwin, Clare Harvey, Eileen Willis, Bridget Ferguson, Tanya Capper
BACKGROUND: High-risk pregnancy, or one with escalating complexities, requires the inclusion of numerous health professions in care provision. A strategy of midwife navigators to facilitate the smooth transition across models of care and service providers has now been in place in Queensland, Australia, for over twelve months, and a formal review process will soon begin. Navigators are experienced nurses or midwives who have the expertise and authority to support childbearing women with chronic or complex problems through the health system so that it is co-ordinated and they can transition to self-care...
August 22, 2018: Women and Birth: Journal of the Australian College of Midwives
Louise Hunter, Giordana Da Motta, Christine McCourt, Octavia Wiseman, Juliet Rayment, Penny Haora, Meg Wiggins, Angela Harden
AIM: To test the feasibility of introducing a group antenatal care initiative (Pregnancy Circles) in an area with high levels of social deprivation and cultural diversity by exploring the views and experiences of midwives and other maternity care providers in the locality before and after the implementation of a test run of the group model. DESIGN: (i) Pre-implementation semi-structured interviews with local stakeholders. (ii) Post-implementation informal and semi-structured interviews and a reflective workshop with facilitating midwives, and semi-structured interviews with maternity managers and commissioners...
August 2, 2018: Midwifery
Zoe Bradfield, Michelle Kelly, Yvonne Hauck, Ravani Duggan
BACKGROUND: The phenomenon of being 'with woman' is central to the profession of midwifery. There is currently no available evidence that explicitly explores this phenomenon. In Western Australia, over a third of childbearing women choose to engage the services of a private obstetrician who provides antenatal care and manages the care provided by midwives during labour and birth. AIM: The aim of this study was to explore midwives' experiences of being 'with woman' during labour and birth in the private obstetric model...
August 6, 2018: Women and Birth: Journal of the Australian College of Midwives
Ling-Ling Gao, Hong Lu, Nicky Leap, Caroline Homer
BACKGROUND: With the recent surging economic and social development in China, midwifery has undergone transformation. AIM: A narrative review of literature relating to midwifery in mainland China was undertaken to examine the characteristics of midwifery's potential development within relevant historical, economic and sociopolitical contexts. The aim was to assist future planning and the setting of strategic directions in policy in China. METHODS: Online bibliographic databases from 2000 to 2015 were searched including MEDLINE, WanFang Data and Chinese National Knowledge Infrastructure...
August 2, 2018: Women and Birth: Journal of the Australian College of Midwives
Prof Dr José Sanders, Prof Dr Raymond de Vries, Susanne Besseling, Prof Dr Marianne Nieuwenhuijze
OBJECTIVE: In the Netherlands, the place of birth, birthing position, and pain relief are subject to preference-sensitive decisions of women, after counseling by their midwife. Dutch midwives are responsible for providing information and advice to guide pregnant women in such decisions. In this study we investigate how midwifery students, who are simultaneously committed to midwifery values and influenced by media culture, approach such preference-oriented communication in midwifery care...
September 2018: Midwifery
Georgina A Sosa, Kenda E Crozier, Andrea Stockl
OBJECTIVE: To explore the transition from midwifery one-to-one support in labour within a midwife-led birth environment to an obstetric-led unit from the perspectives of midwives and women. DESIGN: Ethnographic study. Data was collected from eleven transfers to an obstetric-led unit. The transfer process was observed for four women. Semi-structured interviews were completed following the births with eleven women and eleven midwives. Nine maternity records were also analysed...
July 7, 2018: Midwifery
Annabel Sheehy, Rachel M Smith, Joanne E Gray, Caroline S E Homer
BACKGROUND: Midwives in Australia are educated through a range of routes providing flexible ways to become a midwife. Little is known about whether the route to registration impacts on mid-career experiences, in particular, whether the pathway (post-nursing pathway compared with 'direct-entry') makes any difference. AIM: The aim of this study was to explore the midwifery workforce experiences and participation in graduates six to seven years after completing either a post-nursing Graduate Diploma in Midwifery (GradDip) or an undergraduate degree, the Bachelor of Midwifery (BMid), from one university in New South Wales, Australia...
July 2, 2018: Women and Birth: Journal of the Australian College of Midwives
Alice Lovell
No abstract text is available yet for this article.
June 20, 2018: Midwifery
Vanora Hundley, Franka Cadée, Mervi Jokinen
No abstract text is available yet for this article.
September 2018: Midwifery
Carmel Bradshaw, Sylvia Murphy Tighe, Owen Doody
BACKGROUND: Globally the safety of mothers and babies is fundamental in maternity care. Central to ensuring this safety is appropriate preparation of midwifery students' to ensure graduates are equipped to assume the responsibilities of delivering safe and effective maternity care. In preparation for autonomous practice Irish midwifery students' undertake a 36 week internship in the final year of the BSc Midwifery programme. Within this paid internship midwifery students' have the opportunity to develop professional behaviours, consolidate knowledge and learn necessary skills to fulfil the role of midwife under the supervision of registered midwives...
September 2018: Nurse Education Today
Yiska Loewenberg Weisband, Mark Klebanoff, Maria F Gallo, Abigail Shoben, Alison H Norris
INTRODUCTION: Few studies have compared midwife-led and physician-led care in the United States. Our objective was to compare the frequency of birth interventions and maternal and neonatal outcomes between women who received prenatal care from a midwife and those who received care from a physician, among women who were low risk when they initiated prenatal care. METHODS: We performed a retrospective cohort study of women giving birth at a large public hospital who had at least one prenatal visit before 20 weeks' gestation in the years 2012 through 2015...
June 26, 2018: Journal of Midwifery & Women's Health
Maria S Maputle
BACKGROUND: Physical presence during labour offer women opportunity of having positive childbirth experiences as well as childbirth outcomes. The study aimed to determine what support provided by midwives during intrapartum care at a public hospital in Limpopo Province. The study was conducted at a tertiary hospital in Limpopo Province. METHODS: A participant observation approach was used to achieve the objectives of the study. The population comprised of all women who were admitted with labour and for delivery and midwives who were providing midwifery care in the obstetric unit of a tertiary public hospital in Limpopo Province...
June 5, 2018: BMC Pregnancy and Childbirth
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