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Midwife, midwifery

Margaret Fisher, Heather Bower, Samantha Chenery-Morris, Frances Galloway, Judith Jackson, Susan Way, Michael M Fisher
This paper presents the final phase of a national project exploring grading of practice in programmes leading to registration as a midwife in the United Kingdom. The aim was to develop a generic framework for grading practice, enhancing standardisation while enabling flexibility in application of current and new educational standards. A mixed method on-line survey considered existing practice assessment tools, factors contributing to robust and reliable assessment and perceptions of two assessment tools developed by the research team: a 'Lexicon Framework' and 'Rubric', which were tested through scenarios...
November 26, 2018: Nurse Education in Practice
J Evans, J Taylor, J Browne, S Ferguson, M Atchan, P Maher, C S Homer, D Davis
BACKGROUND: Midwife-led continuity of care models benefit women and the midwives who work in them. Australian graduate midwives are familiar with, and educated to provide, continuity of care to women although the opportunity to work exclusively in positions providing continuity of care on graduation is uncommon. AIM: To explore the immediate and aspirational employment plans and workforce choices, reasons for staying in midwifery and perceptions around factors likely to influence job satisfaction of midwives about to graduate from one Australian university during the years 2012-2016...
December 10, 2018: Women and Birth: Journal of the Australian College of Midwives
Judith Fullerton, Michelle M Butler, Cheryl Aman, Tobi Reid, Melanie Dowler
Introduction: The International Confederation of Midwives (ICM) represents 132 midwifery associations in 113 countries. The ICM disseminates the Essential Competencies for Basic Midwifery Practice (EC) that describes the global scope of midwifery practice. The basic (core) and expanded (additional or optional) role of midwives in providing abortion-related care services was first described in 2010. A literature review about three items that are particularly critical to access to abortion services was conducted...
2018: International Journal of Women's Health
Ying Zhao, Yan Hu, Ji Liang, Xu Qian
This simulation-based Ethiopia Midwife Train-the-Trainer program for skilled birth attendants is one part of the China-UK Global Health Support Program (GHSP) activities and an approach to improving the Ethiopia trainers' midwifery teaching skills. This pilot study aimed to evaluate the effectiveness of a simulation-based training for Ethiopia skilled birth attendants. This program was divided into three stages. In Stage 1, Fudan team trained 5 trainers from Ethiopia. In Stage 2, Fudan team supervised and evaluated the 1st stage Ethiopia trainers to train their peers becoming the trainers in Fudan University...
December 3, 2018: Nurse Education in Practice
Zoe Bradfield, Yvonne Hauck, Michelle Kelly, Ravani Duggan
OBJECTIVE: The objective of this study was to explore midwives' experiences of being 'with woman' in the intrapartum period within the context of an unknown midwife model. DESIGN: A descriptive phenomenological design was used with individual in-depth interviews. Transcribed interviews were analysed using thematic analysis that incorporated the data analysis framework offered by Amadeus Giorgi. SETTING: Hospitals within Western Australia providing intrapartum care to women where the midwife is not usually known to them...
November 28, 2018: Midwifery
Elizabeth Christine Rigg, Virginia Schmied, Kath Peters, Hannah Grace Dahlen
BACKGROUND: Anecdotally, the number of Australian women who choose unregulated birthworkers to support a homebirth without a registered midwife present is increasing. AIM: To explore the experiences and reasons why some women choose unregulated birthworkers for a homebirth, and examine what they might do if changes in legislation removed this choice. METHODS: A survey was distributed via social media networks and data were analysed using descriptive statistics...
November 29, 2018: Women and Birth: Journal of the Australian College of Midwives
Kathryn Lefebvre, Jennifer Wild, Kathrin Stoll, Saraswathi Vedam
Interprofessional collaboration optimizes maternal-newborn outcomes and satisfaction with care. Since 2002, midwives have provided an increasing proportion of maternity care in British Columbia (BC). Midwives often collaborate with and/or refer to physicians; but no study to date has explored Canadian medical trainees' exposure to, knowledge of, and attitudes towards midwifery practice. We designed an online cross-sectional questionnaire that included a scale to measure attitudes towards midwifery (13 items) and residents' knowledge of midwifery (94 items across 5 domains)...
November 11, 2018: Journal of Interprofessional Care
Agneta Westergren, Kerstin Edin, Denis Walsh, Monica Christianson
OBJECTIVE: To elicit pregnant women's perceptions of childbirth as expressed in their birth plans, and through a feminist lens analyse their wishes, fears, values, and beliefs about childbirth, as well as their expectations on partner and midwife. DESIGN: This study used qualitative content analysis, identifying subcategories, categories, and an overall theme in data gathered from women's written birth plans. A feminist theoretical framework underpinned the research...
October 17, 2018: Midwifery
Erin M Wright, Maude Theo Matthai, Chakra Budhathoki
INTRODUCTION: Professionally-related stress among midwives has been demonstrated in a global context to have deleterious effects on their professional, physical, and psychological health. Despite global interest in the subject, there has been no study about professional stress in a cohort of US midwives. METHODS: A convergent parallel mixed-methods design was used. The Job-Related Tension Index (JRTI) survey was administered to a self-selected sample of certified nurse-midwives and certified midwives in clinical practice in the United States via email solicitation of the American College of Nurse-Midwives' membership...
October 15, 2018: Journal of Midwifery & Women's Health
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
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