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Midwifery, maternity, pregnancy.

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https://www.readbyqxmd.com/read/27882748/-application-of-the-concetrations-ratio-of-soluble-receptor-tyrosine-kinase-type-1-and-placental-growth-factor-for-short-term-prediction-and-diagnosis-of-preeclampsia
#1
Š Bubeníková, A Cíchová, L Roubalová, V Durdová, R Vlk
OBJECTIVE: Bring a comprehensive overview of the available information about applications of the concetration ratio of soluble receptor tyrosine kinase type 1 (sFlt-1), and placental growth factor for short-term prediction and diagnosis of preeclampsia. DESIGN: Overview study. SETTINGS: Department of Midwifery, Faculty of Health Sciences, Olomouc; Department of Clinical Biochemistry, University Hospital Olomouc; Department of Obstetrics and Gynecology, University Hospital Olomouc; Department of Obstetrics and Gynecology, 2nd Faculty of Medicine, Charles University in Prague and Motol University Hospital...
2016: Ceská Gynekologie
https://www.readbyqxmd.com/read/27862689/applying-lean-six-sigma-methodology-to-reduce-cesarean-section-rate
#2
Ze-Ying Chai, Hua-Min Hu, Xiu-Ling Ren, Bao-Jin Zeng, Ling-Zhi Zheng, Feng Qi
OBJECTIVES: This study aims to reduce cesarean section rate and increase rate of vaginal delivery. METHODS: By using Lean Six Sigma (LSS) methodology, the cesarean section rate was investigated and analyzed through a 5-phase roadmap consisting of Define, Measure, Analyze, Improve, and Control. The principal causes of cesarean section were identified, improvement measures were implemented, and the rate of cesarean section before and after intervention was compared...
November 14, 2016: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/27859542/midwives-management-during-the-second-stage-of-labor-in-relation-to-second-degree-tears-an-experimental-study
#3
Malin Edqvist, Ingegerd Hildingsson, Margareta Mollberg, Ingela Lundgren, Helena Lindgren
INTRODUCTION: Most women who give birth for the first time experience some form of perineal trauma. Second-degree tears contribute to long-term consequences for women and are a risk factor for occult anal sphincter injuries. The objective of this study was to evaluate a multifaceted midwifery intervention designed to reduce second-degree tears among primiparous women. METHODS: An experimental cohort study where a multifaceted intervention consisting of 1) spontaneous pushing, 2) all birth positions with flexibility in the sacro-iliac joints, and 3) a two-step head-to-body delivery was compared with standard care...
November 14, 2016: Birth
https://www.readbyqxmd.com/read/27846406/encourages-and-guides-or-diagnoses-and-monitors-woman-centred-ness-in-the-discourse-of-professional-midwifery-bodies
#4
M P O'Malley-Keighran, G Lohan
OBJECTIVE: the purpose of this study was to conduct a preliminary exploration of the language used by midwifery professional bodies to define the scope of practice of midwives in relation to woman-centred care. DESIGN: this is a qualitative study in which Critical Discourse Analysis and Transitivity Analysis from the Systemic Functional Linguistics tradition were used. Data were sampled from nine international midwifery professional bodies. FINDINGS: three general types of definitions of scope of practice were identified; a formal type which focused on midwifery practice in which the midwife and woman were largely absent as agents, a second, less formal type which focused on the midwife as agent, from which the woman was largely absent as an active participant and one exception to the pattern which featured the woman as agent...
October 28, 2016: Midwifery
https://www.readbyqxmd.com/read/27829388/measuring-oral-health-during-pregnancy-sensitivity-and-specificity-of-a-maternal-oral-screening-mos-tool
#5
Ajesh George, Hannah G Dahlen, Anthony Blinkhorn, Shilpi Ajwani, Sameer Bhole, Sharon Ellis, Anthony Yeo, Emma Elcombe, Ayesha Sadozai, Maree Johnson
BACKGROUND: Midwives can play a key role in promoting the oral health of pregnant women and assessing their oral health status. A maternal oral assessment tool (MOS) was developed and pilot tested by the study investigators to assist midwives in this role and the results were promising. The aim of this study was to undertake further sensitivity and specificity assessment of the MOS tool using two-comparison approaches- the longer oral health screening tool known as the Oral Health Impact Profile (OHIP-14) and an oral assessment by trained study dentists...
November 9, 2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27817977/midwives-experiences-of-referring-obese-women-to-either-a-community-or-home-based-antenatal-weight-management-service-implications-for-service-providers-and-midwifery-practice
#6
Lou Atkinson, David P French, Diane Ménage, Ellinor K Olander
OBJECTIVE: a variety of services to support women to undertake weight management behaviours during pregnancy have recently been implemented as a means to reduce the risks to mother and infant. In the UK, midwives lead the care of the majority of pregnant women and are seen as the ideal source of referral into antenatal services. However, midwives have reported concerns regarding raising the topic of weight with obese women and negative referral experiences have been cited as a reason not to engage with a service...
October 22, 2016: Midwifery
https://www.readbyqxmd.com/read/27676611/a-comparison-of-midwife-led-and-medical-led-models-of-care-and-their-relationship-to-adverse-fetal-and-neonatal-outcomes-a-retrospective-cohort-study-in-new-zealand
#7
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
https://www.readbyqxmd.com/read/27642026/drivers-of-maternity-care-in-high-income-countries-can-health-systems-support-woman-centred-care
#8
REVIEW
Dorothy Shaw, Jeanne-Marie Guise, Neel Shah, Kristina Gemzell-Danielsson, K S Joseph, Barbara Levy, Fontayne Wong, Susannah Woodd, Elliott K Main
In high-income countries, medical interventions to address the known risks associated with pregnancy and birth have been largely successful and have resulted in very low levels of maternal and neonatal mortality. In this Series paper, we present the main care delivery models, with case studies of the USA and Sweden, and examine the main drivers of these models. Although nearly all births are attended by a skilled birth attendant and are in an institution, practice, cadre, facility size, and place of birth vary widely; for example, births occur in homes, birth centres, midwifery-led birthing units in hospitals, and in high intervention hospital birthing facilities...
November 5, 2016: Lancet
https://www.readbyqxmd.com/read/27630748/engagement-with-and-outcomes-of-a-midwifery-led-intervention-group-for-pregnant-women-of-high-body-mass-index
#9
Sarah R Chwah, Amanda Reilly, Beverley Hall, Anthony J O'Sullivan, Amanda Henry
AIMS: To compare pregnancy care, maternal and neonatal outcomes of women with Body Mass Index (BMI) >30 enrolled in a Weight Intervention Group versus other models of antenatal care. METHODS: Retrospective, case-control study of mothers with BMI >30 managed with a specialised programme versus age-matched women enrolled in standard models of care. RESULTS: One thousand, one hundred and fifteen of 9954 pregnant women with singleton pregnancies, had a BMI >30, of whom 9...
September 2016: Obstetric Medicine
https://www.readbyqxmd.com/read/27576867/external-validation-of-prognostic-models-to-predict-risk-of-gestational-diabetes-mellitus-in-one-dutch-cohort-prospective-multicentre-cohort-study
#10
Marije Lamain-de Ruiter, Anneke Kwee, Christiana A Naaktgeboren, Inge de Groot, Inge M Evers, Floris Groenendaal, Yolanda R Hering, Anjoke J M Huisjes, Cornel Kirpestein, Wilma M Monincx, Jacqueline E Siljee, Annewil Van 't Zelfde, Charlotte M van Oirschot, Simone A Vankan-Buitelaar, Mariska A A W Vonk, Therese A Wiegers, Joost J Zwart, Arie Franx, Karel G M Moons, Maria P H Koster
OBJECTIVE:  To perform an external validation and direct comparison of published prognostic models for early prediction of the risk of gestational diabetes mellitus, including predictors applicable in the first trimester of pregnancy. DESIGN:  External validation of all published prognostic models in large scale, prospective, multicentre cohort study. SETTING:  31 independent midwifery practices and six hospitals in the Netherlands. PARTICIPANTS:  Women recruited in their first trimester (<14 weeks) of pregnancy between December 2012 and January 2014, at their initial prenatal visit...
2016: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/27471165/measuring-maternal-mental-health-using-the-dutch-four-dimensional-symptom-questionnaire-4dsq-pregnancy-related-item-bias-across-the-perinatal-period
#11
Brigitte B M Tebbe, Berend Terluin, Mireille N M van Poppel
OBJECTIVE: the Four-Dimensional Symptom Questionnaire (4DSQ) measures four dimensions of common psychopathology: distress, depression, anxiety and somatization. The instrument is developed and validated for general practice. A previous validation study of the 4DSQ for midwifery practice indicated that pregnant women respond differently to the items of the 4DSQ. This phenomenon is called item bias. The present study is a followup validation study in which pregnant women were followed up until one year post partum, to assess pregnancy-related item bias...
September 2016: Midwifery
https://www.readbyqxmd.com/read/27450589/women-s-preferences-and-knowledge-about-the-legal-competences-of-midwives-in-brussels-belgium-a-descriptive-observational-study
#12
Joeri Vermeulen, Eva Swinnen, Florence D'haenens, Ronald Buyl, Katrien Beeckman
OBJECTIVE: to explore women's preferences with regard to their preferred health professional during labour and childbirth in case of an uncomplicated pregnancy, and to gain insight into women's knowledge of the legal competences of midwives. DESIGN: a descriptive observational study. SETTING: Brussels metropolitan region, Belgium. PARTICIPANTS: women in their reproductive age, living in the Brussels metropolitan region, with Dutch or French as their first language (n=830)...
September 2016: Midwifery
https://www.readbyqxmd.com/read/27428092/primary-maternity-units-in-rural-and-remote-australia-results-of-a-national-survey
#13
Sue Kruske, Sue Kildea, Bec Jenkinson, Jennifer Pilcher, Sarah Robin, Margaret Rolfe, Jude Kornelsen, Lesley Barclay
BACKGROUND: Primary Maternity Units (PMUs) offer less expensive and potentially more sustainable maternity care, with comparable or better perinatal outcomes for normal pregnancy and birth than higherlevel units. However, little is known about how these maternity services operate in rural and remote Australia, in regards to location, models of care, service structure, support mechanisms or sustainability. This study aimed to confirm and describe how they operate. DESIGN: a descriptive, cross-sectional study was undertaken, utilising a 35-item survey to explore current provision of maternity care in rural and remote PMUs across Australia...
September 2016: Midwifery
https://www.readbyqxmd.com/read/27412839/-mode-of-delivery-among-hiv-positive-pregnant-women-in-areas-with-high-prevalence-of-hiv-in-china-2007-2013
#14
Q Wang, L H Wang, A L Wang, F Wang, X Y Wang, Y P Qiao, M Su, L X Dou, L W Fang
OBJECTIVE: To describe the changing demographic profile over time of pregnant women diagnosed with HIV infection, and trends in mode of delivery and pregnancy outcome. METHODS: An observational investigation was conducted based on a population of 1 128 HIV-positive pregnant women at eight sites in China in provinces with high prevalence of HIV among pregnant women and children between 2007 and 2013. The study area included Shangcai and Weishi counties in Henan province; Ruili and Longchuan counties and Linxiang prefecture in Yunnan province; Yining County in Xinjiang; and Lingshan county and Babu district in Guangxi province...
July 6, 2016: Zhonghua Yu Fang Yi Xue za Zhi [Chinese Journal of Preventive Medicine]
https://www.readbyqxmd.com/read/27400740/practice-related-factors-that-may-impact-on-postpartum-care-for-mothers-and-infants-in-australian-general-practice-a-cross-sectional-survey
#15
Wendy E Brodribb, Benjamin L Mitchell, Mieke L van Driel
BACKGROUND: While there is a significant focus on the health and well-being of women during pregnancy, labour and birth, much less emphasis is placed on the care of postpartum women and their infants in primary care following the birth. Some studies have investigated the role of GPs in postpartum care, and others examined facilitators and barriers to mothers accessing care. However there is little information available to investigate the effect of practice related factors on access to care of mothers and infants at this time...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27321727/the-kaleidoscopic-midwife-a-conceptual-metaphor-illustrating-first-time-mothers-perspectives-of-a-good-midwife-during-childbirth-a-grounded-theory-study
#16
Sara E Borrelli, Helen Spiby, Denis Walsh
BACKGROUND: The literature review reveals general information about a good midwife from a range of perspectives and what childbearing women generally value in a midwife, but there is a lack of information around mothers' perspectives of what makes a good midwife specifically during labour and birth, and even less in the context of different places of birth. AIM: To conceptualise first-time mothers' expectations and experiences of a good midwife during childbirth in the context of different birthplaces...
August 2016: Midwifery
https://www.readbyqxmd.com/read/27321719/mode-of-childbirth-and-neonatal-outcome-after-external-cephalic-version-a-prospective-cohort-study
#17
A N Rosman, F Vlemmix, S Ensing, B C Opmeer, S Te Hoven, J Velzel, M de Hundt, S van den Berg, H Rota, J A M van der Post, B W J Mol, M Kok
OBJECTIVE: to assess the mode of childbirth and adverse neonatal outcomes in women with a breech presentation with or without an external cephalic version attempt, and to compare the mode of childbirth among women with successful ECV to women with a spontaneous cephalic presentation. DESIGN: prospective matched cohort study. SETTING: 25 clusters (hospitals and its referring midwifery practices) in the Netherlands. Data of the Netherlands perinatal registry for the matched cohort...
August 2016: Midwifery
https://www.readbyqxmd.com/read/27247155/knowledge-of-midwives-about-hypertensive-disorders-during-pregnancy-in-primary-healthcare
#18
Ethelwynn L Stellenberg, Nompumelelo L Ngwekazi
BACKGROUND: Many factors or medical conditions may influence the outcome of pregnancy,which in turn, may increase infant and maternal morbidity and mortality. One such condition is an increase in blood pressure (BP). SETTING: The study was conducted in maternity obstetrical units (MOUs) in primary healthcare clinics (PHCs) in the Eastern Cape, South Africa. OBJECTIVES: To determine the knowledge about hypertensive disorders during pregnancy (HDPs) of registered midwives working in MOUs in PHCs...
2016: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/27206063/perinatal-and-maternal-outcomes-in-a-midwife-led-centre-in-italy-a-comparison-with-standard-hospital-assistance
#19
Giulia Dante, Isabella Neri, Raffaele Bruno, Chiara Salvioli, Fabio Facchinetti
BACKGROUND: In many countries midwives are the primary providers of care for childbearing women. The aim of the present study was to compare the outcomes of childbirth occurring in the birth benter (midwifery-lead) vs. the traditional delivery room organization (doctor-lead) of the Policlinico of Modena Hospital. METHODS: A prospective observational study was conducted over four years. At 35-36th week, women with a single, uneventful pregnancy, being classified at low-risk according to The National Institute for Health and Care Excellence (NICE) guidelines on intrapartum care, were offered to deliver with standard care assistance (SC) in a doctors-led unit or in the Birth Centre (BC)...
June 2016: Minerva Ginecologica
https://www.readbyqxmd.com/read/27172674/fgm-and-midwifery-practice
#20
Marianne Mitchell
Midwives in the UK should have appropriate education in order to provide optimum care for women with female genital mutilation (FGM) and know how to safeguard any children who could be at risk. In addition to this, women with FGM have a right to progress though their pregnancy and beyond, safely and confidently, in a supportive environment, and must be empowered to do so. Efforts are being strengthened by the government to tackle the issue of FGM and prevent further cases; therefore all those working in maternity care need to ensure they are equipped to deal with this issue...
April 2016: Practising Midwife
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