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community midwifery

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https://www.readbyqxmd.com/read/29726715/applying-a-midwifery-lens-to-indigenous-health-care-delivery-the-contribution-of-campus-learning-and-rural-placements-to-effecting-systemic-change
#1
Rosalie D Thackrah, Sandra C Thompson
Study background Increasing cultural safety in health settings is essential to address stark health disparities between Indigenous and non-Indigenous Australians. Respect for cultural knowledge, better communication, and recognition of racism as a determinant of health are required for improved service delivery. How this knowledge is acquired in health professional training and translated to clinical settings is poorly understood. Purpose Impacts of an innovative Indigenous health unit and remote clinical placements on knowledge acquisition and attitude change were explored among midwifery students to inform cultural competency initiatives in health professional training...
January 1, 2018: Canadian Journal of Nursing Research, Revue Canadienne de Recherche en Sciences Infirmières
https://www.readbyqxmd.com/read/29716826/making-the-hidden-seen-a-narrative-analysis-of-the-experiences-of-assumption-of-care-at-birth
#2
Christine A Marsh, Jenny Browne, Jan Taylor, Deborah Davis
BACKGROUND: Being involved in any child protection system is complex and multifaceted and none more so than in non-voluntary Assumption of Care which occurs in New South Wales when, for child protection concerns, the Department of Family and Community Services removes a newborn baby from her/his mother. OBJECTIVE: This research studied childbearing women's and professionals' experiences of Assumption of Care at birth to increase understanding of individual participants' stories, how they made sense of meanings and how these experiences framed their lives...
April 28, 2018: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/29707205/timely-referral-saves-the-lives-of-mothers-and-newborns-midwifery-led-continuum-of-care-in-marginalized-teagarden-communities-a-qualitative-case-study-in-bangladesh
#3
Animesh Biswas, Rondi Anderson, Sathyanarayanan Doraiswamy, Abu Sayeed Md Abdullah, Nabila Purno, Fazlur Rahman, Abdul Halim
Background: Prompt and efficient identification, referral of pregnancy related complications and emergencies are key factors to the reduction of maternal and newborn morbidity and mortality. As a response to this critical need, a midwifery led continuum of reproductive health care was introduced in five teagardens in the Sylhet division, Bangladesh during 2016. Within this intervention, professional midwives provided reproductive healthcare to pregnant teagarden women in the community.  This study evaluates the effect of the referral of pregnancy related complications...
2018: F1000Research
https://www.readbyqxmd.com/read/29693545/joys-and-challenges-of-relationships-in-scotland-and-new-zealand-rural-midwifery-a-multicentre-study
#4
Susan Crowther, Ruth Deery, Rea Daellenbach, Lorna Davies, Andrea Gilkison, Mary Kensington, Jean Rankin
BACKGROUND: Globally there are challenges meeting the recruitment and retention needs for rural midwifery. Rural practice is not usually recognised as important and feelings of marginalisation amongst this workforce are apparent. Relationships are interwoven throughout midwifery and are particularly evident in rural settings. However, how these relationships are developed and sustained in rural areas is unclear. AIM: To study the significance of relationships in rural midwifery and provide insights to inform midwifery education...
April 21, 2018: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/29689460/student-led-antenatal-classes-a-partnership-pilot-project
#5
Jo Gould, Debbie Gowers, Clare Winter
A pilot student-led antenatal classes project was developed in partnership with undergraduate midwifery students. The practice-based project was held at a local hospital, where students developed and facilitated programmes of antenatal education for the local community. The project improved the opportunity for lecturers to engage with students in the practice environment. Students valued being able to focus on normal midwifery in year two of the degree programme, by developing and leading antenatal classes...
April 6, 2018: Midwifery
https://www.readbyqxmd.com/read/29687481/midwifery-and-obstetrics-factors-influencing-mothers-satisfaction-with-the-birth-experience
#6
Cristina A Mattison, Michelle L Dion, John N Lavis, Eileen K Hutton, Michael G Wilson
BACKGROUND: Satisfaction is a key component of the care experience and part of the health system "triple aim," along with improving population health and reducing per capita health care costs, the other two parts of the "triple aim." The objectives of the study were to examine birth-experience satisfaction among women in Ontario, Canada, who received care from midwives, family physicians, and obstetricians. METHODS: We used Statistics Canada's 2006 national Maternity Experiences Survey...
April 24, 2018: Birth
https://www.readbyqxmd.com/read/29665522/task-shifting-midwifery-support-workers-as-the-second-health-worker-at-a-home-birth-in-the-uk-a-qualitative-study
#7
Beck Taylor, Catherine Henshall, Laura Goodwin, Sara Kenyon
OBJECTIVE: Traditionally two midwives attend home births in the UK. This paper explores the implementation of a new home birth care model where births to low risk women are attended by one midwife and one Midwifery Support Worker (MSW). DESIGN AND SETTING: The study setting was a dedicated home birth service provided by a large UK urban hospital. PARTICIPANTS: Seventy-three individuals over 3 years: 13 home birth midwives, 7 MSWs, 7 commissioners (plan and purchase healthcare), 9 managers, 23 community midwives, 14 hospital midwives...
March 13, 2018: Midwifery
https://www.readbyqxmd.com/read/29642884/performance-and-self-perceived-competencies-of-enrolled-nurse-midwives-a-mixed-methods-study-from-rural-tanzania
#8
Edith A M Tarimo, Gustav Moyo, Happy Masenga, Paul Magesa, Dafroza Mzava
BACKGROUND: Tanzania is experiencing a severe shortage of human resources for health, which poses a serious threat to the quality of health care services particularly in rural areas. Task shifting has been considered a way to address this problem. However, since a large percentage of health care providers in rural setting is comprised of Enrolled Nurse/Midwives (ENMs), most of the health care tasks are shifted to them. This article analyzes the performance and self-perceived competencies of ENMs at the dispensary level; the lowest health facility in Tanzania...
April 11, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29627807/risk-of-perinatal-mortality-in-the-first-year-of-midwifery-practice-in-new-zealand-analysis-of-a-retrospective-national-cohort
#9
Lynn C Sadler, Judith McAra-Couper, Deborah Pittam, Michelle R Wise, John M D Thompson
OBJECTIVES: To determine whether there was an increased risk of perinatal mortality among mothers booked for care with community lead maternity carer (LMC) midwives in their first compared with later years of practice. DESIGN: Retrospective cohort study using linked national maternity, mortality and workforce data; adjusted analysis using logistic regression. SETTING: New Zealand. PARTICIPANTS: Women under community LMC midwifery care birthing 2008-2014...
April 7, 2018: BMJ Open
https://www.readbyqxmd.com/read/29544489/review-of-emergency-obstetric-care-interventions-in-health-facilities-in-the-upper-east-region-of-ghana-a-questionnaire-survey
#10
Minerva Kyei-Onanjiri, Mary Carolan-Olah, John Koku Awoonor-Williams, Terence V McCann
BACKGROUND: Maternal morbidity and mortality is most prevalent in resource-poor settings such as sub-Saharan Africa and southern Asia. In sub-Saharan Africa, Ghana is one of the countries still facing particular challenges in reducing its maternal morbidity and mortality. Access to emergency obstetric care (EmOC) interventions has been identified as a means of improving maternal health outcomes. Assessing the range of interventions provided in health facilities is, therefore, important in determining capacity to treat obstetric emergencies...
March 15, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29456871/gestational-obesity-weight-management-implementation-of-national-guidelines-glowing-a-pilot-cluster-randomised-controlled-trial-of-a-guideline-implementation-intervention-for-the-management-of-maternal-obesity-by-midwives
#11
Nicola Heslehurst, Judith Rankin, Catherine McParlin, Falko F Sniehotta, Denise Howel, Stephen Rice, Elaine McColl
Background: Weight management in pregnancy guidelines exist, although dissemination alone is an ineffective means of implementation. Midwives identify the need for support to overcome complex barriers to practice. An evaluation of an intervention to support midwives' guideline implementation would require a large-scale cluster randomised controlled trial. A pilot study is necessary to explore the feasibility of delivery and evaluation prior to a definitive trial. The GestationaL Obesity Weight management: Implementation of National Guidelines (GLOWING) trial aims to test whether it is feasible and acceptable to deliver a behaviour change intervention to support midwives' implementation of weight management guidelines...
2018: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/29454244/-keeping-birth-normal-exploratory-evaluation-of-a-training-package-for-midwives-in-an-inner-city-alongside-midwifery-unit
#12
Shawn Walker, Laura Batinelli, Lucia Rocca-Ihenacho, Christine McCourt
OBJECTIVES: to gain understanding about how participants perceived the value and effectiveness of 'Keeping Birth Normal' training, barriers to implementing it in an along-side midwifery unit, and how the training might be enhanced in future iterations. DESIGN: exploratory interpretive. SETTING: inner-city maternity service. PARTICIPANTS: 31 midwives attending a one-day training package on one of three occasions. METHODS: data were collected using semi-structured observation of the training, a short feedback form (23/31 participants), and focus groups (28/31 participants)...
May 2018: Midwifery
https://www.readbyqxmd.com/read/29439924/canada-s-evacuation-policy-for-pregnant-first-nations-women-resignation-resilience-and-resistance
#13
Karen M Lawford, Audrey R Giles, Ivy L Bourgeault
BACKGROUND: Aboriginal peoples in Canada are comprised of First Nations, Métis, and Inuit. Health care services for First Nations who live on rural and remote reserves are mostly provided by the Government of Canada through the federal department, Health Canada. One Health Canada policy, the evacuation policy, requires all First Nations women living on rural and remote reserves to leave their communities between 36 and 38 weeks gestational age and travel to urban centres to await labour and birth...
February 10, 2018: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/29421641/improving-the-quality-and-content-of-midwives-discussions-with-low-risk-women-about-their-options-for-place-of-birth-co-production-and-evaluation-of-an-intervention-package
#14
Catherine Henshall, Beck Taylor, Laura Goodwin, Albert Farre, Miss Eleanor Jones, Sara Kenyon
OBJECTIVE: Women's planned place of birth is gaining increasing importance in the UK, however evidence suggests that there is variation in the content of community midwives' discussions with low risk women about their place of birth options. The objective of this study was to develop an intervention to improve the quality and content of place of birth discussions between midwives and low-risk women and to evaluate this intervention in practice. DESIGN: The study design comprised of three stages: (1) The first stage included focus groups with midwives to explore the barriers to carrying out place of birth discussions with women...
April 2018: Midwifery
https://www.readbyqxmd.com/read/29407261/evaluation-of-strategies-designed-to-enhance-student-engagement-and-success-of-indigenous-midwifery-students-in-an-away-from-base-bachelor-of-midwifery-program-in-australia-a-qualitative-research-study
#15
Paula M Schulz, Carmel L Dunne, Denise Burdett-Jones, Natalie S Gamble, Machellee M Kosiak, Joclyn M Neal, Gail E Baker
BACKGROUND: A strategy to close the gap in relation to Indigenous health is the employment of more Indigenous health professionals. However, despite government reviews, research studies and educational initiatives, Indigenous students' retention and completion rates of tertiary education remains below those of non-Indigenous Australians. OBJECTIVE: To evaluate two enhancements to an Away-from-Base Bachelor of Midwifery program for Indigenous students, namely the appointment of an Indigenous Academic Liaison Midwife to provide academic and cultural support and an additional clinical placement in a high-volume tertiary hospital...
April 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29377741/the-effect-of-a-local-promotional-campaign-on-preconceptional-lifestyle-changes-and-the-use-of-preconception-care
#16
Marjolein Poels, Henk F van Stel, Arie Franx, Maria P H Koster
PURPOSE: The objective of this study was to investigate the effect of a local promotional campaign on preconceptional lifestyle changes and the use of preconception care (PCC). MATERIAL AND METHODS: This quasi-comparative study was carried out between February 2015 and February 2016 at a community midwifery practice in the Netherlands. The intervention consisted of a dual track approach (i) a promotional campaign for couples who wish to conceive and (ii) a PCC pathway for health care providers...
February 2018: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/29331533/a-woman-s-hand-and-a-lion-s-heart-skills-and-attributes-for-rural-midwifery-practice-in-new-zealand-and-scotland
#17
Andrea Gilkison, Jean Rankin, Mary Kensington, Rea Daellenbach, Lorna Davies, Ruth Deery, Susan Crowther
OBJECTIVE: the complex and challenging nature of rural midwifery is a global issue. New Zealand and Scotland both face similar ongoing challenges in sustaining a rural midwifery workforce, and understanding the best preparation for rural midwifery practice. This study aimed to explore the range of skills, qualities and professional expertise needed for remote and rural midwifery practice. DESIGN: online mixed methods: An initial questionnaire via a confidential SurveyMonkey® was circulated to all midwives working with rural women and families in New Zealand and Scotland...
March 2018: Midwifery
https://www.readbyqxmd.com/read/29288896/achieving-universal-coverage-understanding-barriers-to-rural-placement-for-final-year-midwifery-students
#18
Jody R Lori, Cheryl A Moyer, Veronica Dzomeku, Emmanuel Kweku Nakua, Peter Agyei-Baffour, Sarah Rominski
OBJECTIVE: the objective of this study is to understand the barriers final year midwifery students face when deciding to practice in a rural, deprived area. DESIGN: a cross-sectional study design using a computer based structured survey. SETTING: 15 of the 16 publicly funded midwifery colleges across all ten regions in Ghana. PARTICIPANTS: a national sample of final-year midwifery students from publically funded midwifery colleges in Ghana...
March 2018: Midwifery
https://www.readbyqxmd.com/read/29244105/the-gendered-health-workforce-mixed-methods-analysis-from-four-fragile-and-post-conflict-contexts
#19
Sophie Witter, Justine Namakula, Haja Wurie, Yotamu Chirwa, Sovanarith So, Sreytouch Vong, Bandeth Ros, Stephen Buzuzi, Sally Theobald
It is well known that the health workforce composition is influenced by gender relations. However, little research has been done which examines the experiences of health workers through a gender lens, especially in fragile and post-conflict states. In these contexts, there may not only be opportunities to (re)shape occupational norms and responsibilities in the light of challenges in the health workforce, but also threats that put pressure on resources and undermine gender balance, diversity and gender responsive human resources for health (HRH)...
December 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29184093/intrapartum-antibiotics-for-gbs-prophylaxis-alter-colonization-patterns-in-the-early-infant-gut-microbiome-of-low-risk-infants
#20
Jennifer C Stearns, Julia Simioni, Elizabeth Gunn, Helen McDonald, Alison C Holloway, Lehana Thabane, Andrea Mousseau, Jonathan D Schertzer, Elyanne M Ratcliffe, Laura Rossi, Michael G Surette, Katherine M Morrison, Eileen K Hutton
Early life microbial colonization and succession is critically important to healthy development with impacts on metabolic and immunologic processes throughout life. A longitudinal prospective cohort was recruited from midwifery practices to include infants born at full term gestation to women with uncomplicated pregnancies. Here we compare bacterial community succession in infants born vaginally, with no exposure to antibiotics (n = 53), with infants who were exposed to intrapartum antibiotic prophylaxis (IAP) for Group B Streptococcus (GBS; n = 14), and infants born by C-section (n = 7)...
November 28, 2017: Scientific Reports
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