Auswahl der wissenschaftlichen Literatur zum Thema „Maternity and Midwifery“

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Zeitschriftenartikel zum Thema "Maternity and Midwifery"

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Elliott-Mainwaring, Helen, Charlotte Phillips und Paul Bowie. „What are Human Factors and Ergonomics?“ Practising Midwife 26, Nr. 9 (01.10.2023): 20–24. http://dx.doi.org/10.55975/ztyk9365.

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This is the second of four co-written papers for the Advancing Practice series. In our first paper published in The Practising Midwife July 2023 issue, we explored patient safety in maternity and midwifery care. Here, we discuss ‘Human Factors and Ergonomics’ within healthcare, maternity and midwifery. The reflection points throughout this Advancing Practice piece are adapted from the NHS Education for Scotland’s Safety Culture Discussion Cards.1 In this paper, we hope to support midwives’ understanding of the current maternity safety landscape via a Human Factors perspective.
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Toohill, Jocelyn, Yogesh Chadha und Shelley Nowlan. „An interactive decision-making framework (i-DMF) to scale up maternity continuity of carer models“. Journal of Research in Nursing 25, Nr. 6-7 (17.01.2020): 561–76. http://dx.doi.org/10.1177/1744987119887424.

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Background Low numbers of women in Queensland receive continuity of care across their maternity episode. The Office of the Chief Nursing and Midwifery Officer was tasked with strengthening maternity service delivery by reviewing and improving Maternity Models of Care and Workforce. Aim Develop a decision-making framework (DMF) to increase maternity continuity of carer models. Method A literature review of models, specific to the public health maternity system, including suitability to rural areas and culturally appropriate to Aboriginal and Torres Strait Islander women was undertaken. Stakeholders informed development of the framework and toolkit. A prototype was built, tested and refined following input from rural, regional and metropolitan facilities. Results 42 questions guide services to contextualise delivery of continuity of carer to local circumstances. Three rural sites have applied the i-DMF and toolkit. One used the tool for quality assurance of their existing midwifery continuity model, another has developed a midwifery continuity-of-carer model for Aboriginal and Torres Strait Islander women, the other is looking to establish a local rural birth service. Conclusion The i-DMF has potential to grow and sustain best practice maternity care, and particularly enable more women to receive relationship-based care with a known midwife.
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Rajan-Brown, Nicole, und Allison Mitchell. „The NMC Code and its application to the role of the midwife in antenatal care: a student perspective“. British Journal of Midwifery 28, Nr. 12 (02.12.2020): 844–49. http://dx.doi.org/10.12968/bjom.2020.28.12.844.

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The Nursing and Midwifery Council (NMC) Code provides the foundational ‘values and principles’ a midwife should follow throughout their practice. This article discusses the application of the four pillars of the Code – prioritise people, practice effectively, preserve safety, and promote leadership and trust – to the role of the midwife in antenatal care. In providing holistic care facilitated through communication, a midwife can demonstrate advocacy, accountability, competency and leadership to provide quality, safe care to women. However, following the Code is not always straightforward; organisational demands are often in opposition with NMC values. This article discusses the midwife's duty to reconcile these juxtapositions, fulfilling the needs of their employer whilst upholding the requirements of the professional body.
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Masoom, Muhammad Rehan. „Ensuring the First Breath: A Growing Accountability of Midwifery in Bangladesh“. International Journal of Population Research 2017 (12.03.2017): 1–7. http://dx.doi.org/10.1155/2017/1539584.

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Successful women empowerment relies on providing quality infrastructure facilities to avail maternal healthcare on the national level. In this regard, ensuring women’s access to quality midwifery services is an important consideration. The major intervention for safe maternity is to be enhanced to enable the presence of the skilled midwifery to ensure the quality emergency obstetric care. Therefore, the scope of practice of a midwife is very critical in the supervision of the orderly physiological processes of pregnancy, labor, birth, and the postpartum phase. The midwife as an autonomous practitioner is expected to be competent and accountable for her practice. In Bangladesh, the number of women having the baby at home by unskilled personnel is quite high. Therefore, the government strives to educate midwives and commits to reducing maternal and newborn mortality and morbidity. This study explores the contemporary situation of maternity health to provide a critical understanding of the growing importance of the role of midwifery in Bangladesh. With this, the paper examines the way maternity services in Bangladesh transformed from a social to a medical model over the twentieth century and infers how the social agenda was part of this process.
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Sonmezer, Ellie. „Professional autonomy for midwives in the contemporary UK maternity system: part 1“. British Journal of Midwifery 28, Nr. 12 (02.12.2020): 850–56. http://dx.doi.org/10.12968/bjom.2020.28.12.850.

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The history and professionalisation of midwifery has travelled through turbulent times to arrive at an opportunity for transformation in the contemporary UK maternity system. This professionalisation, the midwifery profession and professional autonomy are explored in this article from a sociological perspective, to answer the question of whether a midwife can achieve professional autonomy within the UK system. This is a two-part article. Part one has a strong focus on the historical context of midwifery, government policy and guidelines, risk, litigation and increasing managerialisation to frame the discussion in part two. The second part provides a discussion of autonomy, choice, managerialisation and reflexive practice, to create a conceptual framework utilising the concept New Professional Midwifery. This is to centralise a core belief in midwifery autonomy and women's choice facilitation. This paper is part one of two.
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Wagle, R. R. „LEADER OF THE MA TERNITYCARE: DOCTORS OR MIDWIVES“. Journal of Nepal Medical Association 43, Nr. 152 (01.03.2004): 115–17. http://dx.doi.org/10.31729/jnma.591.

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Technology of delivery of health care for developing countries is not a resolved issue. Moreover, maternitycare differs from other areas of health care in many ways. Developing countries have to carefully adapt towhat has been done in developed countries. Recent debate and data on maternity health care organisationhave been in favour of midwifery-led maternity care. Midwifery-led maternity care is described as the bestand necessary part of the sufficiently and thus inevitably health producing maternity health care organisation.Key Words: Midwifery-led maternity care, maternity health care organisation, midwives, doctors.
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Oktavian, Dyan. „Analysis of the Implementation of Midwife Performance Management in Improving Clinical Quality: Study at TPMB (Midwife Independent Practice) Purwakarta Regency, Indonesia“. Archives of The Medicine and Case Reports 5, Nr. 1 (25.01.2024): 592–96. http://dx.doi.org/10.37275/amcr.v5i1.477.

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Midwife performance management is a systematic and planned process for assessing the performance of midwives in providing midwifery services. Improving clinical quality is the main goal of midwife performance management. This study aims to analyze the implementation of midwife performance management in improving clinical quality at the TPMB (Midwife Independent Practice) Purwakarta Regency, Indonesia. This research uses a qualitative method with a case study approach. The research informants consisted of TPMB management midwives, implementing midwives, and pregnant/maternity women who had utilized TPMB services. Data collection was carried out through in-depth interviews, observation and document review. The research results show that the implementation of midwife performance management in TPMB Purwakarta Regency has been able to improve the clinical quality of midwifery services. This can be seen from the increase in knowledge, skills and attitudes of midwives in providing midwifery services. Midwives have been able to apply midwifery service standards consistently so that they can provide safe, effective, efficient, and quality midwifery services.
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Fucella, Rachel. „Facing Fear: A First-Year Student Midwife’s Perspective“. Student Midwife 6, Nr. 4 (16.10.2023): 6–9. http://dx.doi.org/10.55975/xrzk1004.

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Fear. It is one of the most gripping and visceral of human emotions. But what place, if any, does fear have within maternity care? As a first-year student midwife, fear appears to be an overwhelming theme, splashed across newspaper headlines and hotly debated in lectures halls. This article aims to critically discuss sources of this fear, amongst users of maternity services and within the midwifery profession itself – and look to some of the solutions to overcome it. Professional midwifery stands at a crossroads, with global goals driving improvements in practice, while the complex challenge of fear threatens to cripple progress if not responded to with hope.
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Meegan, Samantha. „Finding the Future Midwife: How the revised Standards of Proficiencies for Midwives support pre-registration midwifery programme admissions processes“. Practising midwife 25, Nr. 10 (01.11.2022): 8–13. http://dx.doi.org/10.55975/oqyi7239.

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Pre-registration midwifery education programmes are quietly undergoing a revolution. In 2019, the Nursing and Midwifery Council (NMC) published an ambitious set of proficiencies for the future midwife, defining a framework of skills, knowledge and behaviours that midwives are required to demonstrate at the point of qualification and subsequent entry to the register.1 The revised Proficiencies for Midwives were required to reflect the demands of contemporary maternity services and were based on the framework produced by Renfrew et al. within the Lancet midwifery series.
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Sonmezer, Ellie. „Professional autonomy for midwives in the contemporary UK maternity system: part 2“. British Journal of Midwifery 29, Nr. 1 (02.01.2021): 19–25. http://dx.doi.org/10.12968/bjom.2021.29.1.19.

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In this article, professionalisation, the midwifery profession and professional autonomy are explored from a sociological perspective to answer whether it is possible for a midwife to achieve professional autonomy within the contemporary UK system. Within part 1, obstetric influences and frictions, government policy and guidelines, risk, litigation and increasing managerialisation were considered, highlighting the complexities of professional midwifery and the challenges it faces. In part 2, choice, service pressures, evidence-based care, consumerism, leadership and reflexive practice are considered in the context of professional autonomy and the intention of retaining women's choice as the core belief of the profession. A conceptual framework has been devised to enable this, utilising the concept ‘New Professional Midwifery’.
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Dissertationen zum Thema "Maternity and Midwifery"

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Davies, Jacqueline. „Blurring the boundaries between midwifery and obstetrics : an exploration of the role of midwife practitioner in a maternity unit in Wales“. Thesis, University of South Wales, 2008. https://pure.southwales.ac.uk/en/studentthesis/blurring-the-boundaries-between-midwifery-and-obstetrics(40182058-a1b5-4628-961a-5a5d7ab92fc6).html.

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This thesis explores the newly established role of midwife practitioner (MP) and its impact on midwives and obstetricians in a maternity unit in Wales. MPs manage the care of women at high obstetric risk and carry out aspects of care, such as assessment, diagnosis and the development of management plans, which in the past were predominantly performed by obstetricians. This qualitative study employs a focused ethnographic approach and uses a purposive sample. Phase one consisted of seven focus groups, which were held between May and August 2004, with midwives (n=48) from maternity units in Mid and South Wales. In Phase two, participant observation was undertaken with MPs (n=3) over a two-week period encompassing eight 12-hour night shifts, during November and December 2004. For Phase three, semi-structured interviews were conducted with midwives (n=10), clients (n=10) and obstetricians (n=7), between July and December 2005. Phases two and three were carried out in a maternity unit in South Wales. The key findings of this study demonstrate that the lack of planning for the MP role inadvertently resulted in the creation of a distinct health care role, which encompasses positive aspects of both midwives' and obstetricians' work to provide safe and acceptable care for clients. The MPs in this study are committed to providing holistic care that takes into consideration the emotional and social needs of women and their families. In addition, these MPs are developing confidence and analytical skills, normally demonstrated by medical staff. However, further initiatives such as allowing MPs to prescribe, or to refer to other specialties, have not yet been adapted to support these new roles. It is too early to see the full impact of this role, but it is argued that it will have no significant effect on the work of the other midwives. MPs, however, do have the potential to impact upon the work of the obstetricians. This study contributes to the current body of knowledge concerning policy and practice for maternity care by examining a new role early in its genesis. This study makes a number of recommendations, including extending the number of MPs employed in Wales, the need for careful planning of future extensions to the midwives' role and further research into the safety and effectiveness of the MP role.
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Badger, Frances Jane. „Delivering maternity care : midwives and midwifery in Birmingham and its environs, 1794-1881“. Thesis, University of Birmingham, 2014. http://etheses.bham.ac.uk//id/eprint/5318/.

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This thesis examines the working milieu of midwives in the urban west midlands, primarily Birmingham and Coventry, between 1794 and 1881. Adopting a microhistorical approach, and by integrating sources including a midwife’s register, lying-in charity and poor law records, the thesis argues that developments in midwifery provision over the period mainly arose from local factors and circumstances, however some metropolitan influences can also be discerned. Reasons for the relatively late introduction of midwifery training in the locality, and the minimal interest by local midwives are considered, alongside evidence of midwives’ awareness of the varying reputation of their occupation. This research indicates that midwives worked for a range of clients including charities, the poor law and private clients, and midwifery could be combined with other strands of caring work, or even work unrelated to caring. The analysis illustrates the existence of full-time, sustained midwifery careers and of midwives who achieved a middle-class lifestyle, and a degree of status within their localities. Combined with the evidence of entrepreneurial approaches to midwifery, the thesis argues that these provincial midwives should be integrated into the historiography of businesswomen.
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Kabamba, Beatrice Mubanga. „An inquiry into the feasibility of integration of the advanced midwifery and neonatology clinical nurse specialist in the district health system: the Zambian experience“. Thesis, University of the Western Cape, 2004. http://etd.uwc.ac.za/index.php?module=etd&amp.

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Research has shown that there is a problem in the delivery of quality care in maternal and child health services in Zambia. The 1996 Zambia demographic and health survey estimated maternal mortality rate as high as 649 per 100,000 live birth, with this reason among others, human resource constraints and low number of supervised antenatal clinics, deliveries and postnatal clinics by skilled personnel as some of the reasons for the high maternal mortality. Selected studies identify the role of a clinical nurse specialist in advanced midwifery and neonatology who has acquired the knowledge and practical skills to bring about the desired impact of quality care in safe mother hood in order to bring down the high maternal mortality rates. In order to achieve this, the government needs to integrate the advanced midwifery and neonatology clinical nurse specialist in the health system. It was the purpose of the study to inquire into the feasibility of integration of the advanced midwifery and neonatology clinical nurse specialist in the Ndola District Health system .
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O'Connell, Rhona. „The size paradox : the mega-maternity unit as a vector for authentic midwifery to emerge“. Thesis, University of Central Lancashire, 2011. http://clok.uclan.ac.uk/2916/.

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Midwifery practice in Ireland has emerged from a system of care dominated by the biomedical model of childbirth. The aim of this study was to explore the experiences of labour ward midwives who are potentially complicit with this approach. This study reveals how midwives’ environment impacts on their construction of childbirth. The opening of a large new maternity hospital afforded the opportunity to see if the move to this setting would influence midwifery practice. A hermeneutic phenomenological approach was used based on the work of Heidegger and Gadamer. The study was undertaken in two phases, the first involved interviewing six labour ward midwives working in a busy obstetric led labour ward which was due to close. The findings revealed that midwives complied with the norms for the unit and did not take responsibility for the biomedical approach to care. The second phase was undertaken twelve months after the opening of the hospital which was an amalgamation of three maternity units. Seventeen midwives were interviewed for this phase of the study. The move to the larger unit revealed a paradox for midwifery autonomy and enabled midwives to practice in new ways. The maternity service was delivered through a system that values detachment and an attempt at equal (not individualised) care under conditions of limited resources and constraints. This had resonance with Lipsky’s and Foucault’s work. A contrasting situation occurred within the individual labour rooms as the midwives worked in relative isolation, away from the general activity of the unit. This phase of data was framed in terms of Merleau-Ponty’s four existentials. Midwives had opportunities to enact ‘real midwifery’ and normalise birth for women using a range of strategies rather than resorting to interventionist therapies. Midwives shared in the joy of achievement when positive births occurred. The paradox of this mega maternity unit enabled authentic midwifery to emerge. The study provides an insight into the experience of labour ward midwives and how midwifery identities are revealed by the narratives they relate. It also highlights the complexity of contemporary maternity care in large centralised maternity units.
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Abel, Sally. „Midwifery and maternity services in transition: An Examination of change following The Nurses Amendment Act 1990“. Thesis, University of Auckland, 1997. http://hdl.handle.net/2292/1968.

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The Nurses Amendment Act 1990 enabled midwives in New Zealand/Aotearoa to care for women throughout normal childbirth on their own responsibility, without the supervision of a medical practitioner, as had previously been the case. The Act brought about significant changes to midwives' scope of practice, pay and status which had important implications for women's care, midwifery, the relationship between midwifery and medicine and the structure of maternity services. Three years after the passage of the Act, in July 1993, major restructuring of the health system along market principles began. From this time, consultation began for new maternity services arrangements, which fitted within the philosophy and structure of the new health system and which aimed to rectify some of the perceived problems resulting from the initial implementation of the 1990 Act. The consultation process was to take three years. This thesis describes and critically analyses changes to midwifery and maternity services, particularly in the greater Auckland region, in the six years from the passage of the Nurses Amendment Act in August 1990 until the official introduction of the new maternity structure in July 1996. This was a period in which midwifery was establishing itself in a medically-dominated domain while, simultaneously, a significant ideological shift was occurring in the philosophy and structure of the health system. Using an ethnographic approach, which included extensive key informant interviews and participant observation at a range of meetings over a period of three years I investigated in depth both the process of change and the relations of power between interest groups (consumer representatives, midwifery, medicine, hospital managers and regional health authorities) within local and national maternity services arenas. These findings were analysed using Foucault's later work on power and his concept of governmentality. A range of factors, including some of the trends occurring within the public sector, weakened the medical profession's control of normal childbirth and facilitated midwifery's entry as a competing provider of maternity care. Strategies used by midwifery representatives to maintain and develop the occupation's autonomous status were often effective, albeit constantly challenged. Despite ongoing conflict and some polarisation between medicine and midwifery, in general, relations of power between the various interest groups in both local and national settings were found to be complex and contestable with unstable alliances forming around particular issues. However, the fluidity of these power relations and the gains made by midwifery operated within constraints imposed by the influence of neo-liberal policies on the development of the new maternity structure. This gave the government's agents, the regional health authorities, the controlling influence on maternity services policy. Although the professed aim of the new structure was a more women-centred service, there were limits to consumer influence on maternity services policy and fiscal imperatives took precedence over some consumer interests. KEYWORDS: Midwifery; Maternity Services; Nurses Amendment Act 1990; Health Reforms; Power; Foucault; Professions; New Zealand; Aotearoa.
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Thompson, Faye E. „The ethical nature of the mother-midwife relationship: a feminist perspective“. University of Southern Queensland, Faculty of Sciences, 2001. http://eprints.usq.edu.au/archive/00001517/.

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This research explored the ethical nature of the mother-midwife relationship in order to refine our understanding of the place of ethics in the context of everyday midwifery practice – the practice of ‘being with woman’ in childbirth. The ethics explicitly available to midwives are derived from practices such as moral philosophy and bioethics, whose ethical frameworks are reductionist in their exclusion of context and relationship. Given that the midwifery profession is currently promoting a model of practice built on partnership and relationship, existing codes and frameworks are examined for their adequacy. An assumption of the study was that a distinctive midwifery ethic was implicitly available in the lived realities and shared engagement of mothers and midwives, embedded in practice. Conceptual theoretical research methodology facilitated exploration of the taken-for-granted assumptions of established theory, official policies such as Codes, and the profession’s literature. Feminist-constructivist theory formed the epistemological basis for gaining insight into the implicit ethics of midwifery. Personal narratives of mothers and midwives were analysed and interpreted for meaning, and transcripts returned to participants for validation. These constructed meanings were then compared and contrasted with those explicit in Codes and current literature. The central theme to emerge from the narratives was the use and abuse of power in relationships. Other major themes were institutional dominance consistently used to describe the status quo, values conflict especially linked to workplace/service provider versus personal/professional midwifery ethics, and the ethical adequacy of a ‘being with woman’ relationship. Findings indicate that midwifery does need a different ethic to that of bioethics and problem-solving principlism, and that such a new ethic would look like those promoted by feminist-virtue ethics. The latter not only redress the politics of the existing hegemonic maternity services system, but they also place women’s concerns central to practice and deliberation. The aspirations, values and lived reality of mothers and midwives, and the commitment of the professional-friend midwife to the particularity of the birthing woman, are the focus of a reconstructed ethic for midwifery practice, an ethic which reunites morality and personal interest. Implications and recommendations are discussed.
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Thopola, Magdeline Kefilwe. „An evidence-based model for enhancing optimal midwifery practice environment in maternity units of public hospitals, Limpopo Province“. Thesis, University of Limpopo, 2016. http://hdl.handle.net/10386/1541.

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Thesis ( Ph.D. ( Nursing)) -- University of Limpopo, 2016
The purpose of this study was to develop an evidence-based model for enhancing optimal midwifery practice environment in maternity units of public hospitals, Limpopo Province. A mixed method sequential explanatory design was adopted. The study was conducted in four phases, namely: quantitative, qualitative, model development and validation of the model. Self-developed 4-point Likert scale questionnaires consisting of 81 item questions for learner midwives and 89 item questions for midwifery practitioners were administered. The questionnaires were pre-tested prior to being administered to the respondents of the main study. The sample size of midwifery practioners was 174 and that of the learner midwives was 163. Data collected from respondents were analyzed quantitatively using descriptive and inferential statistics. Tables, pie and bar graphs were drawn to present the results. The results from the quantitative phase were utilized to formulate the interview guides that were used to explore the experiences of midwifery practitioners, experiences of learner midwives and perceptions of puerperal mothers. Phenomenological semi-structured individual interviews were conducted for midwifery practitioners (n=20), 3 Focus group discussions of learner midwives (n=18) and 3 focus group discussions of puerperal mothers (n=18) were held until data reached saturation. Data were analyzed qualitatively using Tesch’s open-coding method. Themes and sub-themes were coded manually. Results that emerged from the corroboration, comparison and integration of quantitative and qualitative results revealed the existence a sub-optimal midwifery practice environment, sub-optimal midwifery experiential learning environment and provision of sub-optimal midwifery interventions in the public hospitals of Limpopo province. Development of an evidence-based model emanated from the findings of numeric quantitative data and qualitative narratives. The evidence-based information from the existing situation as seen from the world of participants brought about a gap of optimal midwifery practice environment. The ideal situation was designed in a way of addressing the gaps identified. Experts were given the validation tool to assess whether the model was clear, simple, understood and that it can be utilized by any discipline in future.
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Boon, Leen Ooi, University of Western Sydney, College of Social and Health Sciences und of Nursing Family and Community Health School. „Exploring childbearing women's perception of the role of a midwife“. THESIS_CSHS_NFC_Boon_L.xml, 2002. http://handle.uws.edu.au:8081/1959.7/762.

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In this study, the childbearing women's perception of the role of a midwife in Australia was explored using a descriptive study. Data was gathered using a semi structured questionnaire.The findings revealed that childbearing women in Australia overwhelmingly believed a midwife is specifically trained and qualified to deliver babies normally and to care for a woman in labour.In addition, the belief was that a midwife is trained to provide a comprehensive range of maternity related tasks.The overriding themes which emerged identified the midwife as a source of advice, information, support, education, guidance, specific midwifery knowledge and being a liason person between the doctor and the pregnant woman.Limitation of the role of a midwife was believed to be due to the nursing based training of a midwife.The findings from this study revealed that childbearing women in Australia, United Kingdom and Singapore have similar perceptions of a midwife's role.Recommendations were made for further studies to investigate the reasons for a persistent lack of information regarding the role of a midwife and the type of information required by pregnant women.
Master of Nursing (Hons.)
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Maimbolwa, Margaret C. „Maternity care in Zambia : with special reference to social support /“. Stockholm, 2004. http://diss.kib.ki.se/2004/91-7349-612-X/.

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Kerrigan, Angela Mary. „Care of obese women during labour : the development of a midwifery intervention to promote normal birth“. Thesis, University of Stirling, 2017. http://hdl.handle.net/1893/27479.

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Normal birth, defined as birth without induction of labour, anaesthetic, instruments or caesarean section conveys significant maternal and neonatal benefits. Currently one-fifth of women in the United Kingdom are obese. There is increasing evidence of the detrimental effects obesity has on intrapartum outcomes. There is a lack of research on how to minimise the associated risks of obesity through non-medicalised interventions and how to support obese women to maximise their opportunity for normal birth. This thesis aims to provide evidence to address this gap and develop an evidence-based intervention to promote normal birth. Using a methodological approach aligned with pragmatism, this research was conducted in four parts and underpinned by the Medical Research Council framework for the development of complex interventions. Part one was a national survey involving 24 maternity units. Part two was a qualitative study of the experiences of 24 health professionals and part three involved 8 obese women. The final part was a multi-disciplinary workshop that used consensus decision-making to design the intervention. Collectively, the findings suggest that intrapartum care of obese women is medicalised. Health professionals face challenges when caring for obese women but many strive to optimise the potential for normal birth by challenging practice and utilising ‘interventions’ to promote normality. The findings also demonstrate that obese women have an intrinsic fear of pregnancy and birth, have a desire for normal birth and ‘obese pregnancy’ presents a window of opportunity for change. The intervention consists of three component parts; an educational aspect (e-learning package), a clinical aspect (intrapartum care pathway) and a leadership aspect (ward champions). Whilst acknowledging the importance of safety, increasing intervention during labour for obese women may further increase the risk of complications, with detrimental effects. Addressing intrapartum management of obese women through non-medicalised interventions is of paramount importance in order to promote normality, maximise the opportunity for normal birth and reduce the associated morbidities.
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Bücher zum Thema "Maternity and Midwifery"

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Nurse-midwifery. 2. Aufl. Boston: Blackwell Scientific, 1987.

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Kornelsen, Jude. In transition: Nurses respond to midwifery integration. Vancouver, B.C: British Columbia Centre of Excellence for Women's Health, 2000.

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Bringing Life to Aberdeen: A History of Maternity And Neonatal Services. Edinburgh, UK: Luath Press Limited, 2022.

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Dunbar, Lesley G., und G. G. Youngson. Bringing Life to Aberdeen: A History of Maternity And Neonatal Services. Edinburgh, UK: Luath Press Limited, 2022.

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Dunbar, Lesley G., und G. G. Youngson. Bringing Life to Aberdeen: A History of Maternity And Neonatal Services. Edinburgh, UK: Luath Press Limited, 2022.

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Kirkham, Mavis. Reflections on midwifery. London: Baillière Tindall, 1997.

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7

RGN, Stewart Mary, Hrsg. Pregnancy, birth, and maternity care: Feminist perspectives. Edinburgh: Books for Midwives, 2004.

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8

Christine, Henderson, und MacDonald Sue, Hrsg. Maye's midwifery: A textbook for midwives. New York: Bailliere Tindall, 2004.

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Mavis, Kirkham, Hrsg. Birth centres: A social model for maternity care. [London: Books for Midwives, 2003.

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Smith, Philippa Mein. Maternity in dispute: New Zealand, 1920-1939. Wellington, N.Z: Historical Publications Branch, Dept. of Internal Affairs, 1986.

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Buchteile zum Thema "Maternity and Midwifery"

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Murphy-Lawless, Jo. „Globalisation, midwifery and maternity services“. In Sustainability, Midwifery and Birth, 15–30. Second edition. | Milton Park, Abingdon, Oxon ; New York : Routledge, 2020.: Routledge, 2020. http://dx.doi.org/10.4324/9780429290558-1.

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Currell, Rosemary. „The organisation of maternity care“. In Midwifery Practice: Core Topics 1, 1–15. London: Macmillan Education UK, 1996. http://dx.doi.org/10.1007/978-1-349-14112-8_1.

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Davies, Jean. „Them and us: poverty, deprivation and maternity care“. In Challenges in Midwifery Care, 50–62. London: Macmillan Education UK, 1997. http://dx.doi.org/10.1007/978-1-349-13425-0_5.

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Crafter, Helen, und Cathy Rowan. „Ethical Issues in Maternity Care“. In Ethical Issues in Nursing and Midwifery Practice, 103–23. London: Macmillan Education UK, 1998. http://dx.doi.org/10.1007/978-1-349-14569-0_6.

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Downe, Soo, und Kenny Finlayson. „Collaboration: Theories, Models and Maternity Care“. In Essential Midwifery Practice: Leadership, Expertise and Collaborative Working, 155–79. West Sussex, UK: John Wiley & Sons, Ltd., 2013. http://dx.doi.org/10.1002/9781118784990.ch9.

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Edwards, Nadine Pilley. „Women’s Emotion Work in the Context of Current Maternity Services“. In Emotions in Midwifery and Reproduction, 36–55. London: Macmillan Education UK, 2009. http://dx.doi.org/10.1007/978-1-137-08641-9_3.

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Bone, Debora. „Epidurals not Emotions: the Care Deficit in US Maternity Care“. In Emotions in Midwifery and Reproduction, 56–72. London: Macmillan Education UK, 2009. http://dx.doi.org/10.1007/978-1-137-08641-9_4.

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Westerik-Verschuuren, Liesbeth, Marjolijn Lutke Holzik-Mensink, Marleen Wieffer-Platvoet und Minke van der Velde. „Sexual Aspects of the Female Pelvic Floor“. In Midwifery and Sexuality, 113–23. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-18432-1_10.

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AbstractThis chapter is devoted to the pelvic floor (PF). Maternity care has always considered the PF muscles an essential part of the birth and its disturbances. Gradually, the pelvic floor became a vital element for both sexual pleasure and sexual problems. This chapter will start by explaining its role in posture and movement, and sexuality and delineate the differences between the normotonic, the hypotonic, and the hypertonic pelvic floor and their influences on sexuality. The chapter also gives some elementary education on assessing pelvic floor function. After explaining the PF concerning pregnancy and birth, the chapter will address aspects of prevention and prehabilitation. In other words, this chapter will also deal with how to optimally prepare the pregnant woman for a relaxed birth with as low as possible negative consequences regarding vaginal laxity or pelvic floor prolapse. For the severe pelvic floor disturbances and their implications on sexuality and quality of life, the reader is recommended to look at Chap. 16.This chapter is part of ‘Midwifery and Sexuality’, a Springer Nature open-access textbook for midwives and related healthcare professionals.
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Muggleton, Sally, und Deborah Davis. „Applying Salutogenesis in Midwifery Practice“. In The Handbook of Salutogenesis, 459–64. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-79515-3_42.

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AbstractThis chapter presents midwifery as unique amongst the healthcare professions because it mostly focuses on physiological processes and a period of transition in the life of a woman and her family. Thus, midwives work across a childbearing continuum and the health-ease dis-ease continuum. The “midwifery model of care” and its approach to childbearing focuses on wellness rather than illness and works closely with women to help them mobilize their own resources to move towards greater health. But the contrasting pathogenic approach to maternity care is still ubiquitous in contemporary healthcare provision with over-medicalization of childbirth and overuse of interventions, which can also cause more harm than good.While there is resonance between midwifery practice and salutogenesis, research examining the relationship is still in its infancy. Few researchers explicitly draw on salutogenic theory. Of these, few studies and scoping reviews are described in more detail. They suggest that there is an alignment between salutogenesis and midwifery practice.The chapter concludes by stressing that salutogenesis, with its focus on health rather than pathology, offers a promising way forward to underline that much of midwifery work is health promotion and must be operationalized accordingly in midwifery practice.
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Atallah, Sandrine, und Aida Martín Redón. „Relevant (Sexual) Aspects of Cultural Differences“. In Midwifery and Sexuality, 271–81. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-18432-1_23.

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AbstractCulture is one of the most important elements influencing the sexual lives of people. Factors like traditionalism, religion, polygamy, machismo, and feminism influence sexuality and cultural ideas about motherhood and sex roles. This chapter focuses on those cultural aspects. Cultural differences exist not only by merit of geographical distance since cultures get intermingled through economic migration, political refugees, and global traffic. Even in midwifery, there are significant cultural differences between one country and another. In some countries, midwives independently guide childbirth at home, whereas, in other countries, the law prohibits such an approach. In some countries, the midwife provides postpartum contraception, whereas, in others, they don’t.This book is written in English and focuses relatively strongly on Western maternity care. It certainly has a European touch since most authors work in Europe. An advantage of Western and Northwestern Europe is the more open and pragmatic approach to discussing sexuality. While sexuality is essential everywhere, some basic health and luxury seem needed before it becomes relevant to tackle the problematic aspects of sexuality. We believe this book to be precious to midwives in middle- and high-income countries (Atallah et al., J Sex Med 13:591–606, 2016). On the other hand, much of the information will also be handy for urban midwives in low-income countries.This chapter is part of ‘Midwifery and Sexuality’, a Springer Nature open-access textbook for midwives and related healthcare professionals.
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Konferenzberichte zum Thema "Maternity and Midwifery"

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Vojsk, Vanesa, Darja Altbauer, Barbara Brzović, Lea Grabner, Tjaša Katan, Ines Kumpuš, Natalija Oblak et al. „NEWBORN PROPHYLAXIS IN SLOVENIAN MATERNITY HOSPITALS“. In 14. kongres zdravstvene in babiške nege Slovenije,11. in 12. maj 2023, Kongresni center Brdo, Brdo pri Kranju. Zbornica zdravstvene in babiške nege Slovenije - Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije, 2023. http://dx.doi.org/10.14528/asae9754.7.

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Introduction: In Slovenia, routine first newborn care includes neonatal eye prophylaxis, vitamin K administration and umbilical cord protection. Vitamin K administration and neonatal eye prophylaxis are legally mandated and compulsory in Slovenia. The aim of the study was to investigate certain aspects of neonatal prophylaxis in Slovenian maternity hospitals. Methods: The descriptive and cavsal-non-experimental method of empirical research used was an online survey based on a questionnaire. The survey was carried out on a purposive sample of midwives working in Slovenian maternity hospitals. It was carried out by third-year students of the Midwifery programme at the Faculty of Health at the University of Ljubljana. The data were analysed on the basis of descriptive statistics with calculations of frequencies and percentages. Results: The results showed that most midwives use potassium hypermanganate (72 %) for prophylactic umbilical protection. Most (40 %) midwives apply vitamin K up to 1 hour after delivery. Most midwives (78 %) use information on the use of prophylactic vitamin K application, including 83 % of midwives knowing at least three benefits of prophylactic eye protection. Discussion and conclusion: The results of the survey showed that the practice of prophylactic protection in Slovenian maternity hospitals is in line with the recommendations of the profession, although it could be further optimised.
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Ornik, Tadej, Jerca Jesenovac, Lucija Oblak, Klea Rozman, Azra Šiljić, Klara Tacar, Hana Zajc, Tita Stanek Zidarič, Metka Skubic und Anita Jug Došler. „BIRTHING POSITIONS IN SLOVENIAN MATERNITY HOSPITALS“. In 14. kongres zdravstvene in babiške nege Slovenije,11. in 12. maj 2023, Kongresni center Brdo, Brdo pri Kranju. Zbornica zdravstvene in babiške nege Slovenije - Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije, 2023. http://dx.doi.org/10.14528/asae9754.5.

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Introduction: Women can give birth in different birthing positions. The decision to change positions during childbirth may be influenced by certain socially and culturally determined factors. These may include: the chosen maternity, the woman's wishes, the rate of pain, the duration of the birth, the woman's education, and the course of pregnancy and birth. By changing the birth position, the diameter of the birth canal can be increased, allowing more space for the foetus. The aim of our study was to investigate the use of different birth positions in Slovenian maternity hospitals. Methods: A descriptive and causal non-experimental method of empirical research was used, based on an online survey, i.e., a questionnaire. The survey was conducted among midwives in Slovenian maternity hospitals. It was conducted by 3rd year midwifery students of the Faculty of Health Sciences, University of Ljubljana. Data were analysed based on descriptive statistics with frequencies and percentages. Results: Most midwives in the first stage of birth practice a lateral position (92 %). Followed by walking (90%) and sitting on the ball (81 %). In the second stage of labour, the side position is the most common (88 %). This is followed by the supine position (58%), the half-sitting position (50 %), and the position on all fours (46 %). In the first stage of labour, balls (98 %), showers (85 %), and pillows (60 %) are the most used birth aids. In the second stage of labour, the most common aids are balls (52 %), birth showers (52 %), and pillows (46 %). Discussion and conclusion: The results of the survey show that in Slovenian maternity hospitals the upright posture (walking, sitting on the ball) and the lateral position are predominant. There are many delivery aids in the maternity hospitals, but not all of them are used so frequently in the first and second stage of labour.
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Pirc, Anja, Vanja Hribar, Monika Katančič, Martina Lenko, Ana Otoničar, Manca Podmiljšak, Vesna Simonič et al. „LABOUR PAIN MANAGEMENT IN SLOVENIA“. In 14. kongres zdravstvene in babiške nege Slovenije,11. in 12. maj 2023, Kongresni center Brdo, Brdo pri Kranju. Zbornica zdravstvene in babiške nege Slovenije - Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije, 2023. http://dx.doi.org/10.14528/asae9754.6.

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Introduction: Every woman experiences birth pain in a different way. Birth pain is defined as an »excellent model of acute pain,« but unlike other acute pain usually associated with injury or illness, it is part of the normal physiological process. Birth pain also has an important function in the physiological process itself, producing hormones such as endorphins and oxytocin. In developed countries, various methods are used to relieve birth pain, which may be pharmacological and/or non-pharmacological. The aim of our study was to investigate the methods of relieving birth pain (pharmacological, non-pharmacological)in Slovenian maternity hospitals. Methods: A descriptive and causal non-experimental method of empirical research was used, based on an online survey, i.e., a questionnaire. The survey was conducted among midwives in Slovenian maternity hospitals. It was conducted by 3rd year midwifery students from the Faculty of Health Sciences, University of Ljubljana. The data were analysed based on descriptive statistics using frequency and percentage calculations. Results: Survey data indicated that women in Slovenian maternity hospitals have 6 pharmacological methods available to relieve labour pain. These include epidural analgesia (71 %), nitrous oxide (53 %), and petidine (47 %). Data from the study indicate that 9 nonpharmacologic methods are available to women in Slovenian maternity hospitals to relieve labour pain. Position changes (93 %), massage/massage balls (78 %), warm/cold compresses (47 %), and aromatherapy (45 %) are used most frequently. Farmacologic methods are most used in the first stage of birth (73 %) and nonpharmacologic methods in the first and second stage of birth (56 %). Discussion and conclusion: In Slovenia, women have a wide choice of pharmacological and non-pharmacological methods to relieve labour pain. Pharmacological methods of pain relief are more frequently represented, which in our estimation could be more frequently supplemented by non-pharmacological methods.
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Zaicovschi, Tatiana. „Rites of transition and the notion of ritual impurity in the maternity and baptismal rites of the Lipovans of the Republic of Moldova“. In Simpozion Național de Studii Culturale, dedicat Zilelor Europene ale Patrimoniului. Ediția III. Institute of Cultural Heritage, Republic of Moldova, 2022. http://dx.doi.org/10.52603/sc21.18.

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The study was realized on the basis of a special questionnaire developed by the author. The survey was conducted in places with a dense population of the Lipovans in the Republic of Moldova. Childbirth rituals, consisting of three stages (prenatal, birth and postnatal) are associated with the moments of transition. The objects of the transition are the woman in labor and the infant. In traditional culture, childbirth is perceived as an analogue of death, associated with danger and ritual impurity. A woman in labor has a dual meaning: a being that contains the potential for reproduction and, at the same time, entails a threat that lies in the sphere of the other world. Indirectly, the midwife, who is the conductor between this world and the other world, is also involved in this. Up to now, the Lipovans are distinguished by the isolation of mother and baby after childbirth until a special prayer. The existing idea of the “impurity” of the unbaptized infant determined a specific behavior towards him: he could not be placed in a cradle before baptism, be hung a cross around the neck, be put a shirt or a belt on (this can be observed even today). Rites of passage, in traditional culture, are seen as tools for maintaining social order in a community.
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