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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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Bass, Janice, Mary Sidebotham, Jenny Gamble und Jennifer Fenwick. „Commencing Undergraduate Midwifery Students’ Beliefs About Birth and the Role of the Midwife“. International Journal of Childbirth 5, Nr. 2 (2015): 83–90. http://dx.doi.org/10.1891/2156-5287.5.2.83.
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BACKGROUND: A shift has occurred in the last decade toward preregistration undergraduate Bachelor of Midwifery programs in Australia. This has led to an increase in the numbers of student midwives from diverse backgrounds with limited experience of university and socialization into hospital systems.AIM: This study aimed to explore commencing midwifery students’ beliefs about birth and expectations of the role of the midwife.METHOD: A qualitative descriptive approach was used. All 115 commencing first-year midwifery students enrolled in the first week of an undergraduate Bachelor of Midwifery program were invited and completed a self-administered survey. The survey used open-ended questions to elicit student beliefs about birth and the role of the midwife. Latent content analysis was used to analyze the data set.FINDINGS: Midwifery students’ beliefs were captured within the four themes: birth as “a miracle,” “a woman’s journey,” “a transformative event,” and “a natural process.” Students articulated the role of the midwife as one of support, education, advocacy, and partnership. Student beliefs and expectations were aligned with the emergent philosophy of the normality of birth and woman-centered care within the Australian maternity care context.CONCLUSION: Greater understanding is essential to designing quality midwifery education programs that are responsive to the needs of commencing student midwives. Supporting midwifery students’ successful transition into, and early engagement with the midwifery profession, may have long-term benefits in terms of retention and successful completion of their program. In addition, ensuring professional socialization occurs early is likely to develop graduates who are well prepared to work across their full scope and are willing to participate in the reform of maternity services in Australia.
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Menage, Diane, Ceinwyn Hogarth und Eleanor Batting. „Safety netting in midwifery“. British Journal of Midwifery 30, Nr. 11 (02.11.2022): 652–58. http://dx.doi.org/10.12968/bjom.2022.30.11.652.
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Providing clear, accurate and timely information to women and their families is central to the role of the midwife. It is key to empowering women to make informed decisions and promotes both safety and quality of care. The term ‘safety netting’ has been described as sharing information to help people identify the need to seek further help if their condition fails to improve, changes or if they have concerns about their health. While safety netting is a familiar term in some fields of medicine, it is rarely used in midwifery. This article discusses how safety netting could be a useful concept for midwifery and proposes a framework for providing safety net information. The article includes a clinical scenario that considers how the framework supports clear and comprehensive communication, and a student midwife perspective that reflects on different aspects of safety netting, its teaching and the practice experience. Clear teaching of safety netting has potential advantages for midwifery education and practice.
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Hartz, Donna L., Jan White, Kathleen A. Lainchbury, Helen Gunn, Helen Jarman, Alec W. Welsh, Daniel Challis und Sally K. Tracy. „Australian maternity reform through clinical redesign“. Australian Health Review 36, Nr. 2 (2012): 169. http://dx.doi.org/10.1071/ah11012.
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The current Australian national maternity reform agenda focuses on improving access to maternity care for women and their families while preserving safety and quality. The caseload midwifery model of care offers the level of access to continuity of care proposed in the reforms however the introduction of these models in Australia continues to meet with strong resistance. In many places access to caseload midwifery care is offered as a token, usually restricted to well women, within limited metropolitan and regional facilities and where available, places for women are very small as a proportion of the total service provided. This case study outlines a major clinical redesign of midwifery care at a metropolitan tertiary referral maternity hospital in Sydney. Caseload midwifery care was introduced under randomised trial conditions to provide midwifery care to 1500 women of all risk resulting in half of the publicly insured women receiving midwifery group practice care. The paper describes the organisational quality and safety tools that were utilised to facilitate the process while discussing the factors that facilitated the process and the barriers that were encountered within the workforce, operational and political context. What is known about the topic? Caseload midwifery models of care have been established in a variety of community based and hospital settings throughout Australia with a reported reduction in clinical intervention rates while maintainning safety of mothers and babies. What does this paper add? This case study illustrates the strategies used to achieve a large sustainable clinical service redesign project based on the introduction of the caseload midwifery model of care. What are the implications for practitioners? Establishing midwifery group practice care within the mainstream maternity services has far reaching implications for the retention and recruitment of midwives and the improvement of clinical outcomes in childbirth.
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Mitsyuk, Natalia A., und Anna V. Belova. „Midwifery as the first official profession of women in Russia, 18th to early 20th centuries“. RUDN Journal of Russian History 20, Nr. 2 (15.12.2021): 270–85. http://dx.doi.org/10.22363/2312-8674-2021-20-2-270-285.
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The authors study the institutionalization of midwife specialization among women in Russia in the period from the 18th through the early 20th centuries. The main sources are legislative acts, clerical documents, as well as reports on the activities of medical institutions and maternity departments. The authors use the approaches of gender history, and the concept of professionalization as developed by E. Freidson. Midwifery was the first area of womens work that was officially recognized by the state. There were three main stages on the way to professionalizing the midwifery profession among women. The first stage (covering the 18th century) is associated with attempts to study and systematize the activities of midwives. The practical experience of midwifes was actively sought by doctors whose theoretical knowledge was limited. The second stage of professionalization (corresponding to the first half of the 19th century) was associated with the normative regulation of midwife work and the formation of a professional hierarchy in midwifery. The third stage (comprising the second half of the 19th century and the early 20th century) saw a restriction of the midwives spheres of activity, as well as the active inclusion of male doctors in practical obstetrics and their rise to a dominant position. With the development of obstetric specialization, operative obstetrics, and the opening of maternity wards, midwives were relegated to a subordinate position in relation to doctors. In contrast to the United States and Western European countries, Russia did not have professional associations of midwives. Intra-professional communication was weak, and there was no corporate solidarity. In Soviet medicine, finally, the midwives subordinate place in relation to doctors was only cemented.
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McCaffery, Siubhan, Kirsten Small und Jenny Gamble. „Rural Australian Doctors’ Views About Midwifery and Midwifery Models of Care: A Qualitative Study“. International Journal of Childbirth 12, Nr. 1 (01.03.2022): 34–43. http://dx.doi.org/10.1891/ijc-2021-0007.
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BACKGROUND AND PURPOSEAustralian rural areas access to midwifery continuity of carer models is restricted. Lack of medical support has been identified as one of the reasons midwifery continuity of carer models have not been implemented. The purpose of his study was to explore rural Australian doctors’ views about midwifery and midwifery continuity of carer models.STUDY DESIGNA qualitative study with general practitioner and specialist obstetricians (n = 10) working in Australian rural maternity services. Semi-structured interviews were undertaken and analyzed using thematic analysis.FINDINGSParticipants’ views of midwifery and midwifery continuity of carer models were expressed in three themes. The themes related to the concepts of knowing: knowing the model, knowing the midwife, and knowing the system. Participants had misconceptions and misunderstandings of the model, midwifery, and systems issues relating to midwifery continuity of carer models.CONCLUSIONIncreasing understanding about midwifery and midwifery continuity of carer models may facilitate implementation of these models. A national education program for doctors about the structure and function of midwifery continuity of carer models would support knowledge building for obstetric doctors. Strong leadership and incentivization for health services may be needed to sustainably roll-out rural models. At a service level, responsibility for establishing and sustaining models should shift from local midwife leaders to hospital executives.
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Toli, Brooke. „Cultural Immersion: More Than Maternity Care“. Practising midwife Australia 1, Nr. 1 (01.09.2022): 32–34. http://dx.doi.org/10.55975/gpwj2462.
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Waminda, located on the South Coast in New South Wales, provides a holistic and culturally-safe service for Indigenous women and their families. Maternity care at Waminda is known as Minga Gudjaga, and through this service, Elders and Aunties enact thousands of years of Indigenous knowledge to ensure the cultural safety and health of Minga (mothers) and Gudjaga (babies).1 A clinical placement at Waminda for one Indigenous midwifery student proved pivotal to her growth and vision as a midwife and an Aboriginal woman.
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Sariyati, Endang Wahyati Y und C. Tjahjono Kuntjoro. „PERAN BIDAN DALAM PELAKSANAAN PERMENKES NOMOR 631/MENKES/ PER/III/2011 SEBAGAIMANA TELAH DIUBAH DENGAN PERMENKES NOMOR 2562/MENKES/PER/XII/2011 TENTANG PETUNJUK TEKNIS JAMINAN PERSALINAN (Studi Kasus Pelayanan Kebidanan Di RSUD dr. H. Soewondo Kendal“. SOEPRA 2, Nr. 2 (10.01.2017): 217. http://dx.doi.org/10.24167/shk.v2i2.824.
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The role of midwives in service delivery assurance in dr. H. Soewondo Kendal based on Permenkes No. 2562/MENKES /PER/XII/2011 on Technical Guidelines for Labor Warranty. The aim is to implement the appropriate authority midwifery services, with the ultimate goal of reducing the MMR (Maternal Mortality Rate) and IMR (Infant Mortality Rate). If viewed from Permenkes 1464/Menkes /Per/X/2010 number of licenses and the implementation of midwifery practice, it is not really appropriate authority for the role of the midwife in the hospital to service delivery is a delivery service assurance of advanced midwives in hospitals. The scope of service includes pregnant women, maternity (risti), childbirth, newborns, family planning and treatment of complications in obstetrics. So based on the authority role of the midwife in the hospital should not be for the scope of services for maternity delivery guarantee (risti) and treatment of complications in obstetrics
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Abdul-Rahim, Hadi Zulhiqman, Sharimawati H. Sharbini, Mursidi Ali und Khadizah H. Abdul-Mumin. „Building strong foundations in leadership and management for midwifery students“. British Journal of Midwifery 32, Nr. 1 (02.01.2024): 38–44. http://dx.doi.org/10.12968/bjom.2024.32.1.38.
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This article explores the importance of leadership and management for midwifery students in their preparation to become midwives. The article combines a review of the existing literature, reflection on the authors' experiences and feedback from midwifery students on leadership and management modules at a university in Brunei Darussalam. Leadership and management skills are essential, and a requisite for every midwife to ensure coordination of structured, safe and high-quality midwifery care. Some important leadership and management competencies include decision making, managing resources, teamwork, collaborating effectively with other healthcare professionals, delegating tasks appropriately and efficient time management. Stakeholders in midwifery education, including educational institutions, public and private healthcare systems and women using midwifery services, expect newly graduated midwives to possess these foundational leadership and management proficiencies so that they can immediately perform their duties when they begin their new role as qualified midwives.
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Choudhary, Suman, Prasuna Jelly und Prakash Mahala. „Models of maternity care: a continuity of midwifery care“. International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, Nr. 6 (27.05.2020): 2666. http://dx.doi.org/10.18203/2320-1770.ijrcog20202373.
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Pregnancy and birth are significant life events for women and their families and midwife supports a woman throughout pregnancy, birth and the postnatal period. So, the demand for services that are family friendly, women focused, safe and accessible is increasing. Evidence has shown that midwifery care is associated with lower cost, higher satisfaction rates among women, and less intervention. Because pregnancy and childbirth involve every part of feelings, physical and practical needs, hopes, religious and spiritual beliefs can all affect pregnancy and birth. So, model of maternity care addresses all these aspects to help give birth safely, naturally and confidently. The aim of this review is how midwives working in different model care constructed their midwifery role in order to maintain a positive work-life balance. Evidence from high income countries found such models to be a cost-efficient way to improve health outcomes, reducing medical interventions and increasing satisfaction with care.
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de Vries, Marieke, Danique Oostdijk, Kim G. T. Janssen, Raymond de Vries und José Sanders. „Negotiating Awareness: Dutch Midwives’ Experiences of Noninvasive Prenatal Screening Counseling“. International Journal of Environmental Research and Public Health 19, Nr. 22 (18.11.2022): 15283. http://dx.doi.org/10.3390/ijerph192215283.
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Background: Discussion of the topic of noninvasive prenatal screening (NIPS) has become a standard part of Dutch maternity care practice. This means that pregnant women who are contemplating NIPS can receive counseling from their midwife or obstetrician. The aim of this study is to understand the communicative practices and decision-making principles regarding first-tier use of NIPS, as experienced by Dutch midwives. Methods: Qualitative analysis of in-depth interviews with Dutch midwives (n = 10) exploring their conversations about NIPS counseling and decision making. Results: Midwives value the autonomy of women in decisions on NIPS. They consider it a midwifery task to assess women’s awareness of the risks and implications of using or not using this mode of screening. The optimal level of awareness may differ between women and midwives, creating novel challenges for informed decision making in midwifery communication. Key conclusions and implications for practice: Negotiating awareness about NIPS in individual women is a relatively new and complex midwifery task in need of counseling time and skill. NIPS practices call for a reflection on midwifery values in the context of integrated maternity care.
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Vermeulen, Joeri, Ronald Buyl, Ans Luyben, Valerie Fleming und Maaike Fobelets. „Key Maternity Care Stakeholders’ Views on Midwives’ Professional Autonomy“. Healthcare 11, Nr. 9 (26.04.2023): 1231. http://dx.doi.org/10.3390/healthcare11091231.
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Advancement towards the professionalism of midwifery is closely linked to midwives’ professional autonomy. Although the perspectives of Belgian midwives on their professional autonomy have been studied, the views of other maternity care stakeholders are a blind spot. The aim of this study, therefore, was to explore maternity care stakeholders’ views on Belgian midwives’ professional autonomy. A qualitative exploratory study was performed using focus group interviews. A heterogenous group of 27 maternity care stakeholders participated. The variation between midwives, with different levels of autonomy, was reported. The analysis of the data resulted in five themes: (1) The autonomous midwife is adequately educated and committed to continuous professional further education, (2) The autonomous midwife is competent, (3) The autonomous midwife is experienced, (4) The autonomous midwife assures safe and qualitative care, and (5) The autonomous midwife collaborates with all stakeholders in maternity care. A maternity collaborative framework, where all maternity care professionals respect each other’s competences and autonomy, is crucial for providing safe and quality care. To achieve this, it is recommended to implement interprofessional education to establish strong foundations for interprofessional collaboration. Additionally, a regulatory body with supervisory powers can help ensure safe and quality care, while also supporting midwives’ professional autonomy and professionalisation.
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Sterky, Göran, und Anna-Berit Ransjö-arvidson. „Assessment of Midwifery Routines: Toward a North/South Collaborative Effort“. International Journal of Technology Assessment in Health Care 7, Nr. 4 (1991): 500–508. http://dx.doi.org/10.1017/s0266462300007066.
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AbstractCooperation in midwifery research between Zambia and Sweden is ongoing. Joint studies on gastric suctioning and maternity routines are used as examples, and breastfeeding is discussed from a global perspective. The midwife, who also interprets responses from mothers, is an important member of an assessment team. Cooperation over cultural boundaries is feasible and mutually rewarding.
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Turner, Lesley Yvonne, Christina Saville, Jane Ball, David Culliford, Chiara Dall'Ora, Jeremy Jones, Ellen Kitson-Reynolds, Paul Meredith und Peter Griffiths. „Inpatient midwifery staffing levels and postpartum readmissions: a retrospective multicentre longitudinal study“. BMJ Open 14, Nr. 4 (April 2024): e077710. http://dx.doi.org/10.1136/bmjopen-2023-077710.
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BackgroundPreventing readmission to hospital after giving birth is a key priority, as rates have been rising along with associated costs. There are many contributing factors to readmission, and some are thought to be preventable. Nurse and midwife understaffing has been linked to deficits in care quality. This study explores the relationship between staffing levels and readmission rates in maternity settings.MethodsWe conducted a retrospective longitudinal study using routinely collected individual patient data in three maternity services in England from 2015 to 2020. Data on admissions, discharges and case-mix were extracted from hospital administration systems. Staffing and workload were calculated in Hours Per Patient day per shift in the first two 12-hour shifts of the index (birth) admission. Postpartum readmissions and staffing exposures for all birthing admissions were entered into a hierarchical multivariable logistic regression model to estimate the odds of readmission when staffing was below the mean level for the maternity service.Results64 250 maternal admissions resulted in birth and 2903 mothers were readmitted within 30 days of discharge (4.5%). Absolute levels of staffing ranged between 2.3 and 4.1 individuals per midwife in the three services. Below average midwifery staffing was associated with higher rates of postpartum readmissions within 7 days of discharge (adjusted OR (aOR) 1.108, 95% CI 1.003 to 1.223). The effect was smaller and not statistically significant for readmissions within 30 days of discharge (aOR 1.080, 95% CI 0.994 to 1.174). Below average maternity assistant staffing was associated with lower rates of postpartum readmissions (7 days, aOR 0.957, 95% CI 0.867 to 1.057; 30 days aOR 0.965, 95% CI 0.887 to 1.049, both not statistically significant).ConclusionWe found evidence that lower than expected midwifery staffing levels is associated with more postpartum readmissions. The nature of the relationship requires further investigation including examining potential mediating factors and reasons for readmission in maternity populations.
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Zolkefli, Zulfaa Humairaa Haji, Khadizah Haji Abdul Mumin und Deeni Rudita Idris. „Autonomy and its impact on midwifery practice“. British Journal of Midwifery 28, Nr. 2 (02.02.2020): 120–29. http://dx.doi.org/10.12968/bjom.2020.28.2.120.
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Objective To explore the definition of autonomy, its significant features and impacts on midwifery practice. Method Combined keywords searched were performed on electronic databases: Scopus, Science Direct and Medline within EBSCOhost and Google Scholar. Data were extracted and analysed corresponding to the objectives of this review. Findings A total of eight studies (n=8) were included (one quantitative and seven qualitative). Autonomy is the central element in midwifery that is commonly linked with informed choices; decision-making and power to control over a situation. In order for a midwife to be autonomous, important attributes include knowledge and skills (being confident, and the ability to think critically). It was also found that infrastructure and culture at work impacts autonomy in midwifery practice. Conclusion Albeit a limited number of studies were included in the review, this review provides an important platform for understanding the principles and concepts that underpin autonomy in midwifery practice.
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Adcock, Joy. „Advancing Practice Leadership Collective Equipping Midwifery Leaders“. Practising midwife Australia 1, Nr. 2 (01.11.2022): 20–25. http://dx.doi.org/10.55975/wqmn9405.
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This article explores how midwives in leadership positions can be equipped to contribute to maternity care reform through improving the access that women and birthing families in Australia have to Midwifery Continuity of Care (MCoC). Drawing from findings of a recent Australian qualitative study into the topic, principles for increasing midwifery leadership skills, exploring personal commitment to improving maternity care and establishing relationships with key stakeholders are discussed. Current midwifery leaders as well as the leaders of the future have an important role to play in the expansion of MCoC and strengthening of the midwifery profession.
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Axcell, Claire. „Six months qualified“. British Journal of Midwifery 27, Nr. 8 (02.08.2019): 534. http://dx.doi.org/10.12968/bjom.2019.27.8.534.
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Meegan, Samantha. „Revised standards of proficiencies for midwives: an opportunity to influence childhood health?“ British Journal of Midwifery 28, Nr. 3 (02.03.2020): 150–54. http://dx.doi.org/10.12968/bjom.2020.28.3.150.
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The first 1 000 days of life are critical during early child development, yet the significance of this time and the impact on childhood health have only recently been recognised within the UK. In early 2020, the Nursing and Midwifery Council (NMC) released revised standards of proficiency for midwives. These draw on the evidence-base generated by recent research developments within public health, providing the first update of midwifery standards for a decade. This article critically explores the main aspects within the NMC's future midwife proficiencies that relate to the public health component of the midwifery role, and will examine how these factors can equip midwives of the future to support women, their babies and families within the fundamental early days of life.
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Mander, Rosemary, und Miranda Page. „Midwifery and the LGBT midwife“. Midwifery 28, Nr. 1 (Februar 2012): 9–13. http://dx.doi.org/10.1016/j.midw.2011.03.008.
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Dixon, Lesley. „A world of fun discoveries“. New Zealand College of Midwives Journal 59 (31.12.2023): 4. http://dx.doi.org/10.12784/nzcomjnl59.2023.0.4.
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Many midwives describe midwifery as a calling or a vocation. I never felt “called” to the role but, once I became a midwife 37 years ago, I never wanted to do anything else. Being a midwife has always provided a deeply satisfying and meaningful focus within my life. Similarly, the role of midwifery researcher has provided fulfilment as I explored the world of midwifery and the positive impact that midwives have on the women they care for. For me, research has indeed been a world of fun discoveries. Now, though, it is time for me to refocus my life as I retire from my work as Journal co-editor and midwifery advisor at the College and say, Hello to a new world, one which is free of schedules, time clocks and company rules and where there is time to discover other passions.
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Nuttall, Sally, und Sally Pezaro. „The value nurses and midwives hold“. British Journal of Midwifery 28, Nr. 1 (02.01.2020): 22. http://dx.doi.org/10.12968/bjom.2020.28.1.22.
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Mantula, Fennie, Judith Audrey Chamisa, Wilfred Njabulo Nunu und Prisca Sophia Nyanhongo. „Women's Perspectives on Cultural Sensitivity of Midwives During Intrapartum Care at a Maternity Ward in a National Referral Hospital in Zimbabwe“. SAGE Open Nursing 9 (Januar 2023): 237796082311604. http://dx.doi.org/10.1177/23779608231160476.
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Introduction Midwives attend intrapartum women of diverse ethnic backgrounds who each bring their cultural beliefs into the labor and delivery rooms. The International Confederation of Midwives has recommended providing culturally appropriate maternity care in its quest to increase skilled birth attendance and subsequently improve maternal and newborn health. Objective This study aimed to examine midwives’ cultural sensitivity during intrapartum care from women's perspectives, and how this relates to women's satisfaction with maternity care services. Methods A qualitative phenomenological design was employed. Two focus group discussions were conducted with 16 women who had delivered in the labor ward of the selected national referral maternity unit. An interpretive phenomenological approach was used to analyze the data. Results This study revealed ineffective midwife–woman collaboration that excludes the incorporation of women's cultural beliefs in the design of maternity care plans. Emotional, physical, and informational support in the care provided to women during labor and childbirth was found to be incompetent. This suggests that midwives are not sensitive to cultural norms and do not provide woman-centered intrapartum care. Conclusion Various factors implying midwives’ lack of cultural sensitivity in their provision of intrapartum care were identified. Resultantly, women's expectations of labor are not met and this could negatively affect future maternity care-seeking behaviors. This study's findings provide policy makers, midwifery program managers and implementers with better insights for developing targeted interventions to improve cultural sensitivity for the delivery of respectful maternity care. Identifying factors that affect the implementation of culture-sensitive care by midwives could guide the adjustments required in midwifery education and practice.
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Leader, Claire. „Growing the midwifery workforce“. British Journal of Midwifery 31, Nr. 5 (02.05.2023): 294–97. http://dx.doi.org/10.12968/bjom.2023.31.5.294.
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Ladkin, Rosie. „From one drama to another“. British Journal of Midwifery 28, Nr. 3 (02.03.2020): 202. http://dx.doi.org/10.12968/bjom.2020.28.3.202.
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Meegan, Samantha, und Toni Martin. „Exploring the experiences of student midwives completing the newborn infant physical examination“. British Journal of Midwifery 28, Nr. 2 (02.02.2020): 115–19. http://dx.doi.org/10.12968/bjom.2020.28.2.115.
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Background The newborn and infant physical examination (NIPE) is a screening programme now undertaken by specially trained midwives. It is increasingly a feature within pre-registration midwifery educational programmes. Objectives To explore the experiences of student midwives completing the theory and practice aspects of the NIPE within a pre-registration midwifery programme. Design A qualitative design was utilised to analyse data collected by semi-structured interviews. Method This study was conducted using interpretative phenomenological analysis (IPA). Findings Three superordinate themes were generated: learning by doing, mentorship and transition to qualification. The findings demonstrate the benefits of student midwife exposure to practical aspects of NIPE. Conclusions Findings indicate that standardisation is required with NIPE education and clinical practice. Preceptorship programmes must effectively prepare newly qualified midwives to undertake the NIPE role. Higher educational institutes must provide greater support to the midwives providing mentorship of student midwife NIPE practitioners. Further research should examine the maintenance of the NIPE role following qualification as a midwife.
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Hauck, Yvonne L., Sara J. Bayes und Jeanette M. Robertson. „Addressing the workplace needs of Western Australian midwives: a Delphi study“. Australian Health Review 36, Nr. 2 (2012): 176. http://dx.doi.org/10.1071/ah11026.
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Objective. To determine the workplace needs of Western Australian midwives working in public metropolitan secondary hospitals. Method. Using a three-round Delphi approach, Round 1 incorporated focus groups and a questionnaire. Fifteen focus groups were conducted with midwives also having the option of contributing through an open-ended questionnaire. During Round 2, 38 items reflecting seven themes were prioritised with a final ranking performed in Round 3. In total, 114 midwives participated in Round 1, 72 in Round 2 and 89 in Round 3. Results. During Round 1, workplace needs identified as being met included: working across all areas of midwifery; ability to work in areas of interest; opportunity to work with low to moderate risk women; supportive colleagues; accessible parking; hospital close to home and friendly work atmosphere. Round 2 items revealed the five top unmet needs as: adequate midwifery staff coverage; access to maintained equipment; competitive pay scales; patient safety issues and opportunities to implement midwifery models. The top ranked needs from Round 3 included: recognising the unpredictable nature of midwifery services; provision of competent medical coverage, and adequate midwifery staff coverage. Conclusions. Demand for maternity services is unpredictable; however, in order to maintain a sustainable maternity workforce, WA midwives’ prioritised needs would suggest health management focus upon expanding the availability of midwifery models of care, fostering flexible working conditions and ensuring collaboration between maternity health professionals occurs within clinically safe staffing levels. What is known about the topic? Dissatisfaction with working conditions, staff shortages, and feeling undervalued or unsupported contribute to healthcare workforce attrition. However, positive practice environments and health service management and leadership can influence employee satisfaction and retention. What does this paper add? These insights into Western Australian midwives’ met and unmet needs within the context of public metropolitan secondary units provide a more practical basis for the revision of work conditions than has been reported previously. What are the implications for practitioners? Our findings reinforce the urgent need to address the midwifery workforce priorities highlighted in the Australian National Maternity Services Plan. Specifically, this study strongly underscores the requirement to expand the availability of midwifery models of care, foster flexible working conditions and ensure collaboration between maternity health professionals occurs within clinically safe staffing levels.
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Brailey, Sue, Ans Luyben, Edwin van Teijlingen und Lucy Frith. „Women, Midwives, and a Medical Model of Maternity Care in Switzerland“. International Journal of Childbirth 7, Nr. 3 (2017): 117–25. http://dx.doi.org/10.1891/2156-5287.7.3.117.
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This article presents a case study on the organization of maternity health care in Switzerland. Switzerland has a costly health care system with high intervention rates within an obstetric-led maternity care model. Evidence has shown that midwifery care is associated with lower cost, higher satisfaction rates among women, and less intervention. However, in this model, midwives are both marginalized and underused.The article focuses on the distribution of power and knowledge between midwives, women, and the medical profession. The varying power structures that shape the maternity care system in Switzerland are examined, using a case study approach that draws on Foucault’s concepts of the gaze, surveillance, disciplinary power, and the docile body. This article critically analyzes the model of maternity care received by women in Switzerland and how it negatively impacts on both women’s personal and midwives’ professional autonomy while simultaneously driving up costs.A better understanding of the underlying power structures operating within the maternity care system may facilitate the implementation of more midwifery-led care currently being endorsed by the Swiss Midwifery Association and some government agencies. This could result in reduced cost and lower intervention rates with reduced associated morbidity.
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Larner, Lisa, und Claire Hooks. „Against the grain: midwives' experiences of facilitating home birth outside of guidelines“. British Journal of Midwifery 28, Nr. 6 (02.06.2020): 370–76. http://dx.doi.org/10.12968/bjom.2020.28.6.370.
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Background Midwifery standards promote autonomous decision-making and informed choice, resulting in maternal home birth choices which may contravene guidelines. There is a paucity of evidence exploring midwives' experiences of managing these choices. Aims To explore the lived experiences of midwives facilitating home birth outside of guidelines. Methods A qualitative design using an interpretive hermeneutic cycle to analyse semi-structured interviews. Findings Participants reported confidence in supporting maternal choices, identifying barriers including other birth supporters. Perceived levels of risk, previous experience and safety concerns impacted on confidence. Peer, unit and professional midwifery advocate (PMA) support were identified as being beneficial to midwives. Recommendations Expansion of birth choices clinics; implementation of dedicated home birth teams; guideline review for midwife led birthing units; expansion of the PMA role; implementation of a structured debriefing service and further research looking at women's choices, and the impact of the loss of midwifery supervision.
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Kirigia, Consolata, Lucy Gitonga und Sundays Mukhwana. „The Safest, Sustainable, Cost-effective, High-Quality, and Acceptable Model of Maternity Care: An Integrative Literature Review“. International Journal of Health Sciences and Research 13, Nr. 9 (18.09.2023): 225–27. http://dx.doi.org/10.52403/ijhsr.20230933.
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Background: The choice of maternity care model is a pivotal decision in every expectant mother's journey, influencing her pregnancy, childbirth, and postpartum experience. Objective: This integrative literature review explores various maternity care models, their long-term effects, and their impact on safety, cost-effectiveness, quality, and acceptability. Methods: The study conducted an extensive review of the literature from five databases: CINAHL, MIDIRS, SCOPUS, MEDLINE, and Web of Science. Results: The findings indicate that the midwifery-led care model emerges as the safest, most cost-effective, highest-quality, and widely acceptable approach to maternity care. Conclusion: This review underscores the significance of promoting midwifery-led care as a cornerstone in maternal healthcare. Key words: Safest, Sustainable, Cost-effective, High-Quality, Acceptable Model, Maternity Care, Integrative Literature Review.
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Martin, Caroline J. Hollins, Elaine Beaumont, Gail Norris und Gavin Cullen. „Teaching Compassionate Mind Training to help midwives cope with traumatic clinical incidents“. British Journal of Midwifery 29, Nr. 1 (02.01.2021): 26–35. http://dx.doi.org/10.12968/bjom.2021.29.1.26.
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Compassionate Mind Training (CMT) is taught to cultivate compassion and teach midwives how to care for themselves. The need to build midwives' resilience is recognised by the Nursing and Midwifery Council (NMC), who advocate that mental health coping strategies be embedded into the midwifery curriculum. In this respect, CMT can be used as a resilience-building method to help midwives respond to self-criticism and threat-based emotions with compassion. The underpinnings of CMT involve understanding that people can develop cognitive biases or unhelpful thinking patterns, co-driven by an interplay between genetics and the environment. Within this paper, the underpinning theory of CMT and how it can be used to balance psychological threat, drive, and soothing systems are outlined. To contextualise the application to midwifery practice, a traumatic incident has been discussed. Teaching CMT has the potential to improve professional quality of life, and reduce midwife absence rates and potential attrition from the profession.
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Brown, Sheila. „Improving Student Experience Through Leading with Compassion“. Practising Midwife 26, Nr. 11 (01.12.2023): 10–15. http://dx.doi.org/10.55975/xzzx8123.
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To develop a sustainable workforce, future midwives need to recognise that their wellbeing is paramount and that they are valued and important. Leading with compassion in midwifery education through supporting student wellbeing and enabling psychological safety is key to transforming midwifery, midwifery education and maternity services. This article explores elements of compassionate leadership in midwifery education that may work to improve student experience.
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Rozifa, Annisa' Wigati, Nova Elok Mardliyana und Irma Maya Puspita. „Description of the implementation of complementary therapy in midwifery services in Surabaya, Indonesia“. Majalah Obstetri & Ginekologi 31, Nr. 2 (29.08.2023): 75–79. http://dx.doi.org/10.20473/mog.v31i22023.75-79.
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HIGHLIGHTS Midwifery services are carried out by combining conventional and complementary midwifery services Types of complementary therapies applied by 52% of independent midwifery services in Surabaya consisted of aromatherapy, hypnotherapy, herbal medicine, baby massage and spa, maternity massage, oxytocin massage, and yoga. ABSTRACT Objectives: This study aimed to describe the implementation of complementary therapy among the independent midwifery practices in Surabaya, Indonesia. Materials and Methods: Employing a quantitative approach with a survey methodology, this study involved data collection through surveys administered to independent midwives practicing in Surabaya and midwives affiliated with independent midwifery practices. The questionnaires were containing the characteristics of the participants, the implementation of complementary therapies, and the complementary therapies integrated into the practice settings. Results: The findings revealed that 25 midwives (comprising 52%) provided complementary midwifery services, whereas 23 midwives (comprising 48%) abstained from incorporating complementary midwifery services into their independent midwifery practices. The types of complementary therapies implemented consisted of aromatherapy, hypnotherapy, herbal medicine, baby massage and spa, maternity massage, oxytocin massage, and yoga. Conclusion: This study concluded that 52% of independent midwives in Surabaya applied complementary therapy into their practices.
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Alsweiler, Jane M., Caroline A. Crowther und Jane E. Harding. „Midwife or doctor leader to implement a national guideline in babies on postnatal wards (DesIGN): A cluster-randomised, controlled, trial“. PLOS ONE 18, Nr. 9 (28.09.2023): e0291784. http://dx.doi.org/10.1371/journal.pone.0291784.
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The aim of this trial was to determine if midwives or doctor leaders are more effective at implementing a clinical practice guideline for oral dextrose gel to treat neonatal hypoglycaemia. This was a cluster-randomised, controlled, trial. New Zealand maternity hospitals were randomised to guideline implementation by a midwife or doctor implementation leader. The primary outcome was the change in the proportion of hypoglycaemic babies (blood glucose concentration <2.6 mmol/L in the first 48 hours after birth), treated with dextrose gel from before, to three months after, implementation. Twenty-one maternity hospitals that cared for babies at risk of hypoglycaemia consented to participate, of which 15 treated babies with hypoglycaemia at both time points (7 randomised to midwifery led, 8 randomised to doctor led implementation). The primary outcome included 463 hypoglycaemic babies (292 midwifery led, 171 doctor led implementation). There was no difference in the primary outcome between hospitals randomised to midwifery or doctor led implementation (proportion treated with gel, mean(SD); midwifery led: before 71 (38)%, 3 months after 87 (12)%; doctor led: before 63 (43)%, 3 months after 86 (16)%; adjusted mean change in proportion (95%CI); 19.3% (-4.5–43.1), p = 0.11). There was an increase in the proportion of eligible babies treated with oral dextrose gel from before to 3 months after implementation of the guideline (122/153 (80%) v 144/163 (88%), OR (95%CI); 3.42 (1.67–6.98), p<0.001). Implementation of a clinical practice guideline improved uptake of oral dextrose gel. There was no evidence of a difference between midwife and doctor implementation leaders for implementing this guideline for treatment of hypoglycaemic babies. The trial was prospectively registered on the ISRCTN registry on the 20/05/2015 (ISRCTN61154098).
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Hunter, Andrew, Roisin A. Lennon und Linda Biesty. „Women's experiences accessing continuity of care in Ireland: a qualitative study“. British Journal of Midwifery 31, Nr. 7 (02.07.2023): 376–84. http://dx.doi.org/10.12968/bjom.2023.31.7.376.
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Background/Aims In January 2017, a continuity of care advanced midwife practitioner service was introduced in an Irish maternity unit. Continuity is central to high-quality maternity care, but little is known about it at an advanced practice level or about women's experiences of this model of caregiving. This study's aim was to provide insight into the experiences of women accessing a continuity of care service in Ireland. Methods A qualitative descriptive design and thematic analysis was used. A total of 11 women, who attended the advanced midwifery practitioner service and had experienced a different model of care in a previous pregnancy, were interviewed. Results Two themes were identified. Positive comparison to previous care, which had three subthemes, and access to the advanced midwifery practitioner, with four subthemes. Conclusions Continuity from an approachable and competent practitioner with time for discussion and unscheduled access to the service was rated highly. Participants wanted to ‘future proof’ the service and recommended that continuity of care needs to be available to all pregnant women and at the forefront of service development.
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Brodie, Pat, und Lesley Barclay. „Contemporary issues in Australian midwifery regulation“. Australian Health Review 24, Nr. 4 (2001): 103. http://dx.doi.org/10.1071/ah010103.
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This paper reports on research that examined the Nurses' Acts, regulations and current policies of each state and territory in Australia, in order to determine their adequacy in regulating the education and practice of midwifery. This is part of a three-year study (Australian Midwifery Action Project) set up to identify and investigate barriers to midwifery within the provision of mainstream maternity services in Australia. Through an in-depth examination and comparison of key factors in the various statutes, the paper identifies their effect on contemporary midwifery roles and practices. The work assessed whether the current regulatory system that subsumes midwifery into nursing is adequate in protecting the public appropriately and ensuring that minimum professional standards are met. This is of particular importance in Australia, where many maternity health care services are seeking to maximise midwives' contributions through the development of new models of care that increase midwives' autonomy and level of accountability.
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Newnham, Elizabeth. „Midwifery directions: The Australian Maternity Services Review“. Health Sociology Review 19, Nr. 2 (Juni 2010): 245–59. http://dx.doi.org/10.5172/hesr.2010.19.2.245.
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Rankin-Box, Denise. „Focus issue: Cam in maternity and midwifery“. Complementary Therapies in Clinical Practice 15, Nr. 4 (November 2009): 189. http://dx.doi.org/10.1016/j.ctcp.2009.09.006.
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Budin, Wendy C. „Midwifery-Led Maternity Care: Back to Basics“. Journal of Perinatal Education 24, Nr. 2 (2015): 75–77. http://dx.doi.org/10.1891/1058-1243.24.2.75.
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ABSTRACTIn this column, the editor of The Journal of Perinatal Education discusses Britain’s National Health Service’s updated evidence-based guidelines stating that women with uncomplicated pregnancies are better off in the hands of midwives than hospital physicians during birth. The editor also describes the contents of this issue, which offer a broad range of resources, research, and inspiration for childbirth educators in their efforts to promote, support, and protect natural, safe, and healthy birth.Women with uncomplicated pregnancies are better off in the hands of midwives than hospital physicians during birth.
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Daellenbach, Shanti, Lesley Dixon, Jacqui Anderson, Arianna Nisa-Waller, Sarah Lockwood und Eva Neely. „Partnership in a hospital setting: Consumer perspectives of hospital midwifery care in Aotearoa New Zealand“. New Zealand College of Midwives Journal 60 (31.12.2024): 1–10. http://dx.doi.org/10.12784/nzcomjnl.246001.
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Background: Midwives in Aotearoa New Zealand, regardless of the setting, practise within a model of midwifery partnership. Soliciting feedback on practice provides an essential mechanism for midwives to work towards improving their practice. The New Zealand College of Midwives provides such a process for consumers of midwifery services to give feedback on their experiences directly to the midwife, via online consumer feedback forms. Aim: To identify the characteristics of midwifery care that contribute to positive and negative midwifery care relationships within the hospital setting. Methods: A retrospective mixed methods approach was used to analyse the consumer feedback on hospital midwives received between 1 January and 31 December, 2019. Quantitative data from feedback forms were analysed descriptively in combination with an iterative and reflexive thematic approach for the qualitative data. The analysis sought to identify characteristics of care that contributed to a positive or negative midwifery care experience in a hospital setting. Findings: There were 1,284 online feedback forms received for hospital midwives. The majority of respondents who completed feedback questionnaires were satisfied with their care (92%), reporting that hospital midwives provided information/explanations to support informed decision-making (94.0%), that they felt involved in planning/decisions about their care (93.7%) and that they experienced respect for decisions made (93.7%); these characteristics having the highest levels of agreement. Via qualitative analysis, we identified four key themes as contributing to the midwifery care experience in a hospital setting. Positive experience themes included: Building trust quickly, Respecting decision-making and Fostering maternal confidence, resulting in Meaningful partnerships. The negative experience themes were found to be the inverse of a positive midwifery care experience in a hospital setting. Specifically, these were: Not giving time and Judgement and disrespect, resulting in an Unsafe space and an Absence of partnership. Conclusion: The data from consumer feedback forms for 2019 affirm that the quality of the relationship with a hospital midwife is important in shaping the maternity care experience of women and birthing whānau in Aotearoa New Zealand. The characteristics of care that contribute to a positive midwifery care relationship in hospital reflect the principles outlined in the model of midwifery partnership.
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Subramaniyan, Gopinath. „Role of Nurses in Midwifery and Obstetrical Nursing“. Journal of Nursing Practices and Research 1, Nr. 2 (11.01.2022): 14–17. http://dx.doi.org/10.36647/jnpr/01.02.a003.
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The main role of midwives and nurses in the maternity care has been changed in the last 20-30 years and they are most helpful in taking care of a pregnant woman and her family. In addition, the main importance of the antenatal care is the physical care of a mother that is throughout the overall maternity cycle. The role of the midwife and nurse within the maternity care involves delivery, labor, pregnancy and they provide the best healthcare to every pregnant mother. Hence, the nurses and midwives try their best to feel secure for the pregnant mothers in bringing their child into this world and also help them in growing up in a healthy and mature environment.
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Tracy, Sally K., Donna Hartz, Michael Nicholl, Yvonne McCann und Deborah Latta. „An integrated service network in maternity— the implementation of a midwifery-led unit“. Australian Health Review 29, Nr. 3 (2005): 332. http://dx.doi.org/10.1071/ah050332.
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Maternity services in Australia are in urgent need of change. During the last 10 years several reviews have highlighted the need to provide more continuity of care for women in conjunction with the rationalisation of services. One solution may lie in the development of new integrated systems of care where primary-level maternity units offer midwiferyled care and women are transferred into perinatal centres to access tertiary-level obstetric technology and staff when required. This case study outlines the introduction of caseload midwifery into an Area Health Service in metropolitan Sydney. Our objective is to explore the concept of caseload midwifery and the process of implementing the first midwifery-led unit in NSW within an integrated service network. The midwifeled unit is a small but growing phenomenon in many countries.1 However, the provision of ?continuity? and ?woman-centred? midwifery care involves radical changes to conventional hospital practice.