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Journal articles on the topic 'Midwves'

Author: Grafiati

Published: 4 June 2021

Last updated: 12 February 2022

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1

Rahayu, Fitri. "Factors Related to Practice on DPT Vaccine Distribution and Storage." Jurnal Berkala Epidemiologi 2, no. 2 (May 1, 2014): 240. http://dx.doi.org/10.20473/jbe.v2i2.2014.240-250.

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ABSTRACTThe diptheria outbreak in Surabaya indicated that immunization program failure. Immunization is primary preventif effort to decrease morbidity of disease. An immunization service is very important to protect vaccine quality through cold chain so that vaccine potency be optimal. The purpose of this study was to analysis of factors which are assosiated with midwive’s practice of DPT vaccine distribution and storage to outreach. This study is applying observational approach using cross sectional method. Populations are all village midwives in public health center East Surabaya. The numbers of sample were 38 midwives taken using simple random sampling. The dependent variable was midwive’s practice of DPT vaccine distribution and storage to outreach and the independent variables of this study were work duration, a history of training of cold chain, sosialization, knowledge, attitude. Primary data were obtained through observation and interview. The results showed that 68.4 % midwive’s practice on DPT vaccine distribution and storage at outreach is good. Independent variable which are significant assosiated with midwive’s practice on DPT vaccine distribution and storage at outreach is sosialization about vaccine distribution and storage (p = 0.026) and value of phi and Cramer’s V = 0.431. Enhancement of socialization again be needed to village midwive as efforts for increase knowledge and attitude.Keywords: midwive, cold chain, vaccine distribution, DPT

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Rahayu, Fitri. "Factors Related to Practice on DPT Vaccine Distribution and Storage." Jurnal Berkala Epidemiologi 2, no. 2 (May 1, 2014): 240. http://dx.doi.org/10.20473/jbe.v2i22014.240-250.

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ABSTRACTThe diptheria outbreak in Surabaya indicated that immunization program failure. Immunization is primary preventif effort to decrease morbidity of disease. An immunization service is very important to protect vaccine quality through cold chain so that vaccine potency be optimal. The purpose of this study was to analysis of factors which are assosiated with midwive’s practice of DPT vaccine distribution and storage to outreach. This study is applying observational approach using cross sectional method. Populations are all village midwives in public health center East Surabaya. The numbers of sample were 38 midwives taken using simple random sampling. The dependent variable was midwive’s practice of DPT vaccine distribution and storage to outreach and the independent variables of this study were work duration, a history of training of cold chain, sosialization, knowledge, attitude. Primary data were obtained through observation and interview. The results showed that 68.4 % midwive’s practice on DPT vaccine distribution and storage at outreach is good. Independent variable which are significant assosiated with midwive’s practice on DPT vaccine distribution and storage at outreach is sosialization about vaccine distribution and storage (p = 0.026) and value of phi and Cramer’s V = 0.431. Enhancement of socialization again be needed to village midwive as efforts for increase knowledge and attitude.Keywords: midwive, cold chain, vaccine distribution, DPT

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Hutapea, Ronald. "Determinan Kinerja dan Kompetensi Bidan di Provinsi Sumatera Utara, Nusa Tenggara Timur, Kalimantan Barat, dan Sulawesi Selatan." Kesmas: National Public Health Journal 6, no. 1 (August 1, 2011): 29. http://dx.doi.org/10.21109/kesmas.v6i1.116.

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Kinerja sesungguhnya dari seorang bidan ditentukan oleh beberapa faktor yang berpengaruh sejak masa pendidikan bidan yang ditempuhnya. Banyak variabel yang dapat saling mempengaruhi untuk membentuk kemampuannya dalam menjalankan tugas. Penelitian ini menggunakan pendekatan sistem bertujuan untuk menetapkan korelasi dari beberapa variabel yang terdapat dalam ke-4 komponen pendidikan bidan yakni input, process, output, dan outcome. Dengan cara survei, sebanyak 261 responden dari 4 provinsi yaitu Sumatera Utara, Kalimantan Barat, Sulawesi Selatan, dan Nusa Tenggara Timur diminta untuk menilai kinerja bidan. Selanjutnya, suatusurvei mendalam diadakan terhadap 107 bidan untuk meneliti korelasi dari sejumlah variabel yang mempengaruhi proses pendidikannya. Hasil penelitian menunjukkan adanya hubungan bermakna antara kinerja bidan dengan semua aspek dalam sistem pendidikannya. Analisis statistik juga menunjukkan korelasi yang nyata antara kinerja bidan di tempat kerjanya dengan beberapa variabel antara lain sistem rekrutmen, latar belakang sekolah, dan motivasinya. Dapat disimpulkan bahwa sistem pendidikan bidan dewasa ini telah cukup efektif dalam menghasilkan bidan-bidan yang kompetendan termotivasi. Disarankan pula agar pendidikan bidan di masa mendatang dapat mempersiapkan bidan-bidan kita untuk meningkatkan kompetensinya dalam menghadapi liberalisasi jasa dalam pasar tenaga kerja dunia yang semakin bebas.Kata kunci: Pendidikan kebidanan, kinerja, kompetensi, liberalisasiAbstractPerformance in the work place for midwives are determined by several factors in the beginning of their professional education and training. A number of variables interact significantly, resulting in their competence to perform their tasks. This research, based on system approach, aims to determinethe correlation and validity of several predictors in 4 components of their midwive education i.e input, process, output and outcome. Using survey methodology, 261 respondents from 4 provinces, North Sumatra, WestKalimantan, South Sulawesi, and East Nusa Tenggara participated in this survey to rate the midwive’s performance. Further on, an indepth survey have been imposed on 107 midwives to study the correlation of some of their background variables. Research result shows significant correlationbetween midwives performance with all aspects of their education systems. Statistical analysis also shows that midwives performance in the workplace correlates with their recruitment system, training background, and motivation. In conclusion, performances of midwives are perceived to be satisfactory,showing correlation with their motivation and competence. It also suggest that the present training system have been considerably effective to produce competent and motivated midwives. Suggestion for future midwives in training is to prepare themselves for global competence in preparationfor service liberalization in the world free market.Key words: Midwive education, performance, competence, liberalization

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Farisni, Teungku Nih, Martha Irene Kartasurya, and Atik Mawarni. "Analisis Faktor-faktor Motivasional yang Berhubungan dengan Kinerja Bidan Desa dalam Pembinaan Kader Posyandu di Kabupaten Aceh Barat Tahun 2014." Jurnal Manajemen Kesehatan Indonesia 4, no. 1 (April 1, 2016): 44–50. http://dx.doi.org/10.14710/jmki.4.1.2016.44-50.

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Indicator of posyandu work performance in West Aceh was still far below the target determined and there was a decrease during 2011-2012. The results of the preliminary study showed that the motivation of village midwives were still low in posyandu cadre coaching. The aim of this research was to identify the factors associated village midwives motivation in posyandu cadre coaching. The study was conducted quantitavely and qualitatively. The quantitative research used survey method with a cross sectional design. The subjects were 146 village midwives selected by clustered random sampling at public healthcare center level. Data colection was conducted by interviews using structured questionnaire. The bivariate analysis used Chi Square tests, and the multivariate analysis used logistic regression. The qualitative data was collected by in-depth interviews to the village midwives and analyzed by content analysis. The results showed that 64.4% of the respondents had low performance, 54.8% had less responsibility, 62.3% had insufficient potential development, 57.5% felt inadequate compensation, and 52.7% had less supervision. There were associations between responsibility (C= 0.237, p=0.006), potential development (C= 0.268, p=0.001), compensation (C=0.518, p=0.0001), working condition (C=0.237, p=0.006), supervision (C=0.261, p=0.002,) and the village midwife performance in posyandu cadres’s coaching. Compensation had the most significant effect on the village midwive motivation in posyandu cadres coaching (Exp-B=17.383, p=0.0001). The obstacles experienced by the village midwives in posyandu cadres coaching were insufficient fund, unavailable special training for the posyandu cadre coaching and unavailable health facilities. Compensation has the most significant effect on village midwive motivation in posyandu cadres coaching. It is suggested to public healthcare centers and Health office to implement refreshing cadre coaching and improving village midwives performance in by giving appreciation to village midwives who conducted posyandu cadre.

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Anisa, Diah Nur, Detty S. Nurdiati, and Wiwin Lismidiati. "Hubungan lama kerja dengan perilaku bidan dalam melakukan pencegahan perdarahan postpartum di Kabupaten Bantul." Health Sciences and Pharmacy Journal 3, no. 1 (August 2, 2019): 8. http://dx.doi.org/10.32504/hspj.v3i1.90.

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Postpartum hemorrhage is one of the causes of the hight of the maternal mortality rate (MMR) in Indonesia. Maternal mortality in Bantul regency has been increased than the last. The incident of prevention of midwives in the prevention of postpartum hemorrhage during labor proses. To find out the relationship between the length of work and the behavior of midwives in the prevention of postpartum hemorrhage in Bantul regency. This study included a type of correlation study with a cross sectional design. The sampling technique in this study used probability sampling with cluster sampling totaling 68 midwives in five health centers. Retrieval of data in this study used an observation sheet to see the actions of midwifes in conducting active management in the third stage as preventive measure for postpartum hemorrhage and the identity sheet of respondents to see the length of work that had been undertaken by midwives. The result of this research showed that the mayority of midwives who have length work ≥ 10 years, it was 47 people (69%), and midwives who have good behavior in prevention of postpartum hemorrhage was 40 people (58,8%). The result of correlation test between length work and midwives behavior in prevention of postpartum hemorrhage obtained p = value 0,851 (p > 0,05). There no relatinship of long work with the behavior of midwives in theprevention of postpartum hemorrhage in Bantul regency.

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Agustina, Tengku Dewi, and Rully Rully. "FACTORS RELATED WITH THE COMPLIANCE OF FILLING THE MOTHER AND CHILD HEALTH (MCH) HANDBOOK IN POSTPARTUM CARE OF PRIVATELY PRACTICING MIDWIFE (PPM)." Journal of Midwifery 3, no. 1 (June 30, 2018): 33. http://dx.doi.org/10.25077/jom.1.1.33-40.2018.

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In midwifery care standard, midwives should carry out complete, accurate, brief and clear midwifery recording of the findings in providing midwifery care. Based on preliminary survey conducted on 5 PPM , it was found that 100% midwives did not fill the MCH handbook of postpartum care. This study aims to determine the factors related to compliance of MCH handbook by midwives in post partum care in PPM. This was descriptive analytic study with cross sectional design. . This study was conducted in September 2016 - July 2017.The population in this study is all PPM in Pekanbaru totalling 59 samples using purposive sampling. Data analysis was performed using Chi Square. The results showed that most midwives did not fill out the MCH handbook 81.4% .There was a significant relation between knowledge (p-value = 0,002) and motivation (p-value = 0,001) with compliance of MCH handbook by midwivese in postpartum care, there was no significant relation between duration of work (p-value = 0,468) in compliance of filling out MCH handbook. It is recommended for association of midwives to be more active in evaluation and monitoring through giving reward / punishment about filling out the MCH handbook

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Janti, Nur. "Midwives and Dukun Beranak, the Choices for Handling Childbirth." Lembaran Sejarah 16, no. 2 (June 24, 2021): 165. http://dx.doi.org/10.22146/lembaran-sejarah.66957.

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Since the colonial era, there have been attempts to provide clinical childbirth services by establishing midwifery schools. Although these schools were closed, reorganized then re-opened several times, in an effort to graduate native midwives in the colony. The majority of the European doctors believed the existence of native midwives could reduce mortality rates for difficult deliveries. The colonial government also tried to replace dukun beranak (local midwives) with graduate midwives, as many doctors considered dukun beranak practices unsafe and unhygienic. Of note, even though midwifery school graduates provided childbirth services, most of the population preferred to use dukun beranak. This situation continued until independence. Dukun beranak remained the preferred provider of assistance among the working and lower class. The continued popularity of the dukun beranak can be seen as a colonial failure to replace them. After the proclamation of Indonesian independence, midwives who supported the Indonesian Republic, still provided childbearing assistance although with limited infrastructure and inadequate personnel during the independence war. Midwives also founded a midwifes association, rebuilt the national midwifery system, and discontinued colonial elements. This transformation can be interpreted as the decolonisation of midwifery. Midwives and dukun beranak were the available options for assisting in the labour of an Indonesian woman. The Indonesian government had a different approach to the colonial government toward society and dukun beranak and built cooperation between midwives and the dukun beranak. The cooperative work among midwives and dukun beranak changed awareness of Indonesian women’s reproductive health matters. This article traces efforts to provide safer childbirth services by looking at the problem through the lens of midwives and dukun beranak relations. The evolution of this relationship shows the decolonisation process inside midwifery and childbearing services.

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Stachurski, Anne. "A Pocket Guide for Student MidwivesA Pocket Guide for Student Midwives." Nursing Standard 21, no. 3 (September 27, 2006): 29. http://dx.doi.org/10.7748/ns2006.09.21.3.29.b523.

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9

Mitsyuk, Natalia A., and Anna V. Belova. "Midwifery as the first official profession of women in Russia, 18th to early 20th centuries." RUDN Journal of Russian History 20, no. 2 (December 15, 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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Sutresno, Ismail Joko, Ova Emilia, and Shinta Prawitasari. "HUBUNGAN PENGETAHUAN, SIKAP DAN PERILAKU BIDAN DESA TERHADAP KANKER LEHER RAHIM DAN PENCEGAHANNYA DI KABUPATEN SRAGEN." Jurnal Kesehatan Reproduksi 4, no. 1 (April 15, 2017): 11. http://dx.doi.org/10.22146/jkr.35429.

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Background: Cervical cancer (cervix) is the second most common type of cancer in women, with an estimated of 530,000 new cases and more than 270,000 deaths each year. In 2012, cervical cancer cases in Central Java was 2,259 cases. Cervical cancer is easily recognizable and can be prevented with screening. A village midwife as the closest healthcare provider to the community is expected to function better in encouraging the prevention of cervical cancer.if they receive appropriate knowledge and attitude toward screening.Objective: to understand the correlation of knowledge, attitude and behavior of village midwife against cervical cancer and its prevention in Sragen district.Method: This analytic study is using quantitative and qualitative approach. Quantitative studies was done with cross-sectional study. The population of this research were 208 village midwifes from 20 sub-districts in Sragen and the subjects were 118 midwives whom randomly sampled. Data were analyzed using univariate and bivariate analysis.The qualitative study was done using depth interview.Result and Discussion: There is no correlation between age, level of education as well as work duration with their knowledge about cervical cancer prevention (P = 0.787; 0.344; 0.822); there is no correlation between village midwives’ knowledge with their behavior towards cervical cancer prevention (P = 0.664); there is no correlation between the village midwives’ attitudes and behavior towards prevention of cervical cancer (P = 0.460). Qualitative results support the quantitative results.Conclusion: There is no correlation between village midwives’ knowledge, attitudes and behavior towards cervical cancer prevention.Keywords: Cervical cancer, knowledge, attitude, behavior

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Aktaş, Songul, Türkan Pasinlioğlu, and Kıymet Yeşilçiçek Çalık. "EBELERE VERILEN EMPATİ EĞİTİMİNİN ANNELERİN DOĞUM ALGILARI VE EBE MEMNUNİYETİ ÜZERİNE ETKİSİ." e-Journal of New World Sciences Academy 11, no. 4 (October 24, 2016): 1–10. http://dx.doi.org/10.12739/nwsa.2016.11.4.4b0007.

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Wahyudin, Uyu, and Besral Besral. "Penggunaan Obat yang Tidak Rasional pada Balita dengan Diare di Kalangan Bidan, di Kabupaten Sumedang Tahun 2006." Kesmas: National Public Health Journal 1, no. 3 (December 1, 2006): 127. http://dx.doi.org/10.21109/kesmas.v1i3.307.

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Pengobatan diare pada balita di Puskesmas Kabupaten Sumedang dilaksanakan di Poli KIA yang sehari-harinya ditangani oleh bidan. Tujuan penelitian ini adalah untuk mengetahui tingkat kepatuhan bidan dan faktor-faktor yang berhubungan dengan kepatuhan bidan dalam penggunaan obat secara rasional pa-da balita diare akut non spesifik. Desain penelitian yang digunakan adalah cross-sectional dengan jumlah sampel 109 bidan yang berasal dari 18 puskesmas yang dipilih secara random. Pengukuran kepatuhan dilakukan dengan pengamatan terhadap resep yang ditulis oleh bidan untuk balita penderita diare akut non spesifik. Hasil penelitian memperlihatkan tingkat kepatuhan bidan adalah 69,7%. Hasil analisis regresi logistik ganda memperlihatkan bahwa faktor yang berhubungan dengan kepatuhan adalah adalah pengetahuan dan sikap bidan terhadap obat rasional dan supervisi dari atasan. Penelitian ini juga menda-patkan hubungan yang bermakna antara pengetahuan dan persepsi orang tua balita terhadap obat rasional dengan kepatuhan bidan dalam penggunaan obat rasional. Dalam rangka mengatasi ketidakrasionalan pengobatan diare akut non spesifik, maka Puskesmas harus berupaya meningkatkan pengetahuanbidan terhadap penggunaan obat rasional, melakukan supervisi, dan meningkatkan penyuluhan kepada pasien tentang penggunaan obat rasional. Kata kunci: Obat rasional, diare, bidanAbstractDiarrhea medication among children under five years old at primary health care, sub-province of Sumedang is performed at Mother and Child Polyclinic which is handled by a midwife everyday. This research purpose to obtain the description of compliance level of midwives and its factors related of midwives compliance in the usage of rational drugs among children with non specific acute diarrhea. Research used cross-sectional design with samples size were 109 midwives which were come from 18 primary health care , which were selected randomly.To measure the compliance, the observation was performed of prescriptions that written by midwives to children with non specific acute diarrhea. This research result showed that compliance level was 69,7%. Result analysis of multiple logistic regression showed that related factors were knowledge and midwives attitude of usage of rational drugs and supervision. This research also showed the association between knowledge and parent’s perception of children under five years old of rational drugs and compliance level of midwives in the usage of rational drugs. It is suggested that primary health care should increase midwives knowledge in usage of rational drugs, doing supervision and improve socialization the usage of rational drugs to patient.Keywords: Rational drugs, diarrhea, midwive

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Zubaidah, Tien, Arifin Arifin, and Yudha Afiat Jaya. "Pemakaian Alat Pelindung Diri Pada Tenaga Perawat Dan Bidan Di Rumah Sakit Pelita Insani." JURNAL KESEHATAN LINGKUNGAN: Jurnal dan Aplikasi Teknik Kesehatan Lingkungan 12, no. 2 (July 1, 2015): 291. http://dx.doi.org/10.31964/jkl.v12i2.25.

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Abstract: The use personal protective equipment on nurses and midwifes in Pelita Insani’s Hospital. The hospital is an institution and public services working in the field of health services with the use of equipment high technology, materials, and medicines are harmful to health for diagnostic measures, therefore, exposure of medical personnel at the hospital against hazardous materials and seedling diseases have a high risk to the health status of health personnel. The purpose of this research was to gain an overview of the use of personal protective equipment on nurses and midwifes in Pelita Insani’s hospital, Martapura. The study was an observational cross-sectional study design, namely direct observation on the application of the use of personal protective equipment in Pelita Insani’s hospital, Martapura then analyzed based on the theories and regulations. This study did not use sampling or total population of as many as 48 nurses and midwifes in Pelita Insani’ hospital, Martapura. The results showed the male sex more is not better in terms the use of personal protective equipment (66.67%), 56.52% of nurses and midwifes in the age range 20-27 years was not good in terms of the use of personal protective equipment . Level of education, length of service and length of employment showed 58.33% was not good in terms of the use of personal protective equipment. The nurses were not good in terms of the use of personal protective equipment (62.07%). Availability of personal protective equipment in Pelita Insani’s hospital, Martapura already available enough for all nurses and midwifes. The need for counseling are scheduled on a regular basis about the benefits of personal protective equipment to increase self-awareness of nurses and midwives and accompanied with strict supervision.Keywords: Personal Protective Equipment, nurses and midwifes, hospital

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Yalnız Dilcen, Hacer, and Rabia Etki Genç. "THE ROLE OF MIDWIVES TO PREVENT TRAUMATIC CHILDBIRTHS." E-journal of New World Sciences Academy 14, no. 3 (July 22, 2019): 64–73. http://dx.doi.org/10.12739/nwsa.2019.14.3.4b0026.

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Rochwati, Siti, Sutopo Patria Jati, and Antono Suryoputro. "Pengetahuan Bidan Mempengaruhi Praktik Bidan dalam Konseling Pemeriksaan IVA pada Wanita Usia Subur." Jurnal Promosi Kesehatan Indonesia 11, no. 2 (August 18, 2016): 84. http://dx.doi.org/10.14710/jpki.11.2.84-99.

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ABSTRACTPeer Midwive Knowledge Influencing Practice in Counseling About Examination Visual Inspection Of Acetic Acid On Couple Women Of Childbearing Age; Cervical cancer is becoming a disease number two killer of women in Indonesia, after breast cancer, it is due to 95% of HPV virus (Human Papiloma Virus). HPV infection went unnoticed until the disease reaches an advanced stage. If cancer is found at an early stage can be cured completely with the method IVA (Visual Inspection Acetic Acid) easier, screening can be performed with a wider scope. Cervical cancer cases in the Kendal district was increased in 2009 (3,31%), in 2010 (3,77%), in 2011 (4,45%), while decreasing IVA inspection visit in 2010 (4,34%), 2011 (4,33%), 2012 (3,96%). Therefore midwife in addition to providing health services can also provide counseling realization of behavior IVA test inspection. The purpose of this research is to analyzed the relationship of knowledge midwives with practice in counseling about examination visual inspection of acetic acid on couple women of childbearing age. Methods and design research is quantitative descriptive explanatory with correlative and cross sectional approach, using sampling saturated with 60 respondents by midwife that have trained in the Kendal district. The results from 9 variables majority age ≥41 years =66,7%, educatin majority of DI and D III =78,3%, the majority of the working time ≥10 years = 95%, approximately 55% majority of the knowledge and counseling practice the majority 73,3%. Chi square test shows that the relationship between knowledge with practice in counseling about examination visual inspection of acetic acid on couple women of childbearing age p value 0,000. Midwives is expected to increase their knowledge, so that it can perform well counseled about IVA to couples of reproductive age want to do test IVA.Keywords: Midwives, Knowledge, Counseling Practice, IVA.

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Peters, Alexandra, Victor Cegarra Palao, Nasim Lotfinejad, and Didier Pittet. "WHO Year of the Nurse and Midwife: More clean and educated hands for all." Journal of Infection Prevention 21, no. 5 (September 2020): 166–69. http://dx.doi.org/10.1177/1757177420958042.

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For the last 10 years, the World Health Organization has been celebrating World Hand Hygiene Day on the 5th of May, bringing together the global healthcare ecosystem to celebrate hand hygiene. This day was created to raise awareness about the importance of hand hygiene in healthcare settings, as well as to focus on a specific annual topic to be highlighted to a global audience. The World Health Assembly designated 2020 as the Year of the Nurse and Midwife, and the slogan of this year’s 5th of May was “Nurses and Midwifes: Clean Care is in Your Hands”. This 5th of May helped us to highlight the need for increased staffing and hand hygiene training. In this paper we aimed to raise awareness about the global impact linked to adherence to proper hand hygiene practices by nurses and midwives.

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Bo, Haixin, and Dongying Zhang. "Design of curriculum for specialised midwive training based on investigation of needs of midwives in Beijing." International Journal of Nursing Sciences 5, no. 1 (January 2018): 24–28. http://dx.doi.org/10.1016/j.ijnss.2017.12.008.

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Gross, Mechthild, Claire Michelsen, Bernhard Vaske, and Sonja Helbig. "Intrapartum Care Working Patterns of Midwives: The Long Road to Models of Care in Germany." Zeitschrift für Geburtshilfe und Neonatologie 222, no. 02 (January 16, 2018): 72–81. http://dx.doi.org/10.1055/s-0043-122888.

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Abstract Introduction Midwifery models of care help to enhance perinatal health outcomes, women's satisfaction, and continuity of care. Despite the ubiquitous presence of certified midwives at births in Germany, no research has investigated the diversity of midwives’ practice patterns. Describing the variety of working patterns through which midwives provide intrapartum care may contribute to improving the organisation of midwifery services. Methods This cross-sectional survey took place in the region of Hannover and Hildesheim, Germany. Midwives attending births and practicing in hospitals and/or out-of-hospital were able to participate. Midwives who did not attend births were excluded. We assessed midwives' scope of services, practice locations, employment patterns, continuity of care, midwife-led births, and midwives' level of agreement with core values of midwifery care. The response rate of the survey was 32.7 % (69/211). Results We found that midwifery care services can be described according to midwives’ employment patterns. The majority of midwives were employed in a hospital to provide intrapartum care (74.2 %, n = 49), and most also independently offered one or more antenatal and/or postpartum service/s. Only 25.8 % (n = 17) of midwives offered their services independently (laborist model of care). Independent midwives attended births in all three possible settings: hospital, free-standing birth centres and home. Significantly more independent midwives than employed midwives offered antenatal care and lactation consulting. Compared to employed midwives, significantly more independent midwives provided antenatal, intrapartum, and postpartum care to the same women, were more likely to know women before labour, and to offer one-to-one care during labour. Discussion The most common practice pattern among surveyed midwives was ‘employment in a hospital’ for provision of intrapartum care with additional postpartum and few antenatal services provided on an independent basis. Midwives who worked solely independently reported more continuity and one-to-one intrapartum care with women. Most midwives did not work in patterns that offered continuity of care or consistently provide one-to-one care. Future research should assess whether women in Germany desire more services similar to caseload midwifery.

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Ni Luh Putu Januraheni and Meei-Ling Gau. "COMPARISON BETWEEN PREGNANT WOMEN’ PREFERENCES AND MIDWIVES’ PERFORMANCE IN PRENATAL CONGENITAL ANOMALY SCREENINGS COUNSELING IN INDONESIA." SEAJOM: The Southeast Asia Journal of Midwifery 3, no. 2 (August 3, 2019): 40–51. http://dx.doi.org/10.36749/seajom.v3i2.13.

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Abnormalities are the fourth cause of infant and neonatal mortality in Indonesia. In this situation, midwives need to give clear information about anomaly prenatal tests. This studi aims to compare of pregnant women‟ preferences and midwives‟ performance about prenatal congenital anomaly screening counseling in Indonesia. The study was carried out at two health centres and two hospitals in Bali from July to September 2016, with 40 midwives and 200 pregnant women. The QUOTE prenatal questionnaire and a cross-sectional descriptive correlative design was used in this study. The result shows that education was the only one of pregnant women demographic data that significant to counseling anomaly screening. The performance of midwives was concluded to perform well on counseling, however as pregnant women perspective, the midwives performance was not as higher as midwives perspective on counseling. The midwives‟ performance and pregnant women‟ preferences were influenced by individual`s midwife factors on pregnant women-midwives relationship and decision making. Different result was found that health education was more influenced by different person of midwives. There was a different between pregnant women‟ preferences and midwives‟ performance about prenatal congenital anomaly screening counseling. The women-midwives relationship and decision making, the variance of midwife‟s individual different (within variance) was much higher than different midwives (between variance). In terms of health education subscale, the variance of different midwives performance of congenital anomaly screening counseling (between variance) was much higher than individual midwives (within variance).

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Symon, Andrew. "Midwives and litigation 1: accountability for midwives." British Journal of Midwifery 2, no. 3 (March 2, 1994): 126–30. http://dx.doi.org/10.12968/bjom.1994.2.3.126.

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Hyatt, Joyce, Ginette Lange, and Elaine Diegmann. "Factors Affecting Midwives’ Decision to Offer Complementary and Alternative Medicine/Nonpharmacological Pain Relief Methods for Labor and Birth." International Journal of Childbirth 7, no. 2 (2017): 77–86. http://dx.doi.org/10.1891/2156-5287.7.2.77.

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PURPOSE:This study examines how characteristics of birth settings influence midwives’ decision to offer complementary and alternate nonpharmacological pain relief in labor and childbirth.METHOD:This is a nonexperimental design. A convenience sample of midwives (N= 520), members of the American College of Nurse-Midwives (ACNM), were surveyed using a 51-item Likert-type scale questionnaire. Midwives were assigned to 1 of 3 primary birth settings (hospital, birthing center, home birth) for data analysis to identify if certain characteristics (policies/protocols, use of technology, providers’ knowledge and beliefs, and midwives’ relationship with collaborating obstetricians) in the birth setting influence a midwife’s decision to offer nonpharmacological pain relief methods in labor and birth.RESULTS:Findings indicate that knowledge and beliefs of health care providers most influenced midwives’ decisions. Although factors of the birth environment influence midwives’ decisions to offer nonpharmacological pain management in labor, they do not prevent midwives from using most of the nonpharmacological pain relief methods during labor and birth.CONCLUSIONS:It would appear that the midwives’ philosophy of care more than the characteristics of the birth setting influence midwives’ decisions to offer nonpharmacological pain relief methods. Educating health care providers about nonpharmacological pain relief methods would further maximize midwives’ ability to use these strategies.

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Froneman, Christelle, Neltjie C. van Wyk, and Ramadimetja S. Mogale. "Enhancing the professional dignity of midwives: A phenomenological study." Nursing Ethics 26, no. 4 (November 26, 2017): 1062–74. http://dx.doi.org/10.1177/0969733017739781.

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Background: When midwives are not treated with respect and their professional competencies are not recognised, their professional dignity is violated. Objective: This study explored and described how the professional dignity of midwives in the selected hospital can be enhanced based on their experiences. Research design: A descriptive phenomenological research design was used with in-depth interviews conducted with 15 purposely selected midwives. Ethical considerations: The Faculty of Health Sciences Research Ethics Committee of the University of Pretoria approved the study. The research was conducted in an academic tertiary hospital with voluntary participants. Findings: To dignify midwives it is essential to enhance the following: ‘to acknowledge the capabilities of midwives’, ‘to appreciate interventions of midwives’, ‘to perceive midwives as equal health team members’, ‘to invest in midwives’, ‘to enhance collegiality’, ‘to be cared for by management’ and ‘to create conducive environments’. Conclusion: The professional dignity of midwives is determined by their own perspectives of the contribution that they make to the optimal care of patients, the respect that they get from others and the support that hospital management gives them. With support and care, midwives’ professional dignity is enhanced. Midwives will strive to render excellent services as well as increasing their commitment.

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López, Aurora. "LAS MATRONAS ROMANAS ANTE LA VIDA PÚBLICA: UTILIZACIÓN DE LA PALABRA." Revista Internacional de Culturas y Literaturas, no. 15 (2014): 49–60. http://dx.doi.org/10.12795/ricl.2014.i15.05.

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Las mujeres romanas, incluso las pertenecientes a las clases superiores, carecieron por completo de representatividad en la vida política. Observadas desde la perspectiva de la “Gouvernance” y de la “Citoyenneté” su significado fue prácticamente nulo. Analizamos aquí de qué manera pudieron utilizar públicamente la palabra como medio de expresión de sus ideas y posibles reivindicaciones.

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Dashora, Umesh, Alban Davies Huw, Shelley Bennett, Anne Goodchild, Julia Hugason-Briem, Gail Johnson, Abigail Kitt, Annette Schreiner, Diane Todd, and Jennifer Yiallorous. "Findings of a nationwide survey of the diabetes education and training needs of midwives in the UK." British Journal of Diabetes 18, no. 4 (December 12, 2018): 147–53. http://dx.doi.org/10.15277/bjd.2018.194.

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Introduction: The incidence and prevalence of diabetes is increasing in pregnant women. Midwives manage a substantial proportion of care of these women. Currently it is notknown whether midwives have sufficient competence in managing these patients well. The Diabetes Care Trust commissioned a survey to assess the diabetes education and training needs of midwives who look after pregnant women with diabetes.Material and methods: A freedom of information request was made to all the NHS Trusts in the UK to gather relevant information about the roles and responsibilities of midwives in thematernity units in the UK. This was followed by a Survey Monkey questionnaire to midwives in the UK who are members of the Royal College of Midwives to assess their education and training level, needs, desires and views preceded by a test survey on nine midwives.Results: The survey revealed considerable variation in the roles and responsibilities, current levels of training and education needs of midwives. Over 85% of midwives expressed a desire to access additional education on diabetes management in different areas. Training in insulin initiation and titration, management during labour and ability to contribute to the antenatal clinic was desired by over 85% of midwives surveyed. Conclusions: There is an unmet need for structured education and training programmes for midwives in the management of diabetes in pregnancy. We recommend further work in producing tailored and accredited training programmes at different levels to suit the differing needs of midwives and diabetes specialist midwives in the UK.

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Sannomiya, Masana, Emi Sasagawa, Naoko Hikita, Kaori Yonezawa, and Megumi Haruna. "The Proportions, Regulations, and Training Plans of Male Midwives Worldwide: A Descriptive Study of 77 Countries." International Journal of Childbirth 9, no. 1 (March 1, 2019): 5–18. http://dx.doi.org/10.1891/2156-5287.9.1.5.

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ObjectivesThe proportions of male midwives as well as regulations and training plans targeting male midwives were investigated.MethodsQuestionnaires were sent to 109 United Nations member countries where midwifery associations had opened their e-mail addresses. Respondents were persons in charge of midwifery education or policy recommended by midwifery associations, researchers, or acquaintances. The questionnaire inquired about the number of midwives and obstetrician-gynecologists by gender in the country, as well as regulations and training plans relevant to male ones. For those countries that either failed to respond or provided insufficient information, supplemental Internet searches were conducted.ResultsData from 77 countries were analyzed (57 countries returned the questionnaires, and data on another 20 were obtained through Internet searches). Of the 19 countries without male midwives, five did not allow men to become midwives. In 37 countries with male midwives whose proportion data were available, the median proportion was 0.63%. Respondents in 13 countries described regulations respecting women who unwanted care by male midwives and in other two explained training plans for male midwives considering their specific characteristics.ConclusionThe proportion of male midwives is small, and regulations and training plans for male midwives varied depending on social content in countries.

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Mazurkiewicz, D. W., B. Olejnik, K. Koniecko, D. I. Piechocka, J. H. Sawka, and J. Strzelecka. "249 Conference Release from the Polish National Conference under the Honorary Patronage of the Minister of Health on “Occupational Safety for Nurses and Midwives”, September 10-11, 2018, Warsaw, Poland." Progress in Health Sciences 8, no. 2 (December 31, 2018): 249–52. http://dx.doi.org/10.5604/01.3001.0012.8358.

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The National Council of Nurses and Midwives organized the Polish National Conference under the Honorary Patronage of the Minister ofHealth on “Occupational Safety for Nurses and Midwives,” held in Warsaw on September 10 –11, 2018. The main issues that were addressed concerned the following: Mental and health disorders in shift work; Aggression towards nurses and midwives; The effect of shift work on nurses’ health and functioning; Occupational biological hazards and risk of exposure to biological materials for nurses and midwives; Occupational causes and injuries for nurses and midwives; Occupational ergonomics for nurses and midwives.

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Nisa, Khairan, Joserizal Serudji, and Delmi Sulastri. "Analisis Faktor yang Berhubungan dengan Kinerja Bidan dalam Memberikan Pelayanan Antenatal Berkualitas Diwilayah Kerja Puskesmas Kota Bukittinggi Tahun 2018." Jurnal Ilmiah Universitas Batanghari Jambi 19, no. 1 (January 22, 2019): 53. http://dx.doi.org/10.33087/jiubj.v19i1.545.

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Quality antenatal care has a major role in reducing maternal mortality. Every effort to improve quality must also be accompanied by efforts to pay attention to factors that contribute to improving the performance of midwives in providing services. The study used a combination of quantitative approaches in 67 midwives in the Bukittinggi and qualitatively in 15 informants, of which 9 people included in-depth interview informants to coordinator midwives, head of the Public health center and staffing and 6 FGD informants to midwives on duty at the health center.The results of quantitative data analysis, factors related to the performance of midwives are incentives, motivation and workload. Motivation is the most dominant factor related to the performance of midwives. The results of qualitative data analysis, the leadership plays an important role in increasing motivation to work midwives and optimizing the role of midwives in overcoming problems related to overlapping workloads. Midwives also need to increase their participation efforts and empower pregnant women so that programs can run well and provide positive feedback for improving the health status of pregnant women. Basically antenatal services provided by midwives are in accordance with standards, but the paradigm of antenatal care for pregnant women must shift from achieving quantity to focus on quality. To improve the performance of midwives in providing antenatal care, several efforts are needed: monitoring and evaluation of the quality of antenatal care by midwives, leadership involvement in efforts to increase midwife motivation both from supervision and reward management in non-material forms. Providing equal opportunities for midwives to improve competence through training, especially training related to quality antenatal care. In addition, the provision of infrastructure at the polindes needs attention.

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Canning, Simon. "Midwives' delight." Nursing Standard 7, no. 48 (August 24, 1993): 18. http://dx.doi.org/10.7748/ns.7.48.18.s42.

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Fursland, Eileen. "Just midwives." Nursing Standard 18, no. 26 (March 10, 2004): 16–17. http://dx.doi.org/10.7748/ns.18.26.16.s30.

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Costa, Caroline, Kathy Pisano, Wendy Reid, and Tessa Watterson. "Midwives’ clinic." Medical Journal of Australia 155, no. 2 (July 1991): 131–32. http://dx.doi.org/10.5694/j.1326-5377.1991.tb142155.x.

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Moore, Alison. "Midwives deliver." Nursing Standard 24, no. 38 (May 26, 2010): 20–21. http://dx.doi.org/10.7748/ns.24.38.20.s25.

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Mihopoulos, Effie. "The Midwives." Frontiers: A Journal of Women Studies 11, no. 2/3 (1990): 17. http://dx.doi.org/10.2307/3346816.

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Peters, Margaret. "Midwives' day." Midwifery 7, no. 1 (March 1991): 1–2. http://dx.doi.org/10.1016/s0266-6138(05)80126-3.

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Ashton, Ruth M. "Midwives' response." Nursing Standard 3, no. 24 (March 11, 1989): 47. http://dx.doi.org/10.7748/ns.3.24.47.s64.

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Kandela, Peter. "Male midwives." Lancet 353, no. 9146 (January 1999): 79. http://dx.doi.org/10.1016/s0140-6736(05)74822-4.

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Eliasson, Margareta, Gisela Kainz, and Iréne von Post. "Uncaring Midwives." Nursing Ethics 15, no. 4 (July 2008): 500–511. http://dx.doi.org/10.1177/0969733008090521.

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The aim of this study was to understand how mothers experienced midwives' uncaring behaviour and actions during birth. Sixty-seven first-time mothers took part in the study, in which data were collected through interview. The interview text was analysed using hermeneutic text analysis. Nearly half of the mothers interviewed ( n = 32) said that midwives did not care for them. The findings show that midwives' behaviour was humiliating when they ignored mothers and held them in contempt. The mothers felt further humiliated when the midwives did not believe them, treated their bodies in a careless manner and tended to put blame on them. Through their behaviour and actions, some midwives have shown that they no longer have a caring attitude as an element of their professional practice and that they have ignored ethics by offending mothers' sense of dignity.

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Westfall, Joseph. "Ironic midwives." Philosophy & Social Criticism 35, no. 6 (June 15, 2009): 627–48. http://dx.doi.org/10.1177/0191453709104450.

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Shields, Linda. "Man-midwives." Journal of the Royal Society of Medicine 102, no. 3 (March 2009): 88. http://dx.doi.org/10.1258/jrsm.2009.090022.

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Loudon, Irvine. "Man-midwives." Journal of the Royal Society of Medicine 102, no. 3 (March 2009): 88. http://dx.doi.org/10.1258/jrsm.2009.09k008.

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Drife, J. O. "Disciplining midwives." BMJ 297, no. 6652 (October 1, 1988): 806–7. http://dx.doi.org/10.1136/bmj.297.6652.806.

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Alment, A. "Disciplining midwives." BMJ 297, no. 6654 (October 15, 1988): 981. http://dx.doi.org/10.1136/bmj.297.6654.981-b.

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Reader, K. S. "Disciplining midwives." BMJ 297, no. 6656 (October 29, 1988): 1125. http://dx.doi.org/10.1136/bmj.297.6656.1125-a.

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Bardon, D. "Disciplining midwives." BMJ 297, no. 6656 (October 29, 1988): 1125–26. http://dx.doi.org/10.1136/bmj.297.6656.1125-b.

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Jones, S. "Disciplining midwives." BMJ 297, no. 6656 (October 29, 1988): 1126. http://dx.doi.org/10.1136/bmj.297.6656.1126.

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Drife, J. O. "Disciplining midwives." BMJ 297, no. 6658 (November 12, 1988): 1269. http://dx.doi.org/10.1136/bmj.297.6658.1269.

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Hampton, E. "Recognise midwives." Nursing Standard 3, no. 7 (November 12, 1988): 41. http://dx.doi.org/10.7748/ns.3.7.41.s68.

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Barker, Megan, Jennifer Fenwick, and Jenny Gamble. "Midwives' Experiences of Transitioning Into Private Practice With Visiting Access in Australia: A Qualitative Descriptive Study." International Journal of Childbirth 9, no. 3 (September 1, 2019): 145–57. http://dx.doi.org/10.1891/ijcbirth-d-19-00031.

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BACKGROUNDA national review of maternity services in Australia in 2009 resulted in legislative changes which provided midwives with an unprecedented opportunity to offer continuity of care as a private practitioner with visiting access to a public maternity hospital. However, very few midwives have taken up this opportunity.AIMTo explore the experiences of midwives who transitioned into private practice with visiting access to a public hospital.METHODUsing a qualitative descriptive approach, six midwives participated in digitally recorded in-depth interviews. Data was analyzed using thematic analysis.FINDINGSTransitioning to private practice enabled midwives to align their core midwifery values with their practice. Midwives reported taking “a leap of faith” by venturing into private practice. Although seeking visiting access and running a small business was initially daunting, midwives were rewarded by being able to practice autonomously and provide continuity of woman centered care within a caseload model. The legislative restrictions, especially around employing other midwives posed significant challenges.DISCUSSION AND CONCLUSIONSPrivate practice with visiting access provided midwives with a service model that aligned their core midwifery values with their clinical practice. The model facilitated their ability to work as lead care professionals, provide woman centered care, and access a collaborative network of healthcare professions. However, the midwives continued to experience structural barriers that threaten the scalability and sustainability of the model. Structural barriers to midwives working to their full scope of practice and in alignment with a midwifery philosophy are a global issue. Further reforms are needed.

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Weitz, Rose. "English Midwives and the Association of Radical Midwives." Women & Health 12, no. 1 (March 13, 1987): 79–89. http://dx.doi.org/10.1300/j013v12n01_06.

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Elmir, Rakime, Virginia Schmied, and Hannah Dahlen. "Super midwives: Australian midwives’ experiences of obstetric emergencies." Women and Birth 28 (2015): S13. http://dx.doi.org/10.1016/j.wombi.2015.07.052.

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Lisnawati, Lisnawati. "Evaluasi Pemantauan Intrapartum pada Persalinan dengan BBLR di RSUD Gunung Jati Kota Cirebon." Jurnal Kesehatan 8, no. 2 (August 31, 2017): 178. http://dx.doi.org/10.26630/jk.v8i2.471.

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<p>Low Birth Weight (LBW) is neonates with birth weight less than 2,500 grams (up to 2,499 grams) without looking the duration of pregnancy. LBW is one cause of infant mortality rate in Indonesia. Increasing the knowledge, attitudes, and skills of midwives are the strategy to reduce infant mortality rate. The number of spontaneous labor with preterm gestation by midwives is the main reason to increase the skills of the LBW. This study was aimed to evaluate the skills of midwives in the management of labor with low birth weight in intrapartum monitoring. The methods were a quantitative and qualitative study with cross sectional approach. The quantitative was to evaluate the skills of midwives in intrapartum monitoring (active phase of the first stage), it is using checklists to 20 midwives in the delivery room who had received at least 1 case of labor with LBW. Research also conducted qualitatively by interviewing midwives in the delivery room and hospital managers. The results of this study showed that the midwives were not competent in the intrapartum monitoring of LBW. The average value of midwives skills in action intrapartum monitoring is 70.3% (the highest value is 81,25% and the lowest is 62,25%). The midwives know that labor with LBW is not authorized by midwives, all this time management labor with low birth weight is through a doctor's advice, but the midwives were not competent and not confident in providing care in the management of labor with LBW. This study showed that the skills of midwives in the intrapartum monitoring of LBW are not good enough to be able to reduce mortality due to LBW. </p>

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