MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Midwifery' source. Thu, 11 Mar 2010 18:02:47 +0100 http://www.medworm.com/index.php?rid=3347338&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20206424%26dopt%3DAbstract Authors: Bick D PMID: 20206424 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=3347338 Wed, 03 Mar 2010 00:00:00 +0100 3347338 http://www.medworm.com/index.php?rid=3322066&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20188447%26dopt%3DAbstract CONCLUSIONS: there has been a substantial improvement in the management of the health and safety aspects of maternal obesity over the last three years. However, more work is needed around the psychosocial issues, weight management and public health aspects of maternal obesity. IMPLICATIONS FOR PRACTICE: to meet the needs of obese pregnant women, maternity services should consider the transition of care between pregnancy and the postnatal period, improve communication between hospital and public health services, and develop services that will engage pregnant women to address their obesity. PMID: 20188447 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=3322066 Wed, 24 Feb 2010 00:00:00 +0100 3322066 http://www.medworm.com/index.php?rid=3312177&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20181417%26dopt%3DAbstract CONCLUSIONS: after having a child, the expression of sexuality became subjective to the change in circumstances. Sexuality itself was not experienced any differently, but the expression of sexuality for the fathers was modified depending on how the circumstances presented themselves. Sexuality was extended to different avenues of expression where a sense of belonging evolved and a display of love and affection preceded sexual activities. IMPLICATIONS FOR PRACTICE: it is important that health care professionals are aware that as sexuality can have various avenues of expression after having a child it is important to not only focus on providing information regarding sexual activities. Fathers should be involved in discussions about possible circumstances affecting sexuality to be able to pre... Midwifery journals http://www.medworm.com/rss/comments.php?id=3312177 Mon, 22 Feb 2010 00:00:00 +0100 3312177 http://www.medworm.com/index.php?rid=3303258&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20172635%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: although partners have lower fetal attachment scores than pregnant women, it is important to recognise factors influencing the attachment of the mother and father towards their fetus. Prenatal midwives and nurses are in a unique position to assess attachment and to intervene to promote attachment behaviours. PMID: 20172635 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=3303258 Fri, 19 Feb 2010 00:00:00 +0100 3303258 http://www.medworm.com/index.php?rid=3303259&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20170995%26dopt%3DAbstract CONCLUSIONS: there is only limited evidence that TENS reduces pain in labour and it does not seem to have any impact on other outcomes for mothers or infants. The use of TENS at home in early labour has not been evaluated. Although the guidelines of the National Institute for Health and Clinical Excellence recommend that TENS should not be offered to women in labour, women appear to be choosing it and midwives are supporting them in their choice. Given the absence of adverse effects and the limited evidence base, it seems unreasonable to deny women that choice. More robust studies of effectiveness are needed. PMID: 20170995 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=3303259 Wed, 17 Feb 2010 00:00:00 +0100 3303259 http://www.medworm.com/index.php?rid=3255353&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20137838%26dopt%3DAbstract CONCLUSIONS: there was no evidence that variability in the range of referral decisions was due to personality factors, risk propensity, experience or whether the midwife worked in a CLU or CMU. Local factors such as recent adverse events may significantly influence subsequent referral behaviour. Further research is required to identify why the midwives showed so much unexplained variability in their responses to the vignettes. PMID: 20137838 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=3255353 Thu, 04 Feb 2010 00:00:00 +0100 3255353 http://www.medworm.com/index.php?rid=3231200&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20116633%26dopt%3DAbstract Authors: Sandall J PMID: 20116633 [PubMed - in process] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=3231200 Mon, 01 Feb 2010 00:00:00 +0100 3231200 http://www.medworm.com/index.php?rid=3213158&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20096489%26dopt%3DAbstract Authors: Khresheh R OBJECTIVE: to explore the strategies used by Jordanian women to manage nausea and vomiting during pregnancy. DESIGN: cross sectional descriptive study. SETTING: the three regions of Jordan. PARTICIPANTS: 235 women aged 18-54 years who had been pregnant. FINDINGS: there a number of strategies were used by Jordanian women in the sample for the alleviation of nausea and vomiting of pregnancy, varying from non-pharmacological strategies such as diet and lifestyle changes to the use of complementary alternative medicine and pharmacological treatments. IMPLICATIONS FOR PRACTICE: preparing women and their families to manage nausea and vomiting during pregnancy effectively is important; midwives should encourage women to seek help from care providers when they need it, and ... Midwifery journals http://www.medworm.com/rss/comments.php?id=3213158 Wed, 20 Jan 2010 00:00:00 +0100 3213158 http://www.medworm.com/index.php?rid=3213157&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20096490%26dopt%3DAbstract Authors: Dahlen H PMID: 20096490 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=3213157 Wed, 20 Jan 2010 00:00:00 +0100 3213157 http://www.medworm.com/index.php?rid=3201177&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20092915%26dopt%3DAbstract CONCLUSION: acupuncture is widely used for many indications in Swedish maternity units despite weak or no evidence to support effectiveness in midwifery care. Requirements for acupuncture education did not seem to be in accordance with what might be expected for this type of qualified intervention. IMPLICATIONS FOR PRACTICE: the use of acupuncture in midwifery care should not persist until systematic evaluation of the effect of this method is carried through. PMID: 20092915 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=3201177 Tue, 19 Jan 2010 00:00:00 +0100 3201177 http://www.medworm.com/index.php?rid=3201176&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20092916%26dopt%3DAbstract CONCLUSION: palpation and Johnson's technique can be used as alternatives to ultrasound for EFW, particularly if the measurements are taken by experienced, skilled personnel. PMID: 20092916 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=3201176 Tue, 19 Jan 2010 00:00:00 +0100 3201176 http://www.medworm.com/index.php?rid=3164523&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20060203%26dopt%3DAbstract CONCLUSION: in the studies identified, fentanyl was found to be efficacious, providing prompt analgesia with minimal side-effects to both mother and infant when administered intravenously (IV) during childbirth. In addition, no long-term fetal effects were found. RECOMMENDATIONS FOR FURTHER RESEARCH: there is a paucity of research relating to the maternal, fetal and neonatal effects of non-axial administered fentanyl other than that of IV. Further research should explore alternate routes of administration such as subcutaneous, sublingual and nasal which are less invasive and can be administered by midwives. IMPLICATION FOR PRACTICE: in confirming the safe use of non-axial administration of fentanyl during childbirth, benefits include midwives being able to offer women an alternative option... Midwifery journals http://www.medworm.com/rss/comments.php?id=3164523 Wed, 06 Jan 2010 00:00:00 +0100 3164523 http://www.medworm.com/index.php?rid=3154000&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20056299%26dopt%3DAbstract Authors: Warwick Msc Professor Of Midwifery General Secretary Of Rcm C PMID: 20056299 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=3154000 Tue, 05 Jan 2010 00:00:00 +0100 3154000 http://www.medworm.com/index.php?rid=3142941&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20045584%26dopt%3DAbstract Authors: Reid M, Lorimer K, Norman JE, Bollapragada SS, Norrie J OBJECTIVES: to explore women's experiences of cervical ripening using isosorbide mononitrate (IMN) in the home as part of the main randomised controlled trial. DESIGN: qualitative study with semi-structured interviews carried out at three weeks post partum. Interview transcripts were analysed to identify recurrent themes, focusing on why women became involved in the study, their views about both the self-medication and the home setting, and whether they would repeat the experience. SETTING: the home. PARTICIPANTS: twenty women enrolled in the main randomised controlled trial. INTERVENTION: the study is part of a double-blind randomised controlled trial with 350 patients investigating whether a nitric oxide donor (IMN) use... Midwifery journals http://www.medworm.com/rss/comments.php?id=3142941 Thu, 31 Dec 2009 00:00:00 +0100 3142941 http://www.medworm.com/index.php?rid=3137717&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20044185%26dopt%3DAbstract Authors: Pratt RJ PMID: 20044185 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=3137717 Tue, 29 Dec 2009 00:00:00 +0100 3137717 http://www.medworm.com/index.php?rid=3000945&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19913681%26dopt%3DAbstract Authors: Bick D PMID: 19913681 [PubMed - in process] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=3000945 Wed, 18 Nov 2009 13:34:05 +0100 3000945 http://www.medworm.com/index.php?rid=3000946&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19910090%26dopt%3DAbstract CONCLUSIONS: continuity and woman-centred care are fundamental features of the construction of midwifery in New Zealand. IMPLICATIONS FOR PRACTICE: a focus on the midwifery concept of 'with woman' can bridge the divide between the polarising concepts 'normal' and 'abnormal' and enable a more fluid and dynamic reading of midwifery. PMID: 19910090 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=3000946 Tue, 10 Nov 2009 00:00:00 +0100 3000946 http://www.medworm.com/index.php?rid=2978124&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19896254%26dopt%3DAbstract CONCLUSIONS: themes raised highlight the importance of viewing breast feeding as the normal way to feed an infant and having others support the mother in this behaviour. IMPLICATIONS FOR PRACTICE: increasing breast-feeding initiation and duration among this at-risk group is important for both infant and maternal health. Helping mothers to view breast feeding as the norm, creating an environment where breast feeding is accepted, providing professional and peer support, and encouraging the mother to continue breast feeding are important steps in raising breast-feeding rates among younger mothers. PMID: 19896254 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2978124 Wed, 04 Nov 2009 00:00:00 +0100 2978124 http://www.medworm.com/index.php?rid=2972295&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19892446%26dopt%3DAbstract CONCLUSIONS: the model of care in the public health services of São Paulo (eastern zone) is based much more on hierarchical positions than on professional competencies or on the recommendations of the scientific community. As a result, health authorities need to review their midwifery policies to improve maternal-infant care by nurses and/or midwives in order to ensure the implementation of best midwifery practice. PRACTICAL IMPLICATIONS: the results of this study support actions to improve the quality of care delivered to women and their families, while integrating nursing and midwifery care in São Paulo, Brazil. PMID: 19892446 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2972295 Tue, 03 Nov 2009 00:00:00 +0100 2972295 http://www.medworm.com/index.php?rid=2935605&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19853333%26dopt%3DAbstract CONCLUSIONS: moxibustion creates a better chance of vaginal birth for expectant mothers. Of the women who were successful in turning their babies using moxibustion, 88% went on to have a normal birth and 12% had a caesarean section. Moxibustion treatment also significantly increases version from a breech presentation to a cephalic presentation where there are fewer side effects reported, if the woman is multiparous and has support during the administration of moxibustion treatment. IMPLICATIONS FOR PRACTICE: moxibustion treatment should be offered to all women with a breech presentation because it is non-invasive and can be self-administered by the woman. It is therefore a simple, cost-effective technique that requires no medical intervention. PMID: 19853333 [PubMed - as supplied by pu... Midwifery journals http://www.medworm.com/rss/comments.php?id=2935605 Wed, 21 Oct 2009 00:00:00 +0100 2935605 http://www.medworm.com/index.php?rid=2912765&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19837493%26dopt%3DAbstract Authors: James A, Endacott R, Stenhouse E The prompt identification of clinical deterioration and referral for appropriate care are key issues in the management of women who become critically ill during pregnancy, labour and the postpartum period. The Intensive Care Society has developed designated levels of care in relation to adult patient care, which may not be appropriate for use in midwifery. Therefore, exploring the midwifery, nursing and medical literature related to levels of care and detection of clinical deterioration may highlight the need for these to be modified and adapted for the development of midwifery-specific levels of care that are appropriate for this cohort. PMID: 19837493 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2912765 Thu, 15 Oct 2009 23:00:00 +0100 2912765 http://www.medworm.com/index.php?rid=2912766&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19836867%26dopt%3DAbstract Authors: Homer CS, Hanna E, McMichael AJ PMID: 19836867 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2912766 Wed, 14 Oct 2009 23:00:00 +0100 2912766 http://www.medworm.com/index.php?rid=2839474&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19783081%26dopt%3DAbstract CONCLUSIONS: the HBLSS programme was successfully implemented as a result of the high level of support and supervision by the maternal, newborn and child health staff at ICDDR,B. This evaluation highlights the value of community health workers in the fight against maternal and newborn mortality. Findings emphasise the strength of the HBLSS training approach in transferring knowledge from trainer to HBLSS guide. PMID: 19783081 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2839474 Thu, 24 Sep 2009 23:00:00 +0100 2839474 http://www.medworm.com/index.php?rid=2839475&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19782445%26dopt%3DAbstract CONCLUSIONS: there is limited documentation on the safety and efficacy of many herbs commonly used during pregnancy. IMPLICATIONS FOR PRACTICE: midwives are important caregivers for pregnant women and should strive to give evidence-based advice on herbal use in pregnancy. If 'traditional use' is the only available information, the pregnant woman should be made aware of this to enable her to make an informed decision about the eventual use. PMID: 19782445 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2839475 Wed, 23 Sep 2009 23:00:00 +0100 2839475 http://www.medworm.com/index.php?rid=2839476&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19781827%26dopt%3DAbstract CONCLUSIONS: while there were aspects of MGP that midwives were not satisfied with and wanted to change, overall they were satisfied with the model. IMPLICATIONS: there is a need for ongoing evaluation in order to monitor the short- and long-term impact on midwives of working in a caseload model of continuity of midwifery care. PMID: 19781827 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2839476 Tue, 22 Sep 2009 23:00:00 +0100 2839476 http://www.medworm.com/index.php?rid=2839473&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19783333%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: both the prenatal education and postpartum social support seem to mismatch women's needs and expectations. Concerted efforts are required by health professionals at the maternity unit and in the community to provide mothers with more adequate postpartum assistance. PMID: 19783333 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2839473 Mon, 21 Sep 2009 23:00:00 +0100 2839473 http://www.medworm.com/index.php?rid=2839472&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19783334%26dopt%3DAbstract CONCLUSIONS: fathers perceived that they were given good support when they were allowed to ask questions during labour, when they had the opportunity to interact with the midwife and their partner, and when they could choose when to be involved or to step back. Fathers want to be seen as individuals who are part of the labouring couple. If fathers are left out, they tend to feel helpless; this can result in a feeling of panic and can put their supportive role of their partner at risk. IMPLICATIONS FOR PRACTICE: the results of this study could initiate discussions about how health-care professionals can develop support given to the labouring couple, with an interest in increasing paternal involvement. PMID: 19783334 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2839472 Mon, 21 Sep 2009 23:00:00 +0100 2839472 http://www.medworm.com/index.php?rid=2839471&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19783335%26dopt%3DAbstract CONCLUSIONS: many midwives have insufficient Internet competence to be able to access necessary evidence to support practice and to assist women with decision making. IMPLICATIONS FOR PRACTICE: ongoing education and training is needed to ensure that midwives have the skills to source evidence to support practice, and are able to effectively critique Internet information. PMID: 19783335 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2839471 Mon, 21 Sep 2009 23:00:00 +0100 2839471 http://www.medworm.com/index.php?rid=2832467&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19775781%26dopt%3DAbstract CONCLUSIONS: professional practice guidelines regarding food safety and Listeria education are needed, together with relevant professional training and review of hospital practices in relation to this important health issue. PMID: 19775781 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2832467 Sun, 20 Sep 2009 23:00:00 +0100 2832467 http://www.medworm.com/index.php?rid=2832466&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19775782%26dopt%3DAbstract CONCLUSIONS: a diet and physical activity intervention from pregnancy is effective for reducing post-pregnancy weight retention. IMPLICATIONS FOR PRACTICE: the findings of the present study should be taken into consideration when incorporating significant others and weight-loss maintenance strategies with interventions for a healthier family lifestyle. PMID: 19775782 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2832466 Sun, 20 Sep 2009 23:00:00 +0100 2832466 http://www.medworm.com/index.php?rid=2832465&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19775783%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: it is important for midwives to ask pregnant women about their feelings concerning their current pregnancy, childbirth and future motherhood. If they express negative or ambivalent feelings, these should be discussed in greater detail and their causes identified. Special consideration should be given to primiparous women and multiparous women with negative experiences of previous pregnancies. PMID: 19775783 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2832465 Sun, 20 Sep 2009 23:00:00 +0100 2832465 http://www.medworm.com/index.php?rid=2832464&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19775784%26dopt%3DAbstract CONCLUSIONS: the way in which menarche is experienced may exert an impact on women's reproductive health, sexuality and lifestyle behaviours. IMPLICATIONS FOR PRACTICE: the acknowledgement of menarche experiences can be useful to guide health-care providers towards more effective education of girls on sexual and reproductive health issues and better attention to women's needs. PMID: 19775784 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2832464 Sun, 20 Sep 2009 23:00:00 +0100 2832464 http://www.medworm.com/index.php?rid=2832463&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19775785%26dopt%3DAbstract CONCLUSIONS: there is a need for managers and policy makers to enable maternal HCPs to provide better quality care for women and infants during childbirth, through facilitating the roles of midwives and nurses and creating a more positive and resourceful environment. IMPLICATIONS FOR PRACTICE: Palestinian midwives need to increase their knowledge and use evidence-based practices during childbirth. They need to unite and create their own circle of professional support in the form of a Palestinian midwifery professional body. PMID: 19775785 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2832463 Sun, 20 Sep 2009 23:00:00 +0100 2832463 http://www.medworm.com/index.php?rid=2832471&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19773099%26dopt%3DAbstract CONCLUSIONS: rates of VBAC have declined over this nine-year period. Rates of neonatal mortality and proxy measures of morbidity (admission to a nursery) are generally in the low range for similar settings. IMPLICATIONS FOR PRACTICE: decisions around the next birth after CS are complex. Efforts to keep the first birth normal and support women who have had a CS to have a normal birth need to be made. More research to predict which women are likely to achieve a successful VBAC and the most effective ways to facilitate a VBAC is essential. Midwives have a critical role to play in these endeavours. PMID: 19773099 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2832471 Fri, 18 Sep 2009 23:00:00 +0100 2832471 http://www.medworm.com/index.php?rid=2832470&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19773100%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: males take less responsibility for STI prevention than females. When planning STI education, it is important to consider gender, traditions and various learning styles. If STI education fails to reach males, the prevalence of these infections will continue to increase. PMID: 19773100 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2832470 Fri, 18 Sep 2009 23:00:00 +0100 2832470 http://www.medworm.com/index.php?rid=2832469&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19773101%26dopt%3DAbstract CONCLUSIONS: unplanned pregnancy has a negative impact on the development of positive behaviour concerning self-care, physical well-being, labour experience, pain in labour and psychological status in the early postpartum period. IMPLICATIONS FOR PRACTICE: midwives and nurses should identify women with unplanned pregnancy at an early stage, and try to decrease the negative effects of unplanned pregnancy on maternal health and to improve prenatal, perinatal and postnatal care. PMID: 19773101 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2832469 Fri, 18 Sep 2009 23:00:00 +0100 2832469 http://www.medworm.com/index.php?rid=2832468&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19773102%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: if healthcare professionals are to address the prominent concerns of parents caring for a neonate, it is essential to review current care practices and tailor them to maternal and infant needs. A care strategy alleviating the burden of infant crying and maternal fatigue has the potential to strengthen family health from the earliest stage. PMID: 19773102 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2832468 Fri, 18 Sep 2009 23:00:00 +0100 2832468 http://www.medworm.com/index.php?rid=2742185&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19709790%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: women's responses indicate that there are good reasons for midwives and doctors to raise questions about sexuality and sexual abuse when they meet young women. Taking opportunity to find those who have sexual problems and/or experience of sexual abuse could reduce the suffering of these women and lead to an economic gain to society. The provision of training and supervision for midwives and doctors is important to enhance the quality of conversations about sexual matters. In order to deal with such issues, it is necessary to have knowledge of sexual health, relationships and violence, as well as a professional stance and a good conversational technique. PMID: 19709790 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2742185 Sun, 23 Aug 2009 23:00:00 +0100 2742185 http://www.medworm.com/index.php?rid=2729822&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19700228%26dopt%3DAbstract CONCLUSIONS: this study provides evidence of pregnant women accessing the Internet to obtain information related to their pregnancy. Midwives recognise that pregnant women are increasingly using the Internet as an accessible resource for information to inform decision-making in pregnancy. This presents a number of challenges for midwives. IMPLICATIONS FOR PRACTICE: midwives need to keep up-to-date with the latest knowledge. Midwives' skills in Internet use need to be developed so that they can be effective and competent partners in supporting post-modern women. PMID: 19700228 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2729822 Thu, 20 Aug 2009 23:00:00 +0100 2729822 http://www.medworm.com/index.php?rid=2729821&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19700229%26dopt%3DAbstract CONCLUSION AND IMPLICATIONS FOR PRACTICE: midwives have gained both positive and negative experiences when providing continuity of care to labouring women. The positive aspects may facilitate other professional midwives working in a similar role, whereas the negative aspects may inform them of learning to live with this situation, and may also have implications for managers to develop new approaches to the organisation and provision of continuity of care to support midwives' practice, and to fully utilise 'flexibility' under an on-call system. PMID: 19700229 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2729821 Thu, 20 Aug 2009 23:00:00 +0100 2729821 http://www.medworm.com/index.php?rid=2682554&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19656594%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: there is a statistically significant but moderate correlation between MRD and MD. The transition to motherhood can be stressful, but may be facilitated by appropriate acknowledgement and support with an emphasis on MRD. PMID: 19656594 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2682554 Sun, 02 Aug 2009 23:00:00 +0100 2682554 http://www.medworm.com/index.php?rid=2592248&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19589430%26dopt%3DAbstract Authors: Bick D PMID: 19589430 [PubMed - in process] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2592248 Sun, 12 Jul 2009 07:44:10 +0100 2592248 http://www.medworm.com/index.php?rid=2592247&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19589630%26dopt%3DAbstract CONCLUSIONS: the respondents were found to have negative feelings about pregnancy which manifest as many fears, including the fear of harming their children's health, of being punished during labour, and of being reprimanded by health-care professionals for overlooking their prenatal care, in addition to the insecurity felt towards the infant and self. IMPLICATIONS FOR PRACTICE: the findings reveal that communication between pregnant women and health-care professionals has been ineffective and that prenatal care has not been effective for the group interviewed-features that are likely to be found among other low- to middle-income groups living elsewhere in Brazil. PMID: 19589630 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2592247 Mon, 06 Jul 2009 23:00:00 +0100 2592247 http://www.medworm.com/index.php?rid=2592246&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19589631%26dopt%3DAbstract CONCLUSIONS: Croatian midwives experienced work-related stress due to: insufficient work resourses, insufficient number of coworkers, poor organisation at work, communication with superiors and emotional work. Midwives' work ability in relation to the demands of their job was good. These results confirmed that the WAI score decreases significantly with age. IMPLICATIONS FOR PRACTICE: hospital management needs to improve organisational factors and resources, as well as midwives' education and position in the health-care system. PMID: 19589631 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2592246 Mon, 06 Jul 2009 23:00:00 +0100 2592246 http://www.medworm.com/index.php?rid=2592249&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19586696%26dopt%3DAbstract CONCLUSIONS: this study indicates that the Greek version of the MMIC appears to be a reliable and valid tool for measuring informed choice in antenatal screening for Down syndrome. Due to its short length and consumption of time, it seems to be a practical instrument for use in Greek antenatal clinics. PMID: 19586696 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2592249 Sun, 05 Jul 2009 23:00:00 +0100 2592249 http://www.medworm.com/index.php?rid=2580780&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19577829%26dopt%3DAbstract CONCLUSION: an intervention involving foot reflexology in the postnatal period significantly improved the quality of sleep. IMPLICATIONS FOR PRACTICE: midwives should evaluate maternal sleep quality and design early intervention programmes to improve quality of sleep in order to increase maternal biopsychosocial well-being. Midwives interested in complementary therapies should be encouraged to obtain training in reflexology and to apply it in clinical settings if it is allowed. PMID: 19577829 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2580780 Thu, 02 Jul 2009 23:00:00 +0100 2580780 http://www.medworm.com/index.php?rid=2573396&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19570597%26dopt%3DAbstract CONCLUSION: The picture created of the woman and her needs guided the midwives, but lack of knowledge and time limitations restricted counselling on sexual life after childbirth. Two counselling strategies were identified, one task-oriented and one subject-oriented. Balancing these two counselling strategies improves both the ethical aspects and the quality of the counselling. PMID: 19570597 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2573396 Sun, 28 Jun 2009 23:00:00 +0100 2573396 http://www.medworm.com/index.php?rid=2549358&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19552988%26dopt%3DAbstract CONCLUSIONS: AMRN has shown resilience and continuity since its inception and has made a palpable difference to the quality of midwifery care and the professional development of midwives within the remit of its members. AMRN needs to be consolidated before expanding further. The work of AMRN is particularly pertinent in the context of the millennium development goals. PMID: 19552988 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2549358 Sun, 21 Jun 2009 23:00:00 +0100 2549358 http://www.medworm.com/index.php?rid=2475702&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19501433%26dopt%3DAbstract CONCLUSIONS: the PM is a reliable tool for the assessment of electrical pain threshold; however, the VAS is more sensitive than the PM for recording changes in pain intensity when assessing the effects of treatment on labour pain. IMPLICATIONS FOR PRACTICE: the PM and the VAS are not interchangeable in the case of labour pain, and there is still a need for research in this area to find a more suitable assessment instrument for the evaluation of labour pain. PMID: 19501433 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2475702 Thu, 04 Jun 2009 04:00:00 +0100 2475702 http://www.medworm.com/index.php?rid=2475737&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19345454%26dopt%3DAbstract Authors: Albers LL PMID: 19345454 [PubMed - in process] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2475737 Mon, 01 Jun 2009 04:00:00 +0100 2475737 http://www.medworm.com/index.php?rid=2475706&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19427719%26dopt%3DAbstract Authors: Allotey JC As more midwives are becoming interested in the history of midwifery and carrying out historical research, it is opportune to consider some of the problems and pitfalls of this approach. The study and writing of history initially involves the collection of evidence, followed by its critical analysis and interpretation. The scarcity and reliability of sources poses the first problem. Even with the greatest of insight, it is impossible to fully reconstruct the past and eliminate bias. Evidence is open to manipulation and distortion, affecting the way in which findings are presented to a readership. This paper, aimed at novice researchers in the field, focuses on some of the fundamental principles of good research, and contains examples of ways in which the past may be... Midwifery journals http://www.medworm.com/rss/comments.php?id=2475706 Thu, 07 May 2009 04:00:00 +0100 2475706 http://www.medworm.com/index.php?rid=2475735&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19386402%26dopt%3DAbstract CONCLUSION: the high satisfaction of the women suggests that CenteringPregnancy is an appropriate model of care for many women in Australian settings, particularly if recruitment strategies are addressed and women's partners can participate. IMPLICATIONS FOR PRACTICE: CenteringPregnancy group antenatal care assists women with the development of social support networks and is an acceptable way in which to provide antenatal care in an Australian setting. Recruitment strategies should include ensuring that practitioners are confident in explaining the advantages of group antenatal care to women in early pregnancy. Further research needs to be conducted to implement this model of care more widely. PMID: 19386402 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2475735 Mon, 20 Apr 2009 04:00:00 +0100 2475735 http://www.medworm.com/index.php?rid=2475739&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19342134%26dopt%3DAbstract CONCLUSIONS: acknowledging professional ethics, awareness and good command of all three means of persuasion [but above all, argumentative persuasion (logos)] is an integral component of midwifery care. It can contribute to collaborative relations between midwives and women, and thus promote women-centred midwifery care. IMPLICATIONS FOR PRACTICE: knowledge of the three classical rhetorical means of persuasion should be integrated into professional midwifery curricula. PMID: 19342134 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2475739 Tue, 31 Mar 2009 04:00:00 +0100 2475739 http://www.medworm.com/index.php?rid=2475741&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19339085%26dopt%3DAbstract Authors: Karasahin E, Alanbay I PMID: 19339085 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2475741 Mon, 30 Mar 2009 04:00:00 +0100 2475741 http://www.medworm.com/index.php?rid=2298721&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19327877%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: smoking during pregnancy, labour complications and one-minute Apgar score 7 were confirmed as risk factors for neonatal transfer from the birth centre to a hospital. The identified risk factors can help to improve institutional protocols and formulate hypotheses for other studies. PMID: 19327877 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2298721 Wed, 25 Mar 2009 04:00:00 +0100 2298721 http://www.medworm.com/index.php?rid=2298722&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19303677%26dopt%3DAbstract CONCLUSIONS: continuous care appears to facilitate the development of supportive relationships between women and their midwives. Women's perceptions about continuous and respectful treatment were related to objectively measured continuity of care. The qualitative data confirm the importance of less tangible benefits, such as the quality of relationships between women and their caregivers. IMPLICATIONS FOR PRACTICE: the viability of caseload-midwifery-led care for low-risk pregnancies depends, in part, on the model's acceptability to consumers. This study demonstrated that the caseload model is associated with high levels of maternal satisfaction. Supportive relationships with midwives in a caseload scheme are highly valued by women. PMID: 19303677 [PubMed - as supplied by publisher] (S... Midwifery journals http://www.medworm.com/rss/comments.php?id=2298722 Thu, 19 Mar 2009 04:00:00 +0100 2298722 http://www.medworm.com/index.php?rid=2241124&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19261362%26dopt%3DAbstract CONCLUSIONS: Vietnamese women had the poorest English skills and lowest educational levels, and were identified as the group at greatest risk of misunderstanding GDM. English language proficiency alone, however, was not associated with better comprehension of GDM in this study. Higher educational level was the only factor linked to increased comprehension. It is, therefore, important that new educational strategies are developed to address lower health literacy as well as cultural factors when caring for multi-ethnic populations with GDM. This approach may also serve to address lower levels of comprehension among Caucasian populations. PMID: 19261362 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2241124 Mon, 02 Mar 2009 05:00:00 +0100 2241124 http://www.medworm.com/index.php?rid=2233130&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19250723%26dopt%3DAbstract CONCLUSIONS: further efforts need to be made to educate midwives more fully so that pregnant women and their partners are able to make informed choices about screening. Balanced information about the lives of people with Down syndrome should be available to prospective parents to support their decision making. PMID: 19250723 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2233130 Thu, 26 Feb 2009 05:00:00 +0100 2233130 http://www.medworm.com/index.php?rid=2233129&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19250724%26dopt%3DAbstract CONCLUSIONS: strategies should be developed to ensure that whilst safety is maintained, the pregnancy focus is not lost. Women should be supported to optimise their experience as well as clinical outcomes. The convergence of professional roles needs consideration; individual members of multidisciplinary diabetes teams should provide a unique and complementary contribution to care. Preconception care needs to be accessible and responsive to women; this should include recognition of socio-cultural differences. PMID: 19250724 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2233129 Thu, 26 Feb 2009 05:00:00 +0100 2233129 http://www.medworm.com/index.php?rid=2222663&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19246134%26dopt%3DAbstract CONCLUSIONS: transport costs and charges for prenatal services were major factors influencing adolescents' late or non-utilisation of prenatal services. Adolescents needed more knowledge about the advantages of prenatal services. Effective prenatal services should be provided by friendly and welcoming midwives. IMPLICATIONS FOR PRACTICE: pregnant adolescents need more knowledge about the advantages of prenatal services, and these should be more accessible. Charges for public prenatal services must be reduced or abandoned; subsidised or free public transport for pregnant adolescents could enhance their utilisation of prenatal services. PMID: 19246134 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2222663 Tue, 24 Feb 2009 05:00:00 +0100 2222663 http://www.medworm.com/index.php?rid=2222662&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19246135%26dopt%3DAbstract CONCLUSIONS: midwives 'make space' for the childbearing woman. This space often, although not always, challenges obstetric constructions of childbirth and woman, creating an opportunity for alternatives that are less constraining and hopefully more enabling of an enjoyable and successful birth. IMPLICATIONS FOR PRACTICE: it is important to recognise and articulate the work that midwives do, to facilitate childbirth. PMID: 19246135 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2222662 Tue, 24 Feb 2009 05:00:00 +0100 2222662 http://www.medworm.com/index.php?rid=2222661&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19246136%26dopt%3DAbstract CONCLUSIONS: the provision of booklets and videos on yoga during pregnancy may contribute to a reduction in pregnancy discomforts and improved childbirth self-efficacy. IMPLICATIONS FOR PRACTICE: this yoga programme provides health-care professionals with an evidence-based intervention. PMID: 19246136 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2222661 Tue, 24 Feb 2009 05:00:00 +0100 2222661 http://www.medworm.com/index.php?rid=2210750&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19231048%26dopt%3DAbstract Authors: Bick D PMID: 19231048 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2210750 Thu, 19 Feb 2009 05:00:00 +0100 2210750 http://www.medworm.com/index.php?rid=2182706&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19211177%26dopt%3DAbstract The objective of this study was to improve early PND screening by midwives in a maternity unit. Professional screening techniques were evaluated and compared with reference screening techniques [Edinburgh Postnatal Depression Scale (EPDS), Mini International Neuropsychiatric Interview (MINI-DSM-IV)]. METHODS: the evaluation took place before and after the midwife training in order to determine the effectiveness of specific clinical recommendations for two successive 10-week inclusion periods (from November 2004 to September 2005). A short training course and posters were used to convey the recommendations, agreed by obstetricians, paediatricians and psychiatrists. RESULTS: a total of 463 postpartum women were included in the two phases of the study. Quantitative and qualitative PND screeni... Midwifery journals http://www.medworm.com/rss/comments.php?id=2182706 Mon, 09 Feb 2009 05:00:00 +0100 2182706 http://www.medworm.com/index.php?rid=2167745&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19195748%26dopt%3DAbstract CONCLUSIONS: this study ascertained the exact incidence of maternal obesity in the local area and showed the increased risks associated with obesity and pregnancy. IMPLICATIONS FOR PRACTICE: this study supports the need for a shared-care approach to antenatal care and that obese women should give birth in consultant-led units. The support of a named midwife should be available to these women throughout the childbearing experience, and preconception care advocated. PMID: 19195748 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2167745 Tue, 03 Feb 2009 05:00:00 +0100 2167745 http://www.medworm.com/index.php?rid=2156568&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19185958%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: the midwives exhibited self-confidence in evaluating the physiological process, and endeavoured to leave the physiological process undisturbed if no other risks were apparent. Their decisions concerning management were based on a combination of previous experience, hospital guidelines, risk assessment and sensitivity to each woman's needs. This study demonstrates that management of the third stage of labour varies greatly and the majority of these midwives were not convinced that administration of prophylactic oxytocin in the third stage of labour was always the best alternative for all women experiencing normal childbirth. The findings show the importance of reaching a balance between treating birth as a normal process and as a biomedical event. ... Midwifery journals http://www.medworm.com/rss/comments.php?id=2156568 Thu, 29 Jan 2009 05:00:00 +0100 2156568 http://www.medworm.com/index.php?rid=2156570&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19185397%26dopt%3DAbstract CONCLUSIONS: more education was associated with more common use of a questionnaire for assessment of women's alcohol intake before pregnancy, and more frequent counselling when identifying a pregnant woman whose pre-pregnancy consumption was risky. PMID: 19185397 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2156570 Wed, 28 Jan 2009 05:00:00 +0100 2156570 http://www.medworm.com/index.php?rid=2156569&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19185398%26dopt%3DAbstract CONCLUSIONS: exploring the views of women enabled the researchers to gain a greater understanding of the problems and achievements that women encountered when using NRT as an aid to stop smoking during pregnancy. The study also demonstrated that smoking cessation strategies can be successful if they are tailored to the individual needs of each woman, taking into account her dependency, domestic circumstances and willingness to change. IMPLICATIONS FOR PRACTICE: the findings of this study add to the available research surrounding the efficacy of NRT in pregnancy. There is little evidence that the views of pregnant women have been taken into account prior to this study; as such, this report offers a different dimension to the available evidence. Although these findings could be adopted and u... Midwifery journals http://www.medworm.com/rss/comments.php?id=2156569 Wed, 28 Jan 2009 05:00:00 +0100 2156569 http://www.medworm.com/index.php?rid=2121851&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19152989%26dopt%3DAbstract CONCLUSIONS: the study shows how women in labour for the first time negotiate their credibility with midwives through the requisite pattern of regularity, and also shows their vulnerability in attempting to avoid being sent home from hospital because it is 'too soon' to be admitted. It also argues that the midwifery profession is ambivalent about the paradigm to which it conforms in its contact with women in early labour. IMPLICATIONS FOR PRACTICE: the findings of this study show that the way in which questions are asked in this phase is very important. Midwives should be aware that if they only ask the 'standard question' related to the pattern of contraction regularity, they might lose vital information and also deprive the woman of the chance to verbalise her experiences and her needs a... Midwifery journals http://www.medworm.com/rss/comments.php?id=2121851 Sat, 17 Jan 2009 05:00:00 +0100 2121851 http://www.medworm.com/index.php?rid=2092653&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19128863%26dopt%3DAbstract CONCLUSION: labour support by a female relative is a cost-effective and beneficial practice to apply to intrapartum care in hospitals in developing countries with limited resources, such as Jordan. Labour support is not routine practice and is not permitted in Jordan, as in many other countries. Consideration should be given to change maternity systems to ensure that all women have access to such support. PMID: 19128863 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2092653 Mon, 05 Jan 2009 05:00:00 +0100 2092653 http://www.medworm.com/index.php?rid=2084105&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19121552%26dopt%3DAbstract CONCLUSIONS: further research is warranted into the impediments to care uptake among sub-Saharan African women. It is hoped that such research will inform the development of culturally appropriate and acceptable services for African refugees. IMPLICATIONS FOR PRACTICE: it is important that midwives are aware of common health problems among sub-Saharan women. Midwives also need to act to promote access to health services among this group. Social disadvantage and late access to care may impact on neonatal outcomes and thus warrant investigation. PMID: 19121552 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2084105 Wed, 31 Dec 2008 05:00:00 +0100 2084105 http://www.medworm.com/index.php?rid=2074421&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19117644%26dopt%3DAbstract CONCLUSIONS AND RECOMMENDATIONS FOR PRACTICE: these findings assist women and health professionals to better understand how childbirth can be constructed as a fearful event. In light of the evidence about the risks associated with surgical birth, health-care professionals need to explore these perceptions with women and develop strategies to promote women's confidence and competence in their ability to give birth naturally. PMID: 19117644 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2074421 Mon, 29 Dec 2008 05:00:00 +0100 2074421 http://www.medworm.com/index.php?rid=2074420&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19117645%26dopt%3DAbstract Authors: Sandall J, Hatem M, Devane D, Soltani H, Gates S PMID: 19117645 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2074420 Mon, 29 Dec 2008 05:00:00 +0100 2074420 http://www.medworm.com/index.php?rid=2074419&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19117646%26dopt%3DAbstract Authors: Bick D PMID: 19117646 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2074419 Mon, 29 Dec 2008 05:00:00 +0100 2074419 http://www.medworm.com/index.php?rid=2067703&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19108938%26dopt%3DAbstract CONCLUSIONS: at six months post partum, the women who attended group antenatal care still met others from the group more regularly than the women who attended traditional antenatal care. IMPLICATIONS FOR PRACTICE: group antenatal care is well accepted by women, and can better utilise midwives' time. PMID: 19108938 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2067703 Mon, 22 Dec 2008 05:00:00 +0100 2067703 http://www.medworm.com/index.php?rid=2061101&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19100667%26dopt%3DAbstract CONCLUSION AND IMPLICATIONS FOR PRACTICE: obese pregnant women are a vulnerable group because obesity is highly visible. Caregivers tend to focus on providing care to obese patients somatically, but are additionally in need of knowledge about care from the woman's point of view. Many obese women have negative experiences of health care that they have to overcome. It is necessary to individualise care for obese pregnant women, which involves taking time to give the women an opportunity to tell their own story. Caregivers have to promote health but it has to be done honestly and respectfully. In order to avoid judgemental attitudes and causing increased suffering for obese pregnant women, midwives and physicians need to be conscious of, reflect upon and verbalise their own attitudes and powe... Midwifery journals http://www.medworm.com/rss/comments.php?id=2061101 Wed, 17 Dec 2008 05:00:00 +0100 2061101 http://www.medworm.com/index.php?rid=2056160&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19095334%26dopt%3DAbstract CONCLUSIONS: the responses of maternity professionals convey a deep sense of staff anxiety regarding how the problems they face pose a threat to safety. IMPLICATIONS FOR PRACTICE: policy makers and professional bodies need to take the concerns expressed by staff seriously. Concerted efforts are required to improve maternity services and support maternity professionals. PMID: 19095334 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2056160 Tue, 16 Dec 2008 05:00:00 +0100 2056160 http://www.medworm.com/index.php?rid=2046981&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19084299%26dopt%3DAbstract CONCLUSIONS: the women recognised the service model of the midwife; they treasured their mutual relationships and the benefits that women derived from midwifery care during childbirth. In Taiwan, the government is mandated to offer midwifery models of care in hospitals, and to allow women to choose different types of care provider. IMPLICATIONS FOR PRACTICE: an awareness of women's experiences will help identify the caring behaviours as recognised by the women and may help health-care professionals provide better support and care for women during the pregnancy and childbirth periods. These findings can serve as references for future midwifery practice models and improvements in quality of care. PMID: 19084299 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2046981 Wed, 10 Dec 2008 05:00:00 +0100 2046981 http://www.medworm.com/index.php?rid=2046980&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19084300%26dopt%3DAbstract CONCLUSION: most subgroups of foreign-born women showed lower odds for and a different pattern in the use of complementary pain reduction methods during childbirth than Swedish-born women. These findings raise questions of whether the Swedish health-care system and care providers have sufficient awareness of and insight into the socio-cultural context of giving birth. PMID: 19084300 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2046980 Wed, 10 Dec 2008 05:00:00 +0100 2046980 http://www.medworm.com/index.php?rid=2046979&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19084301%26dopt%3DAbstract CONCLUSIONS: a main finding was that the close emotional attachment between the parents was not always supported by staff. The father was treated as an outsider and the care was described as 'a woman's world'. The asymmetric encounter between parents and staff was pronounced with respect to decision-making, and some designated this as 'paternalism'. A great deal of the discontent with health care may be due to organisational failure, and the postnatal care should be more prioritised in the health-care organisation. IMPLICATIONS FOR PRACTICE: midwives should acknowledge that parents, irrespective of gender, should have equal opportunities as parents during postpartum care as parenting is a joint project. PMID: 19084301 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2046979 Wed, 10 Dec 2008 05:00:00 +0100 2046979 http://www.medworm.com/index.php?rid=2046978&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19084302%26dopt%3DAbstract This article provides an overview of the ways in which the body has been theorised, from the essential and biological through to postmodern theories of the body. We draw attention to the limitations of some of these approaches, suggesting that Elizabeth Grosz's schema of the Möbius strip (representing the inter-relationships between the inside and outside, culture and nature) provides a useful framework for thinking about the body; one that avoids a biological materialism that disregards the effect of culture, and a cultural determinism that neglects the corporeal body. Recognising the multiplicity and fluidity of women's experiences of pregnancy, their body and childbearing emancipates us from the limitations imposed by the masculinist Western philosophical traditions that we have in... Midwifery journals http://www.medworm.com/rss/comments.php?id=2046978 Wed, 10 Dec 2008 05:00:00 +0100 2046978 http://www.medworm.com/index.php?rid=2046977&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19084303%26dopt%3DAbstract CONCLUSIONS: recurring parenthood in adolescence is a complex phenomenon, with many possible perceptions. The diverse experiences depend on the social context that is defined by the wishes, plans, possibilities and meanings of each distinct social class. IMPLICATIONS FOR PRACTICE: care delivery to these adolescents should consider not only theoretical and chronobiological aspects, but also the experiences of these young people and the psychosocial and cultural factors involved in their fatherhood. PMID: 19084303 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2046977 Wed, 10 Dec 2008 05:00:00 +0100 2046977 http://www.medworm.com/index.php?rid=2046982&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19081165%26dopt%3DAbstract CONCLUSIONS: this study found that students expect faculty members to use expert power, and faculty members need to reconsider their power bases. The factors affecting the perceptions of midwifery students regarding the use of power should be analysed in more detail. PMID: 19081165 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=2046982 Mon, 08 Dec 2008 05:00:00 +0100 2046982 http://www.medworm.com/index.php?rid=1996445&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19036485%26dopt%3DAbstract Authors: Dahlen HG, Barclay L, Homer CS OBJECTIVE: to explore the experiences of a small group of first-time mothers giving birth at home or in hospital. DESIGN: a grounded theory methodology was used. Data were generated from in-depth interviews with women in their own homes. SETTING: Sydney, Australia. PARTICIPANTS: 19 women were interviewed. Seven women who gave birth for the first time in a public hospital and seven women who gave birth for the first time at home were interviewed, and their experiences were contrasted with two mothers who gave birth for the first time in a birth centre, one mother who gave birth for the first time in a private hospital and two women who had given birth more than once. RESULTS: these women shared common experiences of giving birth as 'novices'. Rega... Midwifery journals http://www.medworm.com/rss/comments.php?id=1996445 Mon, 24 Nov 2008 05:00:00 +0100 1996445 http://www.medworm.com/index.php?rid=1980937&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19019510%26dopt%3DAbstract CONCLUSIONS: this paper highlights the strengths and weaknesses of medical diagnosis, as exemplified by Ogilvie's syndrome. The scientific basis of diagnoses such as Ogilvie's syndrome may deserve attention. This diagnosis has been shown to be unstable, both in temporal and aetiological terms. The midwifery and nursing reaction to the abrupt appearance of this condition is, at best, unfortunate. The attribution of blame to midwifery practices is deserving of a more robust response. IMPLICATIONS FOR PRACTICE: there may be clinical implications of the diagnosis of Ogilvie's syndrome for other aspects of maternity (including any nursing) care. A particularly significant area is the widely recognised increase in the caesarean rate with which Ogilvie's syndrome has been closely linked. PMID... Midwifery journals http://www.medworm.com/rss/comments.php?id=1980937 Mon, 17 Nov 2008 05:00:00 +0100 1980937 http://www.medworm.com/index.php?rid=1945351&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18990472%26dopt%3DAbstract CONCLUSION: rates of antenatal depression were very high in Asian women with some associated risk factors. However, male gender preference was not associated with antenatal depression. IMPLICATIONS FOR PRACTICE: given the high prevalence, screening Asian women for depression may be indicated to allow treatment. PMID: 18990472 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1945351 Tue, 04 Nov 2008 05:00:00 +0100 1945351 http://www.medworm.com/index.php?rid=1926577&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18973968%26dopt%3DAbstract Authors: Bick D PMID: 18973968 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1926577 Tue, 28 Oct 2008 04:00:00 +0100 1926577 http://www.medworm.com/index.php?rid=1895099&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18938003%26dopt%3DAbstract This study found that pregnancy planning influenced antenatal health behaviour. PMID: 18938003 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1895099 Sat, 18 Oct 2008 04:00:00 +0100 1895099 http://www.medworm.com/index.php?rid=1888309&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18926608%26dopt%3DAbstract CONCLUSIONS: smoking cessation is unique to individual women; as such, appropriate support and advice should be tailored accordingly. Further research is needed to explore the views of women using NRT during pregnancy to aid smoking cessation. IMPLICATIONS FOR PRACTICE: the findings from this structured review raise awareness of the importance of smoking cessation during pregnancy, and the inclusion of women's views when discussing the use of NRT. Understanding women's views may enhance the care and advice given by midwives, thus improving smoking cessation rates in pregnancy. PMID: 18926608 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1888309 Tue, 14 Oct 2008 04:00:00 +0100 1888309 http://www.medworm.com/index.php?rid=1865556&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18842327%26dopt%3DAbstract CONCLUSIONS: these results provide a useful first step towards the identification of aspects of women's feelings about modes of birth. Most women expressed a preference for vaginal birth. Further exploration of women's feelings regarding parturition and the decision-making process is required. PMID: 18842327 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1865556 Mon, 06 Oct 2008 04:00:00 +0100 1865556 http://www.medworm.com/index.php?rid=1825896&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18809230%26dopt%3DAbstract CONCLUSIONS: the findings suggest there are many strengths, weaknesses, opportunities and barriers to antenatal education. Strengths of antenatal education included the facilitator of antenatal classes, the information and preparation received, and the social aspect of meeting other expectant mothers. Barriers to attendance at antenatal education included working night shifts, no interest, transport difficulties, inflexible employer, and partner not attending. A move away from didactic teaching methods and greater participation and involvement of parents was identified as necessary. IMPLICATIONS FOR PRACTICE: fundamental issues related to the provision and of antenatal education were identified. A need for promotion and advertising of antenatal education was identified by the participants.... Midwifery journals http://www.medworm.com/rss/comments.php?id=1825896 Sat, 20 Sep 2008 04:00:00 +0100 1825896 http://www.medworm.com/index.php?rid=1815416&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18804902%26dopt%3DAbstract CONCLUSION: the findings suggest that the midwife participants in this small study were totally unprepared and ill equipped, both personally and professionally, to deal with the consequences of working within an environment that was the centre of a number of high profile legal proceedings and an extensive external review of obstetric services. The midwives were naïve about legal processes and unprepared for the legal 'game playing' and media attention that often accompanies court proceedings. Despite the fact that no midwife faced litigation, the participants described their work environment as becoming increasingly stressful and permeated by a culture of fear. In turn, this situation has reinforced the need for some midwives to adopt an 'institution' ideology which reinforces birth a... Midwifery journals http://www.medworm.com/rss/comments.php?id=1815416 Thu, 18 Sep 2008 04:00:00 +0100 1815416 http://www.medworm.com/index.php?rid=1815417&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18804317%26dopt%3DAbstract CONCLUSIONS: episiotomy rates can be reduced without causing harm to women or newborn babies. Episiotomies can be avoided if induction and vacuum assistance are used sparingly, and if spontaneous pushing techniques and alternative birth positions (lateral, sitting, squatting, all fours) are used more often during labour. PMID: 18804317 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1815417 Wed, 17 Sep 2008 04:00:00 +0100 1815417 http://www.medworm.com/index.php?rid=1788782&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18783860%26dopt%3DAbstract CONCLUSIONS: first-time mothers start to undergo a transition at an early stage in their pregnancy. They face difficult periods both early in the pregnancy and after the birth, and have unmet needs for support in those periods, particularly the support of other new mothers. IMPLICATIONS FOR PRACTICE: providing more information about early pregnancy before conception may enable women to form more accurate expectations of this period. Facilitating contact between pregnant mothers would help them to establish a more appropriate support network prior to the birth. PMID: 18783860 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1788782 Mon, 08 Sep 2008 04:00:00 +0100 1788782 http://www.medworm.com/index.php?rid=1779349&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18774630%26dopt%3DAbstract CONCLUSION: fear of childbirth is seen as a continuum from normal to irrational, severe fear. It has various origins which are more or less difficult to operationalise. Fear of childbirth influences the experience of pregnancy, the labour process and the transition to parenthood. Midwifery care of women with fear of childbirth is emotionally demanding and time consuming. Aspects of care required early identification of women with fear of childbirth, individual care, preparation for giving birth, support of a companion during labour, and postpartum follow-up. PMID: 18774630 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1779349 Fri, 05 Sep 2008 04:00:00 +0100 1779349 http://www.medworm.com/index.php?rid=1770644&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18771828%26dopt%3DAbstract Authors: Taylor J, Johnson M OBJECTIVE: to explore the strategies used by women to manage fatigue in the first six months following childbirth. DESIGN: a qualitative study using an exploratory descriptive design. Data were collected using open-ended questions contained in surveys posted to participants six, 12 and 24 weeks after birth. SETTING: Canberra, Australian Capital Territory, Australia. PARTICIPANTS: 59 well women, 27 primipara and 32 multipara, aged 20-40 years, who gave birth in the Australian Capital Territory. FINDINGS: three themes emerged from the analysis:'Looking after me' or self-care practices; 'Managing the load' or balancing the work to be done with the aim of managing the woman's fatigue; and 'How it worked', describing how useful the strategies had been in managin... Midwifery journals http://www.medworm.com/rss/comments.php?id=1770644 Tue, 02 Sep 2008 04:00:00 +0100 1770644 http://www.medworm.com/index.php?rid=1768993&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18768243%26dopt%3DAbstract This study would seem to concur with these previous findings. The sense of coherence concept could prove to be a useful tool to measure outcomes in future midwifery research. PMID: 18768243 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1768993 Mon, 01 Sep 2008 04:00:00 +0100 1768993 http://www.medworm.com/index.php?rid=1693750&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18687240%26dopt%3DAbstract Authors: Downe S, Walsh D, Gyte G PMID: 18687240 [PubMed - in process] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1693750 Sun, 10 Aug 2008 10:07:12 +0100 1693750 http://www.medworm.com/index.php?rid=1683115&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18676071%26dopt%3DAbstract CONCLUSIONS: language may be used to control childbearing women and direct them to decisions that the midwife wants, rather than enabling the woman to make her own decisions. The terms used by midwives to relate to women, such as 'girls' and 'ladies', may be a strategy used to improve a midwife's perception of her status in maternity care. IMPLICATIONS FOR PRACTICE: language may be used to undermine women. It is important that the language used when interacting with women is considered carefully in order to facilitate an unbiased perspective and to promote partnership. The word 'women', rather than 'girls' or 'ladies', should be used when referring to users of the maternity services. PMID: 18676071 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1683115 Fri, 01 Aug 2008 04:00:00 +0100 1683115 http://www.medworm.com/index.php?rid=1674944&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18672321%26dopt%3DAbstract Authors: Werkmeister G, Jokinen M, Mahmood T, Newburn M PMID: 18672321 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1674944 Tue, 29 Jul 2008 04:00:00 +0100 1674944 http://www.medworm.com/index.php?rid=1664378&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18657887%26dopt%3DAbstract CONCLUSIONS: women with different body sizes at pre-pregnancy have common and specific risks for postpartum weight retention. IMPLICATIONS FOR PRACTICE: individualised interventions should be developed to manage postpartum weight for women of different body sizes. Interventions should establish criteria for GWG and provide strategies to improve body image and modify lifestyle. The overall goal should be to manage postpartum weight gain and to promote women's health. PMID: 18657887 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1664378 Fri, 25 Jul 2008 04:00:00 +0100 1664378 http://www.medworm.com/index.php?rid=1657236&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18653261%26dopt%3DAbstract CONCLUSIONS: the smoking cessation sessions examined in this study failed to adhere to MI. There was no relationship between adherence to MI and behavioural outcome six months after the intervention, indicating that women who smoke post partum may be a high-risk group for whom specific smoking cessation interventions need to be developed. PMID: 18653261 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1657236 Tue, 22 Jul 2008 04:00:00 +0100 1657236 http://www.medworm.com/index.php?rid=1657235&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18653262%26dopt%3DAbstract CONCLUSION: the African population in Melbourne is not homogenous, and women's experiences differ with cultural background, residential status, educational level and prior experience. All, however, seem to progress through phases of adjustment to value continuous antenatal care. In this climate of change, the provision of a supportive sensitive service appears to promote acceptance of services and attendance at appointments. PMID: 18653262 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1657235 Tue, 22 Jul 2008 04:00:00 +0100 1657235 http://www.medworm.com/index.php?rid=1646083&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18639959%26dopt%3DAbstract Authors: Lundgren I OBJECTIVE: to describe women's experiences of doula support during childbirth. DESIGN AND SETTING: a qualitative study using a hermeneutic approach. Data were collected via tape-recorded interviews in the women's homes or at a place chosen by the women, one to eight months after the birth. PARTICIPANTS: nine women, seven primiparous and two multiparous, aged between 15 and 40 years, who had received antenatal care at a special clinic for single mothers in Gothenburg, Sweden between 2006 and 2007. KEY FINDINGS: the role of the doula lies between natural care and professional care, veering towards professional care. Professional aspects include being a mediator to the unknown, and a human life line to help the woman to play her part in the birth. Furthermore, the doul... Midwifery journals http://www.medworm.com/rss/comments.php?id=1646083 Thu, 17 Jul 2008 04:00:00 +0100 1646083 http://www.medworm.com/index.php?rid=1637853&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18632194%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: midwives working at ACCs are more willing to accept caesarean section at the woman's request and for women with fear of birth. It is of importance that ACC caregivers and professionals on labour wards increase their collaboration and have continuous discussions with one another in an attempt to reach consensus about the appropriate caesarean rates on evidence-based grounds. PMID: 18632194 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1637853 Mon, 14 Jul 2008 04:00:00 +0100 1637853 http://www.medworm.com/index.php?rid=1631184&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18621452%26dopt%3DAbstract CONCLUSION: a coping attitude was strongly associated with change in the desire for a caesarean and giving birth vaginally. A coping attitude can be learned through critical reflection and awareness of the counsellor's attitude, with measurable clinical results. PMID: 18621452 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1631184 Fri, 11 Jul 2008 04:00:00 +0100 1631184 http://www.medworm.com/index.php?rid=1603145&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18606483%26dopt%3DAbstract CONCLUSIONS: factors which influence breast feeding are numerous and complex, and many women described both positive and negative feelings about breast feeding. These areas are important to explore and incorporate when designing interventions aimed at increasing the proportion of women who breast feed. IMPLICATIONS FOR PRACTICE: it is important that care providers are aware of, and sensitive to, the complex personal and sociocultural factors that influence women's decisions about baby-feeding. PMID: 18606483 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1603145 Sat, 05 Jul 2008 04:00:00 +0100 1603145 http://www.medworm.com/index.php?rid=1603144&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18606484%26dopt%3DAbstract CONCLUSIONS: health-care professionals must understand that women take serious measures to hide the fact that they are victims of abuse in order to preserve family honour. Divulging information to interpreters or relatives is a problem because of lack of confidentiality and gossiping in the community. PMID: 18606484 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1603144 Sat, 05 Jul 2008 04:00:00 +0100 1603144 http://www.medworm.com/index.php?rid=1543438&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18571818%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: pregnant women can see their first ultrasound as a tool that enables them to reach different goals during their pregnancy. Many of the goals concern meeting and connecting with the baby, suggesting that pregnant women consider the examination an important step towards parenthood. An ultrasound examination offered for medical reasons, which has other meanings than the intended for pregnant women, is important knowledge. It can be useful when giving information about the scan, addressing the woman during the examination, and for understanding and handling possible reactions. PMID: 18571818 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1543438 Thu, 19 Jun 2008 04:00:00 +0100 1543438 http://www.medworm.com/index.php?rid=1543439&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18571297%26dopt%3DAbstract CONCLUSIONS: the PMTCT programme influences women's lives profoundly, and the importance of quality counselling and strengthening male involvement is stressed as the programme is implemented by an increasing number of service providers. PMID: 18571297 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1543439 Wed, 18 Jun 2008 04:00:00 +0100 1543439 http://www.medworm.com/index.php?rid=1531420&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18562056%26dopt%3DAbstract CONCLUSIONS: opportunities for research to establish the existence of this phenomenon, and the potential implications for midwifery practice are identified. PMID: 18562056 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1531420 Mon, 16 Jun 2008 04:00:00 +0100 1531420 http://www.medworm.com/index.php?rid=1508630&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18541350%26dopt%3DAbstract CONCLUSIONS: this study provides evidence that the translated version of the BSES-SF may be a valid and reliable measure of breast-feeding self-efficacy among a perinatal sample in Turkey. PMID: 18541350 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1508630 Sat, 07 Jun 2008 04:00:00 +0100 1508630 http://www.medworm.com/index.php?rid=1508629&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18541351%26dopt%3DAbstract CONCLUSION: there is a need for postnatal follow-up care for French mothers who breast feed. Follow-up care available for German mothers shows encouraging results. PMID: 18541351 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1508629 Sat, 07 Jun 2008 04:00:00 +0100 1508629 http://www.medworm.com/index.php?rid=1454534&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18486287%26dopt%3DAbstract CONCLUSIONS: the EMS programme did not succeed in improving breast-feeding rates in a setting where there was high initiation of breast feeding. Breast-feeding rates were high but still fell short of national goals. IMPLICATIONS FOR PRACTICE: continuing research of programmes designed to promote breast feeding is required in view of the advantages of breast feeding for all mothers and babies. PMID: 18486287 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1454534 Thu, 15 May 2008 04:00:00 +0100 1454534 http://www.medworm.com/index.php?rid=1454535&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18485550%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: the needs of a small minority of women who find CVS or amniocentesis shocking and/or painful may be overlooked. A review of pre-test information and procedures is recommended to ensure that women are better prepared for possible physical sensations during the procedures to address the needs of this minority. PMID: 18485550 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1454535 Wed, 14 May 2008 04:00:00 +0100 1454535 http://www.medworm.com/index.php?rid=1432596&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18462854%26dopt%3DAbstract CONCLUSION AND IMPLICATIONS FOR PRACTICE: given the integral role of breast feeding in improving overall community health, regular breast-feeding counselling should be offered, particularly during the pregnancy and early postpartum period. PMID: 18462854 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1432596 Mon, 05 May 2008 04:00:00 +0100 1432596 http://www.medworm.com/index.php?rid=1368416&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18403072%26dopt%3DAbstract Authors: Soltani H PMID: 18403072 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1368416 Tue, 08 Apr 2008 04:00:00 +0100 1368416 http://www.medworm.com/index.php?rid=1360698&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18395309%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: pregnant women of non-Northern European descent are a specific group in terms of anaemia and are at high risk of a low haemoglobin level for all cut-off values; they have a higher chance of becoming anaemic in pregnancy than women of Northern European descent. As a result, they have a higher risk of a transferred home delivery, taking away their opportunity to choose the place of birth. Haemoglobinopathies did not explain the higher risk of anaemia in pregnant women of non-Northern European descent. Being of non-Northern European descent should be added as a risk factor for anaemia in pregnancy until more is known about the background of this risk factor. PMID: 18395309 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1360698 Thu, 03 Apr 2008 04:00:00 +0100 1360698 http://www.medworm.com/index.php?rid=1360699&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18394766%26dopt%3DAbstract Authors: Dahlen HG, Barclay LM, Homer CS OBJECTIVE: to explore first-time mothers' experiences of birth at home and in hospital in Australia. DESIGN: a grounded theory methodology was used. Data were generated from in-depth interviews with women in their own homes. SETTING: Sydney, Australia. PARTICIPANTS: 19 women were interviewed. Seven women who gave in a public hospital and seven women who gave birth for the first time at home were interviewed and their experiences were contrasted with two mothers who gave birth for the first time in a birth centre, one mother who gave birth for the first time in a private hospital and two women who had given birth more than once. FINDINGS: three categories emerged from the analysis: preparing for birth, the novice birthing and processing the birth... Midwifery journals http://www.medworm.com/rss/comments.php?id=1360699 Wed, 02 Apr 2008 04:00:00 +0100 1360699 http://www.medworm.com/index.php?rid=1349682&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18384920%26dopt%3DAbstract Authors: Skinner J, Rathavy T OBJECTIVE: to evaluate a pilot project, which used a community participatory approach to introduce birth preparedness in rural Cambodia. DESIGN: a feasibility and outcome evaluation. This included observation, interview, document analysis and costing. SETTING: the project was undertaken in 15 villages linked to five health centres in Kampong Chhnang, Cambodia. PARTICIPANTS: key management personnel, local midwives, village leaders, village volunteers and village members who had participated in the programme. FINDINGS: community engagement was not only feasible but was also a successful and cost-effective way to introduce birth preparedness. A high degree of satisfaction was reported by the health staff and the community. Over the year in which the project ... Midwifery journals http://www.medworm.com/rss/comments.php?id=1349682 Mon, 31 Mar 2008 04:00:00 +0100 1349682 http://www.medworm.com/index.php?rid=1344374&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18378050%26dopt%3DAbstract CONCLUSIONS: few women file a police report when they are being hit by their partner during the year after childbirth. Many women do not tell anyone that they have been hit. IMPLICATIONS FOR PRACTICE: these data may encourage health professionals to undertake sensitive questioning about violence, giving an opening for support. PMID: 18378050 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1344374 Fri, 28 Mar 2008 04:00:00 +0100 1344374 http://www.medworm.com/index.php?rid=1344373&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18378051%26dopt%3DAbstract Authors: Hunter B, Berg M, Lundgren I, Olafsdóttir OA, Kirkham M PMID: 18378051 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1344373 Fri, 28 Mar 2008 04:00:00 +0100 1344373 http://www.medworm.com/index.php?rid=1344372&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18378052%26dopt%3DAbstract Authors: Sandall J PMID: 18378052 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1344372 Fri, 28 Mar 2008 04:00:00 +0100 1344372 http://www.medworm.com/index.php?rid=1340705&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18375024%26dopt%3DAbstract CONCLUSION: a high body mass index before pregnancy is not associated with increased risk of retaining more weight after pregnancy. On the other hand, total pregnancy weight gain was the most important determinant of weight retention at three years postpartum in this population of Iranian women. PMID: 18375024 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1340705 Thu, 27 Mar 2008 04:00:00 +0100 1340705 http://www.medworm.com/index.php?rid=1340704&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18375025%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: this small-scale in-depth study could form the basis for hypothesis generation for larger scale work in this area in future. The findings offer some reinforcement for the potential applicability of theories of transformational leadership to midwifery management and practice. PMID: 18375025 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1340704 Thu, 27 Mar 2008 04:00:00 +0100 1340704 http://www.medworm.com/index.php?rid=1314195&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18346826%26dopt%3DAbstract CONCLUSION: violation of patients' rights and health professionals' ignorance of appropriate practice means that there is an urgent need to reconsider how to approach this issue. It should be included in continuing education programmes at both graduate and postgraduate midwifery and nursing schools, and also demands more research. PMID: 18346826 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1314195 Sat, 15 Mar 2008 04:00:00 +0100 1314195 http://www.medworm.com/index.php?rid=1311143&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18343000%26dopt%3DAbstract CONCLUSION: the proposed MNBU is welcomed by Chinese midwives. Their consensus and confidence show that there is enthusiasm for this project to proceed. However, the Chinese have never thought of MNBU services before. There is a need to develop well-structured philosophy, policy, procedures and outcome measures. IMPLICATIONS FOR PRACTICE: the findings highlight the importance of an MNBU to re-establish Chinese midwives' support of physiological childbirth. The extent to which Chinese midwives understand an MNBU could be further explored. The result may provide a possible route to the continuity of midwifery care and support. PMID: 18343000 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1311143 Thu, 13 Mar 2008 04:00:00 +0100 1311143 http://www.medworm.com/index.php?rid=1288437&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18325645%26dopt%3DAbstract CONCLUSIONS: this study highlighted the providers' satisfaction in working with clients, and their dissatisfaction with not being used to the best of their capabilities due to a number of systemic and organisational barriers. IMPLICATIONS FOR PRACTICE: based on these findings, multifaceted interventions seem to be necessary to improve staff productivity and service quality. The interventions should include needs-based pre-service education, supportive supervision and management, provision of educational materials, simplifying record management, and appointing more staff in socio-economically deprived areas. Research is needed to identify the best way to integrate the services, as well as basic and continuing educational needs of staff. PMID: 18325645 [PubMed - as supplied by publisher]... Midwifery journals http://www.medworm.com/rss/comments.php?id=1288437 Tue, 04 Mar 2008 05:00:00 +0100 1288437 http://www.medworm.com/index.php?rid=1286308&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18321619%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: the likelihood of obtaining reliable data from HIRs is increased by a keen awareness of the challenges presented by the records themselves, careful training of staff, careful DAF design which allows for documentation of problems, conducting QA checks such as cross-coding exercises, and cautious reporting of findings with appropriate recognition of inherent limitations of the method. PMID: 18321619 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1286308 Mon, 03 Mar 2008 05:00:00 +0100 1286308 http://www.medworm.com/index.php?rid=1286307&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18321620%26dopt%3DAbstract CONCLUSION: although there was no significant difference in functional status for the husbands of pregnant women and the husbands of postnatal women, sociodemographic factors were found to have an effect. PMID: 18321620 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1286307 Mon, 03 Mar 2008 05:00:00 +0100 1286307 http://www.medworm.com/index.php?rid=1277951&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18314233%26dopt%3DAbstract CONCLUSION: trends of increasing prenatal surveillance together with advancing technology make this study timely and of global interest. Findings suggest that women identified as 'at risk' before being discharged uneventfully may be prone to attachment issues and a host of other difficulties. The complexities inherent in this experience should be of interest to a broad range of health professionals. An appreciation of this experience may assist midwives and other health professionals to provide more meaningful maternal support to women identified as 'at risk'. PMID: 18314233 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1277951 Fri, 29 Feb 2008 05:00:00 +0100 1277951 http://www.medworm.com/index.php?rid=1277950&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18314234%26dopt%3DAbstract CONCLUSIONS: the findings suggest that midwives per se identify and respond to a fraction of the cases of domestic abuse in pregnancy, due to lack of confidence, education and training. This reinforces the need for both hospital and community midwives to gain further confidence and an understanding of the many psychosocial factors that surround domestic violence. IMPLICATIONS FOR PRACTICE: healthy settings theory can be used effectively to identify good practice with women who experience domestic violence. Effective investment for health care requires the gaps between hospital- and community-based practice to be bridged, and for work to be integrated. PMID: 18314234 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1277950 Fri, 29 Feb 2008 05:00:00 +0100 1277950 http://www.medworm.com/index.php?rid=1277949&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18314235%26dopt%3DAbstract CONCLUSIONS: the questionnaire appears to be a reliable measure of mothers' experiences in the Greek population. Further studies are needed to refine the instrument. PMID: 18314235 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1277949 Fri, 29 Feb 2008 05:00:00 +0100 1277949 http://www.medworm.com/index.php?rid=1258260&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18295382%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS: the findings from this study are of interest to clinicians and policy makers forming future guidelines for antenatal care both in Iceland and further afield. It highlights the need for information for prospective parents to be in the public domain prior to their contact with maternity services. Additionally, findings add to knowledge of prospective fathers in early pregnancy regarding how their perceptions of disability may contribute to the couple's decision to accept screening. PMID: 18295382 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1258260 Thu, 21 Feb 2008 05:00:00 +0100 1258260 http://www.medworm.com/index.php?rid=1245148&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18282645%26dopt%3DAbstract Authors: Mander R, Smith GD PMID: 18282645 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1245148 Sat, 16 Feb 2008 05:00:00 +0100 1245148 http://www.medworm.com/index.php?rid=1241973&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18281131%26dopt%3DAbstract CONCLUSIONS: the use of a prefilled injection device overcame many of the barriers cited by midwives with regard to the use of oxytocin in ampoules, such as trying to break ampoules and fill syringes in a hurry. This device enabled midwives to deliver the correct dose of oxytocin in the third stage of labour in a safe and timely way, while attending to the other needs of the mother and her newborn baby. IMPLICATIONS FOR PRACTICE: use of a prefilled injection device for oxytocin may increase the acceptability and practice of AMTSL in primary level facilities, thus reducing maternal mortality due to postpartum haemorrhage. PMID: 18281131 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1241973 Fri, 15 Feb 2008 05:00:00 +0100 1241973 http://www.medworm.com/index.php?rid=1241974&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18280015%26dopt%3DAbstract Authors: Bryce A, Butler C, Gnich W, Sheehy C, Tappin DM OBJECTIVE: to develop, implement and evaluate a supportive midwifery intervention, Community Action on Tobacco for Children's Health (CATCH), to help young pregnant smokers to quit. DESIGN: action research project funded from April 2002 to June 2005. SETTING AND PARTICIPANTS: CATCH was based in a single hospital maternity unit in the West of Scotland and targeted a deprived population of pregnant smokers aged 25 years and under. Outreach work was undertaken in the local community and cessation support was provided in women's own homes. INTERVENTION: CATCH aimed to meet the particular needs of young pregnant women through a tailored, non-judgmental approach. The service was distinctive as it employed a holistic approach to smoking... Midwifery journals http://www.medworm.com/rss/comments.php?id=1241974 Wed, 13 Feb 2008 05:00:00 +0100 1241974 http://www.medworm.com/index.php?rid=1236985&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18276048%26dopt%3DAbstract CONCLUSIONS: midwives and women identified a series of key elements that were required of a midwife. These included: being woman centred; providing safe and supportive care; and working in collaboration with others when necessary. These findings were consistent with much of the international literature. IMPLICATIONS FOR PRACTICE: a number of barriers to achieving the full role of the midwife were identified. These included a lack of opportunity to practice across the full spectrum of maternity care, the invisibility of midwifery in regulation and practice, the domination of medicine, workforce shortages, the institutional system of maternity care, and the lack of a clear image of what midwifery is within the wider community. These barriers must be addressed if midwives in Australia are to ... Midwifery journals http://www.medworm.com/rss/comments.php?id=1236985 Tue, 12 Feb 2008 05:00:00 +0100 1236985 http://www.medworm.com/index.php?rid=1236984&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18276049%26dopt%3DAbstract CONCLUSIONS: in order to reduce the rates of rickets in children, it is important to promote a more balanced and health-enhancing form of zuo yuezi that maintains necessary vitamin D status of both the mother and her baby. By understanding this custom, medical professionals caring for pregnant and post-partum Chinese women in Western countries will be able to better serve their health needs. PMID: 18276049 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1236984 Tue, 12 Feb 2008 05:00:00 +0100 1236984 http://www.medworm.com/index.php?rid=1234695&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18272271%26dopt%3DAbstract CONCLUSION: ginger is more effective than vitamin B6 for relieving the severity of nausea, and is equally effective for decreasing the number of vomiting episodes in early pregnancy. PMID: 18272271 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1234695 Mon, 11 Feb 2008 05:00:00 +0100 1234695 http://www.medworm.com/index.php?rid=1225380&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18262695%26dopt%3DAbstract Authors: Bick D PMID: 18262695 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1225380 Fri, 08 Feb 2008 05:00:00 +0100 1225380 http://www.medworm.com/index.php?rid=1207529&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18243449%26dopt%3DAbstract CONCLUSION: the provision of a nutrition brochure does not serve any real purpose. IMPLICATIONS FOR PRACTICE: to reach optimal synergy between verbal and written nutrition communication in midwifery practice, midwives should actively refer to a nutrition brochure in addition to verbal communication. Moreover, health organisations should realise that the provision of nutrition brochures to midwives does not mean that these brochures will be used as an integral part of midwives' nutrition communication with clients. PMID: 18243449 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1207529 Fri, 01 Feb 2008 05:00:00 +0100 1207529 http://www.medworm.com/index.php?rid=1207530&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18242804%26dopt%3DAbstract Authors: Green S, Baird K OBJECTIVE: to explore the retention and attrition of pre-registration midwifery students. DESIGN: an exploratory, comparative design that enabled the comparison of a 3-year and a 78-week midwifery programme. The methodology was designed into two main phases using both quantitative and qualitative methodology. SETTING: a university in the South West of England. PARTICIPANTS: 36 questionnaires were sent to students who had left the programmes during 2001-2003. A purposive sample of 16 student midwives formed two separate focus groups. The participants were selected from current 3-year and 78-week midwifery programmes. FINDINGS: midwifery attracts highly motivated students. In order for this motivation to continue through an emotional and demanding programme of s... Midwifery journals http://www.medworm.com/rss/comments.php?id=1207530 Thu, 31 Jan 2008 05:00:00 +0100 1207530 http://www.medworm.com/index.php?rid=1185883&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18222574%26dopt%3DAbstract CONCLUSIONS: trust in a well-respected health-care system was necessary for the informants to be able to subvert or resist that system. While such resistance has been documented in other disciplines, such as nursing, reference has not been found in relation to maternity. The resistance to the system was, at the time of the fieldwork, neither co-ordinated nor collaborative. IMPLICATIONS FOR PRACTICE: the findings of this study carry important implications for women's and midwives' input into maternity care. PMID: 18222574 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1185883 Fri, 25 Jan 2008 05:00:00 +0100 1185883 http://www.medworm.com/index.php?rid=1185882&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18222575%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: this study identified some of the reasons why midwives find it difficult to facilitate normal birth in an obstetric unit setting, and identified a need for further research in this area. Midwifery education and supportive management structures are required if midwives are to become confident practitioners of normal birth. PMID: 18222575 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1185882 Fri, 25 Jan 2008 05:00:00 +0100 1185882 http://www.medworm.com/index.php?rid=1185881&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18222576%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: confirmation of parenthood was important, especially for the co-parent. The participants in this study felt that when they were open about their sexuality, this was met with an openness that they felt was confirming about their homsexuality. It is important for health-care providers not to make assumptions about women's sexuality. PMID: 18222576 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1185881 Fri, 25 Jan 2008 05:00:00 +0100 1185881 http://www.medworm.com/index.php?rid=1177760&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18215447%26dopt%3DAbstract CONCLUSIONS: village midwives should: receive appropriate support for the management of obstetric emergencies; engage with communities to promote birth preparedness; and work in partnership with formal and informal providers in the community. The enquiry was a diagnostic tool to identify opportunities for improving care. Practitioners had a unique insight into factors that contribute to quality care and how feasible interventions might be made. PMID: 18215447 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1177760 Sat, 19 Jan 2008 05:00:00 +0100 1177760 http://www.medworm.com/index.php?rid=1169837&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18206281%26dopt%3DAbstract CONCLUSIONS: beliefs about health and illness differ, change and affect awareness of risk and self-care practice postpartum. Swedish women showed high risk awareness with changes in life style and the desire for more information to avoid developing DM. Middle Eastern women showed increased risk awareness and sought help from staff in checking whether GDM was present in the postpartum period. IMPLICATIONS FOR PRACTICE: it is important to recognise that Middle Eastern women, in contrast to Swedish-born women, have not incorporated the message that GDM is a risk marker for future development of DM. Health professionals have a significant role in supporting women and their families undergoing the transition to motherhood, particularly migrants in a new country. Identifying individual beliefs i... Midwifery journals http://www.medworm.com/rss/comments.php?id=1169837 Wed, 16 Jan 2008 05:00:00 +0100 1169837 http://www.medworm.com/index.php?rid=1152590&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18191313%26dopt%3DAbstract CONCLUSIONS: this study highlights the role and influence that fathers of preterm babies have on breast feeding, and explores the tensions and paradoxes inherent in promoting the ideology of breast feeding while valuing the practice of bottle feeding. IMPLICATIONS FOR PRACTICE: this study highlights the need to encourage and involve fathers in breast-feeding education including the impact of bottle feeding on breast-feeding outcomes. The active and positive contribution that fathers make towards preterm breast feeding should be acknowledged and encouraged. PMID: 18191313 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=1152590 Thu, 10 Jan 2008 05:00:00 +0100 1152590 http://www.medworm.com/index.php?rid=1152591&cid=s_35378_138_f&fid=35378&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18191007%26dopt%3DAbstract Authors: Fenwick S, Holloway I, Alexander J OBJECTIVE: to explore women's experiences of caesarean section. DESIGN: a qualitative study using a grounded theory approach. Data were collected using unstructured, tape-recorded interviews which took place between 1999 and 2000. SETTING: the South West of England. PARTICIPANTS: twenty-one women who had experienced a caesarean section-either by choice or of necessity-and who were first- or second-time mothers. FINDINGS: four main categories emerged: expectations and reality, being in control, feelings of failure as a woman and feeling different. These all linked to the core category of achieving normality. Women strove to achieve normality after having a caesarean section. If they did not gain this sense of normality, the status passage to m... Midwifery journals http://www.medworm.com/rss/comments.php?id=1152591 Wed, 09 Jan 2008 05:00:00 +0100 1152591