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. Mon, 06 Feb 2012 23:58:13 +0100 http://www.medworm.com/index.php?rid=5621277&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%3D22248565%26dopt%3DAbstract Authors: Bick D PMID: 22248565 [PubMed - in process] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5621277 Tue, 24 Jan 2012 01:12:12 +0100 5621277 http://www.medworm.com/index.php?rid=5599719&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%3D22245336%26dopt%3DAbstract CONCLUSION: the desire of women for more information and to know the 'midwife' suggests a gap between what the women expected and what they were provided. IMPLICATION FOR PRACTICE: it is important to expand the scope of client education to include critical pregnancy and labour related issues and friendly midwifery practices in the facility. PMID: 22245336 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5599719 Fri, 13 Jan 2012 05:00:00 +0100 5599719 http://www.medworm.com/index.php?rid=5534233&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%3D22188999%26dopt%3DAbstract CONCLUSIONS: the use of physiological care during the third stage of labour should be considered and supported for women who are healthy and have had a spontaneous labour and birth regardless of birth place setting. Further research should determine whether the use of a uterotonic as a treatment in the first instance may be more effective than as a treatment following initial exposure prophylactically. PMID: 22188999 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5534233 Mon, 19 Dec 2011 05:00:00 +0100 5534233 http://www.medworm.com/index.php?rid=5534234&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%3D22177575%26dopt%3DAbstract CONCLUSIONS: by centring attention on the emic perspective of women themselves, the drama approach developed professional's awareness, relationships, understanding and skills. Nevertheless, drama can be an expensive education tool. It is therefore essential that further research explores the longer term impacts on practice and outcomes for women that include cost-benefit analysis. PMID: 22177575 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5534234 Wed, 14 Dec 2011 05:00:00 +0100 5534234 http://www.medworm.com/index.php?rid=5534242&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%3D22172740%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: the women who chose to give birth at home accepted that there was a risk of complications, but perceived these to be due to fate. Technical risks were considered to be a consequence of the decision to give birth in hospital, and were perceived to be avoidable. In addition, the women considered ethical issues as risks that are sometimes more important than medical complications. Women's perceptions of risk, and the ways in which they prepare to manage risk, are central issues to help providers and policy makers adjust services to women's expectations in order to respond to the individuality of each woman. PMID: 22172740 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5534242 Tue, 13 Dec 2011 05:00:00 +0100 5534242 http://www.medworm.com/index.php?rid=5534241&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%3D22172741%26dopt%3DAbstract CONCLUSIONS: this review highlighted considerable variability in both midwives' and supervisor's understanding of the nature and purpose of supervision as part of the NMC statutory framework. In particular, the potential for supervision to enhance personal development and midwives' practice varied according to the nature of the relationship between midwife and supervisor. The importance of supervision being fit for purpose and supervisors possessing the requisite knowledge, skills and attitudes to execute their role and responsibilities effectively cannot be underestimated. More research is needed to examine ways in which statutory supervision contributes to patient safety and high quality care and what opportunities there may be for the statutory framework to develop and empower midwives ... Midwifery journals http://www.medworm.com/rss/comments.php?id=5534241 Tue, 13 Dec 2011 05:00:00 +0100 5534241 http://www.medworm.com/index.php?rid=5534240&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%3D22172742%26dopt%3DAbstract CONCLUSIONS: a low prevalence of patient safety incidents was found in midwifery care for low-risk pregnant women. This first systematic study of patient safety in midwifery adds to the base of evidence regarding the safety of midwifery-led care for low-risk women. Nevertheless, some areas for improvement were found. Improvement of patient safety should address the better adherence to practice guidelines for patient risk assessment, better implementation of interventions for known lifestyle risk factors and better availability of midwives during birthing care. PMID: 22172742 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5534240 Tue, 13 Dec 2011 05:00:00 +0100 5534240 http://www.medworm.com/index.php?rid=5534239&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%3D22172743%26dopt%3DAbstract CONCLUSION: for women at low-risk of birth complications, Midwifery Group Practice was cost effective, and women experienced fewer obstetric interventions compared with standard maternity care. The evidence suggests Midwifery Group Practice is safe and economically viable. PMID: 22172743 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5534239 Tue, 13 Dec 2011 05:00:00 +0100 5534239 http://www.medworm.com/index.php?rid=5534236&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%3D22172744%26dopt%3DAbstract CONCLUSION: the Bologna Score was easy to use and pointed at items that could be improved. It was satisfying that all women survived, but alarming that 16% of the children had a low Apgar score. The findings suggest that childbirth care can be improved at the hospital. PMID: 22172744 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5534236 Tue, 13 Dec 2011 05:00:00 +0100 5534236 http://www.medworm.com/index.php?rid=5534245&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%3D22169524%26dopt%3DAbstract CONCLUSIONS: midwives with experience of handling very preterm births at 21-28 GW develop a positive attitude to interventions at an earlier gestational age as compared to midwives without such experience. IMPLICATIONS FOR PRACTICE: based on these results we suggest more communication and transfer of information about the advances in perinatal care and exchange of knowledge between the staff at general and university hospitals. Establishment of platforms for inter-professional discussions about ethically difficult situations in perinatal care, might benefit the management of very preterm labour and birth. PMID: 22169524 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5534245 Mon, 12 Dec 2011 05:00:00 +0100 5534245 http://www.medworm.com/index.php?rid=5534244&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%3D22169525%26dopt%3DAbstract CONCLUSION: women filtered their decision making regarding VBAC through a belief system that prioritises according to their personal approaches. IMPLICATIONS FOR CLINICAL PRACTICE: blogging may be providing a valuable insight into factors that inform decision making and may provide a forum of information and support for women who have experienced a caesarean section. PMID: 22169525 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5534244 Mon, 12 Dec 2011 05:00:00 +0100 5534244 http://www.medworm.com/index.php?rid=5534246&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%3D22154225%26dopt%3DAbstract CONCLUSION: increased awareness and knowledge of CHB are needed to provide adequate care. Offering psychological support by a health-care professional to facilitate early bonding with the child should be considered. IMPLICATIONS FOR PRACTICE: there is a need for structured programs for surveillance of the pregnancies. Such programme should implement guidelines for the involved personnel in the chain of care and make relevant information accessible for the women and families. PMID: 22154225 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5534246 Fri, 09 Dec 2011 05:00:00 +0100 5534246 http://www.medworm.com/index.php?rid=5474579&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%3D22093258%26dopt%3DAbstract Authors: Bick D PMID: 22093258 [PubMed - in process] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5474579 Thu, 01 Dec 2011 05:00:00 +0100 5474579 http://www.medworm.com/index.php?rid=5474578&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%3D22093259%26dopt%3DAbstract Authors: Thomson AM, Van Kelst L PMID: 22093259 [PubMed - in process] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5474578 Thu, 01 Dec 2011 05:00:00 +0100 5474578 http://www.medworm.com/index.php?rid=5474577&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%3D22093260%26dopt%3DAbstract Authors: Thomson AM PMID: 22093260 [PubMed - in process] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5474577 Thu, 01 Dec 2011 05:00:00 +0100 5474577 http://www.medworm.com/index.php?rid=5474574&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%3D22119403%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: this research provides insight into the professional and cultural experiences of newly qualified midwives, especially how cultural interactions, education and expectations may shape the midwifery habitus. It would seem that midwives who take a critical and reflective approach to practice are key players in the cultural re-creation of midwifery. Accordingly, to enable the aforementioned approach to practice, it is important that reflective and reflexive practices are an integral part of midwifery education. Nevertheless, the implications for practice are not merely one-dimensional. Observations in the field suggest the importance of making the quality of midwives' working lives a priority by facilitating a more supportive working environment. Moreo... Midwifery journals http://www.medworm.com/rss/comments.php?id=5474574 Fri, 25 Nov 2011 05:00:00 +0100 5474574 http://www.medworm.com/index.php?rid=5474573&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%3D22119404%26dopt%3DAbstract CONCLUSIONS: our results indicate that a broad, national education effort can be successful in enhancing knowledge and changing antenatal care practice. However, generalisation to other countries or cultures may be limited because the usage of new routines is affected by many organisational and contextual factors. PMID: 22119404 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5474573 Fri, 25 Nov 2011 05:00:00 +0100 5474573 http://www.medworm.com/index.php?rid=5474575&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%3D22100618%26dopt%3DAbstract CONCLUSIONS: childbirth is considered synonymous with physical and emotional suffering, pain, fear and risk of death. IMPLICATIONS FOR PRACTICE: this research indicates the need to break the current mechanistic model of care on which health professionals' actions are based. Care during childbirth must be guided by the foundation that women are the subjects of childbirth actions, in an attempt to emphasise actions that grant them with the autonomy and empowerment needed to experience the situation. PMID: 22100618 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5474575 Thu, 17 Nov 2011 05:00:00 +0100 5474575 http://www.medworm.com/index.php?rid=5474576&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%3D22098781%26dopt%3DAbstract CONCLUSIONS: the Australian women were less likely than the Swedish women to hold attitudes and beliefs regarding the impact of pregnancy and birth on their body, the right to determine the type of birth they want and to value the natural process of birth. Women from both countries who preferred caesarean were less likely to agree with attitudes related to birth as a natural event. PMID: 22098781 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5474576 Wed, 16 Nov 2011 05:00:00 +0100 5474576 http://www.medworm.com/index.php?rid=5419594&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%3D22079624%26dopt%3DAbstract CONCLUSIONS: the interviews suggest that although mothers experience difficulties during early breast feeding, positive feelings seem to prevail over the negative ones, and mothers have already developed strategies to overcome their latching problems. Receiving support is fundamental, but this must be consistent among health-care professionals. IMPLICATIONS FOR PRACTICE: when evaluating the BAS item 'latching difficulty', midwives should consider that difficulties are primarily related to physical problems. Furthermore, to sustain lactation, mothers should be helped to elicit their experience of early breast feeding, as it can be extremely satisfying, even when difficulties in latching the babies occur. PMID: 22079624 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5419594 Fri, 11 Nov 2011 05:00:00 +0100 5419594 http://www.medworm.com/index.php?rid=5419593&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%3D22079625%26dopt%3DAbstract CONCLUSIONS: the PQI intervention showed a positive impact on the quality of reproductive health services. The effects of the intervention on service utilisation had likely not yet been fully realized, since none of the facilities had achieved national recognition before the evaluation. Staff turnover needs to be reduced to maximise the effectiveness of the intervention. IMPLICATIONS FOR PRACTICE: the PQI intervention evaluated here offers an effective way to improve the quality of health services in low-resource settings and should continue to be scaled up in Malawi. PMID: 22079625 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5419593 Fri, 11 Nov 2011 05:00:00 +0100 5419593 http://www.medworm.com/index.php?rid=5419592&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%3D22079626%26dopt%3DAbstract CONCLUSIONS: findings from this study were consistent with those of other studies on midwives' experience with obstetric-led care. Despite the medicalised care, midwives still held a woman-centred ideology. In order to be able to work according to their ideology, different barriers need to be addressed. Although midwives suggested strategies to overcome these barriers, some were considered to be very difficult to overcome. PMID: 22079626 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5419592 Fri, 11 Nov 2011 05:00:00 +0100 5419592 http://www.medworm.com/index.php?rid=5419596&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%3D22079014%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: this study highlights that despite structural, cultural and practical barriers, a culturally sensitive health improvement programme has the potential to enhance maternal and infant nutritional practices. However, we should not underestimate the powerful influence of poverty and culturally embedded norms upon women's decisions and practices. PMID: 22079014 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5419596 Thu, 10 Nov 2011 05:00:00 +0100 5419596 http://www.medworm.com/index.php?rid=5419595&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%3D22079015%26dopt%3DAbstract CONCLUSIONS: Singaporean women experiencing pregnancy and childbirth follow tradition through the influence of their mother and mother-in-law and because of worry over consequences that may result if they do not. Tradition is also challenged through the modification or rejection of traditional practices and changing family roles and expectations. IMPLICATIONS: health professionals need to provide accurate information on traditional birthing practices and scientific evidence to support or refute such practices with the aim of preventing women from adhering to practices that are hazardous to them and the baby. PMID: 22079015 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5419595 Thu, 10 Nov 2011 05:00:00 +0100 5419595 http://www.medworm.com/index.php?rid=5419610&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%3D22079009%26dopt%3DAbstract CONCLUSION: women's accounts suggest that two main factors are involved in making testing morally obligatory: (1) the woman's views on her moral duties to her family; and (2) the expected burden of a disabled child on the well-being of the family. A family-centred approach would be more suitable to assess the moral imperative character of testing than women's ethical views about their moral duties towards their unborn child. IMPLICATIONS: a test offer should not be limited to communication of the characteristics of screening and the meaning of the test results. In helping women to assess the meaning of testing within their parental duties, counselling should include the family situation in which women have to decide, the women's expectations about living with a child with Down's syndrome o... Midwifery journals http://www.medworm.com/rss/comments.php?id=5419610 Wed, 09 Nov 2011 05:00:00 +0100 5419610 http://www.medworm.com/index.php?rid=5419603&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%3D22079010%26dopt%3DAbstract CONCLUSIONS: decision-making was learnt primarily by working alongside midwifery mentors and through situated learning in practice. Decision-making was not necessarily a solo activity, it was common for midwives to use each other as a resource, which established there was a social dimension to midwifery decision-making. Learners had to navigate through workplace culture, which consisted of: the practices shared by some midwives and not others, covert rules of practice, midwifery and institutional authoritarianism. IMPLICATIONS FOR PRACTICE: learners need to work with mentors who actively encourage participation in decision-making and provide discussion and feedback on decision-making abilities. When a staged and active approach to decision-making is not provided this may have negative impl... Midwifery journals http://www.medworm.com/rss/comments.php?id=5419603 Wed, 09 Nov 2011 05:00:00 +0100 5419603 http://www.medworm.com/index.php?rid=5379611&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%3D22030081%26dopt%3DAbstract CONCLUSIONS: The suggested improvements include the need to include a baseline study, appropriate selection criteria, improve information in the training manual to increase clarity of meaning, and to encourage beneficial traditional practices through training. PMID: 22030081 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5379611 Mon, 24 Oct 2011 04:00:00 +0100 5379611 http://www.medworm.com/index.php?rid=5379612&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%3D22019088%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: IFIT offers an innovative means to sustain contact with the formula industry without their unprecedented access to health facilities or personnel. Focused training opportunities should be provided to enable health-care staff to appreciate the constituent limitations of artificial milks and provide consistent, sensitive and comprehensive infant feeding information. PMID: 22019088 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5379612 Fri, 21 Oct 2011 04:00:00 +0100 5379612 http://www.medworm.com/index.php?rid=5379614&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%3D22018394%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: antenatal training can increase confidence of breast feeding in pregnancy and provide women with sufficient knowledge about breast feeding after birth. Antenatal training may therefore be an important low-technology health promotion tool that can be provided at low costs in most settings. The antenatal training programme needs to be followed by postnatal breast-feeding support as it is not sufficient in itself to increase the duration of breast feeding or reduce breast-feeding problems. PMID: 22018394 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5379614 Wed, 19 Oct 2011 04:00:00 +0100 5379614 http://www.medworm.com/index.php?rid=5379613&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%3D22018395%26dopt%3DAbstract CONCLUSIONS: the importance of ensuring good quality of care for women and newborn babies is well recognised in the literature, however, there is currently no agreed single and comprehensive definition described. Several models were identified, which can be combined to form a comprehensive framework to help define and assess quality of care or lack of quality. Approaches to quality of care that are specifically important for maternal and newborn health were identified and include a rights based approach, adopting care that is evidence-based, consideration of the mother and baby as interdependent and the fact that pregnancy is on the whole a healthy state. IMPLICATIONS FOR PRACTICE: a model of quality of maternal and newborn health care using perspectives, characteristics, dimensions of the... Midwifery journals http://www.medworm.com/rss/comments.php?id=5379613 Wed, 19 Oct 2011 04:00:00 +0100 5379613 http://www.medworm.com/index.php?rid=5379619&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%3D22015217%26dopt%3DAbstract CONCLUSIONS: some components of EMTSL identified by these expert midwives are not recorded in text-books, but are based on experience and expertise. These elements of EMTSL add to midwifery knowledge and provide a basis for further discussion on how normal physiology can be supported during the third stage. IMPLICATIONS FOR PRACTICE: use of these elements is recommended for women who request EMTSL, and for those in countries without ready access to uterotonics. PMID: 22015217 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5379619 Tue, 18 Oct 2011 04:00:00 +0100 5379619 http://www.medworm.com/index.php?rid=5379618&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%3D22015218%26dopt%3DAbstract CONCLUSION: the CWS was found to have a relatively stable factor structure and satisfactory reliability and convergent and discriminant validity. CWS may enable researchers and clinicians to apply a reliable measure that focuses on worries during pregnancy. PMID: 22015218 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5379618 Tue, 18 Oct 2011 04:00:00 +0100 5379618 http://www.medworm.com/index.php?rid=5379617&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%3D22015219%26dopt%3DAbstract CONCLUSION: optimal folic acid supplementation was relatively low. IMPLICATIONS FOR PRACTICE: further efforts are needed to inform the population and promote the use of folic acid supplementation. PMID: 22015219 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5379617 Tue, 18 Oct 2011 04:00:00 +0100 5379617 http://www.medworm.com/index.php?rid=5379616&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%3D22015221%26dopt%3DAbstract CONCLUSIONS: the ASAS is interchangeable with the VAS for assessing labour pain. Over two-thirds of the women preferred it to the VAS. PMID: 22015221 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5379616 Tue, 18 Oct 2011 04:00:00 +0100 5379616 http://www.medworm.com/index.php?rid=5379615&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%3D22015222%26dopt%3DAbstract CONCLUSION: most midwives seem to use CATs. As not all CATs are without risks, the issue should be debated openly. PMID: 22015222 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5379615 Tue, 18 Oct 2011 04:00:00 +0100 5379615 http://www.medworm.com/index.php?rid=5379620&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%3D22000676%26dopt%3DAbstract CONCLUSIONS: older maternal age and non-Australian birth increased a woman's risk of developing GDM and this increase was most evident among Asian women. As GDM is associated with adverse maternal and infant outcomes, it is important to explore ways of preventing GDM, and to put in place strategies to effectively manage GDM during pregnancy and to reduce the later risk of developing type 2 diabetes. Pregnancy presents midwives with a unique opportunity to provide education and to encourage dietary and behavioural modifications as women have repeated contact with the health system during this time. PMID: 22000676 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5379620 Fri, 14 Oct 2011 04:00:00 +0100 5379620 http://www.medworm.com/index.php?rid=5379621&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%3D21996605%26dopt%3DAbstract Authors: Cheyne H, McNeill J, Hunter B, Bick D PMID: 21996605 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5379621 Tue, 11 Oct 2011 04:00:00 +0100 5379621 http://www.medworm.com/index.php?rid=5379622&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%3D21993203%26dopt%3DAbstract CONCLUSION: the struggle for contested boundaries is entering a new phase as maternity care professionals struggle with different perceptions of what multidisciplinary collaboration means in the delivery of primary maternity care. PMID: 21993203 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5379622 Mon, 10 Oct 2011 04:00:00 +0100 5379622 http://www.medworm.com/index.php?rid=5379623&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%3D21982202%26dopt%3DAbstract CONCLUSIONS: this pilot study showed that LLLT did not accelerate episiotomy healing. Although there was a reduction in perineal pain mean scores in the experimental group, we cannot conclude that the laser relieved perineal pain. This study led to the suggestion of a new research proposal involving another irradiation protocol to evaluate LLLT's effect on perineal pain relief. PMID: 21982202 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5379623 Wed, 05 Oct 2011 04:00:00 +0100 5379623 http://www.medworm.com/index.php?rid=5296903&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%3D21978497%26dopt%3DAbstract CONCLUSIONS: the initial impact of childbirth on the perineum and surrounding area meant that in the first few postnatal days women largely concentrated on managing the effects of this. The impact however, went beyond the immediacy of coping with bodily functions extending into other daily activities in terms of managing and completing them. Examples of daily living activities in this context include bathing, eating, walking as well as completing household chores. Returning to normal following childbirth is significant for women and successfully achieving daily living activities is part of this process. However, women in this study seemed unprepared for the reality of this experience. IMPLICATIONS FOR PRACTICE: women may be poorly prepared for the impact that perineal pain and discomfort c... Midwifery journals http://www.medworm.com/rss/comments.php?id=5296903 Tue, 04 Oct 2011 04:00:00 +0100 5296903 http://www.medworm.com/index.php?rid=5218865&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%3D21907879%26dopt%3DAbstract Authors: Bick D PMID: 21907879 [PubMed - in process] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5218865 Wed, 14 Sep 2011 19:32:23 +0100 5218865 http://www.medworm.com/index.php?rid=5218864&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%3D21908082%26dopt%3DAbstract CONCLUSIONS: in spite of strong evidence for the benefits of one-to-one support in labour, the utility of the evidence base is limited by the failure to specify what is meant by one-to-one support leading to a lack of comparability/applicability. There is a need for research that focuses more clearly on articulating what happens during labour between the woman and the range of people who support her, in services that are deemed to offer one-to-one support. PMID: 21908082 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5218864 Fri, 09 Sep 2011 04:00:00 +0100 5218864 http://www.medworm.com/index.php?rid=5218866&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%3D21906857%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: safe delivery practices and newborn care needs to be improved in rural Pakistan. This may be achieved by training health workers and TBAs in safe delivery practices, using safe delivery kits and with an effective referral system. PMID: 21906857 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5218866 Wed, 07 Sep 2011 04:00:00 +0100 5218866 http://www.medworm.com/index.php?rid=5218868&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%3D21903307%26dopt%3DAbstract CONCLUSIONS: personal, caring and co-operative relationships with all maternity care professionals were basic to New Zealand mothers feeling good about their birth experience. IMPLICATIONS FOR PRACTISE: relationships, with and between, all maternity care professionals merit further investigation in an effort to optimise birth satisfaction. PMID: 21903307 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5218868 Tue, 06 Sep 2011 04:00:00 +0100 5218868 http://www.medworm.com/index.php?rid=5218867&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%3D21903308%26dopt%3DAbstract CONCLUSION: although barriers exist to the adoption and spread of simulated learning in midwifery, there is a long history of simulation and a great willingness to enhance its use among midwifery academics in Australia. IMPLICATIONS FOR PRACTICE: while some aspects of midwifery practice may be impossible to simulate, more collaboration and sharing in the development and use of simulation scenarios, equipment, space and other physical and personnel resources would make the uptake of simulation in midwifery education more widespread. Students would therefore be exposed to the best available preparation for clinical practice contributing to the safety and quality of midwifery care. PMID: 21903308 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5218867 Tue, 06 Sep 2011 04:00:00 +0100 5218867 http://www.medworm.com/index.php?rid=5099343&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%3D21782297%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: when families can access FM early on and home-visits are sustained, maternal competencies in caring for, and relating to, the child can potentially be strengthened. FM seem to fill a gap between standard care by caseload midwives ending at 8 weeks postpartum and YWS whose personnel is not skilled in the assessment of health-related problems, such as inadequate infant nutrition. As a relatively high percentage of the families were challenged by domestic violence, drug addiction, and teenage pregnancy, ongoing educational activities should address these topics. PMID: 21782297 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5099343 Tue, 19 Jul 2011 23:00:00 +0100 5099343 http://www.medworm.com/index.php?rid=5052015&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%3D21775034%26dopt%3DAbstract CONCLUSION: domestic violence during pregnancy was associated with adverse clinical and psychological outcomes for women. These results suggest that a well-organised health-care system and trained health professionals, as well as multisectorial social support, are necessary to prevent or address the negative influence of domestic violence on women's health in Brazil. PMID: 21775034 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5052015 Sun, 17 Jul 2011 23:00:00 +0100 5052015 http://www.medworm.com/index.php?rid=5052014&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%3D21775035%26dopt%3DAbstract CONCLUSIONS: stillbirth constitutes a threat to a maternal 'moral' identity, which results in a differential experience of loss for mothers than for fathers. IMPLICATIONS FOR PRACTISE: comprehending that the experience of stillbirth might lead the mother to feel that her identity as a 'moral mother' is under threat is essential in understanding the maternal experience of stillbirth. PMID: 21775035 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5052014 Sun, 17 Jul 2011 23:00:00 +0100 5052014 http://www.medworm.com/index.php?rid=5052016&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%3D21764190%26dopt%3DAbstract CONCLUSIONS: when midwifery students provided continuous care during pregnancy, birth and the postnatal period, both women and men experienced a trusting relationship. Relational continuity was important for women in the entire process, but for the men this was mostly important during childbirth. Individual care and coping with birth and early parenting enhanced empowerment. The limited sample size in this study means that it cannot be generalised without caution, and further research is needed. PMID: 21764190 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5052016 Thu, 14 Jul 2011 23:00:00 +0100 5052016 http://www.medworm.com/index.php?rid=5052017&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%3D21757271%26dopt%3DAbstract CONCLUSIONS AND IMPLICATION FOR PRACTICE: avoidance of questions concerning the experience of violence during pregnancy may be regarded as a failing not only to the pregnant woman but also to the unprotected and unborn baby. Nevertheless, certain hindrances must be overcome before the implementation of routine enquiry concerning violence during pregnancy. It is important to develop guidelines and a plan of action for all health-care personnel at antenatal clinics as well as to provide continuous education and professional support for midwives in southern Sweden. PMID: 21757271 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=5052017 Mon, 11 Jul 2011 23:00:00 +0100 5052017 http://www.medworm.com/index.php?rid=4960392&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%3D21684639%26dopt%3DAbstract CONCLUSIONS: data quality of the childbirth registers was unsatisfactory. Influential factors were primarily organisational and technical, which may have had an adverse effect on midwives' record keeping behaviour. IMPLICATIONS FOR PRACTICE: data quality of the registers can be improved by re-examining technical challenges and organisational impediments at different levels. Midwives' awareness of data quality needs to be increased by sharing the purpose of the childbirth registers. Strong political commitment is also indispensable for putting these findings into action. PMID: 21684639 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4960392 Thu, 16 Jun 2011 23:00:00 +0100 4960392 http://www.medworm.com/index.php?rid=4960393&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%3D21684052%26dopt%3DAbstract Authors: Ansell Irving L, McAra-Couper J, Smythe E OBJECTIVE: to explore expert practitioners' methods of managing shoulder dystocia. DESIGN AND SETTING: a qualitative interpretive study enabled a descriptive, hermeneutic analysis of data collected. Data were collected via tape recorded interviews, transcribed and analysed to explore themes and meanings. PARTICIPANTS: five clinicians (four midwives and one obstetrician) who have significant experience in the management of shoulder dystocia and work in high risk maternity practice. KEY FINDINGS: IMPLICATIONS FOR PRACTICE: the results of this study demonstrate that the actions to be taken in the event of shoulder dystocia should be further examined and possibly reviewed. The three simple steps of McRoberts Manoeuvre - Suprapubic Pressure... Midwifery journals http://www.medworm.com/rss/comments.php?id=4960393 Wed, 15 Jun 2011 23:00:00 +0100 4960393 http://www.medworm.com/index.php?rid=4960394&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%3D21683487%26dopt%3DAbstract CONCLUSION: there is considerable evidence that women worldwide wish to be able to exercise their rights and make informed choices about where to give birth. The medical model remains a strong and powerful influence on women's decisions in many countries. The midwifery model offers birthplace choices to women, while policies and culture in some countries affect midwifery practise. Perceptions of safety shaped women's preferences, and women's autonomy facilitated birthplace choices. IMPLICATIONS FOR PRACTISE: these findings can be seen as a challenge for health professionals and policy makers to improve perinatal care based on women's needs. Local research is advisable due to cultural and health system differences. PMID: 21683487 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4960394 Tue, 14 Jun 2011 23:00:00 +0100 4960394 http://www.medworm.com/index.php?rid=4960395&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%3D21680068%26dopt%3DAbstract CONCLUSIONS: an educational programme in perineal repair can make a significant difference to the midwives' perceived level of competency and confidence when assessing and managing perineal trauma and repair. IMPLICATIONS FOR PRACTICE: competency and expertise are complex phenomena and the data has provided greater insight into the complex nature of workplace learning alongside the multiple factors influencing clinical decision-making such as staff shortage, time constraints and inadequate numbers of midwives who are able to instruct, supervise and assess competency in perineal repair. Funding for training is fundamental for the sustainability of future practice development. PMID: 21680068 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4960395 Mon, 13 Jun 2011 23:00:00 +0100 4960395 http://www.medworm.com/index.php?rid=4960396&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%3D21664732%26dopt%3DAbstract Authors: Spiby H, Cheyne H PMID: 21664732 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4960396 Wed, 08 Jun 2011 23:00:00 +0100 4960396 http://www.medworm.com/index.php?rid=4960397&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%3D21658823%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: comprehensive history-taking and engaging women as early as possible in pregnancy; providing continuity of care - particularly midwife care - to assist in developing a collaborative approach to care; provision of an extended period of postnatal support to at least six months for those women able to parent their children was a key recommendation. PMID: 21658823 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4960397 Mon, 06 Jun 2011 23:00:00 +0100 4960397 http://www.medworm.com/index.php?rid=4912051&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%3D21641704%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTISE: Singing lullabies in pregnancy had a soothing and calming effect and was a pleasant experience for participants. It was also an emotional experience and appeared to facilitate the expression of difficult emotion such as fear and anxiety. This effect is likely to have a significant and positive impact on well-being for pregnant women and as such warrants further exploration. PMID: 21641704 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4912051 Thu, 02 Jun 2011 23:00:00 +0100 4912051 http://www.medworm.com/index.php?rid=4912053&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%3D21624639%26dopt%3DAbstract Authors: Buchan J PMID: 21624639 [PubMed - in process] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4912053 Tue, 31 May 2011 23:00:00 +0100 4912053 http://www.medworm.com/index.php?rid=4912052&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%3D21632158%26dopt%3DAbstract CONCLUSIONS: although we could not demonstrate intervention effects on all outcome measures, the HMHB programme appears to be highly welcome, and reaches an underserved minority group at increased risk for adverse perinatal outcomes. IMPLICATIONS FOR PRACTICE: the HMHB programme is one of the first systematically developed antenatal interventions for ethnic minority women. The programme can be used as a basic antenatal programme, and as a screening opportunity for women who smoke or show serious depressive symptoms. PMID: 21632158 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4912052 Sun, 29 May 2011 23:00:00 +0100 4912052 http://www.medworm.com/index.php?rid=4912055&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%3D21616568%26dopt%3DAbstract CONCLUSIONS: midwives were portrayed as accommodating privately employed phlebotomists to some extent. It was implied that midwives did so because phlebotomists conformed to implicit boundaries, which required respecting midwives' authority over the labour ward, room and the umbilical cord blood. In turn, midwives' power was protected. IMPLICATIONS FOR PRACTICE: the findings highlight the important role of spatial boundaries and the significance of the organisation of spaces when implementing new services within health care. PMID: 21616568 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4912055 Tue, 24 May 2011 23:00:00 +0100 4912055 http://www.medworm.com/index.php?rid=4912054&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%3D21620539%26dopt%3DAbstract CONCLUSION: having identified the significant factors in the 25% student attrition rate, specific interventions to improve retention rates can be developed. PMID: 21620539 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4912054 Tue, 24 May 2011 23:00:00 +0100 4912054 http://www.medworm.com/index.php?rid=4863045&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%3D21601966%26dopt%3DAbstract CONCLUSION: male partners of postpartum women are a major source of factors associated with PDS in rural areas. IMPLICATION FOR PRACTICE: midwifery practitioners in rural settings should emphasise psychosocial assessment and male involvement in postpartum care to increase opportunities of identifying mothers at risk of PDS and implementation of interventions targeting men. PMID: 21601966 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4863045 Thu, 19 May 2011 23:00:00 +0100 4863045 http://www.medworm.com/index.php?rid=4863053&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%3D21601321%26dopt%3DAbstract Authors: Fullerton JT, Thompson JB, Severino R OBJECTIVE: a 2-year study was conducted to update the core competencies for basic midwifery practice, first delineated by the International Confederation of Midwives in 2002. A competency domain related to abortion-related care services was newly developed. DESIGN: a modified Delphi survey process was conducted in two phases: a pilot item affirmation study, and a global field survey. SETTING: a global survey conducted in 90 countries. PARTICIPANTS: midwifery educators or clinicians associated with midwifery education schools and programmes located in any of the ICM member association countries. Additional participants represented the fields of nursing, medicine, and midwifery regulatory authorities. A total of 232 individuals from 63 membe... Midwifery journals http://www.medworm.com/rss/comments.php?id=4863053 Wed, 18 May 2011 23:00:00 +0100 4863053 http://www.medworm.com/index.php?rid=4863051&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%3D21601322%26dopt%3DAbstract Authors: Bourgeault IL, Neiterman E, Lebrun J Midwives have long been internationally mobile, but there has been relatively little attention paid to the requirements that internationally educated midwives (IEMs) must meet to practice and become integrated into the health-care systems of their destination country. This paper examines from a comparative perspective the policy context and integration procedures that IEMs must follow in order to practice in Canada and how this compares with the U.S., the U.K., and Australia. The data upon which this paper is based are largely derived from an analysis of documents and websites for key organisations involved in the integration process supplemented with interviews with key informants influential in the assessment and integration of IEMs. What... Midwifery journals http://www.medworm.com/rss/comments.php?id=4863051 Wed, 18 May 2011 23:00:00 +0100 4863051 http://www.medworm.com/index.php?rid=4863049&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%3D21601323%26dopt%3DAbstract CONCLUSIONS: teenage pregnancy was experienced differently by different generations within the same family, but all the experiences culminated in anger that hampered the necessary parental support for the pregnant teenager. Lack of support during pregnancy can easily affected the well-being of the unborn child, as teenagers are not supervised and experience acute emotional stress. Intervention by a midwife could help to relieve the teenager's stress and optimise the pregnancy outcome. PMID: 21601323 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4863049 Wed, 18 May 2011 23:00:00 +0100 4863049 http://www.medworm.com/index.php?rid=4863047&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%3D21601324%26dopt%3DAbstract CONCLUSIONS: no standard framework to evaluate progress made in ensuring increased coverage with skilled birth attendance currently exists. There are three published conceptual frameworks, each of which has valuable and workable components as well as limitations. A simplified systems approach to the Monitoring and Evaluation of SBA using structure, process and outcome criteria is proposed. PMID: 21601324 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4863047 Wed, 18 May 2011 23:00:00 +0100 4863047 http://www.medworm.com/index.php?rid=4863055&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%3D21592634%26dopt%3DAbstract CONCLUSIONS: midwives are supportive of interprofessional learning for students but are uncertain whether it will result in changes in practice. IMPLICATIONS FOR PRACTICE: interprofessional education may support collaboration in practice, but future educational research aimed at understanding how learning is applied to practice is needed. PMID: 21592634 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4863055 Sun, 15 May 2011 23:00:00 +0100 4863055 http://www.medworm.com/index.php?rid=4863059&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%3D21571408%26dopt%3DAbstract CONCLUSIONS: midwives from highly medicalized environments face a greater adjustment when integrating into Quebec's practice culture. They must shift from a 'risk' mindset to a 'confidence' mindset and develop their trust in the normal process of pregnancy and childbirth. They must acquire a sense of inner security on which they can rely instead of systematically resorting to technological referents. This adjustment of referents and representations is an operative transformation process that is often accompanied by changes in identity. IMPLICATIONS FOR PRACTICE: to facilitate the integration of immigrant midwives, it is important to consider the professional culture changes they face. If they are to use a holistic practice model, they must engage in introspection. They must reflect on preg... Midwifery journals http://www.medworm.com/rss/comments.php?id=4863059 Fri, 13 May 2011 23:00:00 +0100 4863059 http://www.medworm.com/index.php?rid=4863057&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%3D21571409%26dopt%3DAbstract Authors: Hussain CJ, Marshall DJ The recent rise in the number of maternity support workers (MSWs) in the United Kingdom (UK) has been welcomed by midwifery managers and supported by social policy surrounding improvements in maternity care. The training and role of the MSW varies considerably. Whilst most training is undertaken through clinical practice, more recent advances in the preparation of MSWs have resulted in them not only being trained to National Vocational Qualification (NVQ) Level 3, but also to foundation certificate or degree level. Consequently some MSWs are performing tasks that would traditionally be undertaken by a midwife, potentially leading to the erosion of the midwife's role in the future. From current evidence, midwives are not fully aware of how the developing... Midwifery journals http://www.medworm.com/rss/comments.php?id=4863057 Thu, 12 May 2011 23:00:00 +0100 4863057 http://www.medworm.com/index.php?rid=4863062&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%3D21570753%26dopt%3DAbstract CONCLUSION: pregnant women with disabilities, in particular those labelled 'high risk', should expect equal ease of access to appropriate maternity care and consultation as that enjoyed by their mainstream, 'low risk' or 'normal' counterparts. Maternity services should foster these vulnerable women's independence and autonomy as far as practicable and uphold their identity and worth as women and as mothers. Three strategies are proposed for doing this. PMID: 21570753 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4863062 Wed, 11 May 2011 23:00:00 +0100 4863062 http://www.medworm.com/index.php?rid=4863063&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%3D21565437%26dopt%3DAbstract CONCLUSIONS: the transition period causes anxiety for newly qualified midwives, especially when there is a long delay between qualification and taking up their first post. There appears to be some confusion over induction and preceptorship paperwork. The majority of midwives described their initial experience of working as a qualified midwife as 'SINK or SWIM'. PMID: 21565437 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4863063 Mon, 09 May 2011 23:00:00 +0100 4863063 http://www.medworm.com/index.php?rid=4863065&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%3D21561691%26dopt%3DAbstract CONCLUSION: providing birth kits to facilitate clean practices seems commonsense, but there is no evidence to indicate effects, positive or negative, separate from those achieved by a broader intervention package. More robust methods and knowledge systems are needed to understand the contextual factors and share relevant implementation lessons. PMID: 21561691 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4863065 Sun, 08 May 2011 23:00:00 +0100 4863065 http://www.medworm.com/index.php?rid=4805503&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%3D21550701%26dopt%3DAbstract CONCLUSIONS: the midwifery literature on LGBT colleagues corresponds with that identified in nursing almost three decades ago. The lack of recognition of LGBT midwives carries personal and organisational implications. IMPLICATIONS FOR PRACTICE: discriminatory attitudes may be difficult to resolve by education. Research on LGBT colleagues is fraught with difficulties. Various aspects of culture affect the acceptance of the colleague who is gay or lesbian. It is uncertain whether the midwife-woman relationship is less easily achieved by the gay or lesbian midwife. PMID: 21550701 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4805503 Thu, 05 May 2011 23:00:00 +0100 4805503 http://www.medworm.com/index.php?rid=4805505&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%3D21550149%26dopt%3DAbstract Authors: Thompson JB, Fullerton JT, Sawyer AJ OBJECTIVE: a 2-year study was conducted to develop Global Standards for Midwifery Education in keeping with core documents of the International Confederation of Midwives. Elements of the standards were based on evidence available in the published and unpublished literature. Companion Guidelines to assist in implementing the standards were also developed. DESIGN: a modified Delphi survey process was conducted in two rounds following item validation by a panel of midwifery education experts. SETTING: a global survey conducted in 88 countries. PARTICIPANTS: midwifery educators and clinicians associated with midwifery education located in any of the ICM member association countries. Additional participants included an Expert Midwifery Resource ... Midwifery journals http://www.medworm.com/rss/comments.php?id=4805505 Wed, 04 May 2011 23:00:00 +0100 4805505 http://www.medworm.com/index.php?rid=4805511&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%3D21546142%26dopt%3DAbstract CONCLUSION: the scales are valid and reliable tools for evaluating Turkish women's experiences in labour and the early postpartum period. IMPLICATIONS FOR PRACTICE: the scales can contribute to the assessment of women's satisfaction with different aspects of care, the quality of care and developments in maternity services. PMID: 21546142 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4805511 Mon, 02 May 2011 23:00:00 +0100 4805511 http://www.medworm.com/index.php?rid=4805512&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%3D21531488%26dopt%3DAbstract CONCLUSIONS: these results suggest that nurse-midwives should advise the parents on comfortable bed climates for their infants, as well as how to select and use bedding for them. PMID: 21531488 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4805512 Thu, 28 Apr 2011 23:00:00 +0100 4805512 http://www.medworm.com/index.php?rid=4805513&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%3D21497963%26dopt%3DAbstract CONCLUSIONS: the scenarios embrace all of the ICM's essential competencies for midwives in each of the countries involved. Additionally, they have face validity as shown by the spread of responses to each of the scenarios. IMPLICATIONS FOR PRACTICE: the scenarios may be used with confidence by experienced midwives in each of the areas involved. It is also possible that the scenarios can be used for education and assessment purposes. By considering the European perspective of the project, they also offer the potential to support the mobility of midwives moving between countries within Europe by assessing competence with regard to local practices in the new situation. PMID: 21497963 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4805513 Thu, 14 Apr 2011 23:00:00 +0100 4805513 http://www.medworm.com/index.php?rid=4805514&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%3D21489665%26dopt%3DAbstract CONCLUSION: the current research evidenced that the Italian first adaptation of the CPQ, the Childbirth Experience Perception Scale, may be a valid and reliable measure of childbirth experience perception for use in different women's health clinical outcome and studies. PMID: 21489665 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4805514 Sun, 10 Apr 2011 23:00:00 +0100 4805514 http://www.medworm.com/index.php?rid=4805515&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%3D21481994%26dopt%3DAbstract Authors: Bogossian FE, Long MH, Benefer C, Humphreyes Reid LJ, Kellett SE, Zhao I, Turner C Existing workforce data, as an estimate of the current capability of the midwifery workforce to provide midwifery care, is confounded by systematic reporting issues that may overestimate the potential of the existing midwifery workforce. This paper reports the characteristics of qualified Australian midwives who responded to the baseline data collection in the Midwives and Nurses e-Cohort Study and compares those who are currently practising in midwifery with those who are not. Currently practising midwives represented only 52% of those respondents who identified as midwives and the profile of the typical midwife is female, aged over 40 years, Australian, married or in a de facto relationship. S... Midwifery journals http://www.medworm.com/rss/comments.php?id=4805515 Wed, 06 Apr 2011 23:00:00 +0100 4805515 http://www.medworm.com/index.php?rid=4805537&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%3D21458722%26dopt%3DAbstract Authors: Sandall J, McCandish PR PMID: 21458722 [PubMed - in process] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4805537 Thu, 31 Mar 2011 23:00:00 +0100 4805537 http://www.medworm.com/index.php?rid=4805522&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%3D21458892%26dopt%3DAbstract CONCLUSIONS: Afghan women's experiences of maternity care are similar to findings of previous research with both immigrant and non-immigrant women, demonstrating the key role of caregiver attitudes and behaviour in women's satisfaction with care. PMID: 21458892 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4805522 Thu, 31 Mar 2011 23:00:00 +0100 4805522 http://www.medworm.com/index.php?rid=4805521&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%3D21458893%26dopt%3DAbstract CONCLUSION AND IMPLICATIONS FOR PRACTICE: cultural and traditional beliefs and practices, and socio-economic situation, influenced the Vietnamese mothers' breast feeding. Health-care professionals should consider cultural context and socio-economic issues when preparing infant feeding education and intervention programmes. Appropriate knowledge about cultural values should be included in health-care education in order to provide culturally congruent care to Vietnamese mothers in Vietnam as well as in Western countries. PMID: 21458893 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4805521 Thu, 31 Mar 2011 23:00:00 +0100 4805521 http://www.medworm.com/index.php?rid=4805518&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%3D21459498%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: a 'hearts and minds' approach transcends the prescriptive aspects of a macro-level intervention with its emphasis upon audits, training, statistics and 'hard' evidence through valuing other professionals and engaging staff at all levels. It offers insights into how organisational change may move beyond traditional top-down mechanisms for driving change to incorporate ways that value others and promote cooperation and reflection. PMID: 21459498 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4805518 Thu, 31 Mar 2011 23:00:00 +0100 4805518 http://www.medworm.com/index.php?rid=4805517&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%3D21459499%26dopt%3DAbstract Conclusions and implications for practice: clinical implementation of the birth ball exercise programme could be an effective adjunctive tool to improve childbirth self-efficacy and reduce pain among women in labour. On the basis of our mediating model, the results further suggest that confidence is greater after prenatal preparation powerfully related to decreased pain perception and decreased medication/analgesia use during labour. PMID: 21459499 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4805517 Thu, 31 Mar 2011 23:00:00 +0100 4805517 http://www.medworm.com/index.php?rid=4805516&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%3D21459500%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTISE: recruitment must be taken into account in management of the ward, and should be planned so that no recruitment is undertaken during medical procedures. Midwives need more education about the research including the important aspects of the creation of general knowledge about substances which may harm the fetus. Dialogue is needed between the mother and the midwife to ensure genuine informed consent. PMID: 21459500 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4805516 Thu, 31 Mar 2011 23:00:00 +0100 4805516 http://www.medworm.com/index.php?rid=4805520&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%3D21458894%26dopt%3DAbstract The objective of this study was to determine the factors that contribute to the retention of midwives, that is, why do midwives stay? DESIGN: a descriptive design was undertaken in two phases. Phase one used focus groups to adapt a questionnaire used in the 'Why Midwives Stay' study in England for the Australian context. Phase two used the questionnaire to collect qualitative and quantitative data. SETTING: one area health service in New South Wales, Australia. PARTICIPANTS: 392 midwives employed in the area health service either full-time, part-time or on a casual basis were invited to participate and 209 (53%) responded. FINDINGS: the majority of respondents were women aged 23-69 years (mean age 42 years). Just over half had received their midwifery qualification through the hospital-bas... Midwifery journals http://www.medworm.com/rss/comments.php?id=4805520 Wed, 30 Mar 2011 23:00:00 +0100 4805520 http://www.medworm.com/index.php?rid=4805519&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%3D21458895%26dopt%3DAbstract CONCLUSIONS: experienced control during labour and birth is an important predictor of birth satisfaction. Health care providers should collaborate with the women they care for to use techniques that maximize the experience of control especially during labour and birth. PMID: 21458895 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4805519 Wed, 30 Mar 2011 23:00:00 +0100 4805519 http://www.medworm.com/index.php?rid=4805548&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%3D21453999%26dopt%3DAbstract CONCLUSIONS: the primary learning strategies used by the participants enabled them to have confidence in physiological birth; birthing women; and their own skills as traditional midwives. IMPLICATIONS FOR PRACTICE: learning from women and continued professional reflection are ways of learning for midwives that may increase their confidence in women, birthing and their midwifery skills. These attributes are essential for midwives, regardless of their workforce context. PMID: 21453999 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4805548 Mon, 28 Mar 2011 23:00:00 +0100 4805548 http://www.medworm.com/index.php?rid=4805547&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%3D21454000%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS: the findings of this study indicate that the midwives' overall strategy was to encourage women to remain out of hospital for as long as possible 'for their own good'. This strategy seems to rely on knowledge derived from non-contextual science within the dominant medical childbirth paradigm, and might not meet women's needs in early labour. When women are admitted in early labour, midwives should be able to 'protect' these women from unnecessary interventions and do so in partnership with the women themselves rather than accepting that women's mere presence in the labour ward yields complications and increases the likelihood of caesarean section. From the findings of this study, it is reasonable to ask whether an obstacle to this course might be the midwives' ... Midwifery journals http://www.medworm.com/rss/comments.php?id=4805547 Mon, 28 Mar 2011 23:00:00 +0100 4805547 http://www.medworm.com/index.php?rid=4581441&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%3D21371795%26dopt%3DAbstract Authors: Carolan M, Barry M, Gamble M, Turner K, Mascareñas O BACKGROUND: stress during pregnancy is common and has been linked to a range of poorer maternal and infant outcomes. Treatment options are few, however, due to difficulties of diagnosis and concerns about the impact of medication on the developing fetus. Singing is an activity with stress reducing and other benefits that may be worth exploring. The aim of this study was to explore the impact of singing lullabies during pregnancy. METHODS: participants were recruited at antenatal classes at a metropolitan maternity hospital in Ireland. Six pregnant women participated and learnt to sing three lullabies over four group sessions with musicians. Qualitative in depth interviews were conducted approximately three months later to c... Midwifery journals http://www.medworm.com/rss/comments.php?id=4581441 Tue, 01 Mar 2011 00:00:00 +0100 4581441 http://www.medworm.com/index.php?rid=4581442&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%3D21345555%26dopt%3DAbstract CONCLUSION: use of diaries for qualitative data collection is feasible and well received by health professionals. Individuals completing diaries were engaged in a reflective process enabling them to address significant events. Hence, diaries may provide benefits to both the researcher and the participant. They proved appropriate to a study requiring an exploration of the lived experience of the participants. Researchers conducting research informed by a phenomenological perspective should consider diaries as a valuable data collection tool. PMID: 21345555 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4581442 Mon, 21 Feb 2011 00:00:00 +0100 4581442 http://www.medworm.com/index.php?rid=4581443&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%3D21342738%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: participating midwives indicated their willingness to offer assistance and acknowledged the importance of providing emotional care to women. In practice, emotional care by midwives is impeded by perceived lack of competency rather than a lack of interest. Midwives' competency in the assessment and care of women with conditions such as depression and anxiety may be enhanced through continuing professional education. PMID: 21342738 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4581443 Sun, 20 Feb 2011 00:00:00 +0100 4581443 http://www.medworm.com/index.php?rid=4472747&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%3D21295386%26dopt%3DAbstract Authors: McKevitt S, Gillen P, Sinclair M The appropriate use of the cardiotocograph (CTG) machine in the clinical setting is an issue of concern for midwives and doctors. OBJECTIVE: to examine midwives and doctors attitudes towards the use of the CTG machine in labour ward practice. BACKGROUND: this small study provides new insight into the attitudes of doctor and midwives towards the use of CTG. DESIGN: an exploratory descriptive design that used a combination of qualitative and quantitative approaches. A valid and reliable tool designed by Sinclair (2001) was used to measure the attitudes of doctors and midwives towards CTG usage. In addition, follow-up semi-structured interviews with doctors and midwives were conducted. SETTING: a maternity unit in Northern Ireland. PARTICIPANTS: p... Midwifery journals http://www.medworm.com/rss/comments.php?id=4472747 Wed, 02 Feb 2011 00:00:00 +0100 4472747 http://www.medworm.com/index.php?rid=4472749&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%3D21276482%26dopt%3DAbstract Authors: Bick D PMID: 21276482 [PubMed - in process] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4472749 Tue, 01 Feb 2011 00:00:00 +0100 4472749 http://www.medworm.com/index.php?rid=4472748&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%3D21276483%26dopt%3DAbstract Authors: Dykes F This paper explores some of the significant changes that have taken place with regard to the protection, promotion and support of breast feeding during the past three decades. The period covered since the first issue of Midwifery in 1985, has been marked by some dramatic reversals of harmful discourses and detrimental practices with regard to infant and young child feeding and more specifically breast feeding. Midwifery has spanned this period with the publication of 80 papers on breast feeding. This collection of papers has both influenced and reflected upon changes in international and national breast-feeding strategies and practices. Six papers have been selected for a special virtual edition of Midwifery to reflect the diversity of breast-feeding research in terms ... Midwifery journals http://www.medworm.com/rss/comments.php?id=4472748 Tue, 01 Feb 2011 00:00:00 +0100 4472748 http://www.medworm.com/index.php?rid=4406166&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%3D21257236%26dopt%3DAbstract Authors: Fahy K, Douglas N, Robinson J PMID: 21257236 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4406166 Fri, 21 Jan 2011 00:00:00 +0100 4406166 http://www.medworm.com/index.php?rid=4406169&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%3D21251734%26dopt%3DAbstract CONCLUSION: formulating a plan of care for women identifiably at risk of PPH and ensuring appropriate follow-up counselling is made, is key to help reduce the emotional and psychological symptoms experienced by these women in the aftermath of severe postpartum haemorrhage and hysterectomy. PMID: 21251734 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4406169 Tue, 18 Jan 2011 00:00:00 +0100 4406169 http://www.medworm.com/index.php?rid=4406168&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%3D21251735%26dopt%3DAbstract Authors: Sibbritt D, Adams J, Lui CW OBJECTIVE: to examine the use of complementary and alternative medicine during pregnancy using data from a longitudinal cohort study. DESIGN AND SETTING: the research was conducted as part of the Australian Longitudinal Study on Women's Health which was designed to investigate multiple factors affecting the health and well-being of women over a 20-year period. PARTICIPANTS: the younger cohort of the Australian Longitudinal Study on Women's Health who had completed four surveys in 1996, 2000, 2003 and 2006. FINDINGS: the data reveal an increase both in consumption of complementary and alternative medicine and in consultations with general practitioners/specialists during pregnancy. Women utilised complementary and alternative medicine as a supplement... Midwifery journals http://www.medworm.com/rss/comments.php?id=4406168 Tue, 18 Jan 2011 00:00:00 +0100 4406168 http://www.medworm.com/index.php?rid=4406167&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%3D21251736%26dopt%3DAbstract CONCLUSIONS: although generally positive, birth partners were significantly less positive than the birthing mothers about a range of environmental and care variables. The primary focus is and should be the birthing woman, but the partner nevertheless has an interactive role to play, and improving his experience may assist this function. PMID: 21251736 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4406167 Tue, 18 Jan 2011 00:00:00 +0100 4406167 http://www.medworm.com/index.php?rid=4406173&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%3D21247672%26dopt%3DAbstract CONCLUSIONS: this study shows that skills in risk assessment and decision-making are central to high quality remote and rural midwifery care. However, linked to different perspectives on care, there is a risk that these skills can be undermined by contact with colleagues in large urban units, particularly when staff do not know each other well. There is a need to develop a professional understanding between midwives in different locations. IMPLICATIONS FOR PRACTICE: it is important for the good working relationships between urban and rural maternity units that all midwives understand the importance of contextual knowledge in both decisions to transfer from rural locations and the position of midwives in receiving units. Multiprofessional CPD courses have been effective in bringing together... Midwifery journals http://www.medworm.com/rss/comments.php?id=4406173 Mon, 17 Jan 2011 00:00:00 +0100 4406173 http://www.medworm.com/index.php?rid=4406172&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%3D21247673%26dopt%3DAbstract DISCUSSION: the present study confirmed the validity of the two Spanish versions of the CWS (16 item and reduced 13 item). Considering the performance of two of the three items eliminated from the original version and the universality in the use of the short version we recommend the use of the reduced 13 item scale. Practical implications of the use of the CWS in maternity care are discussed. PMID: 21247673 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4406172 Mon, 17 Jan 2011 00:00:00 +0100 4406172 http://www.medworm.com/index.php?rid=4406171&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%3D21247674%26dopt%3DAbstract CONCLUSIONS: many women use complementary and alternative medicine when they are pregnant. Further research is needed to gain a greater understanding of the true prevalence and expectant women's motivation for the use of complementary and alternative medicine. Health-care professionals are encouraged to ask women about their use of these treatments and seek out relevant information. PMID: 21247674 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4406171 Mon, 17 Jan 2011 00:00:00 +0100 4406171 http://www.medworm.com/index.php?rid=4406170&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%3D21247675%26dopt%3DAbstract CONCLUSIONS: there is a high prevalence of domestic abuse amongst pregnant women and there is a need for abuse assessment screening during antenatal care for all pregnant women. PMID: 21247675 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4406170 Mon, 17 Jan 2011 00:00:00 +0100 4406170 http://www.medworm.com/index.php?rid=4406174&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%3D21239092%26dopt%3DAbstract Authors: Fenwick J, Butt J PMID: 21239092 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4406174 Fri, 14 Jan 2011 00:00:00 +0100 4406174 http://www.medworm.com/index.php?rid=4406178&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%3D21237538%26dopt%3DAbstract CONCLUSIONS: the first time mothers in this study, who managed to stay at home during the latent phase of labour, had a sense of power that was expressed as a driving force towards the birth, a bodily and mental strength and the right to decide over their own bodies. This implies that women who maintain power have the ability to make choices during the birth process. The professionals need to be sensitive, supportive and respectful to women's own preferences in the health-care encounter, to promote the existing power throughout the birthing process. PMID: 21237538 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4406178 Thu, 13 Jan 2011 00:00:00 +0100 4406178 http://www.medworm.com/index.php?rid=4406177&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%3D21237539%26dopt%3DAbstract Authors: Shaban I, Barclay L, Lock L, Homer C AIM: to identify the current barriers to developing midwifery as a primary health-care strategy in Jordan and to explore the strategies to overcome these barriers. DESIGN: an exploratory design using an action research approach was undertaken. Workshop discussion groups and reflection were used to collect the data. A thematic approach was taken for the analysis. PARTICIPANTS: data were collected from a convenience sample of 64 midwives and educators who attended workshops. FINDINGS: the professional identity and image for midwifery has been confused within a medically dominated health system and has not been seen as a primary health strategy. Midwives are not able to practice to the full role and scope of the midwife. IMPLICATIONS FOR PRACT... Midwifery journals http://www.medworm.com/rss/comments.php?id=4406177 Thu, 13 Jan 2011 00:00:00 +0100 4406177 http://www.medworm.com/index.php?rid=4406176&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%3D21237540%26dopt%3DAbstract CONCLUSIONS: although the development and testing of the research tools for the STORK Study was labour and time intensive, ultimately a questionnaire and vignette package was produced that had been rigorously tested by over 50 midwives and nurses. The researchers are confident in the reliability of the questionnaire and vignettes, as well as the validity of the data collected. The use of an online survey is clearly indicated when the population has readily available internet access, and where controlling the process of data collection is required, as such control cannot be achieved in traditional survey and questionnaire implementation. PMID: 21237540 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4406176 Thu, 13 Jan 2011 00:00:00 +0100 4406176 http://www.medworm.com/index.php?rid=4406175&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%3D21237541%26dopt%3DAbstract CONCLUSIONS: the context within which women give birth in the Republic of Ireland is important to their birth experiences. Although positive experiences were reported many women felt anxious and isolated. Busy environments added to women's fears and participants appeared to accept the lack of support as inevitable. Midwives play a pivotal role in helping women achieve a positive birth experience. IMPLICATIONS FOR PRACTICE: excluding women's views from service evaluation renders an incomplete and somewhat distorted depiction of childbirth in Ireland. Although women appear to be satisfied with a live healthy baby, the process of 'getting there' has an emotional and psychological dimension that is important to the experience. Measuring the quality of maternity services must encompass recognit... Midwifery journals http://www.medworm.com/rss/comments.php?id=4406175 Thu, 13 Jan 2011 00:00:00 +0100 4406175 http://www.medworm.com/index.php?rid=4406182&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%3D21236528%26dopt%3DAbstract CONCLUSION: the MNBU provides an environment where midwives can practice to the full extent of their role. The high vaginal birth rate in the MNBU indicates the potential of this model of care to reduce obstetric intervention and increase women's satisfaction with care within a context of extraordinary high caesarean section rates. IMPLICATIONS FOR PRACTICE: midwife-led care implies a separation of obstetric care from maternity care, which has been advocated in many European countries. PMID: 21236528 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4406182 Wed, 12 Jan 2011 00:00:00 +0100 4406182 http://www.medworm.com/index.php?rid=4406181&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%3D21236529%26dopt%3DAbstract CONCLUSION AND IMPLICATIONS FOR PRACTICE: The findings of this study show that midwives experience that doulas are a facilitator for them. Doulas provide support by enhancing the degree of peace and security and improving communication with the women in childbirth. Doulas provide increased opportunities for transcultural care. They may increase childbearing women's confidence and satisfaction, help meet the diverse needs of childbearing women and improve care quality. PMID: 21236529 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4406181 Wed, 12 Jan 2011 00:00:00 +0100 4406181 http://www.medworm.com/index.php?rid=4406180&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%3D21236530%26dopt%3DAbstract CONCLUSIONS: A peer-led prenatal breast-feeding class is as effective as a traditional model of breast-feeding education and is a valuable tool to promote and support successful breast feeding. RECOMMENDATIONS FOR PRACTICE: Peer-led breast-feeding classes should be provided to enhance the accessibility of breast-feeding education and support for expectant mothers. PMID: 21236530 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4406180 Wed, 12 Jan 2011 00:00:00 +0100 4406180 http://www.medworm.com/index.php?rid=4406179&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%3D21236531%26dopt%3DAbstract CONCLUSIONS: following vaginal birth, women commonly reported pain from perineal trauma. This pain affected women's ability to mobilise and was relieved by a variety of agents. Side effects from analgesia were rare. IMPLICATIONS FOR PRACTICE: the prevalence of perineal pain and the associated impact on women's recovery from childbirth warrants midwives' proactive care in offering a range of effective pain relief options to women. PMID: 21236531 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4406179 Wed, 12 Jan 2011 00:00:00 +0100 4406179 http://www.medworm.com/index.php?rid=4406183&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%3D21232836%26dopt%3DAbstract CONCLUSIONS: maternal mortality and near-miss audits allow exploration of medical and non-medical factors leading up to a severe complication or maternal death. Delays in reaching a referral hospital can have a significant impact on maternal survival rates. IMPLICATIONS FOR PRACTICE: audits can stimulate a change in clinical practice and help identify areas for county health departments to focus their scant resources. Audits can be used as a quality improvement tool in facilities. Results can be used to identify communities with high rates of delay to target educational programmes. PMID: 21232836 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4406183 Tue, 11 Jan 2011 00:00:00 +0100 4406183 http://www.medworm.com/index.php?rid=4406184&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%3D21227555%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: the implications of findings for medicalisation theory and future research are discussed. Using e-mail was a success in that the strong pilot data produced provides a stimulus for future research. In addition, implications for policy and practice are also considered, specifically the importance of addressing ambivalence and mediation if midwives are to communicate effectively when working with men and women regarding antenatal genetic screening and testing. PMID: 21227555 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4406184 Mon, 10 Jan 2011 00:00:00 +0100 4406184 http://www.medworm.com/index.php?rid=4277699&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%3D21163560%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: this alongside birth centre provided a social model of care and appealed strongly to a group of parents; similar birth centres should be widely available throughout the NHS. PMID: 21163560 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4277699 Tue, 14 Dec 2010 00:00:00 +0100 4277699 http://www.medworm.com/index.php?rid=4277701&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%3D21146905%26dopt%3DAbstract Authors: Sinni SV, Wallace EM, Cross WM This literature review summarises the history of patient safety initiatives in health-care systems around the world. The need to improve patient safety is commonly called for following interrogation of data captured as a measure of patient safety including audit, clinical indicator reporting and evaluation methods. Many such reports exist for maternity services. Recommendations for improvement identified after review may be taken up, but there is little in the literature that demonstrates how clinicians consider such recommendations, implement improvement strategies and assess their impact. The authors of this paper concur with other authors who call for more research in this regard. PMID: 21146905 [PubMed - as supplied by publisher] (Source:... Midwifery journals http://www.medworm.com/rss/comments.php?id=4277701 Fri, 10 Dec 2010 00:00:00 +0100 4277701 http://www.medworm.com/index.php?rid=4277700&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%3D21146906%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: current German practice without the use of partogram action lines reveals that early interventions were performed before the partogram action lines were met. Interventions applying midwifery care techniques such as vertical positioning preceded more invasive medical interventions during the process of childbirth. PMID: 21146906 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4277700 Fri, 10 Dec 2010 00:00:00 +0100 4277700 http://www.medworm.com/index.php?rid=4277703&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%3D21146263%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: heartburn can be very uncomfortable and can affect food intake and appetite, daily routine and even sleep. Heartburn during pregnancy is at risk for being poorly managed given that birth is the cure. As a health-care provider, it is important to prepare women and their families to manage heartburn during pregnancy effectively. Midwives should encourage women to seek help from care providers when they need it, and continue to assess heartburn and the strategies used to manage symptoms during pregnancy. PMID: 21146263 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4277703 Thu, 09 Dec 2010 00:00:00 +0100 4277703 http://www.medworm.com/index.php?rid=4277702&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%3D21146264%26dopt%3DAbstract CONCLUSIONS: it is recommended that indigenous beliefs and practices should be incorporated into the midwifery curriculum, so that the health sector is able to meet the needs of all members of the community. PMID: 21146264 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4277702 Thu, 09 Dec 2010 00:00:00 +0100 4277702 http://www.medworm.com/index.php?rid=4277705&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%3D21145632%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: the mothers in this study were satisfied with health-care technology and viewed it as a source of security. Technology was indispensable to reduce the anxiety provoked by their perceived lack of confidence in their ability as mothers. During pregnancy and, especially, when giving birth, women believe that their feelings and values should be understood by professionals, from whom they seek empathy and personal commitment, not just information. PMID: 21145632 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4277705 Wed, 08 Dec 2010 00:00:00 +0100 4277705 http://www.medworm.com/index.php?rid=4277704&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%3D21145633%26dopt%3DAbstract CONCLUSIONS: the quality of the antenatal care which the women received was low. It is necessary to rethink the current model of antenatal care, and to develop and standardise a new model of antenatal care. PMID: 21145633 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4277704 Wed, 08 Dec 2010 00:00:00 +0100 4277704 http://www.medworm.com/index.php?rid=4277707&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%3D21145148%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: the Turkish version of the BSES can be used to determine which mothers are at risk of giving up breast feeding early in the postpartum period, and the subjects they need to learn about breast feeding. PMID: 21145148 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4277707 Tue, 07 Dec 2010 00:00:00 +0100 4277707 http://www.medworm.com/index.php?rid=4277706&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%3D21145149%26dopt%3DAbstract CONCLUSIONS: perineal pain in the immediate postnatal period was highly associated with older maternal age and use of episiotomy, although the overall reporting of perineal pain was low. IMPLICATIONS FOR PRACTICE: perineal pain following vaginal birth is associated with interventions during labour as well as with maternal characteristics. Despite the negative impact on a woman's daily activities, perineal pain following birth is neglected by care givers and usually not reported by women who may consider it to be a normal outcome of giving birth. Care providers need to ensure all interventions during labour and birth are informed by evidence of benefit and that barriers to implementation of evidence are addressed. Further work is needed to obtain the views of women in Brazil on their health... Midwifery journals http://www.medworm.com/rss/comments.php?id=4277706 Tue, 07 Dec 2010 00:00:00 +0100 4277706 http://www.medworm.com/index.php?rid=4251521&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%3D21131110%26dopt%3DAbstract Authors: Wulandari LP, Klinken Whelan A OBJECTIVE: to explore beliefs, attitudes and behaviours of pregnant women in Bali, Indonesia. DESIGN: descriptive qualitative study using in-depth interviews. SETTING: community health-care centre in South Kuta, Bali, Indonesia. PARTICIPANTS: 18 pregnant women aged 20-35 years. FINDINGS: insights into beliefs and attitudes regarding pregnancy emerged from the analysis. Participants believed that some foods should or should not be eaten by pregnant women. They believed that vegetables are better than meat during pregnancy. Strong beliefs about traditional herbal remedies also emerged. Complex beliefs on locus of control were also expressed by the majority of the respondents regarding who was responsible for the health and well-being of their infan... Midwifery journals http://www.medworm.com/rss/comments.php?id=4251521 Fri, 03 Dec 2010 00:00:00 +0100 4251521 http://www.medworm.com/index.php?rid=4251524&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%3D21130547%26dopt%3DAbstract CONCLUSIONS: reflexive analysis of insider/outsider experiences revealed the middle ground which participant observers tend to navigate. Whilst professional insider knowledge and status offered many advantages, especially at the first study setting, some of the inherent embodied, and socially constructed features of the 'midwife' observer role, were unanticipated. Cultural competence, in these observational study settings, translated into role ambiguity, and at times, culturally entrenched role expectations. IMPLICATIONS FOR PRACTICE: midwifery observation of clinical practice, for research, or practice development purposes, requires a degree of juggling of insider knowledge to facilitate observation and analysis. Prior to conducting observations midwives should consider how best to occupy... Midwifery journals http://www.medworm.com/rss/comments.php?id=4251524 Thu, 02 Dec 2010 00:00:00 +0100 4251524 http://www.medworm.com/index.php?rid=4251523&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%3D21130548%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Jordanian women need support to prepare for labour and birth. Postpartum emotional support and assessment of symptoms of depression needs to be incorporated into routine practice. The opportunity for open discussion along with increased awareness and clarification of common misconceptions about antenatal and postnatal depression are necessary. Quality assurance systems would help reduce the rate of invasive obstetric procedures, and give greater emphasis to emotional care provided to women during the perinatal period. PMID: 21130548 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4251523 Thu, 02 Dec 2010 00:00:00 +0100 4251523 http://www.medworm.com/index.php?rid=4251522&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%3D21130549%26dopt%3DAbstract CONCLUSIONS: the pregnant women in this study wanted prenatal diagnostic information and easy access to specialty services. Stress-related feelings and non-transparent information about the actual and perceived risks as well as personal moral judgments made the decision-making process complicated. Improved distribution of information and frequent contact with health professionals may help such women to make informed choices in accordance with their values and beliefs. PMID: 21130549 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4251522 Thu, 02 Dec 2010 00:00:00 +0100 4251522 http://www.medworm.com/index.php?rid=4251526&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%3D21129828%26dopt%3DAbstract CONCLUSIONS: quality issues must be carefully considered when designing and implementing midwifery pre-service education programmes, and planning for the integration of new graduates into the health workforce. These issues, such as the availability of qualified tutors and clinical teachers, and measures for the implementation of competency-based teaching and learner-assessment strategies, are particularly relevant in countries that experience health manpower shortages. IMPLICATIONS FOR PRACTICE: this review highlights important strategic choices that can be made to enhance the quality of pre-service midwifery education. The deployment, appropriate utilisation and increased number of highly qualified midwifery graduates can improve the quality of maternal and newborn health-care service, an... Midwifery journals http://www.medworm.com/rss/comments.php?id=4251526 Wed, 01 Dec 2010 00:00:00 +0100 4251526 http://www.medworm.com/index.php?rid=4251525&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%3D21129829%26dopt%3DAbstract CONCLUSIONS: the husbands' experiences revealed that Nepalese husbands tend to experience overwhelming emotional feelings in the labour or delivery room if they are allowed to attend the birth without prior preparation. IMPLICATIONS FOR PRACTICE: counselling for couples and education from the start of the pregnancy may reduce negative emotional experiences and improve satisfaction with the childbirth experience for both husbands and wives. PMID: 21129829 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4251525 Wed, 01 Dec 2010 00:00:00 +0100 4251525 http://www.medworm.com/index.php?rid=4167370&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%3D21056766%26dopt%3DAbstract Authors: Bick D, Sandall J PMID: 21056766 [PubMed - in process] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4167370 Tue, 16 Nov 2010 00:25:15 +0100 4167370 http://www.medworm.com/index.php?rid=4167369&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%3D21056767%26dopt%3DAbstract Authors: Mander R PMID: 21056767 [PubMed - in process] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4167369 Tue, 16 Nov 2010 00:25:09 +0100 4167369 http://www.medworm.com/index.php?rid=4167371&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%3D21055853%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: in the US, new mothers see midwives and doctors sporadically after discharge from the hospital. Postpartum doulas fill this gap in continuity of care by providing support for families as they transition to life with their new infant. Understanding the beliefs, values and practices of these important paraprofessionals will help midwives effectively integrate postpartum doula care into the care of women and infants. PMID: 21055853 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4167371 Wed, 03 Nov 2010 00:00:00 +0100 4167371 http://www.medworm.com/index.php?rid=4139748&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%3D21051126%26dopt%3DAbstract CONCLUSION: despite widespread use of birth kits, implementation lessons are hard to identify. The fact that birth kits are predominantly used in non-facility settings, and probably by non-skilled attendants, poses further challenges in synthesising the evidence. It would seem logical that government run programmes would increase utlisation rates; however in these countries national level data are not yet available. Such data are crucial to identifying how women obtain and use birth kits. The importance of context cannot be over emphasised, and better descriptive methods are needed to capture contextual factors that may impact on the implementation process. IMPLICATIONS FOR PRACTICE: birth kits are a promising technology to achieve MDG 5, however further research is needed before making re... Midwifery journals http://www.medworm.com/rss/comments.php?id=4139748 Tue, 02 Nov 2010 00:00:00 +0100 4139748 http://www.medworm.com/index.php?rid=4139747&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%3D21051127%26dopt%3DAbstract CONCLUSIONS: the diagnosis of breech presentation should not be treated as a commonplace event. The role of caregivers needs to go beyond information on the risks and benefits of both modes of childbirth. Emphasis should be placed on listening to the expectations of pregnant women for childbirth, creating spaces for dialogue, and allowing additional time for reflection. Useful information material should be provided to give the women a feeling of shared decision-making. PMID: 21051127 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4139747 Tue, 02 Nov 2010 00:00:00 +0100 4139747 http://www.medworm.com/index.php?rid=4139749&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%3D21041007%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: the quality of the information offered prior to scanning and the communication between staff and mothers should be improved. The number of scans should be decreased to be in accordance with the official Iranian public health-care guidelines. Although most mothers viewed ultrasound as being beneficial, it is essential to give mothers the appropriate information about the limitations of ultrasound in order to discourage unreasonable expectations and demands. PMID: 21041007 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4139749 Sat, 30 Oct 2010 00:00:00 +0100 4139749 http://www.medworm.com/index.php?rid=4139750&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%3D21036439%26dopt%3DAbstract CONCLUSION: there were no clear inter generational differences identified, but a breadth of opinion and experience that seemed to be influenced by level of both education and social support was found. Whereas some women had few demands of maternity services, those who had less support and those with language barriers had additional needs. IMPLICATIONS FOR PRACTICE: care given should be based on individual need but given within a wider collaborative context in order to support women effectively. Increased maternity service user involvement would also be welcomed for future planning of maternity services. PMID: 21036439 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4139750 Fri, 29 Oct 2010 00:00:00 +0100 4139750 http://www.medworm.com/index.php?rid=4139751&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%3D21035928%26dopt%3DAbstract CONCLUSIONS: despite being aware of the benefits of exclusive breast feeding, many women chose to feed their infant with formula. The main barriers to breast feeding were the perceived difficulties of breast feeding, a family preference for formula feed, and embarrassment about breast feeding in front of others. Reports from women of South Asian parentage, particularly those who lived with an extended family, suggested that their intentions to breast feed were compromised by the context of their family life. The lack of privacy in these households and grandparental pressure appeared to be key issues. Unlike other participants, Irish women reported an intention to feed their infant with formula before giving birth. The key facilitators to breast feeding were the self-confidence and determin... Midwifery journals http://www.medworm.com/rss/comments.php?id=4139751 Thu, 28 Oct 2010 00:00:00 +0100 4139751 http://www.medworm.com/index.php?rid=4088556&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%3D20965625%26dopt%3DAbstract CONCLUSIONS: narratives described a breakdown of traditional birthing practices and high levels of non-compliance with health-system-recommended care. IMPLICATION FOR PRACTICE: standard care provided for women relocating for birth must be improved, and the provision of a primary maternity service in this particular community may allow Aboriginal Women's Business roles and cultural obligations to be recognised and invigorated. International examples of primary birthing services in remote areas demonstrate that they can be safe alternatives to urban transfer for childbirth. A primary maternity service would provide a safer environment for the women who choose to avoid standard care. PMID: 20965625 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4088556 Mon, 18 Oct 2010 23:00:00 +0100 4088556 http://www.medworm.com/index.php?rid=4088557&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%3D20956030%26dopt%3DAbstract CONCLUSIONS: childbirth was experienced as a mutually shared process for the couple. The fathers' high involvement in childbirth, in cooperation with the midwife, and being engaged in support and care for his partner in her suffering is fulfilling for both partners, although the experience of the woman's pain, fear of the unknown and the gendered preconceptions of masculine hegemony can be difficult to bear for the father-to-be. IMPLICATIONS FOR PRACTICE: in order to maintain and strengthen childbirth as a mutually shared experience for the couple, the father needs to be recognised and supported as a parent-to-be. Midwives have to acknowledge fathers as valued participants and support their significant position. PMID: 20956030 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4088557 Fri, 15 Oct 2010 23:00:00 +0100 4088557 http://www.medworm.com/index.php?rid=4088558&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%3D20952110%26dopt%3DAbstract CONCLUSIONS: the pushing intervention during the second stage of labour lessened pain and fatigue, shortened the pushing time and enhanced the pushing experience. IMPLICATIONS FOR PRACTICE: pushing interventions can yield increased satisfaction levels for women giving birth. PMID: 20952110 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4088558 Thu, 14 Oct 2010 23:00:00 +0100 4088558 http://www.medworm.com/index.php?rid=4077790&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%3D20947230%26dopt%3DAbstract CONCLUSIONS: directive information combined with lack of purposeful dialogue with pregnant women have constrained the process of information-giving about antenatal screening for Down's syndrome. IMPLICATIONS: the provision of information about antenatal screening for Down's syndrome is a challenging role for midwives. Changes in midwifery practice resulting from continuing education as well as less constraining service contexts could improve the quality of information about antenatal screening for Down's syndrome. PMID: 20947230 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4077790 Mon, 11 Oct 2010 23:00:00 +0100 4077790 http://www.medworm.com/index.php?rid=4063556&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%3D20933311%26dopt%3DAbstract CONCLUSION: women appreciated the midwife-led service, which provides an environment where they are more likely to aim to give birth without intervention. This model of care is good for its association with increased satisfaction in a context of extraordinarily high caesarean rates. IMPLICATIONS: midwife-led care can facilitate continuity of care and carer during birth. It offers women choice and control over many aspects of the birth. Further research is required to investigate factors important to women. PMID: 20933311 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4063556 Tue, 05 Oct 2010 23:00:00 +0100 4063556 http://www.medworm.com/index.php?rid=4063558&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%3D20932612%26dopt%3DAbstract CONCLUSION: both intervention and control mothers' and fathers' parenting satisfaction and PSE became more positive during the postpartum period. However, no intervention effects were found. In the future, it would be interesting to study longer-term effects and more specific groups of parents. The results indicate that online support has the potential to reach parents from diverse backgrounds. More research is needed on gender differences and user preferences. More interactive methods are needed to support parents' affective skills related to PSE. PMID: 20932612 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4063558 Mon, 04 Oct 2010 23:00:00 +0100 4063558 http://www.medworm.com/index.php?rid=4063557&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%3D20932613%26dopt%3DAbstract CONCLUSION: midwives use empowerment in education and research as well as strategies on both the micro and macro levels in practice. IMPLICATIONS FOR PRACTICE: empirical findings from the concept analysis confirm the concept's relevance in the midwifery context. PMID: 20932613 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4063557 Mon, 04 Oct 2010 23:00:00 +0100 4063557 http://www.medworm.com/index.php?rid=4063559&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%3D20926167%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: courses differed considerably in the extent to which they were research based. Continuing professional education for midwives should be given at the same academic level, at least, as basic midwifery education. PMID: 20926167 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4063559 Sun, 03 Oct 2010 23:00:00 +0100 4063559 http://www.medworm.com/index.php?rid=4044708&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%3D20889246%26dopt%3DAbstract Authors: Stevens J, Dahlen H, Peters K, Jackson D OBJECTIVE: to explore midwives' and doulas' perspectives of the role of the doula in Australia. BACKGROUND: doulas are relatively new in Australia; nevertheless, demand for them is increasing. Research has not previously explored the role of a doula in Australia. This research aimed to answer the question: What are midwives' and doulas' perspectives of the role of a doula in Australia? DESIGN: qualitative study using focus groups that were digitally recorded, transcribed and the data analysed using thematic analysis. SETTING: New South Wales, Australia. PARTICIPANTS: 11 midwives and six doulas. FINDINGS: the key theme that emerged was that 'the broken maternity system' is failing women and midwives. The system is preventing midwives fro... Midwifery journals http://www.medworm.com/rss/comments.php?id=4044708 Thu, 30 Sep 2010 23:00:00 +0100 4044708 http://www.medworm.com/index.php?rid=4044709&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%3D20888673%26dopt%3DAbstract CONCLUSIONS: health care during the postnatal period should be developed such that it becomes more family centred, encouraging and resource strengthening. IMPLICATIONS FOR PRACTICE: Attention must be paid to the support received by older mothers and parents in families where the mother is multiparous. In addition, possibilities for fathers to participate in postnatal care must be increased. PMID: 20888673 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4044709 Wed, 29 Sep 2010 23:00:00 +0100 4044709 http://www.medworm.com/index.php?rid=4044713&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%3D20888092%26dopt%3DAbstract CONCLUSIONS: findings from this review may assist women's health researchers and clinical nurses/midwives in assessing and developing appropriate interventions for increasing risk awareness, enhancing MPSE and subsequent satisfaction with parenting and emotional well-being. Further research is necessary underpinned by theoretical frameworks using domain-specific instruments to identify predictors of MPSE. PMID: 20888092 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4044713 Tue, 28 Sep 2010 23:00:00 +0100 4044713 http://www.medworm.com/index.php?rid=4044712&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%3D20888093%26dopt%3DAbstract Authors: Allotey JC This paper principally concerns the examination of four English midwifery treatises written by midwives between 1671 and 1795. It focuses on their responses to the medicalisation of childbirth and, in particular, their concerns about medical negligence and their views on the value of anatomical knowledge to the development and defence of their practice. They wrote during a period of mounting tension between midwives and men midwives, when even the most inexperienced men automatically assumed authority over traditional midwives. The texts reveal the authors' concerns about the harm being caused to women and infants by the indiscriminate use of birth instruments. Examples in the primary sources suggest that the practice of both types of midwife ranged from excellent t... Midwifery journals http://www.medworm.com/rss/comments.php?id=4044712 Tue, 28 Sep 2010 23:00:00 +0100 4044712 http://www.medworm.com/index.php?rid=4044711&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%3D20888094%26dopt%3DAbstract CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: the advanced communication programme, implemented for the first time in the postnatal setting, increased the self-reported comfort and competency of midwives to identify and care for women with psychosocial issues during the postnatal period. The effect of this approach should now be evaluated in terms of women's outcomes. PMID: 20888094 [PubMed - as supplied by publisher] (Source: Midwifery) Midwifery journals http://www.medworm.com/rss/comments.php?id=4044711 Tue, 28 Sep 2010 23:00:00 +0100 4044711