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 'Women and Birth' source. Mon, 06 Feb 2012 23:58:13 +0100 http://www.medworm.com/index.php?rid=5664812&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519212000091%2Fabstract%3Frss%3Dyes (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=5664812 Tue, 07 Feb 2012 04:35:17 +0100 5664812 http://www.medworm.com/index.php?rid=5664804&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519212000066%2Fabstract%3Frss%3Dyes (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=5664804 Tue, 07 Feb 2012 04:35:17 +0100 5664804 http://www.medworm.com/index.php?rid=5664805&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519211002538%2Fabstract%3Frss%3Dyes Over the past 10 years, in particular, I have been observing, reading about and contributing to the discussion on midwifery models of care. Issue of safety have been particularly heated when midwives provide care during labour and birth outside of the obstetric unit context. I watched with enthusiasm as a Birthing Services was established under the leadership of Anne Saxton the Director of Maternity Service, Andrew Bisits as Director of Obstetrics and Carolyn Hastie as the Midwifery Unit Manager at the stand-alone birthing service situated at Belmont (20min from John Hunter, the major obstetrics units). The midwifery model of care at Belmont was designed to be high quality. The unit was commenced with a staff comprised of only skilled and experienced midwives. There was extensive and ongoi... Women and Birth journals http://www.medworm.com/rss/comments.php?id=5664805 Mon, 30 Jan 2012 05:00:00 +0100 5664805 http://www.medworm.com/index.php?rid=5664811&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS187151921100254X%2Fabstract%3Frss%3Dyes (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=5664811 Thu, 19 Jan 2012 05:00:00 +0100 5664811 http://www.medworm.com/index.php?rid=5664809&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519211000254%2Fabstract%3Frss%3Dyes Summary: In adopting the medical lobby's preferred definition of collaboration where midwives are legally compelled to seek endorsement for their care plan from an obstetrician, Determination 2010 connotes a form of militarized collaboration and thus negates all that genuine collaboration stands for—equality, mutual trust and reciprocal respect. Using Critical Discourse Analysis, the first half of this paper analyses the submissions from medical, midwifery and consumer peak organisations to the Maternity Services Review and Senate reviews held between 2008 and 2010 showing that Determination 2010 privileges the medical lobby worldview in adopting a vertical definition of collaboration. The second half of the paper responds to the principal assumption of Determination 2010—that midwives... Women and Birth journals http://www.medworm.com/rss/comments.php?id=5664809 Fri, 16 Dec 2011 05:00:00 +0100 5664809 http://www.medworm.com/index.php?rid=5377312&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519211002344%2Fabstract%3Frss%3Dyes (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=5377312 Sat, 05 Nov 2011 11:16:48 +0100 5377312 http://www.medworm.com/index.php?rid=5377315&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000752%2Fabstract%3Frss%3Dyes Conclusion: Many positive recommendations have come from the MSR, however the decision to exclude homebirth from these reforms is perplexing considering the large number of submissions describing the benefits of and barriers to homebirth in Australia. A concerning number of submissions discuss having had or having considered an unattended birth at home due to these barriers. Overall there is the belief that not enabling access to funded, insured homebirth in Australia is a violation of human rights. It appears that homebirth was considered by the MSR as ‘too hot to handle’ and by dismissing it as a minority issue the government sought to avoided dealing with homebirth as a ‘sensitive and controversial issue.’ (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=5377315 Mon, 24 Oct 2011 04:00:00 +0100 5377315 http://www.medworm.com/index.php?rid=5377313&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519211002381%2Fabstract%3Frss%3Dyes It would be difficult not to recognise the tumultuous changes happening in the world right now. Revolutions in the Arab world, the so called ‘Arab spring uprisings’, the banking and economic crisis, wars, climate change and natural disasters, and in my own backyard – riots in London. Globalisation, rapid instant communications, inequalities in wealth and health, and ease of travel, make it impossible to imagine what life will be like in a decade or two. Perhaps there has always been such fundamental dramatic change but the speed is unprecedented. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=5377313 Mon, 24 Oct 2011 04:00:00 +0100 5377313 http://www.medworm.com/index.php?rid=5377319&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519211002307%2Fabstract%3Frss%3Dyes The author regrets that an error occurred in the author listing of the original article. The corrected complete listing appears above. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=5377319 Thu, 20 Oct 2011 04:00:00 +0100 5377319 http://www.medworm.com/index.php?rid=5085570&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519211001946%2Fabstract%3Frss%3Dyes (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=5085570 Tue, 02 Aug 2011 05:43:34 +0100 5085570 http://www.medworm.com/index.php?rid=5085571&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519211001909%2Fabstract%3Frss%3Dyes In this editorial I will advise you of the continuing advances in Women and Birth. Since I became editor and Elsevier became the publisher; our journal has moved from strength to strength. There have been dramatic increases in the numbers of readers, the internationalization of our readerships and in measures of scientific prestige. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=5085571 Tue, 26 Jul 2011 23:00:00 +0100 5085571 http://www.medworm.com/index.php?rid=5664810&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519211000035%2Fabstract%3Frss%3Dyes Summary: The aim of this paper is to review the clinical outcomes of descriptive and comparative cohort studies of the Australian caseload midwifery models of care that emerged during the late 1990s and early 2000s. These models report uniformly a decrease in caesarean section operation rates when compared to local, state and national rates, irrespective of the obstetric risk of the women cared for. These outcomes are in contrast to the findings of the randomised controlled trials and comparative cohort studies of caseload midwifery conducted, predominantly in the United Kingdom, in the mid to late 1990s. The Australian studies show that caseload midwifery is a model of care that is associated with lowered rates of caesarean section operations, and other obstetric intervention rates. The a... Women and Birth journals http://www.medworm.com/rss/comments.php?id=5664810 Mon, 20 Jun 2011 04:00:00 +0100 5664810 http://www.medworm.com/index.php?rid=5664808&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519211000230%2Fabstract%3Frss%3Dyes Conclusions: Further training is required to ensure midwives’ competency in psychosocial assessment and management of women experiencing antenatal and postpartum depression. Systemic issues (e.g. time constraints) encountered by midwives need to be addressed to support the delivery of effective emotional care to childbearing women. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=5664808 Mon, 20 Jun 2011 04:00:00 +0100 5664808 http://www.medworm.com/index.php?rid=5664807&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519211000199%2Fabstract%3Frss%3Dyes Discussion and conclusions: The findings point towards the need for a model of refugee maternity care that comprises continuity of carer, quality interpreter services, educational strategies for both women and healthcare professionals, and the provision of psychosocial support to women from refugee backgrounds. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=5664807 Mon, 20 Jun 2011 04:00:00 +0100 5664807 http://www.medworm.com/index.php?rid=5664806&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000880%2Fabstract%3Frss%3Dyes Conclusions: There is considerable support by midwives for the use of Complementary and Alternative Medicine by expectant women. Despite this enthusiasm, currently there are few educational opportunities and only limited research evidence regarding CAM use in midwifery practice. These shortfalls need to be addressed by the profession. Midwives are encouraged to have an open dialogue with childbearing women, to document use and to base any advice on the best available evidence. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=5664806 Mon, 20 Jun 2011 04:00:00 +0100 5664806 http://www.medworm.com/index.php?rid=5377318&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000879%2Fabstract%3Frss%3Dyes This study explored the pilot employment model from the perspective of the SMW_Div2 and hospital midwives.Methods: A web-based survey was administered to hospital midwives and the SMW_Div2s in the employment model in January 2010. The survey explored the views of midwives and SMW_Div2s regarding the perceived impact of the model on workforce readiness, recruitment and retention, and clinical competence and confidence.Findings: Forty-seven of 158 midwives (30%) and five of nine SMW_Div2s employed in the model responded to the survey. Both groups considered the model to have benefits for the organisation, including increased: student workforce readiness; clinical confidence and competence; and organisational loyalty. Both groups also considered that the model would facilitate: workforce recr... Women and Birth journals http://www.medworm.com/rss/comments.php?id=5377318 Mon, 20 Jun 2011 04:00:00 +0100 5377318 http://www.medworm.com/index.php?rid=5377317&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000818%2Fabstract%3Frss%3Dyes Conclusion: If there is to be an expansion of birth centres, service providers need to make sure that women's views are central to the design. Women will not cease having homebirths due to expanded birth centre options. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=5377317 Mon, 20 Jun 2011 04:00:00 +0100 5377317 http://www.medworm.com/index.php?rid=5377316&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000764%2Fabstract%3Frss%3Dyes Summary: Research question: To gain a better understanding of women's baseline level of knowledge of induction of labour (IOL) and determine whether giving written information at the time IOL is decided, results in significant differences in knowledge and understanding of the process.Methods: Fifty pregnant women undergoing antenatal care at a small maternity hospital were recruited. A quasi experimental trial was conducted with non random selection of participants, 25 selected to act as the control group and 25 selected as the intervention group. The study was conducted to determine women's knowledge of IOL both before (non-intervention) and after (intervention) the introduction of a written information brochure.Results: Statistically significant increases in knowledge were evident in the... Women and Birth journals http://www.medworm.com/rss/comments.php?id=5377316 Mon, 20 Jun 2011 04:00:00 +0100 5377316 http://www.medworm.com/index.php?rid=5377314&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000855%2Fabstract%3Frss%3Dyes Conclusions: This literature review demonstrates that medical interventions aimed at preventing, not just delaying, preterm birth, are not effective at a population level. Providing holistic, antenatal midwifery care for women living in socio-economic disadvantage and/or with an increased risk of preterm birth seems to be a promising strategy to address the negative effects of the social determinants of disease and thus to reduce the rate of preterm births at an individual and a population level. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=5377314 Mon, 20 Jun 2011 04:00:00 +0100 5377314 http://www.medworm.com/index.php?rid=5085577&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000892%2Fabstract%3Frss%3Dyes The handbook is the result of a partnership between the RANZCOG FSEP and the Maternal Fetal Medicine Unit at Monash Medical Centre, Southern Health in Victoria. At only 80 pages the handbook is short which means that there are only brief descriptions and explanations. The handbook has been written to support the RANZCOG Fetal Surveillance Education Program (FSEP). The intended readership is midwives and medical officers involved in Maternity care. The authors aim to enable clinicians to more accurately interpret Cardiotocographs (CTGs) traces and make better management decisions in daily practice. As a midwife I was disappointed by the title “Fetal Surveillance” as these words may be a bit alienating to women. Perhaps ‘Assessing Fetal Wellbeing’ would have been a more positive and ... Women and Birth journals http://www.medworm.com/rss/comments.php?id=5085577 Sun, 19 Jun 2011 23:00:00 +0100 5085577 http://www.medworm.com/index.php?rid=5085576&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000867%2Fabstract%3Frss%3Dyes Conclusion: Most fathers had a positive birth experience. Midwifery support, the midwife's presence and sufficient information about the progress of labour are important aspects in a father's positive birth experience. The role of the midwife during birth is important to the father, and his individual needs should be considered in order to enhance a positive birth experience. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=5085576 Sun, 19 Jun 2011 23:00:00 +0100 5085576 http://www.medworm.com/index.php?rid=5085575&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000648%2Fabstract%3Frss%3Dyes Discussion: Women choosing publicly-funded homebirth display strong confidence in both themselves to give birth at home, and their belief in the health system's ability to cope with any complications that may arise.Implications for practice: Many women may benefit from access to publicly-funded homebirth models of care. This should be further investigated. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=5085575 Sun, 19 Jun 2011 23:00:00 +0100 5085575 http://www.medworm.com/index.php?rid=5085574&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000624%2Fabstract%3Frss%3Dyes Conclusion: While the number of women attending the program was small, the positive experiences expressed by participants warrant further development, implementation and investigation of similar approaches to childbirth preparation. Based on this study, it would seem that such a program is indeed feasible and that women would attend. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=5085574 Sun, 19 Jun 2011 23:00:00 +0100 5085574 http://www.medworm.com/index.php?rid=5085573&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS187151921000065X%2Fabstract%3Frss%3Dyes Abstract: A review of key historical texts that mentioned perineal care was undertaken from the time of Soranus (98–138A.D.) to modern times as part of a PhD into perineal care. Historically, perineal protection and comfort were key priorities for midwives, most of whom traditionally practised under a social model of care. With the advent of the Man-Midwife in the seventeenth and eighteenth century, the perineum became pathologised and eventually a site for routine surgical intervention – most notably seen in the widespread use of episiotomy. There were several key factors that led to the development of a surgical rather than a social model in perineal care. These factors included a move from upright to supine birth positions, the preparation of the perineum as a surgical site through ... Women and Birth journals http://www.medworm.com/rss/comments.php?id=5085573 Sun, 19 Jun 2011 23:00:00 +0100 5085573 http://www.medworm.com/index.php?rid=5085572&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000636%2Fabstract%3Frss%3Dyes Conclusion: Midwives are encouraged to reflect on their role as ‘experts’ in the breastfeeding process and give confidence to women so that they utilise their instinctive ability to breastfeed by self-determined techniques that encourage mammalian skills for newborn sustenance and survival. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=5085572 Sun, 19 Jun 2011 23:00:00 +0100 5085572 http://www.medworm.com/index.php?rid=4788621&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000831%2Fabstract%3Frss%3Dyes In an aim to meet the continued professional development needs of qualified midwives this British book details a range of skills from forceps-assisted births to infant massage. Thirteen contributors present a particular skill over twelve of the fifteen chapters. Each of the skill-focused chapters begins with recommended prior knowledge, includes evidence-based discussion and ends with key practice points. Rationales, indications and contraindications for each skill, in addition to directions on how to perform, evaluate and document the skill are generally included. The three other chapters give context to the skill based chapters. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=4788621 Fri, 06 May 2011 05:56:33 +0100 4788621 http://www.medworm.com/index.php?rid=4788620&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000600%2Fabstract%3Frss%3Dyes Social disadvantage is defined as “a range of difficulties that block life opportunities and which prevent people from participating fully in society”. Disadvantaged people more commonly experience social isolation, stress, anxiety and low self-esteem. They often have limited access to resources and services and less control over life circumstances. Ferrie reports that there is a clear correlation between people's social positioning in society and their health status. Midwives working with socially disadvantaged women can benefit from a greater understanding of the link between social disadvantage and poor maternal–foetal health. There is an abundance of research on social disadvantage, poverty and midwifery work in developed and developing countries. This paper adds to midwifery kno... Women and Birth journals http://www.medworm.com/rss/comments.php?id=4788620 Fri, 06 May 2011 05:56:33 +0100 4788620 http://www.medworm.com/index.php?rid=4788619&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519211000229%2Fabstract%3Frss%3Dyes Conclusion: The results of this study indicate that the Bachelor of Midwifery course, or studying midwifery, has a positive effect on students’ empathy. Low results in participants’ attitudes towards patients presenting with substance abuse raises concern that students may harbour prejudice that could impinge upon their professional practice and the way in which they care for these mothers. Hence, this aspect in particular may need further development within midwifery curriculum development. Further research around other conditions may extend on our understandings of empathy and attitudes in midwifery students and practitioners. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=4788619 Fri, 06 May 2011 05:56:33 +0100 4788619 http://www.medworm.com/index.php?rid=4788618&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000740%2Fabstract%3Frss%3Dyes Conclusion: Interventions to enhance inter-professional collaboration should be directed first at changing organisational structures and policies to promote easy opportunities for natural dialogue between doctors and midwives. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=4788618 Fri, 06 May 2011 05:56:33 +0100 4788618 http://www.medworm.com/index.php?rid=4788617&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000612%2Fabstract%3Frss%3Dyes Conclusions: Consistent with current clinical guidelines which recommend open, consultative discussion with the woman about foetal monitoring and a partnership approach towards decision-making following informed choice, a woman-centred foetal monitoring decision-making pathway is proposed. This pathway is applicable in midwifery education, research and clinical practice to promote both evidence based practice and woman-centred decision-making. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=4788617 Fri, 06 May 2011 05:56:33 +0100 4788617 http://www.medworm.com/index.php?rid=4788616&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000442%2Fabstract%3Frss%3Dyes Conclusion: While the practice of forcing Aboriginal women to relocate around the time of birth has a negative impact on perinatal health outcomes, kinship support may be a mediating factor. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=4788616 Fri, 06 May 2011 05:56:33 +0100 4788616 http://www.medworm.com/index.php?rid=4788615&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519211000217%2Fabstract%3Frss%3Dyes Conclusion: The proposed definition could be useful in further development of collaborative arrangements within maternity care and assist to further inform research on collaborative practice. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=4788615 Fri, 06 May 2011 05:56:33 +0100 4788615 http://www.medworm.com/index.php?rid=4788614&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519211000321%2Fabstract%3Frss%3Dyes (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=4788614 Fri, 06 May 2011 05:56:32 +0100 4788614 http://www.medworm.com/index.php?rid=4470069&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519211000102%2Fabstract%3Frss%3Dyes (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=4470069 Sun, 13 Feb 2011 01:15:57 +0100 4470069 http://www.medworm.com/index.php?rid=4470068&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS187151921000082X%2Fabstract%3Frss%3Dyes Summary: In Australia private homebirth remains unfunded and uninsured and publicly funded homebirth models are not widely available. Doulas are increasingly hired by women for support during childbirth and freebirth (birth intentionally unattended by a health professional) appears to be on the rise. The recently released Improving Maternity Services in Australia – The Report of the Maternity Services Review (MSR) exclude homebirth from the funding and insurance reforms proposed. Drawing on recent research we argue that homebirth has become a casualty of a broken maternity system. The recent rise in the numbers of women employing doulas and choosing to birth at home unattended by any health professional we argue is in part a consequence of not adequately meeting the needs of women for co... Women and Birth journals http://www.medworm.com/rss/comments.php?id=4470068 Sun, 13 Feb 2011 01:15:57 +0100 4470068 http://www.medworm.com/index.php?rid=4470067&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000594%2Fabstract%3Frss%3Dyes Abstract: The aetiology of non-syndromic cleft lip and palate has as yet not been clearly defined. Familial relationships, environmental toxins and nutritional status have all been considered without conclusive results, although in some studies a potential link between non-syndromic cleft lip and palate and any one or more of these factors has been proposed.Elevated stress, particularly an extended term of traumatic stress, can lead to oxidative damage at the cellular level via hypothalmus–pituitary–adrenal (HPA) axis dysregulation, high cortisol and cytokine production. The effect of this hormonal shift is to re-direct the blood supply to the mother's muscles, thereby reducing the supply to the placenta, causing a potential nutritional deficiency which may then result in a genetic alt... Women and Birth journals http://www.medworm.com/rss/comments.php?id=4470067 Sun, 13 Feb 2011 01:15:56 +0100 4470067 http://www.medworm.com/index.php?rid=4470066&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000570%2Fabstract%3Frss%3Dyes Conclusion: Further prospective research is required to explore whether factors such as specific substances are more likely to be associated with infant withdrawal. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=4470066 Sun, 13 Feb 2011 01:15:56 +0100 4470066 http://www.medworm.com/index.php?rid=4470065&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000454%2Fabstract%3Frss%3Dyes Abstract: Objectives: To explore and describe postpartum experiences of first-time mothers in a Tanzanian, multiethnic, low-income suburb.Methods: Individual qualitative interviews with 10 first-time mothers, 4–10 weeks postpartum in Ilala suburb, Dar es Salaam, Tanzania.Results: The first-time mothers enjoyed motherhood and the respectful status it implied. To understand and handle the infant's needs and own bodily changes were important during postpartum. The tradition of abstaining from sex up to 4 years during breastfeeding was a concern as male's faithfulness was questioned and with HIV a threat to family health. Partner relationship changed towards shared parental and household work and the man's active participation was appreciated. Support from family members and others in the ne... Women and Birth journals http://www.medworm.com/rss/comments.php?id=4470065 Sun, 13 Feb 2011 01:15:53 +0100 4470065 http://www.medworm.com/index.php?rid=4470064&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000429%2Fabstract%3Frss%3Dyes Discussion: Salient examples in antenatal, intrapartum and postnatal care have highlighted how midwives can engage in public health issues relevant to their everyday clinical practice and in so doing re-define and extend their boundaries of care. Public health has much to do with midwifery and midwifery has much to do with public health.Implications for practice: Midwifery practice can have a profound impact on maternal and infant health both short and long-term, so it is critical that all midwives take up the public health challenge for the benefit of the population they serve. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=4470064 Sun, 13 Feb 2011 01:15:53 +0100 4470064 http://www.medworm.com/index.php?rid=4470063&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000417%2Fabstract%3Frss%3Dyes Conclusions: These findings confirm that socio-economic deficiencies and low quality of life can facilitate the expression of depressive symptomatology during the postpartum period. The results also emphasize the salience of psychosocial risk factors in the diathesis of postnatal depression. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=4470063 Sun, 13 Feb 2011 01:15:53 +0100 4470063 http://www.medworm.com/index.php?rid=4470062&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000247%2Fabstract%3Frss%3Dyes Conclusion: In demonstrating the low relative morbidity in this comparison, these outcomes may aid in counselling women faced with the choice of VBAC versus ERCS. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=4470062 Sun, 13 Feb 2011 01:15:52 +0100 4470062 http://www.medworm.com/index.php?rid=4470061&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000843%2Fabstract%3Frss%3Dyes I am privileged to live and work in Newcastle where at the John Hunter Hospital, under the leadership of Dr. Andrew Bisits, selected women have been supported to have spontaneous vaginal breech births. The woman are supported by skilled and experienced midwives and obstetrician/s. The watch words are ‘hands off the breech’. Writing in the European Obstetric literature in 1936, Dr. Eric Bracht, first described the obstetrician's role in spontaneous breech birth as one that involved minimal handling. His technique was adopted and “subjected to extensive trials in Germany, France, Spain, Holland, and South America, with fetal mortality figures suggesting its considerable superiority over more active management, the procedure seems to have been overlooked in the United Kingdom and the Un... Women and Birth journals http://www.medworm.com/rss/comments.php?id=4470061 Sun, 13 Feb 2011 01:15:51 +0100 4470061 http://www.medworm.com/index.php?rid=4470060&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519211000072%2Fabstract%3Frss%3Dyes (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=4470060 Sun, 13 Feb 2011 01:15:51 +0100 4470060 http://www.medworm.com/index.php?rid=4105199&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000582%2Fabstract%3Frss%3Dyes Conclusion: Preliminary evidence is provided that a telephone service led by midwives may be one effective strategy to meet women's informational needs and address decisional conflict in relation to options for birth after a caesarean section. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=4105199 Tue, 26 Oct 2010 11:22:32 +0100 4105199 http://www.medworm.com/index.php?rid=4105198&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000363%2Fabstract%3Frss%3Dyes Summary: Background: The purpose of this pilot study was to uncover the perceived usefulness of a contemporary antenatal education strategy for mother's experience of breastfeeding initiation.Research question: How useful do first time mothers perceive an antenatal education strategy to be for initiating breastfeeding?Participants and methods: This was a simple descriptive pilot study with ten first time mothers as participants; all of whom were booked into an Australian private maternity unit for antenatal breastfeeding education, labour, birth and postpartum care. Semi-structured interviews were transcribed verbatim and thematically analysed.Findings and discussion: Antenatal education was beneficial for informing first time mothers of the practical skills required to positively initiate... Women and Birth journals http://www.medworm.com/rss/comments.php?id=4105198 Tue, 26 Oct 2010 11:22:31 +0100 4105198 http://www.medworm.com/index.php?rid=4105197&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000235%2Fabstract%3Frss%3Dyes Summary: In Western, industrialised culture, menstruation and birth are commonly seen as unstable, pathological processes requiring medical control. Girls learn to see menstruation as shameful and secretive. Menarche is a nodal event around which girls’ beliefs and attitudes to being female are organised. The perception of menstruation as a liability has foundational implications for future female experiences, particularly birth. Other cultures have recognised menstruation and birth as spiritual phenomena, with menarche and childbirth experienced as powerful initiatory processes. My PhD research explored the links between cultural attitudes to menstruation and spirituality, and women's experiences of birth. My feminist perspective recognised the power imbalances, patriarchal controls and... Women and Birth journals http://www.medworm.com/rss/comments.php?id=4105197 Tue, 26 Oct 2010 11:22:31 +0100 4105197 http://www.medworm.com/index.php?rid=4105196&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000223%2Fabstract%3Frss%3Dyes Conclusion: This study suggests that ‘holistic psychophysiological care’ in the third stage labour is safe for women at low risk of postpartum haemorrhage. ‘Active management’ was associated with a seven to eight fold increase in postpartum haemorrhage rates for this group of women. Further prospective observational evaluation would be helpful in testing this association. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=4105196 Tue, 26 Oct 2010 11:22:31 +0100 4105196 http://www.medworm.com/index.php?rid=4105195&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000211%2Fabstract%3Frss%3Dyes Conclusion: The modifiable factors that are positively associated with breastfeeding duration are the woman's breastfeeding intention, her breastfeeding self-efficacy and her social support. Intervention studies to date have focussed on modifying these factors individually with variable results. No interventional studies have been conducted with the aim of positively modifying all three factors simultaneously. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=4105195 Tue, 26 Oct 2010 11:22:31 +0100 4105195 http://www.medworm.com/index.php?rid=4105194&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS187151921000020X%2Fabstract%3Frss%3Dyes Conclusion: We argue that existing research does not inform the discipline of the complexity of midwifery clinical decision-making during birth. A well-designed study would involve investigating the clinical reasoning skills of the midwife, her relationship with the woman, the context of the particular birthing unit and the employment status of the midwife. The role of the woman as decision-maker in her own care during birth also needs careful research attention. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=4105194 Tue, 26 Oct 2010 11:22:31 +0100 4105194 http://www.medworm.com/index.php?rid=4105193&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000697%2Fabstract%3Frss%3Dyes (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=4105193 Tue, 26 Oct 2010 11:22:31 +0100 4105193 http://www.medworm.com/index.php?rid=3798294&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000375%2Fabstract%3Frss%3Dyes The lived reality of becoming a mother for the first time is delightfully described in this book by Nicole Hall. I found Hall's six chapter account of life with baby ‘Viv’ and partner ‘Jules’ entertaining and revealing. Beginning at day one with an outline of her birth experience, the chapters are presented as day by day diary entries that gradually became less frequent. Chapter titles such as ‘Endless poo: the first month’, ‘Settling in: one to three months’, ‘Falling in love: three to six months’ and ‘So tired: six to twelve months’ act as chronological markers for key parts of Hall's experience. In the final chapter Hall discusses life after Viv's first birthday; the birth of her second baby and Viv's reaction to his brother are included. Each chapter also contai... Women and Birth journals http://www.medworm.com/rss/comments.php?id=3798294 Thu, 29 Jul 2010 08:15:05 +0100 3798294 http://www.medworm.com/index.php?rid=3798292&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000399%2Fabstract%3Frss%3Dyes Thank you to Professor Michael Humphrey for the advice that the Queensland Maternity Perinatal Quality Council was reborn in the latter half of 2010, concurrent with the preparation of my article. I appreciate the challenges that the re-established Council must now respond to. One major challenge is to synthesise, interpret and report on data from 2004 onwards, so that it may be used to inform decision making, and to do so in a timely way. Having served briefly on a previous Council working party, I have seen up close how critical the quality of data is to timely analysis. I urge all midwives to be meticulous and comprehensive in their reporting on Perinatal Data Collection forms, so that the first-time quality of data is maximised, and wish Professor Humphrey and the Council every success... Women and Birth journals http://www.medworm.com/rss/comments.php?id=3798292 Thu, 29 Jul 2010 08:15:05 +0100 3798292 http://www.medworm.com/index.php?rid=3798291&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000405%2Fabstract%3Frss%3Dyes I read with interest Fiona Bogossian's article entitled “An urgent call to implement systematic monitoring of a comprehensive set of quality indicators for maternity services.” (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=3798291 Thu, 29 Jul 2010 08:15:05 +0100 3798291 http://www.medworm.com/index.php?rid=3798290&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000430%2Fabstract%3Frss%3Dyes We are pleased that our paper, “Reducing the length of stay for women who present as outpatients to delivery suite: a clinical practice improvement project” has generated debate. Smith et al. applaud the work of the midwives we reported on who are providing independent care for women when they present to delivery suite with pregnancy-related concerns. These authors have however, challenged our use of the term ‘advanced practice midwife’. We acknowledge that the choice of the term ‘advanced practice midwife’ is contentious given the different professional philosophical views held around the notion of levels of midwifery practice. Our justification for doing so lies in the reality that currently midwifery exists under regulatory and legal frameworks, including industrial awards, ... Women and Birth journals http://www.medworm.com/rss/comments.php?id=3798290 Thu, 29 Jul 2010 08:15:05 +0100 3798290 http://www.medworm.com/index.php?rid=3798289&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000882%2Fabstract%3Frss%3Dyes Summary: Advanced midwifery practice is a controversial notion in midwifery, particularly at present in Australia. The proposed changes in legislation around access to the publicly funded Medical Benefits Scheme (MBS) and the Pharmaceutical Benefits Scheme (PBS) in 2009–2010 have meant that the issue of advanced midwifery practice has again taken prominence. Linking midwifery access to MBS and PBS to a safety and quality framework that includes an ‘advanced midwifery credentialling framework’ is particularly challenging. The Haxton and Fahy paper in the December 2009 edition of Women and Birth is timely as it enables a reflection upon these issues and encourages debate and discussion about exactly what is midwifery, what are we educating our students for and is working to the full sc... Women and Birth journals http://www.medworm.com/rss/comments.php?id=3798289 Thu, 29 Jul 2010 08:15:05 +0100 3798289 http://www.medworm.com/index.php?rid=3798288&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000168%2Fabstract%3Frss%3Dyes Conclusion: Eliminating the anxiety and anguish experienced by women following a diagnosis of fetal abnormality is impossible. It must be possible, however, to mitigate their distress. Further research should develop methods to prepare women for coping in crises like these. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=3798288 Thu, 29 Jul 2010 08:15:05 +0100 3798288 http://www.medworm.com/index.php?rid=3798287&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS187151921000017X%2Fabstract%3Frss%3Dyes Summary: Objective: To examine maternal birth outcomes and birth experiences of low-risk women in the Netherlands in different sized midwifery practices.Design: Descriptive study using postal questionnaires six weeks after the estimated due date.Setting: Women were recruited from urban, semi-rural and rural areas from small-sized practices (1–2 midwives), medium-sized practices (3–4 midwives) or large-sized practices (5 or more). Participants: 718 Dutch speaking women with uncomplicated pregnancies, a representative sample of women in 143 midwifery practices in the Netherlands who had given birth in the period between 20 April and 20 May 2007.Measurements: Distribution of place of birth categories and intervention categories, birth experience, woman–midwife relationship and presence ... Women and Birth journals http://www.medworm.com/rss/comments.php?id=3798287 Thu, 29 Jul 2010 08:15:05 +0100 3798287 http://www.medworm.com/index.php?rid=3798286&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS187151920900047X%2Fabstract%3Frss%3Dyes Conclusion: The paper concludes that ePortfolio is considered ‘the way of the future’ for midwifery students, however a number of issues must be addressed through further collaboration prior to replacing the paper-based ePortfolio. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=3798286 Thu, 29 Jul 2010 08:15:05 +0100 3798286 http://www.medworm.com/index.php?rid=3798285&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000717%2Fabstract%3Frss%3Dyes Conclusions: Further research should be focused on the factors observed by midwives during history taking and the antenatal course in the second and third trimesters and whether or not these can be synthesised in to a hypertension-specific diagnostic tool for use in midwifery practice. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=3798285 Thu, 29 Jul 2010 08:15:05 +0100 3798285 http://www.medworm.com/index.php?rid=3798284&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000491%2Fabstract%3Frss%3Dyes (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=3798284 Thu, 29 Jul 2010 08:15:05 +0100 3798284 http://www.medworm.com/index.php?rid=3519141&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000894%2Fabstract%3Frss%3Dyes This study explored grandmothers’ perceptions of their role in supporting new families and examined the potential for grandmothers to influence infant feeding decisions and parenting practices of new mothers in an area of Sydney, Australia, with low breastfeeding maintenance rates.Participants and method: A qualitative, descriptive study was conducted in South Western Sydney, Australia. Eleven grandmothers participated in one to one interviews and three of these also participated in a group discussion.Results: Analysis revealed three themes: ‘Presence’; ‘Position’; and ‘Power versus Preservation’ which provide insight into the complexity of the grandmother–new mother relationship and describe the potential influence that grandmothers may have on infant feeding and parenting... Women and Birth journals http://www.medworm.com/rss/comments.php?id=3519141 Fri, 30 Apr 2010 16:00:40 +0100 3519141 http://www.medworm.com/index.php?rid=3519140&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000699%2Fabstract%3Frss%3Dyes Summary: A convenience sample of 320 consecutive primigravid women attending the antenatal clinic of a large Sydney tertiary referral hospital were invited to take part in a survey of folic acid use in pregnancy. The aim of the survey was to determine the number of primigravid women who commenced taking folic acid supplementation at least 1 month prior to conception. In addition the survey sought information on women's source of knowledge about the need for folic acid in pregnancy and whether their pregnancy was planned or unplanned. 295 women qualified to be included in the survey. While 88.1% of women took folic acid at some time prior to and/or during the first trimester, only 23.4% were found to have taken folic acid at least 1 month prior to conception. Of women with a planned birth o... Women and Birth journals http://www.medworm.com/rss/comments.php?id=3519140 Fri, 30 Apr 2010 16:00:40 +0100 3519140 http://www.medworm.com/index.php?rid=3519139&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000705%2Fabstract%3Frss%3Dyes Conclusions: The MEC course is valued by both remote health managers and practitioners. The learning activities, skills and knowledge gained are reported to be very beneficial and used by remote health practitioners. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=3519139 Fri, 30 Apr 2010 16:00:40 +0100 3519139 http://www.medworm.com/index.php?rid=3519138&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS187151920900064X%2Fabstract%3Frss%3Dyes Summary: Background: This paper describes how women experienced what came to be labelled as ‘bullying’ by a small number of midwives when they were evacuated from their rural and remote areas of NSW, Australia to a maternity unit to birth.Research question: What is the experience of women who are required to travel away from their NSW rural/remote communities to birth?Participants and methods: Forty-two participants together with a number of their partners/support people were interviewed indepth for this qualitative, exploratory study. Upon thematic analysis of the transcribed interviews, an unexpected finding was that four participants (plus one partner) described experiences which were interpreted as bullying, by a small number of midwives working with them. Women identifying as Abor... Women and Birth journals http://www.medworm.com/rss/comments.php?id=3519138 Fri, 30 Apr 2010 16:00:39 +0100 3519138 http://www.medworm.com/index.php?rid=3519137&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000730%2Fabstract%3Frss%3Dyes Abstract: Smoking during pregnancy is widely known to increase health risks to the foetus, and understanding the quitting process during pregnancy is essential in order to realise national government targets. Qualitative studies have been used in order to gain a greater understanding of the quitting process and the objective of this systematic review was to examine and evaluate qualitative studies that have investigated the psychological and social factors around women attempting to quit smoking during pregnancy. Electronic databases and journals were searched with seven articles included in this review. The findings demonstrated that women were aware of the health risks to the foetus associated with smoking; however knowledge of potential health risks was not sufficient to motivate them t... Women and Birth journals http://www.medworm.com/rss/comments.php?id=3519137 Fri, 30 Apr 2010 16:00:39 +0100 3519137 http://www.medworm.com/index.php?rid=3519136&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000259%2Fabstract%3Frss%3Dyes I would like to share with readers some of the skills required for successful publication in a refereed journal. I have over 12 years experience as a reviewer for a number of refereed journals, 4 years experience as a journal editor and over 35 refereed publications. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=3519136 Fri, 30 Apr 2010 16:00:39 +0100 3519136 http://www.medworm.com/index.php?rid=3519135&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000296%2Fabstract%3Frss%3Dyes (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=3519135 Fri, 30 Apr 2010 16:00:33 +0100 3519135 http://www.medworm.com/index.php?rid=3250972&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000119%2Fabstract%3Frss%3Dyes (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=3250972 Mon, 08 Feb 2010 16:48:56 +0100 3250972 http://www.medworm.com/index.php?rid=3250971&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000870%2Fabstract%3Frss%3Dyes Summary: This commentary paper proposes that historically the lack of significant system wide reform of the sector may be in part related to the quality of evidence that has informed reviews of maternity services. It calls for the implementation of systematic monitoring of a comprehensive set of quality indicators and makes suggestions about how this goal might be achieved. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=3250971 Mon, 08 Feb 2010 16:48:56 +0100 3250971 http://www.medworm.com/index.php?rid=3250970&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000468%2Fabstract%3Frss%3Dyes Summary: Objectives: To describe maternal characteristics and lifestyle factors associated with prenatal smoking habits and to appraise the effect of quitting smoking in early gestation on maternal weight gain during pregnancy.Methods: This is a follow-up study of 1753 women who gave birth in 1984/1985 in Stockholm, Sweden. Multivariate logistic models were used to evaluate the association between smoking cessation and weight gain above the American Institute of Medicine (IOM) recommendations, based on pre-pregnancy BMI.Results: About 22% of all participants identified themselves as current smokers and 11.6% reported smoking cessation during pregnancy. Smokers were more likely to be single mothers and reported low quality of breakfast (e.g. eating only 1 food group at breakfast). Non-smoke... Women and Birth journals http://www.medworm.com/rss/comments.php?id=3250970 Mon, 08 Feb 2010 16:48:56 +0100 3250970 http://www.medworm.com/index.php?rid=3250969&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000304%2Fabstract%3Frss%3Dyes Conclusion: Further research into this important issue is needed in order to improve breastfeeding support for women from different cultural backgrounds. The issue of causes of, and variations in, the levels of partial breastfeeding between different ethnic groups needs more investigation. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=3250969 Mon, 08 Feb 2010 16:48:56 +0100 3250969 http://www.medworm.com/index.php?rid=3250968&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000481%2Fabstract%3Frss%3Dyes Conclusion: Although the majority of women in this study were satisfied with the components of physical care and information and assistance with infant feeding and sleep and settling provided in the short-term, there was less satisfaction with emotional care and preparation for life at home with a new baby. This study adds to our understandings of women's experiences of the early postnatal period and provides information on which to base improvements in postnatal care and maternity services in WA and across Australia. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=3250968 Mon, 08 Feb 2010 16:48:55 +0100 3250968 http://www.medworm.com/index.php?rid=3250967&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000493%2Fabstract%3Frss%3Dyes Summary: Aim: To explore the women's experiences of being booked for induction of labour for a pregnancy greater than 41 weeks gestation.Participants: 23 primigravidae who were booked for induction: 18 were induced (induction group) and 5 went into spontaneous labour (comparison group).Method: Data were collected by a series of interviews from booking to after birthing: interpretative techniques analysed verbatim transcriptions.Findings: Two dimensions of being in the process of induction were identified: (1) a sense of “Time's Up,” when the natural, temporal aspects of pregnancy end with an imposed birth date and sequenced induction procedures and, (2) a required “Shift in Expectations” from the women's original plan for labour and birth. The women varied in their responses from w... Women and Birth journals http://www.medworm.com/rss/comments.php?id=3250967 Mon, 08 Feb 2010 16:48:55 +0100 3250967 http://www.medworm.com/index.php?rid=3250966&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000900%2Fabstract%3Frss%3Dyes Senior academic midwives recently wrote to the Federal Minister for Health (Ms Nicola Roxon) to raise their concerns about the newly proposed amendments to both the Health Legislation (Midwives and Nurse Practitioners) Bill and the Midwife Professional Indemnity (Commonwealth Contribution) Scheme Bill. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=3250966 Mon, 08 Feb 2010 16:48:55 +0100 3250966 http://www.medworm.com/index.php?rid=3250965&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000065%2Fabstract%3Frss%3Dyes (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=3250965 Mon, 08 Feb 2010 16:48:55 +0100 3250965 http://www.medworm.com/index.php?rid=3250964&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519210000053%2Fabstract%3Frss%3Dyes (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=3250964 Mon, 08 Feb 2010 16:48:54 +0100 3250964 http://www.medworm.com/index.php?rid=2898460&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000651%2Fabstract%3Frss%3Dyes As a midwife, educator and counsellor I was immediately drawn to this powerful premise that frames this book. Supporting Postnatal Women into Motherhood is well structured, comprehensive and highly practical. Essentially it is a book about setting up, managing and facilitating a discussion group for new mothers. This book is definitely not another ‘every-neighbourhood-should-have one, mother's morning tea/play group meeting’: the author offers much more. Lynn Bertram brings together 14 years of professional experience in counselling, teaching and group work with mothers and although the title includes the sub-title of “therapeutic group work” the intended readership is broader than this may imply. All health practitioners working directly with women at this transition stage of thei... Women and Birth journals http://www.medworm.com/rss/comments.php?id=2898460 Fri, 16 Oct 2009 15:02:52 +0100 2898460 http://www.medworm.com/index.php?rid=2898459&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000456%2Fabstract%3Frss%3Dyes Summary: Background: Despite limited evidence evaluating early postnatal discharge, length of hospital stay has declined dramatically in Australia since the 1980s. The recent rising birth rate in Victoria, Australia has increased pressure on hospital beds, and many services have responded by discharging women earlier than planned, often with little preparation during pregnancy. We aimed to explore the views of women and their partners regarding a number of theoretical postnatal care ‘packages’ that could provide an alternative approach to early postnatal care.Methods: Eight focus groups and four interviews were held in rural and metropolitan Victoria in 2006 with participants who had experienced a mix of public and private maternity care. These included 8 pregnant women, 42 recent moth... Women and Birth journals http://www.medworm.com/rss/comments.php?id=2898459 Fri, 16 Oct 2009 15:02:51 +0100 2898459 http://www.medworm.com/index.php?rid=2898458&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000316%2Fabstract%3Frss%3Dyes Summary: Problem: Access block is an increasing problem in delivery suites due to the rising birth rates. As well as more labouring women, more women are presenting to delivery suite with pregnancy concerns (at 18 weeks gestation and over). Waiting times for women with pregnancy concerns were prolonged because, prior to the implementation of the present project, these women were required to be assessed by a midwife and then a medical officer.Aim: The aim of this project was to safely and effectively reduce the length of stay of pregnant women presenting with pregnancy concerns who were managed as outpatients in the delivery suite.Project setting: The project was undertaken in the Delivery Suite of a major tertiary referral hospital, NSW, Australia.Methods: The project team used clinical pr... Women and Birth journals http://www.medworm.com/rss/comments.php?id=2898458 Fri, 16 Oct 2009 15:02:51 +0100 2898458 http://www.medworm.com/index.php?rid=2898457&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000286%2Fabstract%3Frss%3Dyes Conclusion: It appears that the provision of hospital postnatal care has been influenced by an underlying culture in midwifery practice, which in turn, has impeded the change required to enhance postnatal care. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=2898457 Fri, 16 Oct 2009 15:02:51 +0100 2898457 http://www.medworm.com/index.php?rid=2898456&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000687%2Fabstract%3Frss%3Dyes I was invited to write this editorial after speaking about my decision to birth my baby vaginally despite her breech position. While my choice ran contrary to dominant medical opinion, it was right for me and my baby. Not only was she born healthy, but I was well, satisfied that I had given my baby the best possible start to life. I was empowered by my involvement in the planning. Here is my story which demonstrates that in order to ensure the best birthing outcome women need to take a critical view of medical advice. I believe it is the role of the midwife to encourage and support women in taking responsibility for their own decision making, health and preparation for birth. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=2898456 Fri, 16 Oct 2009 15:02:51 +0100 2898456 http://www.medworm.com/index.php?rid=2898455&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000675%2Fabstract%3Frss%3Dyes Recently our team has been writing up the analysis of data collected from a small number of Australian women who requested a caesarean section in their first pregnancy in the absence of a medical indication. In an attempt to offer some explanations for what we were seeing in the data our literature search reacquainted us with the early nineties work of Robbie Davis-Floyd. A well-known and published anthropologist, Davis-Floyd has a passion for understanding contemporary rituals around childbirth. It was in her paper, “The technocratic body: American childbirth as a cultural expression” that first introduced me to the concept of the ‘One Two Punch Theory’. The insights I gained from applying this theory to the issue of women requesting a non-medically indicted caesarean promoted me ... Women and Birth journals http://www.medworm.com/rss/comments.php?id=2898455 Fri, 16 Oct 2009 15:02:51 +0100 2898455 http://www.medworm.com/index.php?rid=2898454&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS187151920900078X%2Fabstract%3Frss%3Dyes (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=2898454 Fri, 16 Oct 2009 15:02:51 +0100 2898454 http://www.medworm.com/index.php?rid=2898453&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000778%2Fabstract%3Frss%3Dyes (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=2898453 Fri, 16 Oct 2009 15:02:51 +0100 2898453 http://www.medworm.com/index.php?rid=2695016&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000444%2Fabstract%3Frss%3Dyes The Australian Pregnant Book is a comprehensive guide to the contemporary medical model of managing pregnancy and birth under the care of an Obstetrician. It covers a full range of topics from pre conception care, conception, pregnancy, childbirth, and the post-natal period, followed by an informative final chapter of “frequently asked questions”. This book is well presented, easy to understand and contains excellent medical illustrations and images. The front cover promises to provide “Medical Answers to Frequently Asked Questions” and certainly in regards to all things medical that surround pregnancy and birth this book is thorough yet concise. The book succeeds in clearly articulating the “medicine” of pregnancy and birth, but it begs the question; is this really the most im... Women and Birth journals http://www.medworm.com/rss/comments.php?id=2695016 Thu, 13 Aug 2009 12:36:09 +0100 2695016 http://www.medworm.com/index.php?rid=2695015&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000262%2Fabstract%3Frss%3Dyes This article will identify some of the lessons that can be learnt from the recent Australian and UK maternal death reports. This paper presents an overview of the process and systems for the reporting of maternal death in Australia. It will then specifically focus on obstetric haemorrhage, with a focus on postpartum haemorrhage, for the 12-year period, 1994–2005. Vignettes from the maternal mortality reports in Australia and the United Kingdom are used to highlight the important lessons for providers of maternity care. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=2695015 Thu, 13 Aug 2009 12:36:09 +0100 2695015 http://www.medworm.com/index.php?rid=2695014&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000298%2Fabstract%3Frss%3Dyes Conclusions: A psychophysiological third stage is quite different from what has been defined as ‘physiological management’ in the medically designed randomised trials comparing active versus physiological care. The conditions for deciding if a particular woman, in a particular context with a particular midwife is a good candidate for a psychophysiological third stage are presented and discussed. Only if all these conditions are met it is safe to proceed with a psychophysiological third stage. Research about the effectiveness of midwifery care in a psychophysiological third stage of labour urgently needs to be conducted. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=2695014 Thu, 13 Aug 2009 12:36:09 +0100 2695014 http://www.medworm.com/index.php?rid=2695013&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000274%2Fabstract%3Frss%3Dyes Discussion and conclusions: There was a cumulative emotional effect with some midwives utilising unhealthy strategies to cope with feelings of frustration, inadequacy and vicarious trauma. Establishment of structured referral pathways for women and supportive systems for midwives is essential prior to implementing the SAPSA. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=2695013 Thu, 13 Aug 2009 12:36:09 +0100 2695013 http://www.medworm.com/index.php?rid=2695012&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000638%2Fabstract%3Frss%3Dyes From 2010, midwives in Australia will be able to prescribe subsidised drugs and bill their services to Medicare. The 2009/2010 Federal Budget, released on 12 May 2009, provides funding for the recommendations of the Commonwealth Government's Maternity Service Review. This paper analyses the key elements of the 2009/2010 Budget, the Health Legislation Amendment (Midwives and Nurse Practitioners) Bill 2009 and Midwife Professional Indemnity (Commonwealth Contribution) Scheme Bill 2009. The three key reforms are funding of antenatal, intrapartum and postnatal care by midwives in private practice under the Medicare Benefits Schedule, through the Pharmaceutical Benefits Scheme, and Commonwealth-supported professional indemnity insurance. Also funded is the “development of new national cross p... Women and Birth journals http://www.medworm.com/rss/comments.php?id=2695012 Thu, 13 Aug 2009 12:36:09 +0100 2695012 http://www.medworm.com/index.php?rid=2695011&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000547%2Fabstract%3Frss%3Dyes (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=2695011 Thu, 13 Aug 2009 12:36:09 +0100 2695011 http://www.medworm.com/index.php?rid=2695010&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000535%2Fabstract%3Frss%3Dyes (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=2695010 Thu, 13 Aug 2009 12:36:09 +0100 2695010 http://www.medworm.com/index.php?rid=2506844&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000250%2Fabstract%3Frss%3Dyes Conclusions: Understanding where women learn about MSS and how they make their decisions about testing sheds important light on the roles prenatal care providers should play. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=2506844 Sun, 31 May 2009 23:00:00 +0100 2506844 http://www.medworm.com/index.php?rid=2506843&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000043%2Fabstract%3Frss%3Dyes Conclusion: A more coordinated and systematised approach needs to be developed. Collaboration and communication between midwives and child and family health nurses is essential if the needs of families are to be addressed during this transition period. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=2506843 Sun, 31 May 2009 23:00:00 +0100 2506843 http://www.medworm.com/index.php?rid=2506842&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS187151920900002X%2Fabstract%3Frss%3Dyes This study describes obstetricians’ and midwives’ attitudes towards CS on maternal request.Methods: A qualitative descriptive study, with content analysis of 5 focus group discussions where 16 midwives and 9 obstetricians participated.Results: The overarching theme was identified as “Caesarean section on maternal request—a balance between resistance and respect”. On the one hand, CS was viewed as a risky project; on the other hand, request for a CS was understood and respected when women had had a previous traumatic birth experience. Still, a CS was not really seen as a solution for childbirth related fear. Five categories were related to the theme. Overall, our findings indicate that caregivers blamed the women for the increase, they considered the management of CS on maternal r... Women and Birth journals http://www.medworm.com/rss/comments.php?id=2506842 Sun, 31 May 2009 23:00:00 +0100 2506842 http://www.medworm.com/index.php?rid=2506841&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519208001066%2Fabstract%3Frss%3Dyes Conclusions: Our research highlights the importance of attitudes toward contraception, pregnancy and parenthood in shaping teenagers’ motivation to use contraception. Educational and prevention programs must address the spectrum of attitudes underlying teenagers’ contraceptive and reproductive decisions in order to alter pathways to teenage pregnancy and early parenting. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=2506841 Sun, 31 May 2009 23:00:00 +0100 2506841 http://www.medworm.com/index.php?rid=2506840&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000432%2Fabstract%3Frss%3Dyes As three of the early leaders and researchers in the field of midwifery continuity of care in Australia, we have been instrumental in addressing reforms to the fragmented model of maternity service delivery. These services have seen each childbearing woman in our public health system enduring up to 20 different care providers in one pregnancy experience. (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=2506840 Sun, 31 May 2009 23:00:00 +0100 2506840 http://www.medworm.com/index.php?rid=2506839&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000365%2Fabstract%3Frss%3Dyes (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=2506839 Sun, 31 May 2009 23:00:00 +0100 2506839 http://www.medworm.com/index.php?rid=2506838&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.womenandbirth.org%2Farticle%2FPIIS1871519209000353%2Fabstract%3Frss%3Dyes (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=2506838 Sun, 31 May 2009 23:00:00 +0100 2506838 http://www.medworm.com/index.php?rid=2274217&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19285935%26dopt%3DAbstract CONCLUSIONS: There was a cumulative emotional effect with some midwives utilising unhealthy strategies to cope with feelings of frustration, inadequacy and vicarious trauma. Establishment of structured referral pathways for women and supportive systems for midwives is essential prior to implementing the SAPSA. PMID: 19285935 [PubMed - as supplied by publisher] (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=2274217 Thu, 12 Mar 2009 04:00:00 +0100 2274217 http://www.medworm.com/index.php?rid=2274221&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19282266%26dopt%3DAbstract CONCLUSION: It appears that the provision of hospital postnatal care has been influenced by an underlying culture in midwifery practice, which in turn, has impeded the change required to enhance postnatal care. PMID: 19282266 [PubMed - as supplied by publisher] (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=2274221 Tue, 10 Mar 2009 04:00:00 +0100 2274221 http://www.medworm.com/index.php?rid=947990&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17931991%26dopt%3DAbstract Authors: Bogossian FE The notion of social support is one which midwives often intuit rather than clearly articulate or conceptualise. Increasingly social support is being touted as an area of midwifery assessment and potential intervention which may improve birthing outcomes for mothers and their infants. This paper is the first of three to address social support within the discipline of midwifery. It aims to review the fundamental theoretical constructs relating to social support and proposes a conceptual model to assist midwives in applying social support theory to their practice. Further papers will address social support-related research assumptions and the validation of measurement instruments in midwifery research. PMID: 17931991 [PubMed - as supplied by publisher] (Source: ... Women and Birth journals http://www.medworm.com/rss/comments.php?id=947990 Tue, 09 Oct 2007 04:00:00 +0100 947990 http://www.medworm.com/index.php?rid=812026&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17706476%26dopt%3DAbstract Authors: Fahy K PMID: 17706476 [PubMed - as supplied by publisher] (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=812026 Fri, 10 Aug 2007 04:00:00 +0100 812026 http://www.medworm.com/index.php?rid=599744&cid=s_35382_138_f&fid=35382&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17493886%26dopt%3DAbstract CONCLUSIONS: The clinical working environment has a major impact on the way newly graduated midwives integrate the BFHI 10 steps into their breastfeeding support practice. Commitment to the BFHI 10 steps should not be taken for granted just because a hospital achieves BFHI accreditation. Many experienced midwives are continuing with outdated practices that confuse breastfeeding mothers and newly graduated midwives alike. PMID: 17493886 [PubMed - as supplied by publisher] (Source: Women and Birth) Women and Birth journals http://www.medworm.com/rss/comments.php?id=599744 Tue, 08 May 2007 04:00:00 +0100 599744