MedWorm: Midwifery

All gas and no air? Why addressing climate change is critical for maternal and infant health.

Midwifery — Wed, 18 Nov 2009 13:34:05 +0100

Authors: Bick D PMID: 19913681 [PubMed - in process] (Source: Midwifery)

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Case-loading midwifery in New Zealand: bridging the normal/abnormal divide 'with woman'

Midwifery — Tue, 10 Nov 2009 00:00:00 +0100

CONCLUSIONS: continuity and woman-centred care are fundamental features of the construction of midwifery in New Zealand. IMPLICATIONS FOR PRACTICE: a focus on the midwifery concept of 'with woman' can bridge the divide between the polarising concepts 'normal' and 'abnormal' and enable a more fluid and dynamic reading of midwifery. PMID: 19910090 [PubMed - as supplied by publisher] (Source: Midwifery)

Young mothers who choose to breast feed: the importance of being part of a supportive breast-feeding community.

Midwifery — Wed, 04 Nov 2009 00:00:00 +0100

CONCLUSIONS: themes raised highlight the importance of viewing breast feeding as the normal way to feed an infant and having others support the mother in this behaviour. IMPLICATIONS FOR PRACTICE: increasing breast-feeding initiation and duration among this at-risk group is important for both infant and maternal health. Helping mothers to view breast feeding as the norm, creating an environment where breast feeding is accepted, providing professional and peer support, and encouraging the mother to continue breast feeding are important steps in raising breast-feeding rates among younger mothers. PMID: 19896254 [PubMed - as supplied by publisher] (Source: Midwifery)

Exercise of essential competencies for midwifery care by nurses in São Paulo, Brazil.

Midwifery — Tue, 03 Nov 2009 00:00:00 +0100

CONCLUSIONS: the model of care in the public health services of São Paulo (eastern zone) is based much more on hierarchical positions than on professional competencies or on the recommendations of the scientific community. As a result, health authorities need to review their midwifery policies to improve maternal-infant care by nurses and/or midwives in order to ensure the implementation of best midwifery practice. PRACTICAL IMPLICATIONS: the results of this study support actions to improve the quality of care delivered to women and their families, while integrating nursing and midwifery care in São Paulo, Brazil. PMID: 19892446 [PubMed - as supplied by publisher] (Source: Midwifery)

Information for Readers

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:14 +0100

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Society Page

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:14 +0100

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Editorial Board

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:14 +0100

(Source: Journal of midwifery & women's health)

Index of American College of Nurse-Midwives Documents and Publications

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:14 +0100

We are pleased to publish the following index of selected American College of Nurse-Midwives (ACNM) documents and publications, which appears annually in the November/December issue of the Journal of Midwifery & Women's Health. Documents and publications that were retired during the past year are noted. The ACNM has many resources in addition to the documents and publications listed here. These resources can be obtained from the ACNM Web site (www.acnm.org) and/or from the ACNM national office (contact information is listed below). (Source: Journal of midwifery & women's health)

Complementary Health for Women: A Comprehensive Treatment Guide for Major Diseases and Common Conditions

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:14 +0100

Consumer interest in utilization of complementary and alternative medicine (CAM) is rapidly increasing. Although there is no generally accepted definition, the National Center for Complementary and Alternative Medicine branch of the National Institutes of Health defines CAM as “a group of diverse medical and health care systems, practices, and products that are not generally considered part of conventional medicine.” Complementary medicine is typically used in addition to traditional medicine, whereas alternative therapies often replace traditional medical practices. (Source: Journal of midwifery & women's health)

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Understanding the Dangers of Cesarean Birth: Making Informed Decisions

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:14 +0100

Nicette Jukelevics, former chair of the International Childbirth Education Association's Cesarean Options Committee, has written a groundbreaking exposé of cesarean birth in the United States. Approximately 1 in 3 US women give birth by cesarean section, a rate that is 2 times higher than that recommended by the World Health Organization. Factors thought to be contributing to the rapidly rising US cesarean rate include the decrease in vaginal birth after cesarean (VBAC), an increase in primary cesarean births, the widespread use of labor interventions such as induction and epidural anesthesia, the availability of elective cesarean birth, and provider fear of malpractice claims. Increasingly higher cesarean rates have not been accompanied by reductions in maternal and neonatal morbidity an...

Positions for Labor: Maternal Movement and Optimal Fetal Positioning

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:14 +0100

The purpose of the Positions for Labor video is to describe and demonstrate a variety of positions and maternal movements available for use during labor and birth. This video is appropriate for ages 13 to adult and targets expectant mothers and their support person(s). The DVD has an easy-to-use chapter format focusing on positions and maternal movements appropriate for both the first and second stages of labor. Medical terms are defined to familiarize the viewer with language that may be used during labor and birth, and 3-dimensional animation is used to illustrate the various positions that the fetus may assume. The summaries provided at the end of each chapter reinforce the key points developed in the chapters, including the benefits of each position and maternal movement. An accompanyi...

The Birth Partner: A Complete Guide to Childbirth for Dads, Doulas, and All Other Labor Companions

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:14 +0100

Penny Simkin is a physical therapist long recognized as an expert on the subject of childbirth. Previous editions of The Birth Partner, first published in 1989, have served as a resource for laboring women and their partners for almost 20 years. In the third edition, Simkin continues to provide a wealth of knowledge to birth partners: fathers, doulas, and anyone who is supporting a woman through her last weeks of pregnancy, labor, birth, and the early postpartum period. As the subtitle, A Complete Guide to Childbirth for Dads, Doulas, and All Other Labor Companions, suggests, the most recent edition has been revised and updated to include information and clarification about the doula's role in childbirth support. Common obstetric interventions and options are described with the goal of enc...

Folic Acid – What's It All About?

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:14 +0100

Folic acid is a B vitamin. The body uses folic acid to help make red blood cells and other new cells. The folic acid found naturally in food is sometimes called “folate.” People who do not get enough folic acid in their diet can get anemia—their blood does not carry oxygen well, and they feel tired and weak. Not having enough folic acid can also increase the risk of heart disease, colon cancer, and stroke. (Source: Journal of midwifery & women's health)

Motherhood: The Early Days

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:13 +0100

You prepare for the birth of your baby for many months during pregnancy, and then the first months at home after your baby is born can be a quiet, gentle time of getting to know this new person who has come to live in your home. But for most women it is not all quiet or sweet. And for some women it is a very hard time. (Source: Journal of midwifery & women's health)

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Corrections

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:11 +0100

The Share With Women patient education handout “Motherhood: The Early Days” published in the July/August 2009 issue (Vol. 54, No. 4, page 331) included erroneous advice regarding nipple cleaning and preparation. This information was deleted, and the corrected patient education handout is published on page e67 of this issue. (Source: Journal of midwifery & women's health)

Birth Emergency Skills Training: A Manual for Out-of-Hospital Midwives

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:11 +0100

While there are many good midwifery and obstetrics books in which obstetric emergencies are discussed, there are surprisingly few texts devoted exclusively to the recognition, evaluation, and treatment of complications of pregnancy, labor and birth, and the postpartum. With Birth Emergency Skills Training: A Manual for Out-of-Hospital Midwives, Bonnie U. Gruenberg, a certified nurse-midwife, certified registered nurse practitioner, and emergency medical technician, has done a masterful job correcting this deficit. (Source: Journal of midwifery & women's health)

Topics in Antepartum Care, Part II (#2009/080)

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:11 +0100

(Source: Journal of midwifery & women's health)

El bloqueo epidural (epidural analgesia)

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:10 +0100

Hay muchas maneras de manejar el dolor del parto. Usted puede decidir antes de su parto si desea o no usar medicinas para el dolor durante el parto. Este panfleto le dará información acerca del bloque epidural. (Source: Journal of midwifery & women's health)

Pruebas prenatales para detectar el sÍndrome de down (prenatal tests for down syndrome)

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:10 +0100

El síndrome de Down es un defecto de nacimiento que se caracteriza por la presencia de retraso mental y, a menudo, problemas cardiacos. Los niños con síndrome de Down tienen cara redonda y ojos en forma de almendra rasgados hacia arriba. Se parecen más entre ellos que a los miembros de su familia. Aunque su capacidad de aprendizaje varía, todas las personas con síndrome de Down tienen cierto grado de retraso mental. (Source: Journal of midwifery & women's health)

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NÁuseas y vÓmitos durante el embarazo (nausea and vomiting during pregnancy)

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:10 +0100

Algunas mujeres tienen la suerte de no tener náuseas o vómitos durante el embarazo. Aproximadamente una de cada cuatro mujeres embarazadas tiene solo náuseas leves. Tres de cada diez mujeres embarazadas presentan náuseas lo suficientemente graves como para afectar su vida diaria. La mitad de todas las mujeres embarazadas sufren de náuseas y vómitos durante los primeros meses del embarazo. Las náuseas y los vómitos durante el embarazo tienden a ser peores durante las 8 y 10 semanas después del último periodo menstrual. Por lo general desaparecen a las 12 y 16 semanas después del último periodo. Se pueden llamar “náuseas del embarazo” y pueden ocurrir a lo largo del día. (Source: Journal of midwifery & women's health)

AlimentaciÓn saludable durante el embarazo (eating safely during pregnancy)

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:10 +0100

Durante el embarazo, usted puede comer lo mismo que comía normalmente cuando no estaba embarazada. Sin embargo, en los primeros meses de su embarazo, los gérmenes (bacterias) y las sustancias tóxicas (toxinas) pueden hacerle daño a su bebé. Es por esto que usted necesita conocer los peligros de ciertos alimentos y aprender la de elegir y preparar sus comidas sin correr riesgos. (Source: Journal of midwifery & women's health)

Peligros del medio ambiente durante el embarazo (environmental hazards during pregnancy)

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:10 +0100

Hay muchas sustancias químicas en el aire, las casas y los negocios que podrían afectar su salud o la de su bebé durante el embarazo. Este folleto le indica cómo evitar pesticidas, sustancias químicas peligrosas y plomo que podría ser dañinos para usted y su bebé. (Source: Journal of midwifery & women's health)

¿quÉ es una partera? (what is a midwife)

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:10 +0100

Las enfermeras parteras certificadas (CNM, por su siglas en inglés) son enfermeras capacitadas en obstetricia que cuentan con licencia para ejercer. Las parteras certificadas (CM) son personal de atención médica con estudios en obstetricia que cuentan con licencia para ejercer. Tanto las enfermeras parteras certificadas como las parteras certificadas se han graduado de la universidad, han pasado un examen nacional y tienen una licencia estatal para ejercer de parteras. La mayoría de las parteras en los Estados Unidos son enfermeras parteras certificadas o parteras certificadas. (Source: Journal of midwifery & women's health)

H1N1 Flu (Swine Flu)

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:10 +0100

The flu is an infection in your nose, throat, and lungs that is caused by a virus. There are different kinds of flu, like the one that people get every winter, which you can get a flu shot to prevent. There are other types of flu that primarily infect animals, like bird flu and now swine flu. The real name for swine flu is H1N1 flu. It is called swine flu because a virus that causes this flu also causes flu in pigs. You cannot get this flu from eating pork, bacon, sausages, or any other pork products. (Source: Journal of midwifery & women's health)

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Taking Good Care of Yourself While You are Pregnant

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:10 +0100

If you are pregnant or thinking of becoming pregnant soon, you will want to pay special attention to your health. Keep this handout on your refrigerator to help you take care of yourself. (Source: Journal of midwifery & women's health)

Reporting of Nausea and Vomiting in Pregancy Appears to Vary by Race/Ethnicity

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:10 +0100

The objective of this study was to assess the prevalence and severity of nausea and vomiting of pregnancy (NVP) during first and second trimesters of pregnancy by race and ethnicity. In addition, researchers sought to identify determinants of NVP with a special emphasis on race/ethnicity. Previous studies on NVP with respect to race/ethnicity have reported conflicting findings in part because of a failure to account for the multitude of variables and confounders that could influence NVP. Other studies have attributed differences to socioeconomic factors. Furthermore, the authors claim that previous studies did not explicitly classify race/ethnicity and that the majority of these studies examined women with hyperemesis gravidarum rather than simple NVP. The authors' rationale for conducting...

Acupressure Relieves Symptoms of Nausea and Vomiting of Pregnancy for some, But not all, Women

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:10 +0100

Despite the fact that nausea and vomiting of pregnancy (NVP) is common and that a variety of drug treatments are available to control NVP symptoms, many pregnant women wish to minimize their use of any drugs during pregnancy. Several studies examining the use of complementary, nonpharmacologic therapies—such as reflexology, hypnosis, acupuncture, and acupressure—have been published showing favorable or mixed results. A commercially available acupressure wrist band was approved by the US Food and Drug Administration in 2004 for the relief of nausea and vomiting related to morning sickness, chemotherapy, and motion sickness. (Source: Journal of midwifery & women's health)

Large Study Finds Metoclopramide can be Safely Used for Nausea and Vomiting in Early Pregnancy

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:10 +0100

The care of pregnant women who suffer from nausea and vomiting in early pregnancy (NVP) is a common concern for clinicians. Although NVP is typically regarded as “mild” and “self-limiting,” it is estimated that between 70% and 80% of pregnant women experience NVP. For some women, extreme NVP results in a diagnosis of hyperemesis gravidarum, a condition associated with poor maternal–infant outcomes, including esophageal rupture, pneumothorax, preeclampsia, fetal growth restriction, and mortality. The precise etiology of NVP remains unknown, and the condition has been attributed to gastrointestinal tract dysfunction, high circulating levels of estrogen or human chorionic gonadotropin, suppressed levels of thyroid stimulating hormone, infection with Helicobactoer pylori, and psychol...

Gratitude

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:10 +0100

I had met you a couple of times before, Warned that you were awash with fears and anxieties, (Source: Journal of midwifery & women's health)

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Midwifery Management of the Woman With an Eating Disorder in the Antepartum Period

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:09 +0100

A 21-year-old gravida 1, para 0 at 11 weeks and 4/7 days by last normal menstrual period presented to our clinic for prenatal care. She has never had a serious illness, surgery, or hospitalization. Her family history was positive for chronic depression and substance abuse. Her psychological history was positive for bulimia nervosa, which she reported first developing at 18 years of age. Although she had been working with a therapist for the past couple of years, she reported binge eating 1 to 2 times a week and compensatory behaviors, including excessive exercise, laxative use, fasting, and self-induced vomiting. She denied suicidal and homicidal ideation. She reported that her boyfriend and family provided a good social support system. Over the past few weeks, she had experienced symptoms...

A Curious Case of Anti-D Antibody Titer

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:09 +0100

This report examines the clinical course of an RhD-negative woman who developed a high anti-D antibody titer during her pregnancy while carrying an RhD-positive female fetus yet had a negative antibody screen at the time she gave birth. Although she delivered a healthy newborn unaffected by hemolytic disease, subsequent pregnancies will be treated as though she is RhD alloimmunized. The discussion below includes possible causes for the abrupt rise in this woman's anti-D antibody titer, a review of the complex Rh system and cellular anamnestic response, and current fetal surveillance for hemolytic disease of the fetus and newborn. (Source: Journal of midwifery & women's health)

Using the Rapid HIV Test to Rescreen Women in the Third Trimester of Pregnancy

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:09 +0100

Antiretroviral therapy during pregnancy in HIV-infected women has dramatically reduced the rate of mother to child HIV transmission in the United States. National guidelines strongly recommend universal HIV testing of all pregnant women with repeat screening in the third-trimester in high-risk populations. To determine patient attitudes towards third-trimester rescreening, a convenience sample was recruited during routine prenatal visits at an urban clinic and participants were surveyed to determine attitudes about HIV third-trimester retesting, acceptability of the rapid HIV testing, condom use, and knowledge of partner's HIV status during pregnancy. Participants were offered a third-trimester rapid HIV retest with the option to decline the test. Eighty pregnant women participated; 95% ag...

Assessment and Management of Bleeding in the First Trimester of Pregnancy

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:09 +0100

This article reviews early pregnancy development, etiologies of vaginal bleeding in the first trimester, strategies for evaluation, and recognition and management of the main diagnostic considerations. Case study examples illustrating the complexity of the assessment and management of vaginal bleeding in early pregnancy are presented. (Source: Journal of midwifery & women's health)

Social and Clinical Risk Assessment Among Pregnant Haitian Women in South Florida

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:09 +0100

This article describes the cultural experiences of pregnant Haitian women living in South Florida and their implications for clinical risk assessment. Contemporary clinical risk evaluation during pregnancy includes an assessment of external and social sources of risk, such as domestic violence, homelessness, and socioeconomic status. The accumulating data about the birth outcomes among Haitian women living in the United States underscores their biomedical risk status. However, it is important for clinicians to also have a more nuanced understanding of the influence of contemporary Haitian culture on risk during pregnancy to accurately assess a woman's risk status. Using ethnographic methods, including participant observation and interviews with pregnant women as well as their providers, th...

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Contemporary Childbirth Education Models

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:09 +0100

Since the 1960s, childbirth education advocates have attempted to persuade pregnant women that educational preparation for labor and birth is an essential component of the transition to motherhood. Initially, pregnant women who were seeking unmedicated births as a refuge from the inhumane childbirth treatments of the mid-20th century embraced this view. However, with the changing childbirth climate, including a growing preference for medicated birth, scheduled inductions, and cesarean sections, attendance has diminished and childbirth education finds itself at a crossroads. Commonly used childbirth education models/organizations and several new emerging models along with the available research literature and recommendations for clinical practice and research are presented. (Source: Journal...

A Critical Appraisal of Guidelines for Antenatal Care: Components of Care and Priorities in Prenatal Education

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:09 +0100

There are a variety of published prenatal care (PNC) guidelines that claim a scientific basis for the information included. Four sets of PNC guidelines published between 2005 and 2009 were examined and critiqued. The recommendations for assessment procedures, laboratory testing, and education/counseling topics were analyzed within and between these guidelines. The PNC components were synthesized to provide an organized, comprehensive appendix that can guide providers of antepartum care. The appendix may be used to locate which guidelines addressed which topics to assist practitioners to identify evidence sources. The suggested timing for introducing and reinforcing specific topics is also presented in the appendix. Although education is often assumed to be a vital component of PNC, it was ...

Diverse Women's Beliefs About Weight Gain in Pregnancy

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:09 +0100

This research was conducted to describe ethnically diverse new mothers' perceptions of gestational weight gain. Forty-nine low-income women of diverse racial and ethnic origins who birthed an infant within the past year completed a semistructured interview in a pediatric clinic waiting room. The interviews were designed to elicit views on gestational weight gain, including expectations and perceived consequences. Data were analyzed using content analysis techniques. Women believed that others like themselves were concerned about pregnancy weight gain. Many focused on the effects of insufficient pregnancy weight gain on the infant but were not aware of the infant risks of excessive gain. Several had inaccurate knowledge of appropriate gestational weight gain, and many suggested an amount be...

Pregnancy Complicated by Obesity: Midwifery Management

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:09 +0100

Obesity-related comorbidities such as gestational diabetes and hypertension have the potential to affect at least 25% of women in the United States. Midwives have been caring for and collaboratively managing these conditions in nonobese women for decades. Prenatal weight gain advice should be based on pregravid body mass index and aim for the lower end of the 1990 Institute of Medicine prenatal weight gain ranges. Obese women may require extra ultrasound and blood glucose testing during pregnancy. Pregnancy complicated by obesity may limit the place and style of birth. Midwives can integrate management techniques into the perinatal care of women whose body mass indices exceed 29 to reduce risk and future disease for mothers and newborns. (Source: Journal of midwifery & women's health)

Evidence-Based Approaches to Managing Nausea and Vomiting in Early Pregnancy

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:09 +0100

This article reviews the epidemiology of nausea and vomiting in pregnancy, use of the PUQE index, and the evidence for specific nonpharmacologic and pharmacologic treatment regimens. A protocol for clinical management is presented. (Source: Journal of midwifery & women's health)

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Prenatal Education: Enduring and Essential

Journal of midwifery & women's health — Fri, 30 Oct 2009 16:10:09 +0100

Patient education has long been considered a cornerstone of prenatal care. Indeed, the World Health Organization identifies guidance and education as key components of prenatal care. Traditionally, prenatal education has occurred as a one-on-one interaction between a clinician and individual woman or at a formal childbirth education class. More recently, a group model of prenatal care, CenteringPregnancy, has been developed. Regardless of the setting or format, health education, including preparation for birth, has an enduring presence in prenatal care. (Source: Journal of midwifery & women's health)

Exploring the barriers of quitting smoking during pregnancy: A systematic review of qualitative studies.

Women Birth — Wed, 28 Oct 2009 00:00:00 +0100

Authors: Ingall G, Cropley M 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 suffic...

Factors affecting the success of moxibustion in the management of a breech presentation as a preliminary treatment to external cephalic version.

Midwifery — Wed, 21 Oct 2009 00:00:00 +0100

CONCLUSIONS: moxibustion creates a better chance of vaginal birth for expectant mothers. Of the women who were successful in turning their babies using moxibustion, 88% went on to have a normal birth and 12% had a caesarean section. Moxibustion treatment also significantly increases version from a breech presentation to a cephalic presentation where there are fewer side effects reported, if the woman is multiparous and has support during the administration of moxibustion treatment. IMPLICATIONS FOR PRACTICE: moxibustion treatment should be offered to all women with a breech presentation because it is non-invasive and can be self-administered by the woman. It is therefore a simple, cost-effective technique that requires no medical intervention. PMID: 19853333 [PubMed - as supplied by pu...

Women and Birth — Fri, 16 Oct 2009 15:02:52 +0100

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's views of postnatal care in the context of the increasing pressure on postnatal beds in Australia

Women and Birth — Fri, 16 Oct 2009 15:02:51 +0100

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...

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Reducing length of stay for women who present as outpatients to delivery suite: A clinical practice improvement project

Women and Birth — Fri, 16 Oct 2009 15:02:51 +0100

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...

Encountering the culture of midwifery practice on the postnatal ward during Action Research: An impediment to change

Women and Birth — Fri, 16 Oct 2009 15:02:51 +0100

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)

Critical approach to medical advice is best for mothers: Midwives play key role

Women and Birth — Fri, 16 Oct 2009 15:02:51 +0100

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)

Caesarean section: The ultimate by-product of the One Two Punch Theory

Women and Birth — Fri, 16 Oct 2009 15:02:51 +0100

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 ...

Contents Page

Women and Birth — Fri, 16 Oct 2009 15:02:51 +0100

(Source: Women and Birth)

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Editorial Information

Women and Birth — Fri, 16 Oct 2009 15:02:51 +0100

(Source: Women and Birth)

Traditional midwifery.

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

Authors: Tritten J PMID: 19824246 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

Marion's message. The midwife and the partograph.

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

Authors: McLean MT PMID: 19824247 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

Doña Cuca, wise elder and midwife.

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

Doña Cuca, wise elder and midwife. Midwifery Today Int Midwife. 2009;(91):9 Authors: Sister MorningStar PMID: 19824248 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

Am I a traditional midwife?

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

Authors: Wood B PMID: 19824249 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

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A tale of 2 births.

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

Authors: Remer M PMID: 19824250 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

Some traditional umbilical cord care practices in developing countries.

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

This article will discuss some of the traditional umbilical cord care practices in developing countries around the world. PMID: 19824251 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

At the gates of life and death.

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

Authors: Knudson R PMID: 19824252 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

Stories of extraordinary Central American midwives.

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

Authors: Tyndall M PMID: 19824253 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

Open throat, open vagina.

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

Authors: Flashenberg D PMID: 19824254 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

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Breech, posterior and a deflexed head! An active birth solution?

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

Authors: Banks M PMID: 19824255 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

Faith.

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

Authors: Case D PMID: 19824256 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

Bumi Sehat Aceh traditional village midwives sharing Ilmu, the spiritual authority, skill & magic of midwifery.

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

Bumi Sehat Aceh traditional village midwives sharing Ilmu, the spiritual authority, skill & magic of midwifery. Midwifery Today Int Midwife. 2009;(91):26 Authors: Lim R PMID: 19824257 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

Traditional midwives of Carvaru, State of Pernambuco, Brazil.

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

Authors: Marton R PMID: 19824258 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

The preoceptor-student relationship.

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

Authors: Lourdes S PMID: 19824259 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

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Homebirth through a mother's eyes.

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

Authors: Kury M PMID: 19824260 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

Are traditional Chinese medicine theories of normal delivery supported by evidence-based medicine?

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

Authors: Hongyu Z PMID: 19824261 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

Every midwife for herself?

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

Authors: Fiscer C PMID: 19824262 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

The birth dance.

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

Authors: Thompson D PMID: 19824263 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

What I have seen.

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

Authors: Thompson D PMID: 19824264 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

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The dream.

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

Authors: Thompson D PMID: 19824265 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

My first doula birth in a Ukrainian birth house.

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

Authors: Sokol A PMID: 19824266 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

Becoming tradition.

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

Authors: Wildanah N PMID: 19824267 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

Who benefits from training traditional midwives?

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

Authors: Davenport A PMID: 19824268 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

Trip to the Congo.

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

Authors: Vanderlaan J PMID: 19824269 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

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There and VBAC again.

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

Authors: Boyce K PMID: 19824270 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

Viral hepatitis: some considerations for midwives.

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

Authors: McDonald K PMID: 19824271 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

Chinese pickled ginger pig trotters: a restorative meal for postnatal mamas.

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

Authors: Su MY PMID: 19824272 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

Update from Australia.

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

Authors: Robinson J PMID: 19824273 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

Barquisimeto, Venezuela.

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

Authors: Jenkins L PMID: 19824274 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

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Midwifery education in Iceland.

Midwifery Today with Internationalm Midwife — Fri, 16 Oct 2009 06:18:03 +0100

Authors: PMID: 19827174 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)

Identifying women requiring maternity high dependency care.

Midwifery — Thu, 15 Oct 2009 23:00:00 +0100

Authors: James A, Endacott R, Stenhouse E The prompt identification of clinical deterioration and referral for appropriate care are key issues in the management of women who become critically ill during pregnancy, labour and the postpartum period. The Intensive Care Society has developed designated levels of care in relation to adult patient care, which may not be appropriate for use in midwifery. Therefore, exploring the midwifery, nursing and medical literature related to levels of care and detection of clinical deterioration may highlight the need for these to be modified and adapted for the development of midwifery-specific levels of care that are appropriate for this cohort. PMID: 19837493 [PubMed - as supplied by publisher] (Source: Midwifery)

Climate change threatens the achievement of the millennium development goal for maternal health.

Midwifery — Wed, 14 Oct 2009 23:00:00 +0100

Authors: Homer CS, Hanna E, McMichael AJ PMID: 19836867 [PubMed - as supplied by publisher] (Source: Midwifery)

A survey of folic acid use in primigravid women.

Women Birth — Sun, 11 Oct 2009 23:00:00 +0100

Authors: Wilton DC, Foureur MJ 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 wo...

Antenatal screening and predicting hypertension in pregnancy for midwives.

Women Birth — Fri, 02 Oct 2009 23:00:00 +0100

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. PMID: 19805014 [PubMed - as supplied by publisher] (Source: Women Birth)

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Home-based life saving skills in Matlab, Bangladesh: a process evaluation of a community-based maternal child health programme.

Midwifery — Thu, 24 Sep 2009 23:00:00 +0100

CONCLUSIONS: the HBLSS programme was successfully implemented as a result of the high level of support and supervision by the maternal, newborn and child health staff at ICDDR,B. This evaluation highlights the value of community health workers in the fight against maternal and newborn mortality. Findings emphasise the strength of the HBLSS training approach in transferring knowledge from trainer to HBLSS guide. PMID: 19783081 [PubMed - as supplied by publisher] (Source: Midwifery)

Safety and efficacy of herbal remedies in obstetrics-review and clinical implications.

Midwifery — Wed, 23 Sep 2009 23:00:00 +0100

CONCLUSIONS: there is limited documentation on the safety and efficacy of many herbs commonly used during pregnancy. IMPLICATIONS FOR PRACTICE: midwives are important caregivers for pregnant women and should strive to give evidence-based advice on herbal use in pregnancy. If 'traditional use' is the only available information, the pregnant woman should be made aware of this to enable her to make an informed decision about the eventual use. PMID: 19782445 [PubMed - as supplied by publisher] (Source: Midwifery)

An evaluation of the satisfaction of midwives' working in midwifery group practice.

Midwifery — Tue, 22 Sep 2009 23:00:00 +0100

CONCLUSIONS: while there were aspects of MGP that midwives were not satisfied with and wanted to change, overall they were satisfied with the model. IMPLICATIONS: there is a need for ongoing evaluation in order to monitor the short- and long-term impact on midwives of working in a caseload model of continuity of midwifery care. PMID: 19781827 [PubMed - as supplied by publisher] (Source: Midwifery)

Stressful events, social support and coping strategies of primiparous women during the postpartum period: a qualitative study.

Midwifery — Mon, 21 Sep 2009 23:00:00 +0100

CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: both the prenatal education and postpartum social support seem to mismatch women's needs and expectations. Concerted efforts are required by health professionals at the maternity unit and in the community to provide mothers with more adequate postpartum assistance. PMID: 19783333 [PubMed - as supplied by publisher] (Source: Midwifery)

Support during labour: first-time fathers' descriptions of requested and received support during the birth of their child.

Midwifery — Mon, 21 Sep 2009 23:00:00 +0100

CONCLUSIONS: fathers perceived that they were given good support when they were allowed to ask questions during labour, when they had the opportunity to interact with the midwife and their partner, and when they could choose when to be involved or to step back. Fathers want to be seen as individuals who are part of the labouring couple. If fathers are left out, they tend to feel helpless; this can result in a feeling of panic and can put their supportive role of their partner at risk. IMPLICATIONS FOR PRACTICE: the results of this study could initiate discussions about how health-care professionals can develop support given to the labouring couple, with an interest in increasing paternal involvement. PMID: 19783334 [PubMed - as supplied by publisher] (Source: Midwifery)

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Midwives' use of the Internet: an Australian study.

Midwifery — Mon, 21 Sep 2009 23:00:00 +0100

CONCLUSIONS: many midwives have insufficient Internet competence to be able to access necessary evidence to support practice and to assist women with decision making. IMPLICATIONS FOR PRACTICE: ongoing education and training is needed to ensure that midwives have the skills to source evidence to support practice, and are able to effectively critique Internet information. PMID: 19783335 [PubMed - as supplied by publisher] (Source: Midwifery)

A qualitative study of the Australian midwives' approaches to Listeria education as a food-related risk during pregnancy.

Midwifery — Sun, 20 Sep 2009 23:00:00 +0100

CONCLUSIONS: professional practice guidelines regarding food safety and Listeria education are needed, together with relevant professional training and review of hospital practices in relation to this important health issue. PMID: 19775781 [PubMed - as supplied by publisher] (Source: Midwifery)

A diet and physical activity intervention for preventing weight retention among Taiwanese childbearing women: a randomised controlled trial.

Midwifery — Sun, 20 Sep 2009 23:00:00 +0100

CONCLUSIONS: a diet and physical activity intervention from pregnancy is effective for reducing post-pregnancy weight retention. IMPLICATIONS FOR PRACTICE: the findings of the present study should be taken into consideration when incorporating significant others and weight-loss maintenance strategies with interventions for a healthier family lifestyle. PMID: 19775782 [PubMed - as supplied by publisher] (Source: Midwifery)

Kurdish pregnant women's feelings: A qualitative study.

Midwifery — Sun, 20 Sep 2009 23:00:00 +0100

CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: it is important for midwives to ask pregnant women about their feelings concerning their current pregnancy, childbirth and future motherhood. If they express negative or ambivalent feelings, these should be discussed in greater detail and their causes identified. Special consideration should be given to primiparous women and multiparous women with negative experiences of previous pregnancies. PMID: 19775783 [PubMed - as supplied by publisher] (Source: Midwifery)

Menarche among Brazilian women: memories of experiences.

Midwifery — Sun, 20 Sep 2009 23:00:00 +0100

CONCLUSIONS: the way in which menarche is experienced may exert an impact on women's reproductive health, sexuality and lifestyle behaviours. IMPLICATIONS FOR PRACTICE: the acknowledgement of menarche experiences can be useful to guide health-care providers towards more effective education of girls on sexual and reproductive health issues and better attention to women's needs. PMID: 19775784 [PubMed - as supplied by publisher] (Source: Midwifery)

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'Shedding light' on the challenges faced by Palestinian maternal health-care providers.

Midwifery — Sun, 20 Sep 2009 23:00:00 +0100

CONCLUSIONS: there is a need for managers and policy makers to enable maternal HCPs to provide better quality care for women and infants during childbirth, through facilitating the roles of midwives and nurses and creating a more positive and resourceful environment. IMPLICATIONS FOR PRACTICE: Palestinian midwives need to increase their knowledge and use evidence-based practices during childbirth. They need to unite and create their own circle of professional support in the form of a Palestinian midwifery professional body. PMID: 19775785 [PubMed - as supplied by publisher] (Source: Midwifery)

Birth after caesarean section: changes over a nine-year period in one Australian state.

Midwifery — Fri, 18 Sep 2009 23:00:00 +0100

CONCLUSIONS: rates of VBAC have declined over this nine-year period. Rates of neonatal mortality and proxy measures of morbidity (admission to a nursery) are generally in the low range for similar settings. IMPLICATIONS FOR PRACTICE: decisions around the next birth after CS are complex. Efforts to keep the first birth normal and support women who have had a CS to have a normal birth need to be made. More research to predict which women are likely to achieve a successful VBAC and the most effective ways to facilitate a VBAC is essential. Midwives have a critical role to play in these endeavours. PMID: 19773099 [PubMed - as supplied by publisher] (Source: Midwifery)

Role of gender in sexual behaviours and response to education in sexually transmitted infections in 17-year-old adolescents.

Midwifery — Fri, 18 Sep 2009 23:00:00 +0100

CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: males take less responsibility for STI prevention than females. When planning STI education, it is important to consider gender, traditions and various learning styles. If STI education fails to reach males, the prevalence of these infections will continue to increase. PMID: 19773100 [PubMed - as supplied by publisher] (Source: Midwifery)

Effects of unplanned pregnancy on maternal health in Turkey.

Midwifery — Fri, 18 Sep 2009 23:00:00 +0100

CONCLUSIONS: unplanned pregnancy has a negative impact on the development of positive behaviour concerning self-care, physical well-being, labour experience, pain in labour and psychological status in the early postpartum period. IMPLICATIONS FOR PRACTICE: midwives and nurses should identify women with unplanned pregnancy at an early stage, and try to decrease the negative effects of unplanned pregnancy on maternal health and to improve prenatal, perinatal and postnatal care. PMID: 19773101 [PubMed - as supplied by publisher] (Source: Midwifery)

Crying babies, tired mothers: What do we know? A systematic review.

Midwifery — Fri, 18 Sep 2009 23:00:00 +0100

CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: if healthcare professionals are to address the prominent concerns of parents caring for a neonate, it is essential to review current care practices and tailor them to maternal and infant needs. A care strategy alleviating the burden of infant crying and maternal fatigue has the potential to strengthen family health from the earliest stage. PMID: 19773102 [PubMed - as supplied by publisher] (Source: Midwifery)

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Critical approach to medical advice is best for mothers: Midwives play key role.

Women Birth — Tue, 15 Sep 2009 23:00:00 +0100

Authors: Thurlow R PMID: 19766073 [PubMed - as supplied by publisher] (Source: Women Birth)

Caesarean section: The ultimate by-product of the One Two Punch Theory.

Women Birth — Thu, 03 Sep 2009 23:00:00 +0100

Authors: Fenwick J PMID: 19734115 [PubMed - as supplied by publisher] (Source: Women Birth)

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