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The World Needs Midwives Now More Than EverEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The theme of the 2009 International Day of the Midwife was “the world needs midwives now more than ever.” Evidence of this need abounds. The United States spends a substantial portion of its health care dollars on maternity care with no improvement in perinatal outcomes. In addition, some US maternity care trends are associated with an increase in adverse outcomes. For example, the rate of cesarean deliveries continues to increase annually despite evidence that this major surgery is overused and has associated health risks for both the mother and newborn.
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: Frances E. Likis Tags: Editorial Source Type: journals

The Past, Present, and Future of Assessing Continuing Competency for MidwivesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Consumers deserve to know that health care professionals not only are competent as they begin their careers, but also that they are exerting every effort to ensure that they remain competent throughout their careers. The fundamental basis for any health profession's interaction with the public must be demonstrable competence. Health care occurs within a health care system that is continually seeing new advances in technology and science, as well as changes in health care management and consumer expectations. The critical task of maintaining and proving competence at regular intervals will remain a challenge for health care...
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: Mary Barger, Barbara Camune, Barbara Graves, Jacqueline Lamberto Tags: Commentary Source Type: journals

The Costs and Benefits of Nurse-Midwifery Education: Model and ApplicationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To promote nurse-midwifery education, it is important for educators to know the value students bring to clinical training sites and academic institutions, the value nurse-midwifery graduates bring to taxpayers who help support nurse-midwifery education, and the value an education in nurse-midwifery brings to the graduate. The first purpose of this study was to develop a model to include all costs and benefits of nurse-midwifery education to: 1) students; 2) clinical sites where nurse-midwifery students obtain clinical experience; 3) academic institutions that house nurse-midwifery education programs; and 4) others (most of...
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: Kathleen Fagerlund, Elaine Germano Tags: Features Source Type: journals

Comparison of Induction of Labour and Expectant Management in Postterm Pregnancy: A Matched Cohort StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Randomized clinical trials have shown that induction of labour does not result in higher caesarean delivery rates in women who are postterm. Despite this evidence, the policy of inducing women who are postterm is not generally applied in the Netherlands. This provides us with the opportunity to assess whether the findings from randomized studies can also be observed in nonrandomized studies and to validate these findings in the Dutch obstetric population. We performed a retrospective matched cohort study (1:1 ratios for both age and parity) in women with uncomplicated pregnancies of 42 weeks' duration and compared inductio...
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: Marieke A.A. Hermus, Corine J.M. Verhoeven, Ben W. Mol, Gideon S. de Wolf, Cora A. Fiedeldeij Tags: Features Source Type: journals

Pregnancy-Associated Breast Cancer: Significance of Early DetectionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Pregnancy-associated breast cancer (PABC) is defined as cancer of the breast diagnosed during pregnancy and up to 1 year postpartum. Delays in diagnosis are frequently associated with increased morbidity and mortality. The aim of this article is to determine the significance of early detection of PABC and to alert health care providers to include PABC in the differential diagnosis when evaluating a breast mass in the perinatal period. This integrative literature review evaluated 15 research studies by using the hypothetical deductive model of clinical reasoning to determine factors related to diagnosis of PABC. As women de...
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: MaryAnn Ulery, Linnette Carter, Barbara L. McFarlin, Carmen Giurgescu Tags: Features Source Type: journals

Information–Seeking and its Predictors in Low-Income Pregnant WomenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study examined information-seeking and its predictors (information needs and barriers) in low-income pregnant women. Eighty-four pregnant women from a prenatal clinic were interviewed using three scales that measured the frequency of information-seeking from eight different sources, information needs for 20 pregnancy health topics, and 15 barriers to seeking information, respectively. Most women were black, unmarried, between 20 and 29 years of age, high school educated or less, multigravidas, and in their third trimester of pregnancy. Information needs and barriers were significant predictors of information-seeking. ...
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: Carol Shieh, Anna McDaniel, Irene Ke Tags: Features Source Type: journals

Decision Making in Patient-Initiated Elective Cesarean Delivery: The Influence of Birth StoriesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Patient-initiated elective cesarean delivery is emerging as an urgent issue for practitioners, hospitals, and policy makers and for pregnant women. This exploratory qualitative study looks at the birth stories and cultural knowledge that women use to inform the decision about an elective cesarean without medical indication. Data collection consisted of exploratory qualitative in-depth interviews with 17 primiparous women in British Columbia, Canada. Interviews revealed the influence of socially circulated birth stories and cultural narratives on their attitudes towards mode of delivery. Participants included in their decis...
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: Sarah Munro, Jude Kornelsen, Eileen Hutton Tags: Features Source Type: journals

Third Stage of Labour Care for Women at Low Risk of Postpartum HaemorrhageEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article examines the evidence from existing randomised trials comparing active and physiological third stage care for its relevance and validity to the effectiveness of physiological third stage care for women who are at low risk of postpartum hemorrhage. Consideration is given to midwifery and medical perspectives of the following definitions: ‘postpartum hemorrhage’; ‘low-risk status’; ‘active’; ‘expectant’ and ‘physiological’ third stage care. A systematic search of the research literature regarding the third stage of labour is described. Four randomised trials and a meta-analysis by Cochrane we...
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: Kathleen M. Fahy Tags: Features Source Type: journals

The American Association of Birth Centers: History, Membership, and Current InitiativesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the history, membership, and current policy initiatives of the AABC. The history of AABC includes the promotion of research, education, and national and state policies that are supportive of birth center care. Current AABC priorities address three main pressures to birth center sustainability: high malpractice insurance rates, the lack of a federally mandated birth center facility fee, and low rates of certified nurse-midwife/certified midwife reimbursement. The AABC is addressing these concerns through lobbying, collaborating with other national organizations, and the promotion of birth research.
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: Julia C. Phillippi, Jill Alliman, Kate Bauer Tags: Features Source Type: journals

Breast Cancer Screening Recommendations: Is Mammography the Only Answer?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Early detection of breast cancer is important to reduce mortality and morbidity. Traditionally, three methods of breast screening were recommended: mammography, clinical breast examination (CBE), and breast self-examination (BSE). At present, BSE and CBE are no longer widely recommended, while mammography is still broadly promoted in the Western world. The primary intent of this article is to examine whether current health policy recommendations related to breast cancer screening are informed by evidence. The issue of whether women are adequately aware of the potential benefits and risks of breast screening methods to make...
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: Anne J. Kearney, Michael Murray Tags: Features Source Type: journals

The Effect of an Iranian Herbal Drug on Primary Dysmenorrhea: A Clinical Controlled TrialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Our objective was to examine the effect of an Iranian herbal drug in the treatment of primary dysmenorrhea. A randomized, double-blind, placebo-controlled pilot trial among 180 female students at Isfahan University dormitory aged 18 to 27 who suffered from primary dysmenorrhea was undertaken. The participants were randomly divided into three groups: herbal drug, mefenamic acid, and placebo. The herbal drug group was given 500 mg of highly purified saffron, celery seed, and anise (SCA) extracts three times a day for three days, starting from the onset of bleeding or pain. Participants were followed for two to three cycles f...
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: Khodakrami Nahid, Moatar Fariborz, Ghahiri Ataolah, Shahdan Solokian Tags: Features Source Type: journals

Dinoprostone Compared With Misoprostol for Cervical Ripening for Induction of Labor at TermEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
H.L. is a 25-year-old woman, gravida 2 para 1-0-0-0 admitted to the birth unit at 38 and 6/7 weeks' gestation for induction of labor because of an obstetric history of a previous intrauterine fetal demise (IUFD) at term. The previous pregnancy occurred 5 years before this pregnancy, and the etiology of the IUFD was not determined. The current pregnancy was uncomplicated. Maternal serum alpha-fetoprotein and gestational diabetes screening were normal. Serial sonograms and the biweekly nonstress tests (NST) that were first performed at 32 weeks' gestation showed no abnormalities. The cervical examination on admission was 1 c...
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: Sara Church, Auben Van Meter, Rachael Whitfield Tags: Clinical Rounds Source Type: journals

Zimbabwe QueuesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
More than three-quarters of all AIDS deaths globally in 2007 occurred in sub-Saharan Africa. In indigent areas of Zimbabwe, where voluntary counseling and testing was offered for HIV, the rate for being HIV positive was as high as 58%. It is estimated that 564 people become infected with HIV everyday in Zimbabwe. The healthy life expectancy for men and women in Zimbabwe is 34 and 33 years of age, respectively—the lowest in the world.
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: Brenda Strysko Tags: Personal Reflections Source Type: journals

Current Resources for Evidence-Based Practice, September/October 2009Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Published simultaneously in Journal of Obstetric, Gynecologic & Neonatal Nursing 2009;38(5).
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: R. Rima Jolivet Tags: Evidence-Based Practice Source Type: journals

Breastfeeding Offers Women Protection Against Cardiovascular Disease Later in LifeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Several studies have demonstrated the numerous benefits of breastfeeding for infant health. The purpose of this study was to examine the effects of breastfeeding with respect to the development of health problems among women later in life, specifically cardiovascular risk factors such as hypertension, obesity, hypercholesterolemia, and self-reported diabetes, as well as the prevalence and incidence of heart disease.
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: Sharon Bond Tags: Journal Reviews Source Type: journals

Eating in Labor Does Not Influence Obstetric and Neonatal Outcomes or Rates of Operative DeliveryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study, authored by an interdisciplinary British team consisting of an anesthetist, research associate, midwife, statistician, and professor of obstetrics, challenges an American Society of Anesthesiologists guideline from 2007 recommending against intake of solid food during labor. The origin of this practice stemmed from a classic 1946 publication describing acid pulmonary aspiration (APA). Authors note that with more frequent use of regional anesthesia, preoperative use of medications such as proton pump inhibitors, and improved training of anesthesiologists, rates of APA have dropped significantly. The most recent ...
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: Sharon Bond Tags: Journal Reviews Source Type: journals

Oral Contraceptives do not Appear to be Less Effective among Obese Women, but Existing Studies are ImperfectEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This review addresses an important concern as we counsel patients about the effectiveness of oral contraceptives (OCs) within the context of epidemic rates of obesity, with more than 33% of women estimated as having a body mass index ≥30 in 2004. Differences in OC metabolism between obese and normal weight women include rates of absorption, distribution, and excretion of progestin, which is primarily responsible for suppressing ovulation, the dominant mechanism of action of OCs. In obese women, these variations in metabolism have been theorized to prolong the time it takes for OCs to reach serum levels adequate to suppre...
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: Sharon Bond Tags: Journal Reviews Source Type: journals

Other Studies of Interest to Midwives: Use of Metronidazole to Treat Trichomoniasis in Pregnancy Not Associated With Preterm BirthEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study by Mann et al. examined associations between treatment of trichomoniasis in pregnancy and preterm birth. Using Medicaid and birth certificate data, researchers studied records of 144,737 live births in South Carolina from 1996 to 2002.
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: Sharon Bond Tags: Journal Reviews Source Type: journals

Sexual Behavior of Virginity Pledgers Same as Nonpledgers, but Pledgers Less Likely to Use PrecautionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In the wake of more than $200 million the United States government spends annually on abstinence programs that include virginity pledging, Rosenbaum sought to compare the sexual behaviors of adolescent virginity pledgers with matched nonpledgers. Previous studies found that virginity pledging delayed sexual activity but used statistical methods unable to identify preexisting differences between pledgers and nonpledgers.
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: Sharon Bond Tags: Journal Reviews Source Type: journals

Choosing Where to Have Your BabyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Every woman has a right to a safe, satisfying birth experience. Before 1900, almost all women had their babies at home. By 1950, most women were having their babies in a hospital. Now, women can choose between hospital, birth center, or home birth. We are all different. What is important to you may not be important to your friends. In order to make your own decision, you will want to look at the benefits of each option.
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Tags: Share With Women Source Type: journals

Exploring Bed-Sharing Mothers' Motives and Decision-Making for Getting Through the Night Intact: A Grounded TheoryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Motives for mothers to bed share with their babies are interrelated and change over time. Within a complex context, mothers make either intentional or unintentional decisions to bed share in order to meet the needs of their babies and themselves.
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: Elisabeth Donohoe Culver Tags: From the American College of Nurse-Midwives Source Type: journals

‘By the Time I was 13, I was Old’: Early Childbearing Native American Women Share Childhood StoriesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Knowledge gained from these women's experiences demonstrates the need for clinicians to modify their interview to include further assessment questions.
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: Janelle Palacios Tags: From the American College of Nurse-Midwives Source Type: journals

Centeringpregnancy: An Integrative Literature ReviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The research has not been systematic and the mixed results have decreased the credibility of the CenteringPregnancy model of group prenatal care. Positive outcomes have been suggested by findings, but require a more systematic approach to developing the knowledge base. CenteringPregnancy was applied in practice before a consistent body of research could be done to validate it.
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: Annette Manant, Joan E. Dodgson Tags: From the American College of Nurse-Midwives Source Type: journals

Effect of Black Cohosh on Biochemical Markers of Bone Remodeling in Postmenopausal WomenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Black cohosh had no beneficial effect on bone remodeling under the conditions of this study.
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: Alice P. Carlisle, James V. Jessup, Sharleen Simpson, Saunjoo Yoon Tags: From the American College of Nurse-Midwives Source Type: journals

Effects of Social Considerations in Midwifery Care: A Look at Induction and Augmentation Rates According to Insurance StatusEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: There is no evidence that the rates of labor induction and augmentation were affected by insurance status and social considerations. These results support the assertion that midwives provide effective care that involves fewer interventions. Further research studying the influence of socioeconomic considerations on birth outcomes is needed.
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: Natalie Jacobson-Dunlop, Laura Jenson, Sarah West, Carol Howe, Cathy Emeis Tags: From the American College of Nurse-Midwives Source Type: journals

Childbirth on the Oregon Trail: The Presence and Role of Midwives in Childbearing Culture During the Western Migration 1830 to 1860Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Compared to what was happening in the United States in relation to childbirth, women on the Oregon Trail maintained an increased level of autonomy, whether desired or not, while suffering a loss of community, an increased level of fear and uncertainty, as well as physical and mental stress.
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: Kathleen M. Nishida Tags: From the American College of Nurse-Midwives Source Type: journals

Integrating Active Management of the Third Stage of Labor in ZambiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: AMTSL is widely known and the protocol at least partially practiced by SBAs in Zambia. The SBAs have concerns about maternal-to-newborn HIV blood transfusion risks; therefore it is doubtful that they will adopt the currently recommended practice of delayed cord clamping and cutting. Occasional infrastructure issues and supply shortages challenged the ability to correctly and safely implement the AMTSL protocol; nevertheless, facilities were generally ready to support the practice. Funding: USAID/Zambia, CA # 690-A-00-04-00153-00, Health Services & Systems Program
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: Donna Vivio, Judith Fullerton, Reuben Mbewe, Patrick Chewe, Masuka Musumali, Rosha Forman Tags: From the American College of Nurse-Midwives Source Type: journals

What do Certified Nurse-Midwives Believe? Measuring CNM Attitudes Towards Planned Home BirthEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Choice of practice site and comfort with home birth is influenced by exposure to planned home birth during professional education and practice experiences, as well as inter-professional, logistic, and environmental factors. This research may inform development of curricula to prepare physicians and midwives for out-of-hospital maternity care and collaborative care.
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: Saraswathi Vedam, Kathrin Stoll, Laura Schummers Tags: From the American College of Nurse-Midwives Source Type: journals

Who's Who Among the ACNM Fellows Inducted in 2009Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
On Friday, May 22, 2009, the 16th induction of fellows into the American College of Nurse-Midwives (ACNM) took place at the 54th Annual Meeting & Exposition in Seattle, WA. An introduction to each new fellow is presented below.
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Tags: From the American College of Nurse-Midwives Source Type: journals

The 2009 Hattie Hemschemeyer Award: Katherine Camacho Carr, CNM, Phd, FACNMEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Katherine Camacho Carr, CNM, PhD, FACNM is the 2009 recipient of the Hattie Hemschemeyer Award. Named after the first president of the American College of Nurse-Midwives (ACNM), this award honors an exceptional midwife for continuous outstanding contributions or distinguished service to midwifery, ACNM, and/or maternal and child health. The Hattie Hemschemeyer Award is the most prestigious honor that ACNM bestows.
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Tags: From the American College of Nurse-Midwives Source Type: journals

Mosby's Pocket Guide to Fetal Monitoring: A Multidisciplinary ApproachEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Tucker, Miller, and Miller have created an eminently useful guide to fetal monitoring. Written by a perinatologist, a nurse-midwife, and a nurse, Mosby's Pocket Guide to Fetal Monitoring: A Multidisciplinary Approach is comprehensive and interdisciplinary. This is an invaluable resource for students of medicine, nursing, and midwifery, as well as to all clinicians working in obstetrics. The book is structured from basic to complex, ending with an excellent chapter on quality and teamwork in clinical practice. The content is carefully supported by research and clear explanations of the physiology underlying the situation, a...
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: Robyn Churchill Tags: Media Reviews Source Type: journals

Born in the U.S.A.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The goal of Born in the U.S.A. is to inform viewers about the different types of settings and providers available for birthing so that women and families can choose which option is the right one for them. The film begins with funny clips of women in labor from sitcoms. Next is a brief history of birthing in America, showing women in the 1950s in operating room–like settings, sedated and ready for delivery. Three providers are interviewed and seen caring for women during pregnancy, labor, and birth in various settings: an obstetrician at a Philadelphia hospital, a certified nurse-midwife at a New York birth center, and a ...
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: Elizabeth Gabzdyl Tags: Media Reviews Source Type: journals

At Work in the Field of Birth: Midwifery Narratives of Nature, Tradition, and HomeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This absorbing and enlightening book grew out of the ethnographic doctoral work of the author, an anthropologist who completed more than a year of field work and participant observation—and more than 50 interviews with midwives and clients—in Ontario, Canada, between 1996 and 1997. As the subtitle suggests, MacDonald is particularly interested in the foundational concepts of nature, tradition, and home, and what she calls the gender expectations of midwifery. It is a fascinating read, and the book is likely to be of value and interest to anyone involved in the politics and practice of childbirth, particularly as they p...
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: Rhonda M. Johnson Tags: Media Reviews Source Type: journals

Call the Midwife: A True Story of the East End in the 1950sEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Imagine it's 2 am and you are called for a delivery. Not too unusual for most midwives; however, now imagine you must ride a bicycle by yourself on dark roads, with your delivery pack, for 7–8 miles in the cold and rain to get to your multiparous patient's home. Along the way you pass the docks, the bombsites sheltering the homeless and addicted, and note where the communal water source and lavatory is located on your way into the tenement. The author of this historically rich memoir did not simply imagine these circumstances, she lived them as a 22-year-old midwife in training in the East End of London. Her descriptions...
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Authors: Elizabeth Heavey Tags: Media Reviews Source Type: journals

Table of ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Tags: Frontmatter Source Type: journals

Top Ten ArticlesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Tags: Frontmatter Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Tags: Frontmatter Source Type: journals

Society PageEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Tags: Frontmatter Source Type: journals

Information for ReadersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Journal of midwifery & women's health - September 1, 2009 Category: Midwifery Tags: Frontmatter Source Type: journals

Midwifery and Medical Education: A Decade of ChangesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Midwives practice in a variety of settings and have many different roles. This issue of the Journal of Midwifery & Women's Health focuses on one role that is receiving increasing attention: midwives' contributions to medical education. A 1998 survey found 176 midwives who participated in medical education at that time. The new survey data published in this issue show that the number of midwives involved in medical education has tripled in the past 10 years.
Source: Journal of midwifery & women's health - June 25, 2009 Category: Midwifery Authors: Diane J. Angelini Tags: Editorial Source Type: journals

Midwives as Educators of Medical Students and Residents: Results of A National SurveyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This descriptive study explores the roles and responsibilities of midwives involved in teaching medical students and residents. Surveys were received from 74 academic midwifery practices in the United States that are formally involved in medical education (66% response rate). These practices employ 547 midwives. Most of these midwives have >5 years of experience as clinicians (97%) and average >5 years of experience in medical education (73%). Academic midwifery practices teach multiple learners including obstetrics and gynecology residents (80%), family practice residents (60%), medical students in their core clerkship (9...
Source: Journal of midwifery & women's health - June 25, 2009 Category: Midwifery Authors: Edie McConaughey, Elisabeth Howard Tags: Features Source Type: journals

A National Survey of the Midwifery Director Role in Academic Midwifery Practices Involved in Medical Education in the United StatesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A survey to explore the role characteristics and key responsibilities of midwifery directors in academic practices involved in medical education in the United States was undertaken. Six key content areas were investigated: role responsibilities and characteristics, interaction with other medical divisions and committees, budgetary structure, interaction with learners, clinical schedules, and job satisfaction. A mail-based descriptive survey was distributed to 112 midwifery directors with a 56% response rate (N = 63). The results show a composite profile of academic midwifery practice directors involved in medical education...
Source: Journal of midwifery & women's health - June 25, 2009 Category: Midwifery Authors: Diane J. Angelini Tags: Features Source Type: journals

Documentation and Billing for Services Provided by Midwives Teaching Obstetrics and Gynecology Residents and Medical StudentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article explains the difference in requirements for midwives' documentation when working with residents compared with documentation required of an attending obstetrician-gynecologist. It also reviews the teaching physician guidelines developed by the Centers for Medicare and Medicaid Services (CMS) as well as current evaluation and management documentation requirements. Several examples of documentation are provided, as are suggestions for enhancement and simplification of the guidelines to include midwives. An important point to remember is that the CMS rules do not prohibit a certified nurse-midwife from teaching a resident.
Source: Journal of midwifery & women's health - June 25, 2009 Category: Midwifery Authors: Angela Wilson-Liverman, Joan Slager, Deborah Wage Tags: Features Source Type: journals

Models of Organizational Structure of Midwifery Practices Located in Institutions With Residency ProgramsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Four models of organizational structure for midwifery practices that are located in academic institutions with residency programs are described: parallel models, coexistence models, fully integrated models, and blended models. Examples of each of these models are presented along with advantages and disadvantages and overall effect on resident education.
Source: Journal of midwifery & women's health - June 25, 2009 Category: Midwifery Authors: Cathy Collins-Fulea Tags: Features Source Type: journals

Obstetric Triage: Models and Trends in Resident Education By MidwivesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Four models of resident education in obstetric triage with midwifery faculty consultants are presented. Common trends in the structure and function of these models are reviewed. The four models represent diverse settings where midwives serve as clinical teachers primarily for first-year obstetric residents and residents from other subspecialties. Each model supports a growing number of midwives working in the triage setting, functioning as both teacher and consultant for new residents. This expanded midwifery teaching role extends beyond labor assessment to include a wide range of common obstetric and gynecologic condition...
Source: Journal of midwifery & women's health - June 25, 2009 Category: Midwifery Authors: Diane J. Angelini, Elizabeth Stevens, Amy MacDonald, Sharon Wiener, Bridget Wieczorek Tags: Features Source Type: journals

Innovative Midwifery Teaching for Medical Students and ResidentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article presents some of these innovations.
Source: Journal of midwifery & women's health - June 25, 2009 Category: Midwifery Authors: Elizabeth M. Cooper Tags: Features Source Type: journals

Pioneering A Universal Curriculum: A Look at Six Disciplines Involved in Women's Health CareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This paper describes a multidisciplinary project of curriculum development and implementation at one university. Universal learning concepts for six health care disciplines in women's health, including nurse-midwifery, are being piloted in an online classroom environment. This multidisciplinary team approach to education distributes the work load, invites experts to share resources, and avoids the duplication of resources across the university departments and schools. This project provides midwifery faculty the opportunity to introduce a new educational paradigm and model the midwifery approach to holistic health care.
Source: Journal of midwifery & women's health - June 25, 2009 Category: Midwifery Authors: Janice Taleff, Jan Salstrom, Edward R. Newton Tags: Features Source Type: journals

The Collaboration for Maternal and Newborn Health: Interprofessional Maternity Care Education for Medical, Midwifery, and Nursing StudentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Collaboration for Maternal and Newborn Health, a multidisciplinary group of maternity care providers from the University of British Columbia (UBC), received funding from Health Canada to develop interprofessional education programs for health care students. Medical, midwifery, and nursing students from UBC were invited to participate in the three programs described in this article. The Interprofessional Student Doula Support Program, a year-long program for 15 students, combines classroom learning about marginalized women with on-call doula support to attend births. The Interprofessional Normal Labour and Birth Worksho...
Source: Journal of midwifery & women's health - June 25, 2009 Category: Midwifery Authors: Lee Saxell, Susan Harris, Lehe Elarar Tags: Features Source Type: journals

Delayed Clamping of the Umbilical Cord: A Review With Implications for PracticeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
S.N., a healthy 22-year-old gravida 2 para 1 at 38 2/7 weeks' gestation, was admitted to the hospital in active labor. Her history and prenatal course were uncomplicated. Contractions began 10 hours before her arrival at the hospital. Her vaginal examination on arrival was 5 cm dilatation, 50% effaced, and –2 station of the vertex, with intact membranes. Her contractions were occurring every 3 to 5 minutes. Shortly after hospital admission, epidural analgesia was initiated at the patient's request. Four hours later, the frequency of her contractions was every 4 to 6 minutes, and a pelvic examination revealed minimal prog...
Source: Journal of midwifery & women's health - June 25, 2009 Category: Midwifery Authors: Gina Eichenbaum-Pikser, Joanna S. Zasloff Tags: Clinical Rounds Source Type: journals

Current Resources for Evidence-Based Practice, July/August 2009Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Published simultaneously in Journal of Obstetric, Gynecologic and Neonatal Nursing 2009;38(4).
Source: Journal of midwifery & women's health - June 25, 2009 Category: Midwifery Authors: R. Rima Jolivet Tags: Evidence-Based Practice Source Type: journals

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