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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 ...
Source: Women and Birth - October 16, 2009 Category: Midwifery Authors: Bronwyn Agnew Tags: Book Review Source Type: journals

Women's views of postnatal care in the context of the increasing pressure on postnatal beds in Australiaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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...
Source: Women and Birth - October 16, 2009 Category: Midwifery Authors: Helen L. McLachlan, Lisa Gold, Della A. Forster, Jane Yelland, Joanne Rayner, Sharon Rayner Tags: Research Articles Source Type: journals

Reducing length of stay for women who present as outpatients to delivery suite: A clinical practice improvement projectemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 deliver...
Source: Women and Birth - October 16, 2009 Category: Midwifery Authors: Jennifer Haxton, Kathleen Fahy Tags: Research Articles Source Type: journals

Encountering the culture of midwifery practice on the postnatal ward during Action Research: An impediment to changeemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: Women and Birth - October 16, 2009 Category: Midwifery Authors: Lois McKellar, Jan Pincombe, Ann Henderson Tags: Research Articles Source Type: journals

Critical approach to medical advice is best for mothers: Midwives play key roleemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 ...
Source: Women and Birth - October 16, 2009 Category: Midwifery Authors: Rebecca Thurlow Tags: Invited Editorial Source Type: journals

Caesarean section: The ultimate by-product of the One Two Punch Theoryemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 c...
Source: Women and Birth - October 16, 2009 Category: Midwifery Authors: Jennifer Fenwick Tags: Editorial Source Type: journals

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(Source: Women and Birth)
Source: Women and Birth - October 16, 2009 Category: Midwifery Source Type: journals

Editorial Informationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: Women and Birth)
Source: Women and Birth - October 16, 2009 Category: Midwifery Source Type: journals

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The Australian Pregnant Book is a comprehensive guide to the contemporary medical model of managing pregnancy and birth under the care of an Obstetrician. It covers a full range of topics from pre conception care, conception, pregnancy, childbirth, and the post-natal period, followed by an informative final chapter of “frequently asked questions”. This book is well presented, easy to understand and contains excellent medical illustrations and images. The front cover promises to provide “Medical Answers to Frequently Asked Questions” and certainly in regards to all things medical that surround pregnancy and birth th...
Source: Women and Birth - August 13, 2009 Category: Midwifery Authors: Niki Rose Tags: Book review Source Type: journals

Maternal mortality: What can we learn from stories of postpartum haemorrhage?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This article will identify some of the lessons that can be learnt from the recent Australian and UK maternal death reports. This paper presents an overview of the process and systems for the reporting of maternal death in Australia. It will then specifically focus on obstetric haemorrhage, with a focus on postpartum haemorrhage, for the 12-year period, 1994–2005. Vignettes from the maternal mortality reports in Australia and the United Kingdom are used to highlight the important lessons for providers of maternity care. (Source: Women and Birth)
Source: Women and Birth - August 13, 2009 Category: Midwifery Authors: Caroline Homer, Vanessa Clements, Nolan McDonnell, Michael Peek, Elizabeth Sullivan Tags: Discussion Source Type: journals

Optimising psychophysiology in third stage of labour: Theory applied to practiceemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: A psychophysiological third stage is quite different from what has been defined as ‘physiological management’ in the medically designed randomised trials comparing active versus physiological care. The conditions for deciding if a particular woman, in a particular context with a particular midwife is a good candidate for a psychophysiological third stage are presented and discussed. Only if all these conditions are met it is safe to proceed with a psychophysiological third stage. Research about the effectiveness of midwifery care in a psychophysiological third stage of labour urgently needs to be conducted...
Source: Women and Birth - August 13, 2009 Category: Midwifery Authors: Carolyn Hastie, Kathleen M. Fahy Tags: Discussion Source Type: journals

Midwives’ emotional wellbeing: Impact of conducting a Structured Antenatal Psychosocial Assessment (SAPSA)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Discussion and conclusions: There was a cumulative emotional effect with some midwives utilising unhealthy strategies to cope with feelings of frustration, inadequacy and vicarious trauma. Establishment of structured referral pathways for women and supportive systems for midwives is essential prior to implementing the SAPSA. (Source: Women and Birth)
Source: Women and Birth - August 13, 2009 Category: Midwifery Authors: Lyndall Mollart, Carol Newing, Maralyn Foureur Tags: Research articles Source Type: journals

Medicare rebates for midwives: An analysis of the 2009/2010 Federal Budgetemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
From 2010, midwives in Australia will be able to prescribe subsidised drugs and bill their services to Medicare. The 2009/2010 Federal Budget, released on 12 May 2009, provides funding for the recommendations of the Commonwealth Government's Maternity Service Review. This paper analyses the key elements of the 2009/2010 Budget, the Health Legislation Amendment (Midwives and Nurse Practitioners) Bill 2009 and Midwife Professional Indemnity (Commonwealth Contribution) Scheme Bill 2009. The three key reforms are funding of antenatal, intrapartum and postnatal care by midwives in private practice under the Medicare Benefits Sc...
Source: Women and Birth - August 13, 2009 Category: Midwifery Authors: Elizabeth Wilkes, Bruce Teakle, Jenny Gamble Tags: Editorial Source Type: journals

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(Source: Women and Birth)
Source: Women and Birth - August 13, 2009 Category: Midwifery Source Type: journals

Editorial Informationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: Women and Birth)
Source: Women and Birth - August 13, 2009 Category: Midwifery Source Type: journals

Women's decisions about maternal serum screening testing: A qualitative study exploring what they learn and the role prenatal care providers playemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Understanding where women learn about MSS and how they make their decisions about testing sheds important light on the roles prenatal care providers should play. (Source: Women and Birth)
Source: Women and Birth - May 31, 2009 Category: Midwifery Authors: Amanda Park, Maria Mathews Tags: Research articles Source Type: journals

‘It looks good on paper’: Transitions of care between midwives and child and family health nurses in New South Walesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: A more coordinated and systematised approach needs to be developed. Collaboration and communication between midwives and child and family health nurses is essential if the needs of families are to be addressed during this transition period. (Source: Women and Birth)
Source: Women and Birth - May 31, 2009 Category: Midwifery Authors: Caroline S.E. Homer, Kathryn Henry, Virginia Schmied, Lynn Kemp, Nicky Leap, Carolyn Briggs Tags: Research articles Source Type: journals

Swedish caregivers’ attitudes towards caesarean section on maternal requestemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study describes obstetricians’ and midwives’ attitudes towards CS on maternal request.Methods: A qualitative descriptive study, with content analysis of 5 focus group discussions where 16 midwives and 9 obstetricians participated.Results: The overarching theme was identified as “Caesarean section on maternal request—a balance between resistance and respect”. On the one hand, CS was viewed as a risky project; on the other hand, request for a CS was understood and respected when women had had a previous traumatic birth experience. Still, a CS was not really seen as a solution for childbirth related fear. Five ...
Source: Women and Birth - May 31, 2009 Category: Midwifery Authors: Annika Karlström, Regina Engström-Olofsson, Astrid Nystedt, Jan Thomas, Ingegerd Hildingsson Tags: Research articles Source Type: journals

Pregnancy and protection: Perceptions, attitudes and experiences of Australian female adolescentsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Our research highlights the importance of attitudes toward contraception, pregnancy and parenthood in shaping teenagers’ motivation to use contraception. Educational and prevention programs must address the spectrum of attitudes underlying teenagers’ contraceptive and reproductive decisions in order to alter pathways to teenage pregnancy and early parenting. (Source: Women and Birth)
Source: Women and Birth - May 31, 2009 Category: Midwifery Authors: S. Rachel Skinner, Jennifer Smith, Jennifer Fenwick, Jacqueline Hendriks, Sue Fyfe, Garth Kendall Tags: Research articles Source Type: journals

Midwife-centered versus woman-centered care: A developmental phase?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
As three of the early leaders and researchers in the field of midwifery continuity of care in Australia, we have been instrumental in addressing reforms to the fragmented model of maternity service delivery. These services have seen each childbearing woman in our public health system enduring up to 20 different care providers in one pregnancy experience. (Source: Women and Birth)
Source: Women and Birth - May 31, 2009 Category: Midwifery Authors: Maralyn Foureur, Pat Brodie, Caroline Homer Tags: Editorial Source Type: journals

Contentsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: Women and Birth)
Source: Women and Birth - May 31, 2009 Category: Midwifery Source Type: journals

Editorial Informationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: Women and Birth)
Source: Women and Birth - May 31, 2009 Category: Midwifery Source Type: journals

Midwives' emotional wellbeing: Impact of conducting a Structured Antenatal Psychosocial Assessment (SAPSA).email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: There was a cumulative emotional effect with some midwives utilising unhealthy strategies to cope with feelings of frustration, inadequacy and vicarious trauma. Establishment of structured referral pathways for women and supportive systems for midwives is essential prior to implementing the SAPSA. PMID: 19285935 [PubMed - as supplied by publisher] (Source: Women and Birth)
Source: Women and Birth - March 12, 2009 Category: Midwifery Authors: Mollart L, Newing C, Foureur M Tags: Women Birth Source Type: journals

Encountering the culture of midwifery practice on the postnatal ward during Action Research: An impediment to change.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: It appears that the provision of hospital postnatal care has been influenced by an underlying culture in midwifery practice, which in turn, has impeded the change required to enhance postnatal care. PMID: 19282266 [PubMed - as supplied by publisher] (Source: Women and Birth)
Source: Women and Birth - March 10, 2009 Category: Midwifery Authors: McKellar L, Pincombe J, Henderson A Tags: Women Birth Source Type: journals

Social support: Proposing a conceptual model for application to midwifery practice.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The notion of social support is one which midwives often intuit rather than clearly articulate or conceptualise. Increasingly social support is being touted as an area of midwifery assessment and potential intervention which may improve birthing outcomes for mothers and their infants. This paper is the first of three to address social support within the discipline of midwifery. It aims to review the fundamental theoretical constructs relating to social support and proposes a conceptual model to assist midwives in applying social support theory to their practice. Further papers will address social support-related resear...
Source: Women and Birth - October 9, 2007 Category: Midwifery Authors: Bogossian FE Tags: Women Birth Source Type: journals

Caesareans and authoritative knowledge.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
PMID: 17706476 [PubMed - as supplied by publisher] (Source: Women and Birth)
Source: Women and Birth - August 10, 2007 Category: Midwifery Authors: Fahy K Tags: Women Birth Source Type: journals

Passive resistance: Early experiences of midwifery students/graduates and the Baby Friendly Health Initiative 10 steps to successful breastfeeding.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: The clinical working environment has a major impact on the way newly graduated midwives integrate the BFHI 10 steps into their breastfeeding support practice. Commitment to the BFHI 10 steps should not be taken for granted just because a hospital achieves BFHI accreditation. Many experienced midwives are continuing with outdated practices that confuse breastfeeding mothers and newly graduated midwives alike. PMID: 17493886 [PubMed - as supplied by publisher] (Source: Women and Birth)
Source: Women and Birth - May 8, 2007 Category: Midwifery Authors: Reddin E, Pincombe J, Darbyshire P Tags: Women Birth Source Type: journals