Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “MIDWIFERY”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 469 records · Page 26Linked to original sources
PubMed1998

Design and methodology in a community, practice-based research network: a study of nurse-midwifery home-birth practice.

OBJECTIVE: To assess the feasibility, probable success, and inherent problems of conducting a multi-site, multi-year cohort study of planned home birth in the USA. DESIGN: A prospective cohort study. SETTING: 14 states across the USA, representing a variety of regions and settings. PARTICIPANTS: 29 home-birth midwifery practices, representing 44 individual midwives in both large and small, solo and group practices. DATA COLLECTION: Birth outcomes for all women initially enrolled in these home-birth practices. KEY CONCLUSION: Multi-site studies of evaluating outcomes in small community-based practices are possible if several requirements are met. IMPLICATIONS FOR PRACTICE: Understudied birth alternatives can be formally researched within a co-operative network of participating practitioners.

Data Collection↗
PubMed2004

Prospects of safe motherhood in Botswana: midwifery training and nurses' ability to complete the Botswana obstetric record.

This paper examines several key factors that determine nurses' ability to complete the Botswana Obstetric Record (BOR), an instrument that should help with early diagnosis of problems during pregnancy, labour, delivery and the puerperium. Using a national sample of 309 nurses working in hospitals, clinics and health posts under the local government authority in Botswana, the study found that a nurse's ability to complete the BOR was significantly related to midwifery training, level of basic nursing training, age group, level of income, job satisfaction, adequacy of equipment, attendance of refresher courses, overall level of in-service training, reliance on workshops and seminars, peer reliance and self-reliance for information on new nursing practices. Multivariate analyses indicated that the most competent nurse in completing the BOR was one trained as a midwife, working in an adequately equipped health facility, and who often consulted with peers as well as attended workshops and seminars. The study concludes that it is more important to train all nurses to become midwives than to upgrade enrolled nurses to become registered nurses if the plan for safe motherhood is to be advanced. Further research is needed to establish the objective competence of nurses who claim to be comfortable completing the BOR.

Adult↗
PubMed2000

Homebirth and independent midwifery.

Why do women choose to give birth at home, and midwives to work independently, in a culture that does little to support this option? This article looks at the reasons childbearing women and midwives make these choices and the barriers to achieving them. The safety of the homebirth option is supported in reference to analysis of mortality and morbidity. Homebirth practices and level of success are compared in Australia and New Zealand (NZ), in particular, and The Netherlands, England and America. The success of popularity of homebirths is analysed in terms of socio-economic status. The current situation and challenges of independent midwifery in Darwin are described.

Australia↗
PubMed1998

The art of midwifery: lost to technology?

This paper looks at how the art of midwifery is affected by the increasing availability and use of sophisticated technology. The use of the cardiotocograph is an example of how overuse of such technology can have detrimental affects, not only for the midwife but also for the woman in labour. While this technology has made a great impact in obstetric nursing, the effects on the low-risk pregnancy need to be evaluated. Midwives need to be research-based in their clinical practice and question the overuse of technology, such as the cardiotocograph, in cases where it is not warranted.

Australia↗
PubMed1999

The development of clinical indicators--the impact on midwifery practice in Queensland in the future.

Perineal trauma is the most frequently reported complication of labour and delivery in the Qld Perinatal Data Collection. It is documented that some individual accoucheurs seem to be particularly skillful in assisting at birth in a way that minimises perineal trauma. Recent trends within the Qld health industry have emphasised the importance of quality improvement activities focussing on health outcomes. Midwives accoucheur most of the "normal" deliveries in public hospitals, thus it is important that midwives play a leading part in the development and improvement of tools which identify quality outcomes and pinpoint areas for improvement. This study aims to benchmark current practices regarding perineal outcomes. Moreover, the authors aim to initiate discussion towards the development of the first clinical indicators appropriate to midwifery care.

Adult↗
PubMed1995

Complementary therapies education in midwifery.

Midwives and their clients are becoming increasingly interested in the use of complementary and alternative therapies which offer a variety of different strategies for dealing with the effects of pregnancy and childbirth. This paper explores the current provision of complementary therapy education for midwives, and suggests the establishment of a new clinical specialism of complementary therapies in midwifery.

Complementary Therapies↗
PubMed2001

The midwife's role: challenges and changes in the post-medical movement towards woman-centred midwifery care.

The current movement towards woman-centred midwifery care is creating many changes for practicing midwives. In order to address these changes, midwives, particularly those working in the hospital system, need to be clear about their role in the care of childbearing women, and how they can be part of the solution in changing the fractured maternity care currently operating under the medical system. This article examines some of the issues arising for midwives, such as autonomous practice, use of obstetric language, and education for the new generation of midwives.

Australia↗
PubMed2001

Dealing with diversity: incorporating cultural sensitivity into professional midwifery practice.

In the Australian College of Midwives, Code of Ethics, Section 11. Practice of Midwifery, the following is stated "A. Midwives provide care for women and childbearing families with respect for cultural diversity while also working to eliminate harmful practices within those same cultures." However, it is difficult to know what is meant by "respect for cultural diversity". This paper presents the results of a critical review of the health literature. There is surprisingly little consensus about the meaning of terms such as cultural sensitivity and cultural appropriate care. Nor are there reflections on incorporating these concepts into practice. It could be argued that until there is greater clarity about these concepts and more discussion of how they may be used in practice, midwives would have to continue to rely on their individual knowledge and experience.

Attitude of Health Personnel↗
PubMed2001

Experience-based educational strategies to promote woman-centred midwifery practice.

This paper discusses the evaluation of educational activities developed and implemented in a tertiary based, pre-endorsement midwifery program in Brisbane, Australia. The development of the experience-based activities outlined was driven by the feminist philosophy of the curriculum and a commitment to helping students develop as woman-centred practitioners. The activities focused on enabling students to hear women's stories of childbearing firsthand and understand these stories from the women's perspective, thus validating personal experience.

Adult↗
PubMedDate not supplied

Using imagery for role transition of midwifery students.

The University of Texas Collaborative Nurse-Midwifery Education Program uses various strategies to facilitate transition from competent nurse to graduate student and then to beginning midwife practitioner. Guided imagery is the mainstay of the strategies used throughout the five semesters of the program. Proactive intervention facilitated by a nurse-counselor takes place in a group, supported as needed by individual counseling. The principles of psychosynthesis and role theory are the theoretic foundations for the intervention. Evaluation of the intervention indicated that it was received enthusiastically by most students.

Career Mobility↗
PubMedDate not supplied

Examination adaptation: translating the national nurse-midwifery/midwifery certification examination.

The national certification examination in nurse-midwifery/midwifery was adapted to the Puerto-Rican Spanish language. Specific attention was paid to creating a version of the examination that was both culturally and linguistically relevant, while remaining appropriately representative of national standards of practice. The procedures used in translation and cultural adaptation are described. The process used in review of the examination followed usual and customary practice. This included consideration of item critiques received from candidates (qualitative data) and the computation of standard measures of item performance, including item difficulty indices and the standard error of measurement (quantitative data). Additional analyses conducted for this specific purpose included the calculation of an index of differential item performance between both language versions. All measures of assessment indicated that the adapted language version was of high quality and psychometrically equivalent to the English language version, which was the comparison standard.

Certification↗
PubMedDate not supplied

Limited sonography in collaborative midwifery practice.

In 1996, the American College of Nurse Midwives published guidelines for midwives who wish to incorporate limited third trimester sonography into their practices. First, however, certain didactic and clinical content needs to be disseminated through basic and continuing midwifery education. To assist the busy practitioner, information is offered related to recommended methods of obtaining learning validation and continuing competency in limited sonography. This article discusses various clinical situations in which the assessment and management of a patient's condition might be improved by having ultrasonographic information immediately available. In addition, selected data obtained by limited sonography that may necessitate physician collaboration are described through clinical case presentations. The pitfalls of limited sonography are also discussed by use of case descriptions detailing some of the risks inherent in performing a limited ultrasonogram. The recommendation of performing a complete uterine survey with each limited ultrasonogram is emphasized. Finally, some of the controversies surrounding routine sonography in pregnancy and sonograms for entertainment are addressed.

Adult↗
PubMedDate not supplied

Developing an evidence-based practice protocol: implications for midwifery practice.

Evidence-based practice is defined and its importance to midwifery practice is presented. Guidelines are provided for the development of an evidence-based practice protocol. These include: identifying the clinical question, obtaining the evidence, evaluating the validity and importance of the evidence, synthesizing the evidence and applying it to the development of a protocol or clinical algorithm, and, finally, developing an evaluation plan or measurement strategy to see if the new protocol is effective.

Clinical Protocols↗
PubMedDate not supplied

Midwifery in Northern Belize.

During several volunteer experiences in the Corozal District in Northern Belize, the authors worked with and interviewed traditional midwives, midwife educators, administrators, and professional midwives, who practice in public health clinics, rural health outposts, and a government hospital. One interview with a traditional midwife from a rural Mayan village, garnered interesting information about her 63-year practice, which is compared with the practice of professional midwives. Issues important to midwifery and health care in Belize are discussed. The interviews and the authors' own experiences reveal changing birthing practices, as well as the continued importance of midwives in the care of childbearing women in Northern Belize.

Belize↗
PubMedDate not supplied

Pharmaceutical therapy in midwifery practice: a culturally competent approach.

The profession of midwifery can be part of the solution in America's quest for a culturally sensitive and competent health care system. Midwives who are familiar with a variety of health-related cultural beliefs and practice culturally sensitive inquiry, particularly when using pharmaceutical therapies, can effectively understand and respond to the cultural complexities that impact a client's health. This article describes needed cultural competencies, reviews a variety of health-related cultural beliefs, and relates how these beliefs impact the use and acceptability of pharmaceutical therapies. Specific examples related to culturally sensitive inquiry are discussed along with recommendations.

Clinical Competence↗
PubMedDate not supplied

Reducing genital tract trauma at birth: launching a clinical trial in midwifery.

Genital tract trauma is a common outcome of vaginal birth, and can cause short-term and long-term problems for new mothers. Preventive measures have not been fully explicated. Midwives use a variety of hand maneuvers late in the second stage of labor, in the belief that genital trauma can be reduced. However, none of these care measures have been rigorously tested to determine if they are effective. A midwifery practice offers an ideal setting to study the relationship of hand techniques by the birth attendant to reduction of genital tract trauma.

Adult↗