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At least 19 recordsLinked to original sources

Midwives' and senior student midwives' knowledge of haemaglobinopathies in England.

OBJECTIVE: to examine midwives' and senior student midwives' knowledge concerning sickle-cell anaemia and beta-thalassaemia. DESIGN: survey using the 'Dyson' questionnaires. SETTING: study days on 26 sites across England over three months. PARTICIPANTS: 850 questionnaires were completed by a convenience sample of midwives and senior students: 401 on sickle-cell anaemia and 449 on beta-thalassaemia. In each case just under two-thirds were qualified midwives. MEASUREMENTS AND FINDINGS: most respondents underestimated the number of ethnic groups affected by these disorders. A majority gave the wrong answers to basic questions on the inheritance of these disorder, fewer than one-third answered two simple genetics questions correctly. KEY CONCLUSIONS: in order to provide an equitable service midwives need more education in this area, particularly after qualification. IMPLICATIONS FOR EDUCATION PRACTICE: education on haemoglobinopathies was linked with improved knowledge levels and appears most effective when undertaken by counsellors in haemoglobinopathies. Such education should therefore be available, especially to qualified midwives who had not previously received it.

Anemia, Sickle Cell↗

Midwives' descriptions of their familiarity with cancer: a qualitative study of midwives working with population-based cervical cancer screening in urban Sweden.

Nurse-midwives are responsible for taking Papanicolaou (Pap) smears in Swedish population-based cervical cancer screening programs. A research project examining the screening program from the perspective of different stakeholders includes an interview study of 21 midwives working in Stockholm. This article explores the way the midwives describe cancer-related knowledge and aspects of screening, contrasting this with relevant findings from a substudy of 66 healthy women participating in screening. A semistructured interview guide with open-ended questions was used to investigate ideas about benefits and risks in the screening program, risk factors for cervical cancer, the reliability of the test itself, sources of information/knowledge relevant for cervical cancer screening, and the manner in which the midwife described her role in the screening program. The transcripts of the audiotaped interviews were analyzed thematically using a team approach. The interviewed midwives showed a great deal of consensus in their descriptions of lacking familiarity with cervical cancer and its prevention and treatment. The midwives said they lack recent education and knowledge, often avoiding use of the word "cancer" with women attending screening. It seems that the midwives experienced little professional guidance in discussing cancer-related issues with women attending the screening program. In this study, they appeared to rely on personal knowledge, values, and experience instead.

Adult↗

Midwives and postabortion care: experiences, opinions, and attitudes among participants at the 25th Triennial Congress of the International Confederation of Midwives.

Midwifery practice may not include caring for women experiencing complications from unsafe abortion, despite the importance of this care for the health and lives of millions of women around the world. This article summarizes data collected from midwives from 41 countries who attended the 25th Triennial Congress of the International Confederation of Midwives in 1999, focusing on their experiences with, and attitudes toward, the provision of postabortion care. Barriers to provision of postabortion care and factors for changes in postabortion care-related policies were explored. Midwives from developing countries, where complications from unsafe abortion present a serious public health problem, were cognizant of the need to authorize, train, and equip midwives in postabortion care, including the use of uterine evacuation of incomplete abortion with manual vacuum aspiration. Changes in policy and practice are needed throughout the world so that women will have access to quality, compassionate postabortion care services regardless of where they live. Ensuring that midwives are able to provide such services will help to reduce abortion-related morbidity and mortality.

Abortion, Induced↗

English midwives and the Association of Radical Midwives.

Concern about the apparently shrinking role of the British midwife led in 1976 to the formation of the Association of Radical Midwives (ARM). This paper describes the emergence and ideas of ARM. Comparison of ARM philosophy with the beliefs of a sample of English midwives reveals considerable support for ARM's non-medicalized philosophy of childbirth and its specific proposals for systemic change. Few English midwives, however, consider themselves "radical midwives" or agree with ARM that their role has shrunk and training suffered. The conclusions suggest several reasons why English midwives' support for ARM and its beliefs is limited.

Midwifery↗

What can midwives learn from the babes? Implications for midwives of a maternity care programme for nursing students.

In view of certain problems inherent in the maternity care experience for nursing students, the department of nursing studies in the University of Edinburgh has introduced a novel form of this experience. This programme reflects the philosophy of the department. The evaluation of this programme has revealed that the women who participated perceive that this scheme is of value in a range of respects. Some of these perceived benefits may provide useful insights for midwives regarding how the consumers view their care.

Attitude of Health Personnel↗