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Informed Choice in Maternity Care

Informed Choice in Maternity Care PDF Author: Mavis Kirkham
Publisher: Red Globe Press
ISBN: 033399843X
Category : Health & Fitness
Languages : en
Pages : 302
Book Description
Factors constraining women's choices are examined from a wide range of perspectives, including service users, midwives, obstetricians and social scientists, to highlight the social, cultural and clinical factors influencing decision making.

Informed Choice in Maternity Care

Informed Choice in Maternity Care PDF Author: Mavis Kirkham
Publisher: Red Globe Press
ISBN: 033399843X
Category : Health & Fitness
Languages : en
Pages : 302
Book Description
Factors constraining women's choices are examined from a wide range of perspectives, including service users, midwives, obstetricians and social scientists, to highlight the social, cultural and clinical factors influencing decision making.

Informed Choice in Maternity Care

Informed Choice in Maternity Care PDF Author: Mavis Kirkham
Publisher:
ISBN: 9781900640183
Category : Commerce
Languages : en
Pages : 268
Book Description
The importance of informed choice for consumers has been recognised within the NHS. The Midwives Information and Resource Service (MIDIRS), together with the NHS Centre for Reviews and Dissemination, produced leaflets summarising research evidence for ten discrete topics on which decisions are made in pregnancy. The leaflets are produced in pairs: the woman's version summarises the research evidence; the health professional's version details evidence in greater depth and is fully referenced. The leaflets were intended to provide researchbased information to inform choice in accordance with women's individual needs. This research evaluated the use of the whole set of MlDlRS Informed Choice leaflets across maternity units to assess their effectiveness in promoting informed choice. The study was conducted in two phases. The first phase comprised an ethnographic of three maternity units, which had purchased and used the leaflets for some time. This informed the development of the second phase in which a cluster randomised controlled trial (CRCT) was undertaken in conjunction with qualitative fieldwork. The qualitative research included observation of clinical practice, interviews with women and health professionals, and focus groups with women. The 13 maternity units, grouped into ten clusters; five were randomised to receive the intervention and five to act as controls. En economic study of costs and cost consequences was also undertaken. Between 92% and 99% of women who received each leaflet reported that it was helpful or very helpful. However there was no evidence that the leaftets were effective in increasing the proportion of women who reported having exercised informed choice. The qualitative research illustrated the complexity of the environment in which the intervention was applied and suggests reasons why the MIDIRS Informed Choice leaflets did not promote informed decision-making in this study.

Trends in Midwifery Research

Trends in Midwifery Research PDF Author: Randell E. Balin
Publisher: Nova Publishers
ISBN: 9781594544774
Category : Medical
Languages : en
Pages : 354
Book Description
Midwifery is used to describe a number of different types of health practitioners, other than doctors, who provide prenatal care to expecting mothers, attend the birth of the infant and provide postnatal care to the mother and infant. Nurse-midwives also provide gynaecological care to women of all ages. Practitioners of midwifery are known as midwives, a term used in reference to both women and men (the term means "with the woman"). Most are independent practitioners who work with obstetricians when the need arises. They usually deal with normal births only but are trained to recognise and deal with deviation from the norm. If something abnormal is discovered during prenatal care, the client is sent to an obstetrician. Other midwives will deal with abnormal births, including breech birth. There are two main divisions of modern midwifery in the United States, nurse-midwives and direct-entry midwives. In the United Kingdom midwives are practitioners in their own right, and take responsibility for the antenatal, intrapartum and immediate postnatal care of women. In many parts of the world, midwives delivery far more children than doctors. This new book brings together the latest research on this ever-changing field.

Risk and Choice in Maternity Care

Risk and Choice in Maternity Care PDF Author: Andrew Symon
Publisher: Elsevier Health Sciences
ISBN: 0702035130
Category : Medical
Languages : en
Pages : 192
Book Description
This title is directed primarily towards health care professionals outside of the United States. This book explores the complex interrelationship between risk and choice in maternity care, taking a close look at how "high" and "low" risk are defined and what impact this has on a woman's ability to exercise informed choices throughout pregnancy. It offers an international collaboration that highlights different perspectives on debated issues, with chapters on maternity care in the UK, United States, Australia, and Ireland contributed by midwives, obstetricians, risk management experts, and sociologists. The aim of this book is to illustrate the changing reality of risk management as it relates to maternity care, and to highlight risk management concerns that may limit the choices available to pregnant women. Clarifies how applications of risk affect the choices pregnant women are able to exercise. Locates pregnancy risk considerations within the overall scheme of risk management. Analyzes practitioners' responses to the requirements of risk management. Presents risk management and choice from the risk manager's perspective, providing an understanding of risk as a "macro concept" in health care. Highlights medico-legal opinions on exercising choice, underscoring the need for accurate information and the ability to make informed decisions. Two chapters examine women's perspectives on risk labeling and the impact this has on choice - one in which the concept of safety within maternity care is discussed, and one in which the views of women with defined risk factors are explored and their ability to make choices is evaluated. Two chapters written by health service risk managers discuss the differences between an inner-city approach and a rural approach to the debate surrounding risk and choice. Discusses midwifery's focus on "normality" in childbirth and considers how this viewpoint affects the risk dialogue, including a chapter on clinical trends in maternity care. An obstetric perspective on risk refutes criticisms of obstetricians as being more likely to impose risk labels and limit choices by discussing how risks and choices are presented and considered within obstetric care. Explores the debate surrounding a woman's right to have a home birth in Ireland, in light of its risk management climate. Two chapters discuss the collaboration between service users, midwives, and obstetricians in Australia regarding the organization and delivery of maternity care, as well as the views concerning risk among indigenous Australians. Perspectives from nurse-midwives in the U.S. discuss the complex relationships among nurse-midwives, obstetricians, and pregnant women with regard to choice, including views on risk within immigrant communities.

Choice, Control and Contemporary Childbirth

Choice, Control and Contemporary Childbirth PDF Author: Julie Jomeen
Publisher: Routledge
ISBN: 1315346923
Category : Medical
Languages : en
Pages : 176
Book Description
Current maternity policy advocates choice and control for women in maternity care, and promotes women as active childbirth consumers and decision-makers. However, evidence that women receive true choice within contemporary maternity services is lacking, and continued and pervasive barriers to choice continue to have profound consequences for many. Choice, Control and Contemporary Childbirth explores the narrative childbirth experiences of a group of women, outlining current policy and providing an overview of the relevant discourses to which women are exposed when making choices for maternity care. This book is unique in presenting narratives that reveal varying identities for women across their maternity exerience, illustrating how maternity choices are simulataneously promised and constrained. It provides practitioners, service providers and policymakers in maternity care, and all those with an interest in birth provision, with profound insights into both women's experiences of childbirth and how choices can be better facilitated in future. 'Maternal choice and control are a challenge in contemporary society, with the changing demography of the population, the rising birth rate and financial constraints. Collecting this diverse information in one publication is timely and an invaluable resource for the practising and academically active midwives, obstetricians and health service managers.' - From the Foreword by Tina Lavender

Appraising Research into Childbirth

Appraising Research into Childbirth PDF Author: Sara Wickham
Publisher: Elsevier Health Sciences
ISBN: 0723435618
Category : Medical
Languages : en
Pages : 184
Book Description
This title is directed primarily towards health care professionals outside of the United States. Concentrating specifically on research into midwifery and related disciplines, this book appraises eight previously published research articles that present both qualitative and quantitative research studies. Each of the various elements is analysed - from the methodology through to the interpretation of the results. Each article is annotated with notes and questions, thereby enabling the reader to actively participate in the appraisal. Presents a range of quantitative and qualitative research articles relevant to midwifery practice in a unique workbook format Enables readers to gain hands-on, practical experience of critiquing research Supplementary tools, checklists, mnemonics and tables enable deeper understanding of the process of appraising research Commentary and expert critique provided by lecturers in midwifery research Contains a user-friendly guide to statistics

Decision Making in Midwifery Practice

Decision Making in Midwifery Practice PDF Author: Maureen D. Raynor
Publisher: Elsevier Health Sciences
ISBN: 0443073848
Category : Medical
Languages : en
Pages : 185
Book Description
The book looks at a broad perspective of decision making and each chapter focuses on a specific aspect related to making crucial decisions. Following an initial introduction the book explores the concept of autonomy and the many factors that influence autonomous practise. The role of knowledge in decision making, using evidence to inform decisions, as well as different approaches to decision making are also examined - including the traditional or rational approach, decision analysis and the development of professional judgement. Dilemmas arise when decisions are made and therefore ethical decision making is an important component of this book. Management decisions may be different from those related to giving specific care to women, hence one chapter focuses on making management decisions. Emphasis is also placed on the role of the midwife in helping women make their own decisions, the role of reflection in enhancing the decisions midwives make and the support midwives can receive from their Supervisor of Midwives. Flowcharts explain and facilitate the decision-making process. A very practical approach to decision-making in midwifery, with contributions from midwives who have considerable experience in this area Provides guidelines on how to achieve successful autonomous midwifery practice, enabling theory to be effectively applied to practice Includes coverage of management roles and decision-making as well as clinical scenarios, offering frameworks and flowcharts to guide the inexperienced Suggests different approaches to making difficult decisions

The Midwife-Mother Relationship

The Midwife-Mother Relationship PDF Author: Mavis Kirkham
Publisher: Bloomsbury Publishing
ISBN: 1137041331
Category : Medical
Languages : en
Pages : 296
Book Description
The foundation between midwife and mother is the foundation upon which maternity care depends. Covering completely new topics areas, the new edition of this ground-breaking text brings together classic and current research to establish key tenets for maternity care within hospital and home. This ground-breaking essential text reaffirms the fragility and the power of the relationship between midwife and mother and remains the definitive guide to the complex area of midwife-mother relations. New to this Edition: - Fully revised and expanded to reflect key developments in midwifery philosophy over the past decade, applying a theoretical approach to emerging concepts such as emotional labour and midwifery partnership - Covers completely new topics areas, including the effects of emotional labour, poverty and health policy - Combines new works from the previous edition with new chapters on innovative midwifery practice - Brings together classic and current research to establish key tenets for maternity care within hospital and home

Midwifery Essentials: Emergency Maternity Care E-Book

Midwifery Essentials: Emergency Maternity Care E-Book PDF Author: Helen Baston
Publisher: Elsevier Health Sciences
ISBN: 0702071528
Category : Medical
Languages : en
Pages : 192
Book Description
New title in the popular Midwifery Essentials series originally published in conjunction with The Practising Midwife journal. The series covers core topics in midwifery education in an engaging and friendly format using a helpful ‘jigsaw’ approach which encourages readers to explore topics from a variety of perspectives e.g. effective communication, team working and health promotion. Helpful ‘scenarios’ throughout each volume encourage debate and reflection, core elements of midwifery education. Provides a useful, friendly source of information Strong focus on contemporary women-centred care Designed to stimulate debate and reflection upon current practice, local policies and procedures Scenarios enable practitioners to understand the context of maternity care and explore their role in safe and effective service provision Helpful ‘jigsaw’ approach enables readers to explore specific topics from a variety of perspectives e.g. consent, safety and health promotion Explains the professional and legal issues surrounding clinical procedures Chapters designed to be read as a ‘standalone’ or in succession Emphasises the crucial role of effective communication

Theory for Midwifery Practice

Theory for Midwifery Practice PDF Author: Rosamund Bryar
Publisher: Bloomsbury Publishing
ISBN: 0230345638
Category : Medical
Languages : en
Pages : 344
Book Description
This new edition of a highly regarded classic midwifery text encourages critical thinking about the art and science of midwifery. Promoting the idea that thinking directly affects practice, it offers a clear explanation of the concepts, theories and models that shape effective evidence-informed care for women. This insightful book challenges the reader to reconsider the knowledge at the heart of your own midwifery practice. It is the essential text on midwifery's growing theoretical framework for students and practitioners alike. New to this Edition: - Extensively updated and reworked edited collection - New exercises: undergraduate and postgraduate specific activities highlight the significance of the theoretical framework to everyday practice