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Publications (134)
Introduction
: Policy implementation can be affected by what individuals believe to be right and wrong. When implementing abortion policies, providers' moral beliefs can be relevant in the success of the implementation process. Considering that midwives and nurses are direct providers of abortion care, exploring their experiences related to abortio...
Objective:
to explore how midwives׳ personal involvement in clinical negligence litigation affects their midwifery practice.
Design:
descriptive phenomenological study using semi-structured interviews.
Setting:
in 2006-2007 in-depth interviews were conducted in participants׳ homes or at their place of work and focused on participants׳ experien...
Objective:
to describe the incidence of maternal death by age, marital status, timing and place of death in Ibadan North and Ido Local Government Areas of Oyo State, Nigeria.
Design:
a retrospective study using multistage sampling with stratification and clustering to select local government areas, political wards and households. We included one...
Objective
to explore how midwives' personal involvement in clinical negligence litigation affects their emotional and psychological well-being.
Design
descriptive phenomenological study using semi-structured interviews.
Setting
In- depth interviews were conducted in participants' homes or at their place of work and focused on participants' experi...
Aim:
To report a hermeneutic study of student midwives' views on maternity care just before their graduation. background: Woman-centred care, which is the hallmark of midwifery, is taught to midwifery students around the globe. Woman-centred care is advantageous for women at low obstetric risk. However, adopting this ideology might be a problem fo...
A significant reduction in maternal mortality was witnessed globally in the year 2010, yet, no significant reduction in the maternal mortality ratio (MMR) in Nigeria was recorded. The absence of accurate data on the numbers, causes and local factors influencing adverse maternal outcomes has been identified as a major obstacle hindering appropriate...
Background: In developed countries, shorter postnatal hospital stays have been reported in the literature over the last two decades. In the UK, a reduction in the number of postnatal home visits by midwives has been noted. In Northern Ireland (NI) midwives care for all mothers for a period not less than ten days and longer if necessary. In the Repu...
Objective:
to explore midwives' views on ideal and actual maternity care.
Design:
a qualitative hermeneutic phenomenological study based on the method of van Manen (1997) using individual in-depth interviews to gather data.
Setting:
Flanders, Belgium.
Participants:
12 purposively sampled midwives, of whom nine from three different non-univer...
Severe nausea and vomiting in pregnancy (hyperemesis gravidarum) can be a distressing and debilitating condition when it is uncontrolled. For all concerned, hyperemesis gravidarum can be difficult to treat satisfactorily, and women tend to be admitted to a hospital several times during early pregnancy. Our research objectives were to describe the e...
The objective was to identify community members' perceptions of the causes and prevention of maternal mortality in Ibadan, North East Local Government Area of Oyo State, Nigeria.
Reported in this article are the results from a pilot study, carried out in 2005, of the views of 418 community men and women aged 15–49 years in Idi ape, Iwo Road and Oke...
to explore the use of language by midwives reporting their experiences of baby-feeding practice.
A qualitative approach incorporating a secondary analysis of data previously collected in a study based on grounded theory principles. Data were collected using in-depth interviews. The secondary analysis involved a content analysis method.
two maternit...
To investigate the degree of choice pregnant women at low obstetric risk had in making informed decisions on the use of intrapartum fetal monitoring techniques.
An exploratory descriptive design was used as part of a larger, multi-method study. A total of 63 pregnant women at low obstetric risk were approached to complete antepartum and postpartum...
Breastfeeding prevalence in the United Kingdom is one of the lowest in Europe. The midwife provides feeding support for new mothers but research suggests that midwives' knowledge of breastfeeding is limited.
To discover the views of English midwives in relation to their breastfeeding support role.
Qualitative design.
Two maternity hospitals in Nort...
Despite breastfeeding prevalence increasing, many mothers in developed countries are dissatisfied with care provided by midwives. However, a paucity of research exists related to midwives' experiences of supporting breastfeeding mothers. This study explored the experiences of English midwives' during their breastfeeding support role. A qualitative...
It is recognized that smoking adversely affects the outcome of pregnancy. However, clinical experience suggested that women admitted to hospital during pregnancy smoked more than when they were at home.
Forty‐one women who were over 20 weeks pregnant, who smoked and had been in hospital for 2 days or more were interviewed using a structured schedul...
Purpose
The routine use of intrapartum electronic fetal monitoring (EFM) has resulted in an increased burden of operative and vaginal instrumental deliveries for women at low obstetric risk. Such modes of delivery increase maternal mortality and morbidity risks. This study aims to explore midwives' values, attitudes and beliefs when using intrapart...
Reduction of maternal mortality is one of the major goals of several recent international conferences and has been included within the Millennium Development Goals. However, because measuring maternal mortality is difficult and complex, reliable estimates of the dimensions of the problem are not generally available and assessing progress towards th...
Our objective was to explore English midwives' views and experiences of supporting mothers with feeding their newborn baby. Grounded theory methodology was used. Data were collected using in-depth interviews from 30 midwives in the North of England. Data were analyzed using constant comparison techniques. Midwives were theoretically sampled for int...
to discover the views of midwives in relation to baby feeding.
qualitative using grounded theory. Data collection used in-depth interviews with 30 midwives who volunteered to participate. Field notes of the interaction between the researcher and participant were also recorded as data. The constant comparison process was used to generate codes and s...
Over the last 20 years in the United Kingdom, midwives have implemented the routine use of intrapartum fetal monitoring regardless of the risk status of laboring women. This practice is at odds with the published research. The discrepancy between practice and best evidence merits further investigation. A qualitative study was conducted to evaluate...
Objective To investigate midwives’ attitudes, values and beliefs on the use of intrapartum fetal monitoring.
Design Qualitative, semi-structured interviews
Subjects and setting Fifty-eight registered midwives in two hospitals in the North of England.
Results In this paper two main themes are discussed, these are: informed choice, and the power of t...
The aim of this paper is to report the development and use of a tool to appraise guidelines for fetal heart rate monitoring and discuss the findings generated in the appraisal process.
Expert guidance on the appropriate method of monitoring the fetal heart in labour has been available for some time. However, practices not based on evidence were con...
Acceptance of a paper for publication sometimes appears to be a mountain that has to be climbed. For some it has the height of Everest but for others it is a stroll up a hill. In writing this paper I hope that readers will be able to have an easier job in writing a paper that will be accepted in this journal and that in return the editor's task wil...
to determine whether intrapartum fetal monitoring guidelines used by midwives in one region of England for women at low risk of obstetric complications were evidence-based.
to assess the quality of such guidelines using an appraisal tool.
an appraisal of guidelines gained via a postal survey of all National Health Service Trusts supplying maternity...
to explore, describe and understand the expectations during pregnancy and subsequent experiences of childbirth in primiparae.
a qualitative study using a phenomenological approach. Data were collected using unstructured, tape-recorded interviews in late pregnancy and at two weeks post birth.
the north of England.
eight pregnant women, expecting the...
As one of his first acts, President George Bush has stopped American government funding to organisations that oer abortion and abortion counselling to women. This means that any family planning organisation which has in its portfolio of care facilities, provision of advice about abortion and termination of pregnancy will no longer receive any money...
In this paper evidence-based care is defined. The evidence to support the provision of care by midwives is presented, as is the evidence to support home birth for those women at low obstetric risk. In conclusion midwives are challenged to be political and use this evidence to support changes to improve the quality of care provided to women and thei...
The purpose of this paper is to present a case study of the perspectives of their role of a group of community lecturer-practitioners and a community teacher, who referred to themselves as 'community facilitators'. A qualitative design was used and data were collected by semi-structured interviews. These were transcribed and content analysis was un...
The objective of this study was to ascertain the changing educational needs of community nurses, midwives and health visitors in relation to the teaching, supervising and assessing of pre- and post-registration students. A questionnaire was sent to all education institutions providing community nursing experience in England (Whittaker et al. 1997),...
In this paper preliminary findings from the first stage of an English National Board (ENB) commissioned study investigating the educational needs of community practitioners in relation to their responsibilities for student learning are presented. A national postal survey of all educational centres offering nurse and/or midwifery education was under...
to ascertain who was providing antenatal care in the community in a defined geographical area in the north of England, and whether the care could achieve the government objectives presented in Changing Childbirth (DoH 1993).
a questionnaire was used to obtain demographic information and semi-structured interviews were held with care providers in or...
1) to provide a descriptive analysis of women's views of the antenatal care provided in the study centre; 2) to identify which aspects of antenatal care were important to women; 3) to assess whether or not women 'booked' for delivery at the study centre would welcome the formal introduction of a midwifery-led service and 4) to audit sources of sati...
It has become custom and practice within the midwifery and obstetric professions in the English-speaking western world for women to be required to follow very specific instructions on how to push in the second stage of labour. There is very little literature on the behaviour of women using spontaneous pushing in the second stage of labour. In a pil...
It has become custom and practice within the midwifery and obstetric professions in the English-speaking western world for women to be required to follow very specific instructions on how to push in the second stage of labour There is very little literature on the behaviour of women using spontaneous pushing in the second stage of labour In a pilot...
The annual Research and the Midwife conference was first held in the UK in 1978. Its purpose was to present to the profession research that was relevant to the practice of midwifery and the conference has allowed studies of varying sizes to be presented. Some of these studies are not extensive enough to warrant a single chapter each but the studies...
In a pilot study of a randomized controlled trial comparing pushing techniques in the second stage of labour, a surprise finding was that there was a positive correlation between the amount of pethidine used for analgesia in the first stage of labour and an increasing length of both the first (r = 0.5687, P = 0.0001, CI = 0.33 to 0.74) and second s...
PIP
The persistence of traditional practices that provide disincentives to having daughters is giving rise to widespread infanticide in India. In a survey conducted in Madras in 1993, over half of the mothers interviewed acknowledged having killed an infant girl. The infanticide rate is believed to be even higher in India's rural areas. Families wh...
It is routine to require women to 'take a deep breath in, hold it and push' in the second stage of labour, but there is no scientific evidence to support this practice. In a randomized controlled trial of spontaneous (n = 15) versus directed (n = 17) pushing in the second stage, no adverse effects of spontaneous pushing on the woman or baby were fo...
A number of small-scale studies investigating various aspects of midwifery care for women in labour are the subject of this chapter. Although not extensive enough to warrant a separate chapter each, they are nonetheless of sufficient importance to merit inclusion in the series. Papers describing the studies were first presented at Research and the...
