Midwifery - Science topic

Most likely both, separately or conjointly, depending on the nature of the knowledge or skill: drawing out what's already in the student (and maybe also shaping it) vs. shaping the student with something new and external.

Many thanks Emma

Continuous midwifery support plays a crucial role in enhancing the confidence and involvement of first-time mothers during labor. When women receive consistent, one-on-one support from a midwife, they are more likely to feel empowered and engaged in the birthing process. This involvement helps them make informed decisions about their care and fosters a sense of control over their experience.

Research has shown that women who have continuous support report higher levels of satisfaction with their childbirth experience, greater feelings of empowerment, and increased confidence in their ability to cope with labor. A study conducted in 2021 found that first-time mothers who received continuous midwifery care experienced less anxiety and were more likely to communicate their preferences and concerns throughout labor. This active participation not only improves their psychological well-being but can also lead to more positive birth outcomes.

Dear Dr Shaban,

With reference to the maternal and child health project. I would be very glad to be part of this project.

I am Issah Sumaila, a public health specialist with Ghana Health Service and a visiting lecturer in one of the health colleges in Ghana.

I would be elated to be given the opportunity to be part of this initiative.

Kindly find below my email address: isumaila@st.ug.edu.gh.

Thank you.

Best regards.

Try Ryff's Scales of Psychological Wellbeing

Interesred

توجد بعض الاستبيانات ولكنها غير دقيقة

Send your request to this group GANM@groups.ibpnetwork.org

Hello @mar

My suggestion would be at least 6 months prior to the birth parent delivery. I have had better success with larger volumes of milk. I also have used the SNS with the non-birth parent to assist with increasing milk supply when baby is born.

How are you going with your endeavour?

hi, add in the profile next to overview ...there is research where you should add the article

Dont need counseling. Need to get the woman out of bed and walking 2 hours a day.

I totally agree, midwives should hace sone leading roles and not just clinical care

AI? It is the Future.

P.S. The same is for Big Data management.

Continue the research

Our take on online technology in medical education:

The assumption some people have is that one intervention leads to another and therefore some midwives fail to continue facilitating normality even in the midst of complications. Some Trust have mobile fetal monitoring devices which can be useful to facilitate active births. In the absence of these, women can still be supported to assume certain positions next to their beds ie standing, rocking chair, gym ball, birthing stool etc to promote active births.

Qualitative research requires lot of interaction with study subjects through focus group discussions and with well prepared notes of discussion and synthesizing their opinion.Even their own experience can be quoted in discussions. Qualitative research requires very less of statistical applications. Even you can try with mixed research. Some part can be of quantitative research and a part of your study can have a qualitative research.

Thanks for your answer madam Kgomotso Mathope.....

Have a look at my list of non-evidence based midwifery practices: https://www.researchgate.net/post/Can_you_add_to_my_list_of_12_non-evidence_based_birth_routines

See, 99% of midwifery practices are unethical. and they all have written conceptual frameworks, But ultimately all their protocols are based on covering themselves from lawsuits and making money.

Thanks for your answer.

Hello Jamila

I would suggest Cochrane Reviews then :)

not sure about the full scope of your project and questions, but just some comments

firstly, the use of B-blockers in mothers results in a higher risk for respiratory adaptation/transient tachypnea in neonates, so some 'stress' is valuable in the perinatal adaptation.

secondly, the same holds true for eg SSRI, with a somewhat higher risk

finally, as we have recently published (van Geel et al, Clin Epigenetics), there is a link between maternal stress and epigenetic changes in a GABA receptor unit, so this is beyond perinatal events only.

Removal of placenta in lower segment is usually easy as with non previal placenta. But frequently associated with PPH which require effective suturing and of course may land up in Hysterectomy.

Our midwifery practice follows the vaccine recommendations of the American College of Nurse-Midwifes (ACNM), the American Congress of Obstetricians and Gynecologists (ACOG) and the Centers for Disease Control and Prevention (CDC).  In pregnancy, our midwifery protocol is as follows:

Safe vaccines recommended for all:  Inactivated Influenza vaccine (flu shot) and Tetanus, Diphtheria, and Pertussis (Tdap).

Safe and recommended for some (per History):  Hepatitis A and Hepatitis B

Not Safe during Pregnancy:  Human Papillomavirus (HPV), Measles, mumps, and rubella (MMR), Varicella (chicken pox), Live Attenuated Influenza Vaccine (nasal spray)

We do not provide any live vaccines to women during pregnancy.

Our practice encourages all pregnant women to receive the inactivated flu shot for the following reasons: 1. “Women are more prone to severe or life-threatening illness if they get the flu”.  2.  There is a greater risk preterm labor and delivery in women who do not receive the flu shot.  3.  When given to the pregnant mother, the flu shot can decrease the baby’s risk of getting the flu for up to 6 months after birth.

Over the past years, there have been many advances in vaccinations, including a notable decrease of previously identified side effects.  In our practice, the side effects of the flu shot have been limited in both our patients and staff, who also are provided the flu shot.  The side effects have mainly consisted of a soreness at the injection site. 

Further information on vaccination can be found at the websites of the above organizations. 

A woman may wish not to become pregnant after a traumatic first birth but the decision may be impacted by the cultural beliefs and expectations more especially in cultures where women have no control over their own fertility.

For educated and modern living women, traumatic births may impact decision to have few spaced births or no further births. This decision may also be based on the fact that a woman is economically dependent  or independent as some partners, married or not, may not be willing to support the women who are not bearing children for them.

My answer is based on mere practical observation without any statistical evidences or direct interview of such women. 

If you can find articles on cultural impact on decision of women  to get pregnant after traumatic birth, you may have more information in this regard.

I thank you.

Helpful competencies at this link: http://www.internationalmidwives.org/what-we-do/global-standards-competencies-and-tools.html

Also, you may find Chapter 14 "The Partnership Model" of this text helpful:

Bryar, R. and Sinclair, M. (2011). Theory for Midwifery Practice (2nd ed.).Hampshire, UK: Palgrave MacMillan ISBN 978-0-230-21192-6

Have not read this, but looks promising:

McGee, P. (2013). Teaching transcultural care: a guide for teachers of nursing and health care. Springer.

And these articles:

Byrskog, U., Essén, B., Olsson, P., & Klingberg-Allvin, M. (2016). ‘Moving on’Violence, wellbeing and questions about violence in antenatal care encounters. A qualitative study with Somali-born refugees in Sweden. Midwifery, 40, 10-17.

Haith-Cooper, M., & Bradshaw, G. (2013). Meeting the health and social needs of pregnant asylum seekers: Midwifery students' perspectives. Part 2: Dominant discourses and approaches to care. Nurse education today, 33(8), 772-777.

Prosen, M. (2015). Introducing Transcultural Nursing Education: Implementation of Transcultural Nursing in the Postgraduate Nursing Curriculum. Procedia-Social and Behavioral Sciences, 174, 149-155.

Women used a variety of birth positions and a majority gave birth in flexible sacrum positions. No associations were found between flexible sacrum positions and SPT. Flexible sacrum positions were associated with fewer episiotomies.

Perineal injuries and birth positions among 2992 women with a low risk pregnancy who opted for a homebirth

HiRos

i hope you find this paper of mine helpful

To date, ExT during pregnancy is not recommended by the American College of Obstetricians and Gynecologists for women at risk of certain gestational complications, such as gestational hypertension and preeclampsia,80 based on studies showing that ExT has deleterious effects on uteroplacental perfusion in at-risk pregnancies.

encourage to regular period of rest among preeclampsia women may last study 

Hi, 

You migth want to check the references list of Midwife-led Care Cochrane Sistematic Review 

Sandall et al 2916

Hi Debbee,

You question about methods of analysis is a little too general,  i.e. I am not sure what is your research question. During your background research work you have already noticed that there are several methods and approaches. I don't think there is a preferable one, I think there may be one or more that are better suited to your research question.

As a general answer I have found some clear summary in Narayan Prasad Kafle [attached] which suggests (quote):

And I think the Laverty (2003) is particulary interesting (attached) and also Kinsella 2006 who goes more in details in the way the philosophical underpinnigs of Gadamer's work may relate to qualitative research.

I would also have a close look into Giorgi's work about the application of the phenomenological method in qualitative research.

I think of both of these as variations on a fairly generic, inductive approach to  analysis. The best known alternative within this group of techniques is thematic analysis (Braun & Clarke, 2006), which is very similar to framework analysis.

Between the two methods that you mentioned, I would identify IPA as closer to your goal to "understand the individual experience deeply." This is due to its background in phenomenology, but that does apply more to its theoretical origins than its manifest procedures.

Dear Aldona,

Here are a couple of articles regarding midwives.

Critical review of OSCEs in Ireland

Confidence and performance in OSCEs.

Royal college of GPs in UK have done a lot of research around Osces and fairness in the Clinical skills assessment would be worth having a look at their website http://www.rcgp.org.uk/training-exams/mrcgp-exams-overview/~/media/Files/GP-training-and-exams/Annual-reports/MRCGP-Fairness-Report-v010215.ash

hope this is a helpful starting point

Best wishes

Duncan

2_3 cm

The outcomes of research depend totally on the question that is being asked. Your question:Midwives attitude towards clients, is actually not a question.   It is a launching off point for a discussion, that might lead to a research question.

Real PhD work and beyond sometimes spend years making a research question. I think that should be the focus of your time for a while.   what are you interested in quantifying?  Is it quantifiable?  

judy

As far as I am aware the risk with breastfeeding in the first instance would be the methotrexate passing to the baby through the milk. Not all acreta/percreta placenta require hysterectomy and breastfeeding uses some of the same hormones as contractions so it can help the uterus contract down - with some placenta remaining this could be more difficult so increasing the risk of PPH there. However without the methotrexate or perhaps pumping and discarding the milk whilst it is being taken and then trying to initiate breastfeeding following, breastfeeding could be supported and safe.

Alex- student midwife

Okay  Pradeep Jaswani  we need to  follow up  as these can  be changed

That is a good point, Genevieve. I hope the tools to measure that have been offered in this topic have been helpful to you, Sydonnie.

If Maria wishes to start a new thread, I have some further references to offer about best practice.

we practice vbac often at the trust I work for and its regarded as closer surveillance allows decisions to be made so an attempt is made unless otherwise indicated or maternal request.

We have recently implemented an on-line portfolio in the midwifery trainning programme , and we are having good feed-back from midwifery students and mentors. This dynamic tool is intended to support theoretical teaching during clinical training period. As a dynamic tool, it allows to continuously incorporate  emerging evidence into teaching. The main goal of this tool is to support mentors task and students clinical trainning process trough a continuous feed-back while "learning by doing"

hi delphine

iam just attaching a citation, which is similar to the question you had asked. hope your study is similar to the article below.

Mander, R. (1992), Seeking approval for research access: the gatekeeper's role in facilitating a study of the care of the relinquishing mother. Journal of Advanced Nursing, 17: 1460–1464. doi: 10.1111/j.1365-2648.1992.tb02818.x

its an old article.

i will be happy if you could elaborate on your area of care, and try to help you in search of literature.

i do hope that you approached a legal prosecutor (lawyer) who would help you in decision matters literature

Thank you Bridget. Indigenous farming is something co-existing with Urban agriculture. Aligning midwifery with these initiatives and exploring others is something worth exploring.

Your profile says you are from KZN. How lovely. Mariannhill was a place I was in 2008/2009. One of the women-farmer programs through St. Mary's Hospital (COC) was a success until challenges arose with sustainability around funding during that time. Most say it was due to the world-wide recession. Funding for programs were cut, but thankfully they are up and running again. A powerful source of community and nourishment!

Thanks for your response.

Gulay I am afraid I disagree with you, and see health education as being one small component of health promotion. Most health care professionals seem to believe that they are providing health education, when in reality all they are doing is providing health information. Particularly in clinical settings professional seem to think that by providing an individual with a pamphlet on a health topic that this is health promotion! In my view, health information is a minor aspect of health education, for many consumers it may be awareness raising, for a few it may be educational.

To really engage in health education, information needs to be accompanied with a change of perspective and insight into how actions or beliefs need to change. However for health education to result in health promotion, action on this information needs to occur.

Telling an obese person that they need to loose weight and giving them information of health consequences such as diabetes or heart disease is not health promotion. Health promotion occurs when you look beyond an individuals behaviours. While it might be necessary for the obese person to learn cooking skills to improve their diet, it may also be necessary that healthier food options are available for them to buy when they do their grocery shopping. These food options also need to be affordable. This individual may also need a safe neighbourhood to feel comfortable to walk to the shop to get this food, or to undertake the physical activity we all know needs to occur along with a healthy diet to maintain a healthy weight. A number of factors may impact on if actions are adopted to make a change in this individuals life, having a friend to walk with or a neighbourhood walking group, may make the difference between participating in physical activity or not, etc, etc. Health promotion involves working towards creating all of the supports which facilitate adopting or maintaining better health actions.

Sorry to be so long winded, this is a topic I am extremely passionate about :-)

Why do you want a fundal pressure? In which situations? If you add some more information to ypur question it might be easier to answer.

Many thanks Mary, I look forward to reading the outcome of your studies.

Personally I found that midwives in general, no matter what culture they are from, allow women to use their while bodies to birth, while western medicine restricts women's movement and uses outside forces to assist in birth.

I had to move to get my child out of me. I had a home water-birth, and I was free to walk, sway, and squat, and do all sorts of yoga-esque positions to birth my child. While most people who have not had children imagine vaginal pain, a great deal of the work comes from getting the head of the child through your hips- the pain comes from the internal pressure on your bones. Being able to move and squat, anything that opens your hips helps the child and the mother.

Women are profoundly strong and capable. Midwives are guides who help women through the process, but allow the women to own the crazy intense female process. Birth is very much entangled in social and cultural ideology and myth.

A very interesting movie is "The business of being born"

Hi Kelly,

Well I am wondering if it is higher as blood loss during birth could contribute.