Science topic

Midwifery - Science topic

The practice of assisting women in childbirth.
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Dear UK researchers midwives,
I am Ghada Saidani, a Tunisian midwife and a 1st-year MSc student in Public health at the University of Debrecen, Hungary.
For my MSc thesis, my research topic is entitled: Mental health and wellbeing of student midwives at the end of their studies: comparison between the United Kingdom and Hungary.
This study aims to assess the mental health status of Hungarian and British student midwives in their last year of studies, to identify the reasons behind their mental struggles, and what investments and changes can be made to improve their mental health.
I am searching for a midwife supervisor with the same research interests to carry out this study under her supervision mainly, to learn from her and to be assisted in order to publish our findings at the end for better health outcomes of student midwives. I am willing to invest time, energy, and what is needed to validate with evidence their struggles and to propose solutions.
More details are included in the research proposal attached below.
If the suggested study, its objectives, and the collaboration with the University of Debrecen and the University of Semmelweis interest you, please contact me to plan for an online meeting, in order to discuss further.
I am open to suggestions of potential British midwifery supervisors who might be interested in this study.
Thank you for your time and consideration.
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Send your request to this group GANM@groups.ibpnetwork.org
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Hello all Research Gate users.
I wonder if Nursing Boards in Europe or Nursing Accreditation Bodies for nursing and/or midwifery contacts (e.g. e-mail addresses) are somewhere available online or I simply have to find them on one to one basis.
Thank you all for helping
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Hello @mar
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I'm working on developing guidelines to support LGBTQ parents, and I need some research evidence to base this on.
For same sex couples, or where there are barriers to the gestational parent breastfeeding, we are sometimes asked for advice and support for inducing lactation in the parent who is not giving birth.
Can anyone direct me towards any hospital guidelines, professional association guidelines, research papers or other evidence or protocol which I can base this on.
Thank you for your thoughts.
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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.
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Our campuss library has many books about pharmacology. But it is very difficult to find topic about pharmacology for pregnancy, laboring, puerperium, and so on.
We know that many emergency conditions for pregnant woman need operative intervention (sectio caesarea). Are there any approach using drugs (medicine) for handle the important condition for obstetrics cases?
NB: midwifery can not do operative intervention for emergency condition for obstetrics cases.
(solutio placenta, placenta previa, and so on).
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Diseases , Complications , and Drug Therapy in Obstetrics
A Guide for Clinicians
This is nice book
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establishing an on-line publishing journal.
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How are you going with your endeavour?
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§ Dennis-Antwi, J. A. (2012). Role of Midwives in Reducing Maternal Mortality in Africa: Invited presentations and presentations by organisations and societies .International Journal of Gynecology & Obstetrics, Volume 119, Issue S3. https://doi.org/10.1016/S0020-7292(12)60122-2
§ F. Day-Stirk, S. Pairman, R. Jolivet, S. Downe, J. Dennis-Antwi, A. Gheressi (2012). Education and Evidence – The Foundations of Effective Maternal And Newborn Care, International Journal of Gynecology & Obstetrics 10/2012; 119:S181. https://doi.org/10.1016/S0020-7292(12)60116-7
Dennis-Antwi J.A, (2011b) Preceptorship for Midwifery Practice in Africa: Challenges and Opportunities. Evidence Based Midwifery 9(4): 137-142 http://www.rcm.org.uk/ebm/ebm-2011/volume-9-issue-4/preceptorship-for-midwifery-practice-in-africa-challenges-and-opportunities/
  • Dennis-Antwi J.A, (2010b) Achievement of MDGs 4-6: The role of the Midwife. West Africa College of Nursing 2010; 21(2):99-101 (Nursing News)
Dennis-Antwi, J. (1997) Sickle cell disease in Ghana. Africa Health Journal 19 (2): 14-15
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hi, add in the profile next to overview ...there is research where you should add the article
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Quel rôle joue la sage-femme dans le cadre de la dépression prénatale. What role does the midwife play in the context of prenatal depression
Goals:
• Connaître les signes/symptômes liés à la dépression prénatale • Déterminer les risques liés à une dépression prénatale • Identifier l’outil le plus enclin à dépister la dépression prénatale • Analyser les connaissances des sages-femmes sur la dépression prénatale. • Réaliser un outil d’éducation à la santé destiné aux sages-femmes afin d’améliorer la prise en charge face à des symptômes de dépression prénatale • Know the signs / symptoms related to prenatal depression • Determine the risks associated with prenatal depression • Identify the tool most likely to screen for prenatal depression • Analyze the midwives' knowledge of prenatal depression. • Develop a health education tool for midwives to improve the management of symptoms of prenatal depression
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Dont need counseling. Need to get the woman out of bed and walking 2 hours a day.
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There are countries where there is no midwife or its function is greatly reduced to a small field of action. Why is the midwife not responsible for the care of healthy women throughout her reproductive life? Why are midwives not responsible for pregnancy care, delivery assistance and puerperium care? The evidence demonstrates the efficiency and good results of the care provided by these professionals; then why aren't midwives who lead this social and health care in all countries. For example, health systems where midwives attend births have lower cesarean rates and good indicators of maternal and neonatal health.
Hay países donde no hay matronas o su función se reduce en gran medida a un pequeño campo de acción. ¿Por qué la matrona no es la responsable del cuidado de las mujeres sanas durante toda su vida reproductiva? ¿Por qué las matronas no son responsables del control del embarazo, la asistencia al parto y la atención en el puerperio? La evidencia demuestra la eficiencia y los buenos resultados de la atención prestada por estos profesionales, entonces por qué no son las matronas quienes lideran esta atención socio-sanitaria en todos los países. Por ejemplo, los sistemas de salud donde las matronas atienden los partos tienen tasas de cesárea más bajas y buenos indicadores de salud materna y neonatal.
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I totally agree, midwives should hace sone leading roles and not just clinical care
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I just would like to do a preliminary survey type investigation amongst the health care workers, including, nurses, doctor, midwifed, physicians, physiotherapist, etc.
Please clearly state your thoughts about the AI and include your position at the end of your statement as well. Please feel free to share it. Your help on this matter would be greatly appreciated.
Many thanks in advance 🙏
Dr.Emre Pakdemirli
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AI? It is the Future.
P.S. The same is for Big Data management.
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I am one of lecturer in a midwifery campuss located in Kubu Raya, Indonesia. My academic ability and my campuss capability also still below standard if compare to others campuss. Our government throught Kemenristekdikti (Moh. Nasir) has serious ambition to close not qualified campuss. Not only our campuss but also very many campuss have fewer and fewer new student every year. The government campuss open many class with the very cheap fee and very qualified. To become lecturer there also very difficult if our ability is not too good.
So what will you do when you already retire from your campuss ?
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Continue the research
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I am a midwifery expert and an expert in medical education. I'm not aware of the dynamics. It's a mistake. Please help me for what use medical articles.
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Our take on online technology in medical education:
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midwifery research
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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.
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I am currently undertaking my Public Health Masters and new to primary research.
Initially i wanted to do qualitative interviews to explore the barriers and enablers for midwiwives councelling and administering contraception within maternity services however i am unable to do interviews as they are people i work which would cause ethical and validity issues with my data.
I am able to use a gatekeeper at my work to enable anonomidity so am interesed in qualitative questionaires completed by the midwives but i am struggling to find my infomration about how to do this in books i have read.
Is it best to change my approach to quanitative and use yes/no or scales? I am just worries about my sample size as i only have about 30 staff members who i can ask as they are the only ones doing this job role that i want to explore.
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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.
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We know that in a cell there is a nucleus that is smaller than the cell. And then in that nucleus consist of 46 chromosome that of course smaller than that nucleus. In a chromosome there are very very many genes arrange DNA. And people (the scientists) can also know that there are many component of the DNA: deoksiribosa, phosphate group, nitrogen base -- timin, guanin, sitosin, adenin. So we can conclude that scientists can know the very very scrutiny processes from the very small ones to the bigger ones. From molecules (even atom, subatom, and so on) to the manifestation of the diseases that are caused by the "mistake" of gene or chromosomes.
We can see a cell with conventional microscope. But how can we see the smaller than that in details? After micron, there are still nano, pico, femto, and maybe no limit for the smallest. Maybe for biochemistry students they can understand expecially they have the instruments to "see" and "analize". But how about common students (for example midwifery students). How to explain that the mutation of the genes (codon) can cause diseases (for example fibrosis cystic)?
Sometimes it seems too abstract and nonsense to understand the biochemistry by our midwifery students.
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Thanks for your answer madam Kgomotso Mathope.....
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how do i construct a conceptual framework for a study on ethical practice in a school of nursing and midwifery.
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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.
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Several childbirth high fidelity manikins are available.
Which one are you using at midewifery school ?
Are you satisfied of that one or not ? Why ?
Thanks for your answer.
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Thanks for your answer.
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Where can I get these protocols in a logical way or systematic way?
Protocols of augmentation, fetal monitoring, episiotomy and care of giving birth mother during stages of labor.
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Hello Jamila
I would suggest Cochrane Reviews then :)
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both in normal amounts as well as in extreme stress?
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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.
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West Borneo is geograficly has many isolated rural areas that are difficult to be reach because the infrastruktur still bad (road, vehicle, etc). 
In placenta previa (totalis), West Borneo still use Caesar surgery procedure to handle the delivery. But Caesar surgery only can be exsecuted by doctor specialist obstetri gynecology. Midwifery and dukun beranak (traditional shaman) are forbidden to do Caesar surgery. So that the mother must be quickly carried to higher facillity (hospital) that often so far and need a long time to be reached. Often the mother bleeding and die in the way to hospital.
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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.
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I am conducting research on this topic.
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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. 
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I would like to know how trauma experienced in the birth of the first child, either vaginally or caesarean or instrumental or by the environment and other factors, impacts on the decisions of future planned pregnancies.
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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.
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I want to create a didactic concept for the acquisition of transcultural competencies in our midwifery education based on the actual teaching theories. Do you know such concepts or do you know any literature and evidences about:
  • Wich domains belong to the transcultural competencies of midwifes?
  • What should midwives know and be able to do, so that they can work professionally and health-promoting with women from different cultures?
  • How can midwifery students can aquire and train transcultural competencies?
  • Wich didactic theories are there for acquisition of transcultural competencies?
I´m looking forward to your answers.
Kind regards, Barbara Fischer
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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.
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in the lithotomy position, we lose the help of the gravity
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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
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 I am undertaking a EdD 'How is storytelling viewed and experienced by 3rd year midwifery students?' I am interested in whether this is viewed as a form of deep learning. I am at the data analysis stage and wonder if you can recommend any pratical tips for presenting the findings. I have identified meaning units and am begining to distil these down into categories of description.Should I describe the meaningn units and then funeel them down?
Any ideas very welcome
Kind regards,
Ros Weston 
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HiRos
i hope you find this paper of mine helpful
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Especially for primipara mothers?
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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 
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I found only two researches yet from India and Nepal. Are there other researches from Srilanka, Bangladesh, Afghanistan?
1) David, K. V., Pricilla, R. A., Venkatesan, S., Rahman, S. P., Sy, G., & Vijayaselvi, R. (2012). Outcomes of deliveries in a midwife-run labour room located at an urban health centre: results of a 5-year retrospective study. The National Medical Journal of India, 25, 323-326.
2) Rana, T. G., Rajopadhyaya, R., Bajracharya, B., Karmacharya, M., & Osrin, D. (2003). Comparison of midwifery-led and consultant-led maternity care for low risk deliveries in Nepal. Health Policy and Planning, 18(3), 330-337.
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Hi, 
You migth want to check the references list of Midwife-led Care Cochrane Sistematic Review 
Sandall et al 2916
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I am using hermeneutic phenomenology to explore midwives experiences of medicine management within the midwifery setting. I have read a vast amount  of  literature in relation to the different perspectives of phenomenology the data analysis techniques for HP appear confusing.  I am currently exploring thematic analysis, IPA and Max van Manen, any other suggestions would be much appreciated.
Thank you Debbee
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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):
<<Though there is no prescription about the unanimous methodological sets of doing a hermeneutic phenomenological research, on the light of different researches conducted using this paradigm we can suggest for few  methodological guidelines. The noted scholars of this disciplines like van Manen (1990, 1997), suggest that there is no fixed set of methods to conduct this type of research. But as a variant of qualitative research the purposive sampling with information rich cases is suggested by Merriam (1998). For data generation, multiple tools can be utilized that include interview, observation, and protocols. Since the purpose is to generate the life world stories the research participants, depending the context and the area of research the appropriate tool can be applied. Data is recommended to be processed uncovering the thematic aspects by van Manen (1997). Data analysis is often  performed applying the hermeneutic cycle that constitutes of reading, reflective writing and interpretation in a rigorous fashion (Laverty, 2003). >>  see pg. 195
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.
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I am trying to choose a method to analysis semi-structured interviews within midwifery, where I really need to understand the individual experience deeply and perhaps identify themes. Both these methods seem potentially appropriate. Any thoughts regarding the methods and the required sample sizes would be helpful.
thanks
Jenny
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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.
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I would like to ask about research of OSCE. Medical students today are tested on different learning outcomes – knowledge, attitudes and practical skills. The assessment of clinical competence is a central issue in medical education. OSCE offers as a reliable and valid test of clinical competence. It has been adopted worldwide and is now recognized as the gold standard for the assessment of clinical competence (Harden, Gleeson, 1979)
But it is not  easy to find recent studies, do you know some full-text about midwifery students' assessment with OSCE? 
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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
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Textbook recommendations vary, when cord clamping is described. Some authors suggest to tie the cord approximately 2-3 cm from skin, others recommend to leave a 5-7 cm stump. 
Is anybody aware of any evidence on this topic? 
Regards, 
Christiane
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2_3 cm
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Midwifery self-administered attitude scale. 
To be administer in low income countries.
Not specific to homebirth or breastfeeding for example.
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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
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Just some context, I have worked in Tertiary Midwifery care hospitals and I recall a case where the woman had a case of accreta and the plan for her was a hysterectomy and methotrexate postpartum, and absolutely no breastfeeding or initiation of lactation. I understood this and the importance of possible PPH and of course lactation would unlikely be successful because of the remaining placental tissue, however recently I was advised that a LC helped a women to BF after her accreta pregnancy and I wanted to know if this was common and what others experiences were?
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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
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If we are able to predict a cause of spontaneous abortion by pedigree construction, even after one or two lost pregnancies, so why do we need to wait for third loss to consider them as an RSA patient?
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Okay  Pradeep Jaswani  we need to  follow up  as these can  be changed
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I am seeking a validated tool which can be applied to the Caribbean.
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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.
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Does EBP increase confidence and/or competence of midwives?
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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.
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Nursing educators have to incorporate evidence based practice into their courses/ curriculums and use these strategies to support their teaching methods.
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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"
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I'm writing my thesis about the biological mother in the adoption triad, and it is very difficult to find anything about this population.
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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
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Indigenous relationships with land, food and life suggest links between food insecurity, birth outcomes and Aboriginal midwifery.
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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.
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I've argued for over a decade now that it is 'essential' that the terms health promotion and health education are delineated and separated out. Many health practitioners use the terms interchangeably to mean the same thing. Many of those practitioners might view the 'difference' between them as semantics; as not important - especially those working in healthcare and health service-based settings. I, however, have suggested that the only way that health professionals can be seen to be credible with the wider health promotion community, is if we all fully use the exact language and context of health promotion and health education and apply this to clinical practice and other health arenas. Do you agree - or have a differing view?
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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 :-)
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I am looking for scientifically based alternatives for fundal pressure.
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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.
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As the UK population diversifies so are the foods that are available in supermarkets such as okra (ladies fingers), yams and plantain. Pregnant women are bombarded with advice from healthcare professionals including midwives, GPs, from the media, magazines on what is best. Quite often, the nutritional values of the less usual foods are not readily available at which point, advice from a family elder can be sought. This question is one that caused me some concern when I worked as a midwife many years ago in the West Midlands and London where I was privileged to care for women from many different countries with rich cultures and array of foods. Now as a lecturer, I teach cultural issues in midwifery and feel that this session would be incomplete without some discussions about foods and its nutritional values to pregnant women and their babies.
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Many thanks Mary, I look forward to reading the outcome of your studies.
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Is it true that midwives and Native Americans in the United States assisted with childbirth in a squatting position, in order for the birth canal to straighten in the woman, vs traditional where the birth canal is curved and damages the infant a bit, or creates a lot of pain and labor for the woman?
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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"
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Postpartum anaemia in Australian women.
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Hi Kelly,
Well I am wondering if it is higher as blood loss during birth could contribute.