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Birth in primary midwife-led maternity units has been demonstrated to be a safe choice for well women anticipating a normal birth. The incidence of serious perinatal outcomes for these women is comparable to similarly low risk women, who choose to birth in hospital.New Zealand women have a choice of Lead Maternity Carer (LMC) and birthplace; home, primary birthing unit, or a base hospital, though...
Background
Early recognition and management of low maternal iron status is associated with improved maternal, fetal, and neonatal outcomes. However, existing international guidelines for the testing and management of maternal iron‐deficiency anemia are variable, with no national guideline for New Zealand midwives. Clinical management is complicated by normal physiological hemodilution, and complicated...
The tensions of uncertainty: midwives managing risk in and of their practice. There has been a fundamental shift in past decades in the way midwifery is enacted. The midwifery attributes of skilful practice and conscious alertness seem to have been replaced by the concept of risk with its connotations of control, surveillance and blame. How midwifery manages practice in this risk framework is of concern...
Midwives who provided Lead Maternity Care (LMC) to women in rural areas were invited to share their experiences of decision making around transfer in labour.Ethics approval was obtained from the NZ National Ethics Committee.to explore midwives׳ decision making processes when making transfer decisions for slow labour progress from rural areas to specialist care.individual and group interviews were...
there has been minimal exploration of women's emotional flow during labour and towards birth. This research aimed to capture woman's remembered experiences of this process.a critical feminist standpoint methodology guided this research which used in depth interviews to explore the perspectives of 18 women who had experienced a spontaneous labour and birth. These women all had continuity of care from...
within childbirth there is a common and widely known explanation of labour and birth which describes and defines the birth process as stages and phases. The aim of this research was to determine whether the discourse of labour as stages and phases resonated with women who had experienced spontaneous labour and birth.a critical feminist standpoint methodology was used to explore the perspectives of...
Background“Place of birth” studies have consistently shown reduced rates of obstetric intervention in low‐technology birth settings, but the extent to which the place of birth per se has influenced the outcomes remains unclear. The objective of this study was to compare birth outcomes for nulliparous women giving birth at home or in hospital, within the practice of the same midwives.
MethodsAn innovative...
to evaluate a pilot project, which used a community participatory approach to introduce birth preparedness in rural Cambodia.a feasibility and outcome evaluation. This included observation, interview, document analysis and costing.the project was undertaken in 15 villages linked to five health centres in Kampong Chhnang, Cambodia.key management personnel, local midwives, village leaders, village volunteers...
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