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Objective: to assess the impact on the provision of family planning (FP) services when FP providers were also trained to provide additional, selected, reproductive health services.Design:case/comparison study.Participants and settings: twenty-four FP service delivery points in which training in sexually transmitted infection prevention and control services or post-abortion care services had been initiated...
Objective: to discuss the perceptions and experiences of motherhood among Thai immigrant women in Australia.Design: ethnographic interviews and participant observation were used to elicit information.Setting: Melbourne Metropolitan Area, Victoria, Australia.Participants: 30 Thai women who are now living in Australia.Findings: becoming a mother meant different things to these women. Motherhood had...
Objective: to determine community midwives' knowledge, attitudes and practice with regard to baby walkers.Design: survey, using questionnaires.Setting: primary care, East Midlands, UK.Participants: Sixty-five community midwives participating in a cluster randomised controlled trial to reduce baby walker use.Findings: there was a 94% response. Seventy per cent of the midwives, felt that it was part...
In this paper, I explore the place of research in the theme 'Midwives and women: together for the family of the world'. I begin by examining each of the concepts involved. What is the family of the world? Midwives: what do they contribute to the family of the world? Women: what do they contribute to the family of the world? Putting midwives and women together what is the impact on the family of the...
Objective: to explore the experiences and attitudes of midwives, junior paediatricians (SHOs), GPs, and mothers to the examination of the newborn baby. To provide an appreciation of their views on several issues, in particular the purpose and value of the examination, who is thought to be appropriate to carry it out and when and where it should take place.Design: qualitative using semi-structured...
Objectives: to explore midwives' attitudes and perceptions about extending their role to the examination of the newborn baby, as well as their general perceptions and attitudes to new role developments.Design: qualitative, data collected using semi-structured interviews, which were exploratory and interactive in form.Setting: six maternity hospitals in South-east England.Participants: ten midwives...
In this paper I will examine the history shared by our profession and review social changes and reproductive health needs that have had an effect on our current practice. I will propose a model that meets current needs and will build the vision for our future education. In conclusion I will focus on the strategies, tasks and commitments needed to build a common future for midwifery education throughout...
Objective: to understand the meaning of the qualitative data included in the Notebook of wet nurses kept by James Young Simpson.Design: quantitative and qualitative analysis of data in an historical document.Setting: a list of wet nurses kept by a 'Professor of Midwifery' in mid-19th century Edinburgh.Participants: the Notebook lists the names and other details of 749 women.Findings: the Notebook...
Objective: to describe first-time-expectants fathers' experiences of pregnancy.Design: an inductive method using narrative interview form and qualitative content text analysis. The text of the transcripts was coded and categorised.Settings and participants: seven first-time-expectant fathers living in a multicultural industrial town in southern Sweden were interviewed individually when their partner...
In this paper presented at a conference in October 2002, the author presents the causes of maternal mortality and shows how these are related to inequalities in education, finance and access to family planning and health facilities. The commitment of the EU to breaking this cycle is outlined.
Objective: in order to assess the feasibility of nutritional education intervention sessions for pregnant teenagers, standard dietary assessment schedules were supplemented by a qualitative appraisal. Reported in this paper are the perceptions of pregnant teenagers who attended one or more of these sessions.Design: qualitative study using a phenomenological approach. Data were collected using semi-structured...
The freedom of movement of midwives within the European Union has been guaranteed by the application of midwives' sectoral directives signed in 1980 and applied in 1983. Since then the size of the European Union has grown from 9 to 15 members and is due for a next wave of enlargement of another 10 member states in 2004. The rules and regulations that govern the European Union are being revisited to...
Objective: to determine what impact the changes from consultant-led care to midwife-led care in a local maternity service have had on women using that service.Design: case study, data were collected by postal questionnaire, semi-structured, tape-recorded interviews, observations and scrutiny of records.Setting: a small town in rural England.Participants: all pregnant women eligible for a midwife-managed...
Objective: to describe and compare sexual and reproductive history as well as reactions to the pregnancy and attendance in antenatal care, family classes and childbirth of fathers of babies born to teenage mothers and fathers of babies born to average aged mothers.Design: a descriptive comparative study using a structured questionnaire for data collection.Setting: eleven postnatal wards at the five...
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