Download or read book Informed Choice in Maternity Care written by Mavis Kirkham and published by Palgrave MacMillan. This book was released on 2004 with total page 302 pages. Available in PDF, EPUB and Kindle. Book excerpt: Factors constraining women's choices are examined from a wide range of perspectives, including service users, midwives, obstetricians and social scientists, to highlight the social, cultural and clinical factors influencing decision making.
Download or read book Informed Choice in Maternity Care written by Mavis Kirkham and published by . This book was released on 2001 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt: The importance of informed choice for consumers has been recognised within the NHS. The Midwives Information and Resource Service (MIDIRS), together with the NHS Centre for Reviews and Dissemination, produced leaflets summarising research evidence for ten discrete topics on which decisions are made in pregnancy. The leaflets are produced in pairs: the woman's version summarises the research evidence; the health professional's version details evidence in greater depth and is fully referenced. The leaflets were intended to provide researchbased information to inform choice in accordance with women's individual needs. This research evaluated the use of the whole set of MlDlRS Informed Choice leaflets across maternity units to assess their effectiveness in promoting informed choice. The study was conducted in two phases. The first phase comprised an ethnographic of three maternity units, which had purchased and used the leaflets for some time. This informed the development of the second phase in which a cluster randomised controlled trial (CRCT) was undertaken in conjunction with qualitative fieldwork. The qualitative research included observation of clinical practice, interviews with women and health professionals, and focus groups with women. The 13 maternity units, grouped into ten clusters; five were randomised to receive the intervention and five to act as controls. En economic study of costs and cost consequences was also undertaken. Between 92% and 99% of women who received each leaflet reported that it was helpful or very helpful. However there was no evidence that the leaftets were effective in increasing the proportion of women who reported having exercised informed choice. The qualitative research illustrated the complexity of the environment in which the intervention was applied and suggests reasons why the MIDIRS Informed Choice leaflets did not promote informed decision-making in this study.
Download or read book Birth Settings in America written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-05-01 with total page 369 pages. Available in PDF, EPUB and Kindle. Book excerpt: The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.
Download or read book WHO Recommendations for Augmentation of Labour written by World Health Organization and published by World Health Organization. This book was released on 2014 with total page 62 pages. Available in PDF, EPUB and Kindle. Book excerpt: Optimizing outcomes for women in labor at the global level requires evidence-based guidance of health workers to improve care through appropriate patient selection and use of effective interventions. In this regard, the World Health Organization (WHO) published recommendations for induction of labor in 2011. The goal of the present guideline is to consolidate the guidance for effective interventions that are needed to reduce the global burden of prolonged labor and its consequences. The primary target audience includes health professionals responsible for developing national and local health protocols and policies, as well as obstetricians, midwives, nurses, general medical practitioners, managers of maternal and child health programs, and public health policy-makers in all settings.
Download or read book Risk and Choice in Maternity Care written by Andrew Symon and published by Elsevier Health Sciences. This book was released on 2006-01-01 with total page 186 pages. Available in PDF, EPUB and Kindle. Book excerpt: This title is directed primarily towards health care professionals outside of the United States. This book explores the complex interrelationship between risk and choice in maternity care, taking a close look at how "high" and "low" risk are defined and what impact this has on a woman's ability to exercise informed choices throughout pregnancy. It offers an international collaboration that highlights different perspectives on debated issues, with chapters on maternity care in the UK, United States, Australia, and Ireland contributed by midwives, obstetricians, risk management experts, and sociologists. The aim of this book is to illustrate the changing reality of risk management as it relates to maternity care, and to highlight risk management concerns that may limit the choices available to pregnant women. Clarifies how applications of risk affect the choices pregnant women are able to exercise. Locates pregnancy risk considerations within the overall scheme of risk management. Analyzes practitioners' responses to the requirements of risk management. Presents risk management and choice from the risk manager's perspective, providing an understanding of risk as a "macro concept" in health care. Highlights medico-legal opinions on exercising choice, underscoring the need for accurate information and the ability to make informed decisions. Two chapters examine women's perspectives on risk labeling and the impact this has on choice - one in which the concept of safety within maternity care is discussed, and one in which the views of women with defined risk factors are explored and their ability to make choices is evaluated. Two chapters written by health service risk managers discuss the differences between an inner-city approach and a rural approach to the debate surrounding risk and choice. Discusses midwifery's focus on "normality" in childbirth and considers how this viewpoint affects the risk dialogue, including a chapter on clinical trends in maternity care. An obstetric perspective on risk refutes criticisms of obstetricians as being more likely to impose risk labels and limit choices by discussing how risks and choices are presented and considered within obstetric care. Explores the debate surrounding a woman's right to have a home birth in Ireland, in light of its risk management climate. Two chapters discuss the collaboration between service users, midwives, and obstetricians in Australia regarding the organization and delivery of maternity care, as well as the views concerning risk among indigenous Australians. Perspectives from nurse-midwives in the U.S. discuss the complex relationships among nurse-midwives, obstetricians, and pregnant women with regard to choice, including views on risk within immigrant communities.
Download or read book Birthing Autonomy written by Nadine Edwards and published by Routledge. This book was released on 2013-04-03 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt: Birthing Autonomy brings some balance to the difficult arguments that arise from debates about home births, and focuses on women’s views and their experiences of planning home births. It provides an in-depth exploration of how women make decisions about home births and what aspects matter most to them. Comparing how differently the pros and cons of home births are constructed and contemplated by mothers and by the medical profession, the book looks at how current obstetric thinking and practices can disempower and harm women emotionally and spiritually as well as physically. Written in an accessible style, this book is enlightening for student and practicing midwives and obstetricians, as well as researchers and students of nursing, medical sociology, health studies, gender studies, feminist practitioners and theorists. It will also be invaluable to expectant mothers who want to be more informed about the choices they are facing and the wider context within which their birth options are considered.
Download or read book The Philosophy of Evidence based Medicine written by Jeremy H. Howick and published by John Wiley & Sons. This book was released on 2011-02-23 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt: Evidence-based medicine (EBM) has become a required element of clinical practice, but it is critical for the healthcare community to understand the ongoing controversy surrounding EBM. Seeking to address questions raised by critics, The Philosophy of Evidence-based Medicine challenges the over dependency of EBM on randomized controlled trials. This book also explores EBM methodology and its relationship with other approaches used in medicine.
Download or read book Evidence based Maternity Care written by Carol Sakala and published by . This book was released on 2008 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Evidence-based maternity care uses the best available research on the safety and effectiveness of specific practices to help guide maternity care decisions and to facilitate optimal outcomes in mothers and newborns."-- From foreword.
Download or read book Counselling for Maternal and Newborn Health Care written by World Health Organization and published by World Health Organization. This book was released on 2010 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: The main aim of this practical Handbookis to strengthen counselling and communication skills of skilled attendants (SAs) and other health providers, helping them to effectively discuss with women, families and communities the key issues surrounding pregnancy, childbirth, postpartum, postnatal and post-abortion care. Counselling for Maternal and Newborn Health Careis divided into three main sections. Part 1 is an introduction which describes the aims and objectives and the general layout of the Handbook. Part 2 describes the counselling process and outlines the six key steps to effective counselling. It explores the counselling context and factors that influence this context including the socio-economic, gender, and cultural environment. A series of guiding principles is introduced and specific counselling skills are outlined. Part 3 focuses on different maternal and newborn health topics, including general care in the home during pregnancy; birth and emergency planning; danger signs in pregnancy; post-abortion care; support during labor; postnatal care of the mother and newborn; family planning counselling; breastfeeding; women with HIV/AIDS; death and bereavement; women and violence; linking with the community. Each Session contains specific aims and objectives, clearly outlining the skills that will be developed and corresponding learning outcomes. Practical activities have been designed to encourage reflection, provoke discussions, build skills and ensure the local relevance of information. There is a review at the end of each session to ensure the SAs have understood the key points before they progress to subsequent sessions.
Download or read book Pregnancy and Birth written by Sabina Iqbal and published by . This book was released on 2004 with total page 133 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book WHO Recommendations on Intrapartum Care for a Positive Childbirth Experience written by World Health Organization and published by World Health Organization. This book was released on 2018-06-25 with total page 210 pages. Available in PDF, EPUB and Kindle. Book excerpt: This up-to-date comprehensive and consolidated guideline on essential intrapartum care brings together new and existing WHO recommendations that when delivered as a package will ensure good-quality and evidence-based care irrespective of the setting or level of health care. The recommendations presented in this guideline are neither country nor region specific and acknowledge the variations that exist globally as to the level of available health services within and between countries. The guideline highlights the importance of woman-centred care to optimize the experience of labour and childbirth for women and their babies through a holistic human rights-based approach. It introduces a global model of intrapartum care which takes into account the complexity and diverse nature of prevailing models of care and contemporary practice. The recommendations in this guideline are intended to inform the development of relevant national- and local-level health policies and clinical protocols. Therefore the target audience includes national and local public health policy-makers implementers and managers of maternal and child health programmes health care facility managers nongovernmental organizations (NGOs) professional societies involved in the planning and management of maternal and child health services health care professionals (including nurses midwives general medical practitioners and obstetricians) and academic staff involved in training health care professionals.
Download or read book Home Birth written by Mary L. Nolan and published by Routledge. This book was released on 2010-11-08 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: The rhetoric of choice is much used in UK health policy and home birth is one of the three options that women are entitled to choose between when deciding where to have their baby. However, many women making this choice run into considerable opposition from the maternity service. Home Birth: the politics of difficult choices focuses on the experiences of women whose choices were opposed by health professionals during their pregnancy journey. It confronts why and how women are being denied home birth and raises some challenging issues for current midwifery practice. Using ten women’s narratives, this important volume explores why women might want to give birth at home and considers ideas of risk and informed choice in pregnancy and birth. The book includes chapters on communication and language; fear and stress; advocacy and autonomy; fathers’ experience of contested place of birth and free birthing. Pointers to best practice are presented whilst the text incorporates women’s narratives throughout, making this a practical and relevant read for midwifery students as well as practising midwives and childbirth educators, all of whom have a duty to make home birth a real option for women.
Download or read book Midwifery Continuity of Care written by Caroline Homer and published by Elsevier Health Sciences. This book was released on 2019-02-27 with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt: Midwifery Continuity of Care is a robust ‘how to’ guide to establishing midwifery continuity of care. Written by a team of international experts in their field, this book highlights lessons learned to help develop new ways of planning, implementing, evaluating and sustaining midwifery continuity of care for the benefit of women, babies and communities. Summarises the evidence for midwifery continuity of care to support policy makers, commissioners of maternity services and health service executives with their implementation of midwifery continuity of care Practical real world examples, stories and experiences to bring to life the diversity of ways that midwifery continuity of care can be implemented Highlights a range of issues for managers and leaders to be aware of, including organisational, industrial and safety and quality issues Explores how building alliances can enable midwifery continuity of care to flourish, addressing scaling up and sustainability Evolve Student and Faculty Resources: eBook on VitalSource An inspirational video interview with author, Jane Sandall
Download or read book Complex Social Issues and the Perinatal Woman written by Laura Abbott and published by Springer Nature. This book was released on 2021-08-27 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pursuing a multidisciplinary approach, this book demonstrates the best quality care for pregnant women and new mothers who may have complex social needs. This book will benefit all health and social care professionals working in women’s health, while also providing a valuable reference guide for maternity departments. The latest Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK (MBRRACE-UK) demonstrates the consequences that having multiple complexities has and the need to ensure that susceptible groups receive personalised, appropriate care and meeting the needs of all women is urgent and essential. This book brings together a blend of health and social care professionals, experts by experience and the charity third sector. All have expertise in caring for and supporting perinatal women with issues that may affect their health and the type of care they require. Through our collective writing, we provide a paradigm for partnership working and hope to have strengthened voices by highlighting women’s experiences and the importance of third sector partnerships, working in tandem with women who are experts by experiences and bringing health professionals together. In combination with recommendations from specialists in the field, we have offered a unique mix of compassion and evidence-based guidance. From substance abuse, domestic violence and HIV to experiences of Black, Asian and Ethnic Minorities, homelessness, women seeking asylum and women in prison, we have addressed a range of current issues and provided essential information and opportunities to reflect. Each chapter invites the reader to step into the shoes of the perinatal woman. Through our collective writing, we provide a paradigm for partnership working and hope to have strengthened voices by highlighting diverse experiences. We have looked at how using a trauma informed approach can be applied universally to care for all women and learn from charities such as Birth Companions, the 4M project and the Salamander Trust, how different approaches may directly impact women’s care in a positive and holistic way. An overarching aim of our book has been to find ways to deliver multi-agency continuity of care, whilst being aware of bias, professional responsibilities and an understanding how we can take a holistic approach - crucial for attaining excellence in 21st century maternity care provision.
Download or read book Birthing Outside the System written by Hannah Dahlen and published by Routledge. This book was released on 2020-01-17 with total page 621 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book investigates why women choose ‘birth outside the system’ and makes connections between women’s right to choose where they birth and violations of human rights within maternity care systems. Choosing to birth at home can force women out of mainstream maternity care, despite research supporting the safety of this option for low-risk women attended by midwives. When homebirth is not supported as a birthplace option, women will defy mainstream medical advice, and if a midwife is not available, choose either an unregulated careprovider or birth without assistance. This book examines the circumstances and drivers behind why women nevertheless choose homebirth by bringing legal and ethical perspectives together with the latest research on high-risk homebirth (breech and twin births), freebirth, birth with unregulated careproviders and the oppression of midwives who support unorthodox choices. Stories from women who have pursued alternatives in Australia, Europe, Russia, the UK, the US, Canada, the Middle East and India are woven through the research. Insight and practical strategies are shared by doctors, midwives, lawyers, anthropologists, sociologists and psychologists on how to manage the tension between professional obligations and women’s right to bodily autonomy. This book, the first of its kind, is an important contribution to considerations of place of birth and human rights in childbirth.
Download or read book Trauma Informed Healthcare Approaches written by Megan R. Gerber and published by Springer. This book was released on 2019-04-12 with total page 227 pages. Available in PDF, EPUB and Kindle. Book excerpt: Interpersonal trauma is ubiquitous and its impact on health has long been understood. Recently, however, the critical importance of this issue has been magnified in the public eye. A burgeoning literature has demonstrated the impact of traumatic experiences on mental and physical health, and many potential interventions have been proposed. This volume serves as a detailed, practical guide to trauma-informed care. Chapters provide guidance to both healthcare providers and organizations on strategies for adopting, implementing and sustaining principles of trauma-informed care. The first section maps out the scope of the problem and defines specific types of interpersonal trauma. The authors then turn to discussion of adaptations to care for special populations, including sexual and gender minority persons, immigrants, male survivors and Veterans as these groups often require more nuanced approaches. Caring for trauma-exposed patients can place a strain on clinicians, and approaches for fostering resilience and promoting wellness among staff are presented next. Finally, the book covers concrete trauma-informed clinical strategies in adult and pediatric primary care, and women’s health/maternity care settings. Using a case-based approach, the expert authors provide real-world front line examples of the impact trauma-informed clinical approaches have on patients’ quality of life, sense of comfort, and trust. Case examples are discussed along with evidence based approaches that demonstrate improved health outcomes. Written by experts in the field, Trauma-Informed Healthcare Approaches is the definitive resource for improving quality care for patients who have experienced trauma.
Download or read book WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience written by World Health Organization and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Within the continuum of reproductive health care, antenatal care provides a platform for important health-care functions, including health promotion, screening and diagnosis, and disease prevention. It has been established that, by implementing timely and appropriate evidence-based practices, antenatal care can save lives. Endorsed by the United Nations Secretary-General, this is a comprehensive WHO guideline on routine antenatal care for pregnant women and adolescent girls. It aims to complement existing WHO guidelines on the management of specific pregnancy-related complications. The guidance captures the complex nature of the antenatal care issues surrounding healthcare practices and delivery, and prioritizes person-centered health and well-being --- not only the prevention of death and morbidity --- in accordance with a human rights-based approach.
