Incorporating cultural diversity in randomised controlled trials in midwifery.

Abstract:

:The randomised controlled trial is currently the 'gold standard' that guides health-care practices. The implementation of new models of midwifery care often relies on results from randomised controlled trials. However, many randomised controlled trials exclude women who do not speak English or are designed in such a way that cultural diversity is not facilitated. This can mean that the sample is not representative of the population from which it was drawn or to which it will be applied. Culturally diverse representation can be achieved through a number of strategies. These include utilising health-care interpreters, ensuring materials are translated into common community languages and engaging the local community. These strategies can be used to ensure that the sample in a randomised controlled trial is culturally and linguistically diverse, and representative of the community. We have conducted a randomised controlled trial of a community-based model of midwifery providing continuity of care in a culturally diverse population. A number of issues in the conduct of a trial within a culturally diverse society are discussed in this paper. The trial will be used to illustrate some of the strategies used to ensure that the sample represented the population from which it was drawn.

journal_name

Midwifery

journal_title

Midwifery

authors

Homer C

doi

10.1054/midw.2000.0230

subject

Has Abstract

pub_date

2000-12-01 00:00:00

pages

252-9

issue

4

eissn

0266-6138

issn

1532-3099

pii

S0266-6138(00)90230-4

journal_volume

16

pub_type

临床试验,杂志文章,随机对照试验
  • Maternity care: a narrative overview of what women expect across their care continuum.

    abstract:OBJECTIVES:to provide a narrative overview of the values schema underpinning women׳s expectations of public maternity-care services using an episodes-of-care framework. DESIGN:focus-group discussions and in-depth interviews were undertaken with Western Australian women who had opted for public maternity care to determ...

    journal_title:Midwifery

    pub_type: 杂志文章

    doi:10.1016/j.midw.2014.12.009

    authors: Clark K,Beatty S,Reibel T

    更新日期:2015-04-01 00:00:00

  • She can lip-read, she'll be all right: improving maternity care for the deaf and hearing-impaired.

    abstract::In the UK a midwife is unlikely to meet many deaf women during her working life. Therefore very few midwives have a wealth of experience in providing care for these women. Postnatal discussion with one woman showed us that despite our good intentions the care we had given her was inadequate for her individual needs. W...

    journal_title:Midwifery

    pub_type: 杂志文章

    doi:10.1016/s0266-6138(05)80004-x

    authors: Kelsall J

    更新日期:1992-12-01 00:00:00

  • Women's experiences of outpatient induction of labour with remote continuous monitoring.

    abstract:OBJECTIVE:to gain insight into women's experiences and preferences for induction in the home as part of a trial investigating the feasibility and acceptability of outpatient induction of labour with remote monitoring. DESIGN:a qualitative study using semi-structured individual interviews. Interview transcripts were su...

    journal_title:Midwifery

    pub_type: 杂志文章

    doi:10.1016/j.midw.2012.01.014

    authors: O'Brien E,Rauf Z,Alfirevic Z,Lavender T

    更新日期:2013-04-01 00:00:00

  • Factors affecting the quality of antenatal care provided to remote dwelling Aboriginal women in northern Australia.

    abstract:OBJECTIVE:there is a significant gap in pregnancy and birth outcomes for Australian Aboriginal and Torres Strait Islander women compared with other Australian women. The provision of appropriate and high quality antenatal care is one way of reducing these disparities. The aim of this study was to assess adherence to an...

    journal_title:Midwifery

    pub_type: 杂志文章

    doi:10.1016/j.midw.2013.04.009

    authors: Bar-Zeev S,Barclay L,Kruske S,Kildea S

    更新日期:2014-03-01 00:00:00

  • Psychological factors that impact on women's experiences of first-time motherhood: a qualitative study of the transition.

    abstract:OBJECTIVE:childbearing is a significant transition, especially for first-time mothers. The objectives of this study were to explore the maternal transition from womens' perspectives and to identify any unmet needs for support. DESIGN:grounded theory was chosen as the most appropriate method of analysis due to its abil...

    journal_title:Midwifery

    pub_type: 杂志文章

    doi:10.1016/j.midw.2008.07.006

    authors: Darvill R,Skirton H,Farrand P

    更新日期:2010-06-01 00:00:00

  • Responding to a crying infant - you do not learn it overnight: a phenomenological study.

    abstract:OBJECTIVE:to examine the views and practices of first-time and experienced mothers in response to infant crying during the first 12 weeks post birth. DESIGN:longitudinal, qualitative study using an interpretive, phenomenological approach. SETTING:postnatal hospital and home settings in Switzerland. PARTICIPANTS:maxi...

    journal_title:Midwifery

    pub_type: 杂志文章

    doi:10.1016/j.midw.2013.06.017

    authors: Kurth E,Kennedy HP,Zemp Stutz E,Kesselring A,Fornaro I,Spichiger E

    更新日期:2014-06-01 00:00:00

  • Chinese midwifery: the history and modernity.

    abstract:AIM:to investigate how and why Chinese midwife numbers are dwindling, and to help understand the role of midwives in society in general. METHOD:to critically examine Chinese midwifery in three stages: (1) historical literature overview; (2) identification and reinterpretation of Chinese midwifery and its development; ...

    journal_title:Midwifery

    pub_type: 历史文章,杂志文章

    doi:10.1016/j.midw.2007.03.001

    authors: Cheung NF

    更新日期:2009-06-01 00:00:00

  • First assessed cervical dilatation: is it associated with oxytocin augmentation during labour? A retrospective cohort study in a university hospital in Switzerland.

    abstract:OBJECTIVES:The primary objective of this study was to examine the association between the first assessed cervical dilatation in a labourward and the use of oxytocin augmentation during labour. Further analysis was performed by examining the actual stage of labour at the point oxytocin was first administered to those wo...

    journal_title:Midwifery

    pub_type: 杂志文章

    doi:10.1016/j.midw.2020.102683

    authors: Schick C,Spineli LM,Raio L,Gross MM

    更新日期:2020-06-01 00:00:00

  • What are the benefits? Are they concerned? Women's experiences of water immersion for labor and birth.

    abstract:OBJECTIVE:The objective of this study was to explore the views, experiences, perceptions of and access to water immersion for labor and birth in Australia. DESIGN:A sequential exploratory mixed methods study commenced in 2016. The first phase involved an online survey. The second phase is due to commence in 2019 and w...

    journal_title:Midwifery

    pub_type: 杂志文章

    doi:10.1016/j.midw.2019.102541

    authors: Cooper M,Warland J

    更新日期:2019-12-01 00:00:00

  • Better perineal outcomes in sitting birthing position cannot be explained by changing from upright to supine position for performing an episiotomy.

    abstract:BACKGROUND:women who give birth in supine position are more likely to have an episiotomy than women who give birth in sitting position. A confounding effect may be that women in upright positions in second stage of labour are asked to lie down if a professional needs to perform an episiotomy. This prospective cohort st...

    journal_title:Midwifery

    pub_type: 杂志文章

    doi:10.1016/j.midw.2016.01.010

    authors: Warmink-Perdijk WDB,Koelewijn JM,de Jonge A,van Diem MT,Lagro-Janssen ALM

    更新日期:2016-03-01 00:00:00

  • Techniques to reduce perineal pain during spontaneous vaginal delivery and perineal suturing: a UK survey of midwifery practice.

    abstract:OBJECTIVE:To investigate use of pharmacological and non-pharmacological methods of perineal analgesia used by midwives during the second stage of labour and perineal repair in the UK. DESIGN:Postal survey. METHODS:Self-complete questionnaires were sent to Heads of Midwifery in all 219 maternity units in the UK. Infor...

    journal_title:Midwifery

    pub_type: 杂志文章

    doi:10.1016/j.midw.2004.12.003

    authors: Sanders J,Peters TJ,Campbell R

    更新日期:2005-06-01 00:00:00

  • Effects of a pushing intervention on pain, fatigue and birthing experiences among Taiwanese women during the second stage of labour.

    abstract:OBJECTIVES:To evaluate maternal labour pain, fatigue, duration of the second stage of labour, the women's bearing-down experiences and the newborn infant Apgar scores when spontaneous pushing is used in an upright position. DESIGN:Quasi-experimental study. SETTING:Medical centre in Taichung, Taiwan. PARTICIPANTS:66 ...

    journal_title:Midwifery

    pub_type: 杂志文章

    doi:10.1016/j.midw.2010.08.009

    authors: Chang SC,Chou MM,Lin KC,Lin LC,Lin YL,Kuo SC

    更新日期:2011-12-01 00:00:00

  • Midwives' experiences with mother-infant skin-to-skin contact after a caesarean section: 'fighting an uphill battle'.

    abstract:OBJECTIVE:to explore midwives' experiences and perceptions of skin-to-skin contact between mothers and their healthy full-term infants immediately and during the first day after caesarean section. DESIGN:qualitative interviews with semi-structured questions. SETTING AND PARTICIPANTS:eight midwives at three different ...

    journal_title:Midwifery

    pub_type: 杂志文章

    doi:10.1016/j.midw.2014.08.014

    authors: Zwedberg S,Blomquist J,Sigerstad E

    更新日期:2015-01-01 00:00:00

  • Nutritional requirements in pregnancy: what should the pregnant woman be eating?

    abstract::It is now recognised that 'eating for two' during pregnancy is not a sound practice. However, what should a pregnant woman eat? This article reviews firstly the available literature on the food intake of healthy women producing a healthy baby, and secondly the literature on the calculation of needs from what is known ...

    journal_title:Midwifery

    pub_type: 杂志文章,评审

    doi:10.1016/s0266-6138(05)80153-6

    authors: Hytten F

    更新日期:1990-06-01 00:00:00

  • Episiotomy at the Royal Women's Hospital, Brisbane: a comparison of practices in 1986 and 1992.

    abstract:OBJECTIVE:to determine whether the incidence of perineal outcomes, including episiotomy, at the Royal Women's Hospital (RWH) Brisbane reflected trends reported in the literature. DESIGN:retrospective record review. SETTING:RWH Brisbane. PARTICIPANTS:953 women who delivered vaginally at the RWH in 1986 and 1992. MEA...

    journal_title:Midwifery

    pub_type: 杂志文章

    doi:10.1016/0266-6138(95)90004-7

    authors: East C,Webster J

    更新日期:1995-12-01 00:00:00

  • Midwifery empowerment: National surveys of midwives from Australia, New Zealand and Sweden.

    abstract:BACKGROUND:the predicted midwifery workforce shortages in several countries have serious implications for the care of women during pregnancy, birth and post partum. There are a number of factors known to contribute to midwifery shortages and work attrition. However, midwives assessment of their own professional identit...

    journal_title:Midwifery

    pub_type: 杂志文章

    doi:10.1016/j.midw.2016.06.008

    authors: Hildingsson I,Gamble J,Sidebotham M,Creedy DK,Guilliland K,Dixon L,Pallant J,Fenwick J

    更新日期:2016-09-01 00:00:00

  • Confidence: Fundamental to midwives providing labour care in freestanding midwifery-led units.

    abstract::The aim of this study was to reveal what enables, safeguards and sustains midwives to provide labour care in freestanding midwifery-led units. DESIGN:A hermeneutic phenomenological study was undertaken in the Auckland region of New Zealand. In-depth interviews were conducted with 14 participants: 11 midwives who prov...

    journal_title:Midwifery

    pub_type: 杂志文章

    doi:10.1016/j.midw.2018.08.016

    authors: Hunter M,Smythe E,Spence D

    更新日期:2018-11-01 00:00:00

  • Consumer interest in alternatives to physician-centred hospital birth in Ottawa.

    abstract::A survey of 1109 women who delivered in a hospital or at home in a major city in Canada was conducted. The women were asked to respond to questions concerning the type of health professional they would like to provide reproductive care. The choices they were offered were: midwife, obstetrician, general practitioner or...

    journal_title:Midwifery

    pub_type: 杂志文章

    doi:10.1016/s0266-6138(05)80231-1

    authors: Chamberlain M,Soderstrom B,Kaitell C,Stewart P

    更新日期:1991-06-01 00:00:00

  • Case-loading midwifery in New Zealand: bridging the normal/abnormal divide 'with woman'.

    abstract:OBJECTIVES:to explore the way that case-loading midwives in New Zealand construct midwifery (and in so doing, the concepts of woman and childbirth). This paper illuminates the fundamental features of this construction (continuity and woman-centred care) and discusses this with regard to the role of midwives vis-à-vis n...

    journal_title:Midwifery

    pub_type: 杂志文章

    doi:10.1016/j.midw.2009.09.007

    authors: Lee Davis D,Walker K

    更新日期:2011-02-01 00:00:00

  • Paternal involvement of Singaporean fathers within six months postpartum: A follow-up qualitative study.

    abstract:OBJECTIVE:This study aims to understand paternal involvement within the six-month postpartum period to identify the challenges and needs of Singaporean fathers. DESIGN:The study used a descriptive qualitative design. SETTING AND PARTICIPANTS:This research is a follow-up study of 50 first-time and experienced fathers ...

    journal_title:Midwifery

    pub_type: 杂志文章

    doi:10.1016/j.midw.2018.12.003

    authors: Shorey S,Ang L,Goh ECL,Lopez V

    更新日期:2019-03-01 00:00:00

  • Reflections on an educational intervention to encourage midwives to work in a continuity of care model - exploration and potential solutions.

    abstract:OBJECTIVE:To explore barriers and facilitators for midwives working in a midwifery continuity of carer model, and to assess if an educational intervention could help address some of these barriers, designed to help achieve NHS England's target of majority of women receiving midwifery continuity of carer by March 2021. ...

    journal_title:Midwifery

    pub_type: 杂志文章

    doi:10.1016/j.midw.2020.102733

    authors: Harris JM,Watts K,Page L,Sandall J

    更新日期:2020-09-01 00:00:00

  • The emotional process from diagnosis to birth following a prenatal diagnosis of fetal anomaly: A qualitative study of messages in online discussion boards.

    abstract:OBJECTIVE:to explore written statements found in online discussion boards where parents currently expecting, or with previous experience of expecting, a child with a prenatally diagnosed congenital anomaly communicate about their emotional process from diagnosis to birth. DESIGN:cross-sectional qualitative study of me...

    journal_title:Midwifery

    pub_type: 杂志文章

    doi:10.1016/j.midw.2017.02.010

    authors: Carlsson T,Starke V,Mattsson E

    更新日期:2017-05-01 00:00:00

  • A search for hope and understanding: an analysis of threatened miscarriage internet forums.

    abstract:OBJECTIVE:threatened miscarriage is a common complication of early pregnancy, which increases the risk of miscarriage or pregnancy complications such as premature birth. Currently there is limited evidence to recommend beneficial medical treatments or lifestyle changes, resulting in a 'watchful waiting' approach. The a...

    journal_title:Midwifery

    pub_type: 杂志文章

    doi:10.1016/j.midw.2013.12.011

    authors: Betts D,Dahlen HG,Smith CA

    更新日期:2014-06-01 00:00:00

  • A reconsideration of the factors affecting birth outcome in Pakistani Muslim families in Britain.

    abstract::Over recent years, Bradford has had a consistently high perinatal mortality rate (PNMR), especially amongst its Asian population, 66% of whom originate from Pakistan. There is a high incidence of consanguineous marriages reported among Pakistani and Muslim couples. Often, this observation is used to explain their high...

    journal_title:Midwifery

    pub_type: 杂志文章

    doi:10.1016/s0266-6138(05)80214-1

    authors: Proctor SR,Smith IJ

    更新日期:1992-06-01 00:00:00

  • Disclosure and police reporting of intimate partner violence postpartum: a pilot study.

    abstract:OBJECTIVE:intimate partner violence is a significant health problem. Fear of retaliation and shame may prevent women from telling anyone about the violence. This study investigated the prevalence of disclosure and police reporting of intimate partner violence during the first year postpartum. DESIGN:a prospective long...

    journal_title:Midwifery

    pub_type: 杂志文章

    doi:10.1016/j.midw.2008.01.003

    authors: Rubertsson C,Hildingsson I,Rådestad I

    更新日期:2010-02-01 00:00:00

  • Critical thinking evaluation in reflective writing: Development and testing of Carter Assessment of Critical Thinking in Midwifery (Reflection).

    abstract:OBJECTIVE:develop and test a tool designed for use by academics to evaluate pre-registration midwifery students' critical thinking skills in reflective writing. DESIGN:a descriptive cohort design was used. SAMPLE:a random sample (n = 100) of archived student reflective writings based on a clinical event or experience...

    journal_title:Midwifery

    pub_type: 杂志文章

    doi:10.1016/j.midw.2017.08.003

    authors: Carter AG,Creedy DK,Sidebotham M

    更新日期:2017-11-01 00:00:00

  • What factors influence midwives' decision to perform or avoid episiotomies? A focus group study.

    abstract:OBJECTIVE:to explore midwives' reasons for performing or avoiding episiotomies and motivation to change episiotomy practice in a large tertiary maternity hospital. DESIGN:using purposive sampling, three focus groups were conducted to achieve theme saturation. Open-ended questions elicited personal reasons for performi...

    journal_title:Midwifery

    pub_type: 杂志文章

    doi:10.1016/j.midw.2012.11.017

    authors: Wu LC,Lie D,Malhotra R,Allen JC Jr,Tay JS,Tan TC,Ostbye T

    更新日期:2013-08-01 00:00:00

  • Role of gender in sexual behaviours and response to education in sexually transmitted infections in 17-year-old adolescents.

    abstract:OBJECTIVE:to investigate gender differences in high school students with respect to sexual risk behaviours, and their perceptions of the effect of an educational programme on sexually transmitted infections (STIs). In addition, this study aimed to investigate differences between students in programmes preparing for uni...

    journal_title:Midwifery

    pub_type: 杂志文章

    doi:10.1016/j.midw.2009.07.004

    authors: Rembeck GI,Gunnarsson RK

    更新日期:2011-04-01 00:00:00

  • Parents' experiences of midwifery students providing continuity of care.

    abstract:OBJECTIVE:the aim of this study was to gain knowledge and a deeper understanding of the value attached by parents to relational continuity provided by midwifery students to the woman and her partner during the childbearing process. The focus of the study was on the childbirth and the postnatal home visit. DESIGN/SETTI...

    journal_title:Midwifery

    pub_type: 杂志文章

    doi:10.1016/j.midw.2011.06.006

    authors: Aune I,Dahlberg Msc U,Ingebrigtsen O

    更新日期:2012-08-01 00:00:00

  • Women's successful transition to motherhood during the early postnatal period: A qualitative systematic review of postnatal and midwifery home care literature.

    abstract:OBJECTIVE:To undertake a systematic review of available qualitative research literature to determine what women need to successfully transition to motherhood during the early postnatal period and whether postnatal home care delivered by midwives supports this process. DESIGN:The transition from woman to mother is a si...

    journal_title:Midwifery

    pub_type: 杂志文章

    doi:10.1016/j.midw.2019.102552

    authors: Walker SB,Rossi DM,Sander TM

    更新日期:2019-12-01 00:00:00