Abstract:
OBJECTIVE:To describe the views of women using one team midwifery scheme and compare them with women using more traditional models of midwifery care. DESIGN:Postal and interview survey of 1482 consecutive women delivering over a six-month period. SETTING:Hospital and community in the South-East of England. SAMPLES:Three groups of women were surveyed: (1) the Study Group consisted of women who delivered either at Hospital A or at home, and who received their antenatal, intrapartum and postnatal care from one of seven midwifery teams; (2) Comparison Group A consisted of women who received their antenatal and postnatal care from traditionally organised community midwives who were delivered by hospital midwives at Hospital A; and (3) Comparison Group B consisted of women who received their antenatal and postnatal care from traditionally organised community midwives who were delivered by hospital midwives at Hospital B. METHODS:Postal questionnaires and interviews, and an audit of midwife contacts. MAIN OUTCOME MEASURES:Process of care and satisfaction with care. FINDINGS:88% of women responded. Women cared for under the team scheme exhibited no overall advantages in terms of satisfaction with various aspects of their care. Women cared for under the traditional model of care were the most satisfied with antenatal care. They had reported the highest percentage of named midwives, the highest continuity of carer antenatally and were the most likely to say that they had formed a relationship with their midwives. The majority of women who had met their delivering midwives previously did report that it made them feel more at ease, however, the majority of those who had not met their delivering midwives previously reported that it did not affect them one way or the other. CONCLUSION:In the team scheme, attempts to increase continuity of carer throughout pregnancy, labour and the postnatal period appear to have occurred at the expense of continuity in the ante- and postnatal periods. From the women's perspective the findings of this study support the view that the smaller the size of midwifery teams the better. The current focus on continuity throughout pregnancy and childbirth and the postnatal period may be misguided, if it is provided at the expense of continuity of carer in pregnancy and the postnatal period.
journal_name
Midwiferyjournal_title
Midwiferyauthors
Farquhar M,Camilleri-Ferrante C,Todd Cdoi
10.1054/midw.1999.0189subject
Has Abstractpub_date
2000-03-01 00:00:00pages
35-47issue
1eissn
0266-6138issn
1532-3099pii
S0266-6138(99)90189-4journal_volume
16pub_type
杂志文章相关文献
MIDWIFERY文献大全abstract:BACKGROUND:Little is known regarding the role of the midwife in recruiting mothers to participate in scientific research. OBJECTIVE:To describe ethical aspects of participation of midwives in placental perfusion studies. DESIGN:Qualitative study involving thematic interviews and thematic content analysis. SETTING:Tw...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2011.02.003
更新日期:2012-02-01 00:00:00
abstract:OBJECTIVE:to explore the perceptions of primiparas on the contents, delivery and personal impact of postnatal psychoeducation programme. DESIGN AND SETTINGS:a descriptive qualitative study was conducted in a public tertiary hospital in Singapore in 2013. PARTICIPANTS:18 primiparas who were able to read and speak Engl...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2014.08.001
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:this study investigates the self-reported psychosocial health and well-being of obstetricians and midwives in Denmark during the most recent four weeks as well as their recall of their health and well-being immediately following their exposure to a traumatic childbirth. MATERIAL AND METHODS:a 2012 national s...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2016.07.013
更新日期:2016-10-01 00:00:00
abstract:BACKGROUND:rural auxiliary midwives are central to clinical maternal care in Mali. However, little is known about their social role within the villages they serve. Exploring the social connectedness of midwives in their communities can reveal areas in which they need additional support, and ways they could benefit thei...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2013.03.002
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:To identify factors influencing the use of birth pools. DESIGN:Online discussion groups and semi-structured interviews, analysed thematically. SETTING:United Kingdom. PARTICIPANTS:85 women and 21 midwives took part in online discussion groups; 14 medical staff participated in interviews. FINDINGS:Factors ...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2019.102554
更新日期:2019-12-01 00:00:00
abstract:OBJECTIVE:to review all published papers examining medical diagnosis of Ogilvie's syndrome and pregnancy with a view to assessing the implications of the diagnosis and the condition itself for childbearing women, midwives and medical practitioners. DESIGN:systematic review. SEARCH STRATEGY:MEDLINE, CINAHL, EMBASE, We...
journal_title:Midwifery
pub_type: 杂志文章,评审
doi:10.1016/j.midw.2008.09.003
更新日期:2010-12-01 00:00:00
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
更新日期:2017-05-01 00:00:00
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
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVES:to gain an insight into how health professionals in the maternity services define evidence and how they perceive different types of evidence are valued in maternity care. DESIGN:using a qualitative approach data were collected by semi-structured interviews: the content of each was analysed thematically. SE...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1054/midw.2001.0286
更新日期:2001-12-01 00:00:00
abstract:OBJECTIVE:To examine the difference, if any, between midwives' care and obstetricians' care in the circadian pattern of the hour of birth in spontaneous labour and delivery. DESIGN:A descriptive study comparing the circadian pattern of the hour of birth between women cared for by a midwife or an obstetrician. SETTING...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1054/midw.1999.0210
更新日期:2000-09-01 00:00:00
abstract:OBJECTIVE:reduction of physical activity (PA) during pregnancy is common but undesirable, as it is associated with negative outcomes, including excessive gestational weight gain. Our objective was to explore changes in five types of activity that occurred during pregnancy and the behavioural determinants of the reporte...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2017.05.007
更新日期:2017-08-01 00:00:00
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
更新日期:2012-08-01 00:00:00
abstract:BACKGROUND:Early initiation of breastfeeding and exclusive breastfeeding can reduce infant mortality. Breastfeeding support interventions such as counselling may improve adherence to recommended practices. However, it is not known if these interventions work at the population level. OBJECTIVE:The aim of this study was...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2019.102601
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVE:to explore research knowledge about lesbian women's experiences with health-care providers in the birthing context. METHOD:a systematic search for relevant qualitative studies in selected databases identified 13 articles of sufficient quality. The findings were synthesized using a meta-ethnographic approach ...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2012.06.008
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVE:to investigate the agreement in Swedish childless couples' reproductive intentions, in terms of (1) expecting to have children or not, (2) time point for a first child, and (3) number of children, in relation to age. DESIGN:cross-sectional data from the Swedish Young Adult Panel Study in 2009. SETTING:Swede...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2013.10.019
更新日期:2014-03-01 00:00:00
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
更新日期:2010-06-01 00:00:00
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
更新日期:2019-12-01 00:00:00
abstract:INTRODUCTION AND OBJECTIVE:The novel coronavirus outbreak has caused substantial changes in societal norms as well as adjustments in health systems worldwide. To date the impact of these pandemic-related variations has yet to be fully understood also in the field of maternal health for which continuity of care is a pro...
journal_title:Midwifery
pub_type: 杂志文章,评审
doi:10.1016/j.midw.2020.102916
更新日期:2020-12-26 00:00:00
abstract:BACKGROUND:Although obstetrical interventions are used commonly in Turkey, there is no standardized evidence-based assessment tool to evaluate maternity care outcomes. The Optimality Index-US (OI-US) is an evidence-based tool that was developed for the purpose of measuring aggregate perinatal care processes and outcome...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2015.08.003
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:Workplace violence directed at registered midwives in the maternity setting has been a recognised issue since the early 1990s. More recently it has become evident that midwifery students are also victims of bullying and harassment whilst on clinical placement. Due to the short and long-term impacts this has ...
journal_title:Midwifery
pub_type: 杂志文章,评审
doi:10.1016/j.midw.2020.102819
更新日期:2020-11-01 00:00:00
abstract::1994 is the International Year of the Family. In this paper the background to the instigation of the Year, its raison d'etre and how it is hoped this will be achieved are described. Whether the family will be any better off because of the Year can only be judged in the future but at least this Year will have brought t...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/0266-6138(94)90003-5
更新日期:1994-03-01 00:00:00
abstract:BACKGROUND:there is growing evidence that fathers also experience post partum depression (PPD). However, paternal PPD has been less studied than maternal PPD. Very few studies have investigated PPD in first-time fathers from northwestern China. OBJECTIVE:the purpose of this study was to investigate the occurrence and ...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2016.01.005
更新日期:2016-04-01 00:00:00
abstract:OBJECTIVE:To describe African American and White women's perceptions of weight gain, physical activity, and nutrition during pregnancy and to explore differences in perceptions by race. DESIGN:Qualitative interview study. SETTING:Two Ob/Gyn clinics in South Carolina, USA. PARTICIPANTS:Thirty pregnant women (15 Afric...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2015.11.005
更新日期:2016-03-01 00:00:00
abstract:PURPOSE:To explore the priorities and strategies midwives in a labour ward use in their communication with primiparous women who seek contact in the early phase of labour. DESIGN:A qualitative study using focus groups. SETTING:Norway. PARTICIPANTS:18 Midwives. FINDINGS:Five themes that seemed to constitute the key ...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2011.01.006
更新日期:2011-12-01 00:00:00
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
更新日期:2011-12-01 00:00:00
abstract:OBJECTIVE:to gain a deeper understanding of the experiences of childbearing in women with intellectual disabililty (ID). DESIGN/SETTING:ten women with ID, who had given birth within seven years, were interviewed twice and data were analysed with content analysis. FINDINGS:the overarching theme was: Struggling for mot...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2012.06.014
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVE:childbearing women and their midwives differ in their diagnoses of the onset of labour. The symptoms women use to describe the onset of labour are associated with the process of labour. Perinatal factors and women's attitudes may be associated with the administration of epidural analgesia. Our study aimed to ...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2012.08.006
更新日期:2013-04-01 00:00:00
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
更新日期:1995-12-01 00:00:00
abstract:BACKGROUND:in Western countries, caesarean section rates are increasing at an alarming rate. This trend has implications for women׳s health and calls into question the use of pathogenesis to frame maternity services. The theory of salutogenesis offers an alternative as it focuses on health rather than illness. Sense of...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2015.11.017
更新日期:2016-03-01 00:00:00
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
更新日期:2016-03-01 00:00:00