Abstract：
OBJECTIVE:to report findings from a study performed prior to the introduction of publicly funded home birth programmes in Victoria, Australia, that investigated the incidence of planned home births attended by paramedics and explored the clinical support they provided as well as the implications for education and practice. METHODS:retrospective data previously collected via an in-field electronic patient care record (VACIS(®)) was provided by a state-wide ambulance service. Cases were identified via a comprehensive filter, manually screened and analysed using SPSS version 19. RESULTS:over a 12-month period paramedics attended 26 intended home births. Eight women were transported in labour, most for failure to progress. Three called the ambulance service and their pre-organised midwife simultaneously. Paramedics were required for a range of complications including post partum haemorrhage, perineal tears and neonatal resuscitation. Procedures performed for mothers included IV therapy and administering pain relief. For infants, paramedics performed intermittent positive pressure ventilation, endotracheal intubation and external cardiac compression. Of the 23 women transferred to hospital, 22 were transported to hospital within 32minutes. CONCLUSIONS:findings highlight that paramedics can provide clinical support, as well as efficient transportation, during perinatal emergencies at planned home births. Cooperative collaboration between ambulance services, privately practising midwives and maternity services to develop guidelines for emergency clinical support and transportation service may minimise risk associated with planned home births. This could also lead to opportunities for interprofessional education between midwives and paramedics.
journal_name
Midwiferyjournal_title
Midwiferyauthors
McLelland G,McKenna L,Morgans A,Smith Kdoi
10.1016/j.midw.2016.02.007subject
Has Abstractpub_date
2016-07-01 00:00:00pages
71-7eissn
0266-6138issn
1532-3099pii
S0266-6138(16)00045-0journal_volume
38pub_type
杂志文章相关文献
MIDWIFERY文献大全abstract：:The use of intravenous artificial oxytocin for augmentation of labour is very common in midwifery care in Sweden. Studies have shown that oxytocin is often administered to women in labour who have no signs of labour dystocia. It was the aim of this study to examine Swedish midwives' views on and experiences of labour ...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2014.12.006
更新日期：2015-03-01 00:00:00
abstract：OBJECTIVE:this analysis aims to explore midwives' insights into the provision of long-acting and permanent methods of contraception (LAPMs) in the selected areas of East Java and Nusa Tenggara Barat (NTB) Provinces, Indonesia. DESIGN:a qualitative study using in-depth interviews was conducted with 12 village midwives ...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2017.07.014
更新日期：2017-10-01 00:00:00
abstract：OBJECTIVES:to identify women's feelings after early contact with their newborn infants in the delivery room, and to identify how health professionals involved in mother and infant care behave in the intrapartum setting. DESIGN:a qualitative approach using semi-structured interviews and observation. Content analysis wa...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2010.03.007
更新日期：2011-08-01 00:00:00
abstract：OBJECTIVE:to evaluate how a history of pregnancy loss in the perinatal period (from 20 weeks of gestation to seven days post partum) affects women during subsequent pregnancies. DESIGN:cross-sectional, descriptive study. SETTING:Istanbul Medical School, Istanbul University between January and October 2009. PARTICIPA...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2012.11.015
更新日期：2013-11-01 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：OBJECTIVE:to explore the factors influencing women's use of birth waiting homes in the Northern Bombali district, Sierra Leone. DESIGN:this was a descriptive exploratory study using qualitative research methodology, which included in depth interviews, key informant interviews, focus group discussions, document review ...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2016.04.013
更新日期：2016-08-01 00:00:00
abstract：BACKGROUND:overweight and obesity are growing public health problems and around 13% of women assigned to antenatal health care (AHC) in Sweden have obesity (Body Mass Index, BMI ≥30). The risk of complications during pregnancy and childbirth increase with increasing BMI. Excessive gestational weight gain (GWG) among ob...
journal_title：Midwifery
pub_type： 临床试验,杂志文章
doi：10.1016/j.midw.2015.03.014
更新日期：2015-07-01 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：OBJECTIVE:to compare data obtained from two sources, service providers and service users, regarding the maternity services in Scotland. DESIGN:an audit of maternity services involving site visits, staff interviews and a cross-sectional survey of service users. PARTICIPANTS:lead professionals in every consultant-led m...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1054/midw.2002.0306
更新日期：2002-06-01 00:00:00
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
更新日期：2005-06-01 00:00:00
abstract：OBJECTIVE:this Australian feasibility study aimed to determine; the willingness of women experiencing a post-date pregnancy to participate in a randomised controlled trial (RCT) of acupressure and compliance with the study protocol. The study also aimed to determine the effect size of the primary outcome in order to ca...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2016.02.020
更新日期：2016-05-01 00:00:00
abstract：OBJECTIVE:The objective of this study is to identify perceived job demands and job resources of newly qualified midwives (NQMs), working in primary midwifery care during their first years in practice. DESIGN/SETTING:A qualitative study, with semi-structured group interviews was conducted. Midwives working less than th...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2018.10.012
更新日期：2019-02-01 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
abstract：OBJECTIVE:to evaluate a pilot project, which used a community participatory approach to introduce birth preparedness in rural Cambodia. DESIGN:a feasibility and outcome evaluation. This included observation, interview, document analysis and costing. SETTING:the project was undertaken in 15 villages linked to five hea...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2008.01.006
更新日期：2009-12-01 00:00:00
abstract：OBJECTIVE:To elucidate midwives' narrated experiences of being supportive to prospective mothers or parents during pregnancy. DESIGN:Phenomenological hermeneutic analysis of transcribed text from seven tape-recorded interviews. SETTING:Midwifery clinics in five health centres in the context of Swedish primary health ...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/s0266-6138(99)90003-7
更新日期：1999-06-01 00:00:00
abstract：AIM:The aim of this exploratory qualitative analysis is to assess the perceptions of risks of cigarette and e-cigarette use during pregnancy. BACKGROUND:An important public health aim is a reduction of smoking at time of delivery (SATOD) from 10.6% to less than 6% by 2022 in the United Kingdom (UK). In order to succes...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2020.102917
更新日期：2020-12-26 00:00:00
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
更新日期：2014-06-01 00:00:00
abstract：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 smal...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/s0266-6138(03)00018-4
更新日期：2003-06-01 00:00:00
abstract：OBJECTIVE:(a) to psychometrically test the Early Labour Experience Questionnaire (ELEQ) among both primi- and multiparous women giving birth in a Swedish setting, and (b) to describe and compare their experiences during early labour in relation to background characteristics. DESIGN:a cross-sectional study. SETTING:a ...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2018.06.008
更新日期：2018-09-01 00:00:00
abstract：OBJECTIVE:to gain an understanding of the experiences of first-time mothers in the early weeks of motherhood in order to elicit what areas of support these women find empowering in easing their adjustment. DESIGN:a grounded theory approach was used. Data were collected through individual in-depth interviews. SETTING:...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2005.07.001
更新日期：2006-06-01 00:00:00
abstract：BACKGROUND:most women stop breast feeding before the recommended 6 months post partum. If health professionals are to improve low breast-feeding duration and exclusivity rates, they need to assess high-risk women reliably and identify predisposing factors amenable to intervention. One possible modifiable variable is br...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2008.04.002
更新日期：2010-02-01 00:00:00
abstract：OBJECTIVE:this qualitative study aimed to document provider and community practices regarding uterotonic use during labour and delivery in Uttar Pradesh, India, as well as the knowledge, attitudes, and values that underlie such use. METHODS, SETTING, AND PARTICIPANTS:a total of 140 in-depth interviews were conducted b...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2012.11.004
更新日期：2013-08-01 00:00:00
abstract：OBJECTIVE:to assess the effect of low haemoglobin (Hb) on the mental and physical health of postnatal women. DESIGN:survey conducted between May 1991 and February 1992. SETTING:maternity unit in district general hospital in the UK. PARTICIPANTS:1010 postnatal women who had delivered a live baby, did not stay in hosp...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/s0266-6138(05)80249-9
更新日期：1994-06-01 00:00:00
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:T...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1054/midw.1999.0189
更新日期：2000-03-01 00:00:00
abstract：OBJECTIVE:To describe fathers' experiences during childbirth. DESIGN:Qualitative method with phenomenological lifeworld approach. A re-enactment interview method, with open-ended questions analysed with a phenomenological method, was used. PARTICIPANTS AND SETTING:10 First-time fathers from two hospitals were intervi...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2010.09.002
更新日期：2011-12-01 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 assess the role of the mother's mother and mothers' previous personal experiences with breastfeeding and childcare in breastfeeding practices. DESIGN AND SETTING:The analysis included 13,774 mother-infant dyads from the French national birth cohort ELFE. Feeding practices were assessed by face-to-face int...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2018.10.020
更新日期：2019-02-01 00:00:00
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
更新日期：2014-06-01 00:00:00
abstract：OBJECTIVE:to evaluate the effectiveness of continuing training for traditional birth attendants (TBAs) on their reproductive knowledge and performance. SETTING:Mzuzu Central Hospital in the northern region of Malawi. PARTICIPANTS AND ANALYSIS: a total of 81 TBAs trained during 2004 and 2006 in Mzuzu, Malawi received c...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2009.12.008
更新日期：2011-10-01 00:00:00
abstract：OBJECTIVE:to compare the labour and birth experiences of women who delivered at home without complications with the experiences of women who delivered in a birth centre without complications. DESIGN:a descriptive study using postal questionnaires at 1-6 months after birth of a consecutive sample of postpartum women. ...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2005.12.004
更新日期：2006-12-01 00:00:00
