Informed Choice In Maternity Care


Informed Choice In Maternity Care
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Informed Choice In Maternity Care


Informed Choice In Maternity Care
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Author : Mavis Kirkham
language : en
Publisher:
Release Date : 2004

Informed Choice In Maternity Care written by Mavis Kirkham and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2004 with Informed consent (Medical law) categories.


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.



Informed Choice In Maternity Care


Informed Choice In Maternity Care
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Author : Mavis Kirkham
language : en
Publisher:
Release Date : 2001

Informed Choice In Maternity Care written by Mavis Kirkham and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2001 with Commerce categories.


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.



E Book Risk And Choice In Maternity Care


E Book Risk And Choice In Maternity Care
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Author : Andrew Symon
language : en
Publisher: Elsevier Health Sciences
Release Date : 2006-11-16

E Book Risk And Choice In Maternity Care written by Andrew Symon and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006-11-16 with Medical categories.


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.



Choice Control And Contemporary Childbirth


Choice Control And Contemporary Childbirth
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Author : Julie Jomeen
language : en
Publisher: Routledge
Release Date : 2019-01-22

Choice Control And Contemporary Childbirth written by Julie Jomeen and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-01-22 with Medical categories.


Current maternity policy advocates choice and control for women in maternity care, and promotes women as active childbirth consumers and decision-makers. However, evidence that women receive true choice within contemporary maternity services is lacking, and continued and pervasive barriers to choice continue to have profound consequences for many. Choice, Control and Contemporary Childbirth explores the narrative childbirth experiences of a group of women, outlining current policy and providing an overview of the relevant discourses to which women are exposed when making choices for maternity care. This book is unique in presenting narratives that reveal varying identities for women across their maternity exerience, illustrating how maternity choices are simulataneously promised and constrained. It provides practitioners, service providers and policymakers in maternity care, and all those with an interest in birth provision, with profound insights into both women's experiences of childbirth and how choices can be better facilitated in future. 'Maternal choice and control are a challenge in contemporary society, with the changing demography of the population, the rising birth rate and financial constraints. Collecting this diverse information in one publication is timely and an invaluable resource for the practising and academically active midwives, obstetricians and health service managers.' - From the Foreword by Tina Lavender



Birth Settings In America


Birth Settings In America
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Author : National Academies of Sciences, Engineering, and Medicine
language : en
Publisher: National Academies Press
Release Date : 2020-05-01

Birth Settings In America written by National Academies of Sciences, Engineering, and Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-05-01 with Social Science categories.


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.



Home Birth


Home Birth
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Author : Mary L. Nolan
language : en
Publisher: Routledge
Release Date : 2010-11-08

Home Birth written by Mary L. Nolan and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-11-08 with Health & Fitness categories.


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.



The New Midwifery


The New Midwifery
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Author : Lesley Ann Page
language : en
Publisher: Elsevier Health Sciences
Release Date : 2006-10-06

The New Midwifery written by Lesley Ann Page and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006-10-06 with Medical categories.


The eBook version of this title gives you access to the complete book content electronically*. Evolve eBooks allows you to quickly search the entire book, make notes, add highlights, and study more efficiently. Buying other Evolve eBooks titles makes your learning experience even better: all of the eBooks will work together on your electronic "bookshelf", so that you can search across your entire library of Midwifery eBooks. *Please note that this version is the eBook only and does not include the printed textbook. Alternatively, you can buy the Text and Evolve eBooks Package (which gives you the printed book plus the eBook). Please scroll down to our Related Titles section to find this title. "I still have the confidence of that whole period. And I think that will stay with me for the rest of my life. Definitely a great sense of triumph really. It’s incredible..."Being a midwife today requires not only good clinical skills but also a broad understanding of the social and emotional changes a woman goes through before and after birth. The New Midwifery Second Edition looks at combining scientific knowledge with the more intangible skills needed in sensitive communication to provide the best possible care for the mother and her family."There was a kind of silence in the relationship, a stillness which was very important. And we’d done all the talking in the build up. So the talking was done. I felt confident that she [the midwife] knew where I was coming from and vice versa. It was like we’d done all our dress rehearsal – what if, what if. And on the day there was nothing left to say really. So it just felt very calm, and I think that was the most important thing."The second edition of this celebrated text explores vividly the various skills and approaches that lead to successful midwifery practice and uses care stories to bring these to life.Building on a thorough grounding of theory and research evidence, The New Midwifery will enable all midwives to practise with a more effective range of skills and, as these real-life quotes from mothers bear out, provide unique professional support before, during and after birth."I think we had a really good relationship actually. It was more of a friend relationship, but a friend you could trust in – a professional friend you could rely on." Provides a refreshingly new approach to key areas of midwifery practice in a way that brings practice to life. Illustrates and supports the fundamental changes currently taking place in midwifery around the world. Builds on the most up-to-date, evidence-based research to suggest guidelines for best practices. Explores the impact of parenthood and offers strategies for effectively supporting individuals during this period of transition. Includes "care stories" - case studies that highlight positive midwifery care and successful childbirth experiences. Offers contrasting stories from around the world, illustrating how maternity care in industrialized society differs from that in a non-industrial or third world environment. Provides up-to-date research and reference material.



Who Recommendations For Augmentation Of Labour


Who Recommendations For Augmentation Of Labour
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Author : World Health Organization
language : en
Publisher: World Health Organization
Release Date : 2014

Who Recommendations For Augmentation Of Labour written by World Health Organization and has been published by World Health Organization this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014 with Health & Fitness categories.


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.



Trends In Midwifery Research


Trends In Midwifery Research
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Author : Randell E. Balin
language : en
Publisher: Nova Publishers
Release Date : 2005

Trends In Midwifery Research written by Randell E. Balin and has been published by Nova Publishers this book supported file pdf, txt, epub, kindle and other format this book has been release on 2005 with Maternal and infant welfare categories.


Midwifery is used to describe a number of different types of health practitioners, other than doctors, who provide prenatal care to expecting mothers, attend the birth of the infant and provide postnatal care to the mother and infant. Nurse-midwives also provide gynaecological care to women of all ages. Practitioners of midwifery are known as midwives, a term used in reference to both women and men (the term means "with the woman"). Most are independent practitioners who work with obstetricians when the need arises. They usually deal with normal births only but are trained to recognise and deal with deviation from the norm. If something abnormal is discovered during prenatal care, the client is sent to an obstetrician. Other midwives will deal with abnormal births, including breech birth. There are two main divisions of modern midwifery in the United States, nurse-midwives and direct-entry midwives. In the United Kingdom midwives are practitioners in their own right, and take responsibility for the antenatal, intrapartum and immediate postnatal care of women. In many parts of the world, midwives delivery far more children than doctors. This new book brings together the latest research on this ever-changing field.



Who Recommendations On Intrapartum Care For A Positive Childbirth Experience


Who Recommendations On Intrapartum Care For A Positive Childbirth Experience
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Author : World Health Organization
language : en
Publisher: World Health Organization
Release Date : 2018-06-25

Who Recommendations On Intrapartum Care For A Positive Childbirth Experience written by World Health Organization and has been published by World Health Organization this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-06-25 with Medical categories.


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.