Risk And Choice In Maternity Care
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Risk And Choice In Maternity Care
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Author : Andrew Symon
language : en
Publisher: Elsevier Health Sciences
Release Date : 2006-11-16
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.
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.
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
Maternity Services And Policy In An International Context
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Author : Patricia Kennedy
language : en
Publisher: Routledge
Release Date : 2015-01-09
Maternity Services And Policy In An International Context written by Patricia Kennedy and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-01-09 with Political Science categories.
This book is the first comprehensive international overview of maternity services. Drawing on concepts of risk and social citizenship, it explores the relationship between welfare regimes and health policy by comparing and contrasting provision for childbearing women. Each substantive chapter focuses on a different country, presenting detailed contextual information on health care provision, maternity interventions and birth outcomes there. They discuss key issues such as birth rates and fertility patterns, the role of patient choice, attitudes to place of birth and maternity entitlements among others, and the countries covered represent diverse welfare regimes, including Ireland, Scotland, Sweden, the Netherlands, Germany, Italy, Japan, the United States, Canada, Australia and New Zealand. An extended introduction and a conclusion draw the book together and place it in the context of the literature on comparative welfare regimes. It is an important reference for students and academics interested in comparative social policy, health services research, and maternity services and policies.
A Reassessment Of The Concept Of Reproductive Risk In Maternity Care And Family Planning Services
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Author : Judith Rooks
language : en
Publisher:
Release Date : 1990
A Reassessment Of The Concept Of Reproductive Risk In Maternity Care And Family Planning Services written by Judith Rooks and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1990 with Pregnant women categories.
Conference proceedings on reassessing the concept of reproductive risk in maternity care and family planning (FP) services cover the following topics: assessment of the history of the concept of reproductive risk, the epidemiology of screening, the implementation of the risk approach in maternity care in Western countries and in poorer countries and in FP, the possible effects on the health care system, costs, and risk benefit calculations. Other risk approaches and ethical considerations are discussed. The conclusions pertain to costs and allocation of resources, information and outreach, objectives, predictive ability, and risk assessment in FP. Recommendations are made. Appendixes include a discussion of issues involved in developing a reproductive risk assessment instrument and scoring system, and the WHO risk approach in maternal and child health and FP. The results show that the application of risk assessment warrants caution and usefulness in service delivery is questionable. The weaknesses and negative effects need further investigation. Risk-based systems tend toward skewed resource allocation. Equal access to care, freedom of choice, and personal autonomy are jeopardized. Risk assessment can accurately predict for a group, but not for individuals. Risk assessment cannot be refined as it is an instrument directed toward probabilities. The risk approach must be evaluated within a functioning health care system. Screening has been important in developed countries, but integration into developing country health care systems may be appropriate only when basic health care is in place and in urban and periurban communities. Recommendations are 1) to prevent problems and detect rather than predict actual complications when no effective maternity care is available; to provide effective care to all women, not just those at high risk; and to provide transportation to adequate facilities for women with complications. 2) All persons attending births should be trained to handle emergencies. 3) Risk assessment has no value unless basic reproductive health services are in place. Cost benefit analysis precludes implementation. Alternative strategies are available to increase contact of women with the health care system, to improve public education strategies, to improve the quality of traditional birth attendants, and to improve the quality of existing services. Women's ideas about what is "risk" and the cost and benefits of a risk-based system to women needs to be solicited. All bad outcomes are not preventable. Copies of this document can be obtained from The Population Council, One Dag Hammarskjold Plaza, NY, NY 10017. Tel: (212) 339-0625, e-mail vkallianes@popcouncil.org.
An Update On Research Issues In The Assessment Of Birth Settings
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Author : National Research Council
language : en
Publisher: National Academies Press
Release Date : 2013-09-23
An Update On Research Issues In The Assessment Of Birth Settings written by National Research Council 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 2013-09-23 with Medical categories.
More than 30 years ago, the Institute of Medicine (IOM) and the National Research Council (NRC) convened a committee to determine methodologies and research needed to evaluate childbirth settings in the United States. The committee members reported their findings and recommendations in a consensus report, Research Issues in the Assessment of Birth Settings (IOM and NRC, 1982). An Update on Research Issues in the Assessment of Birth Settings is the summary of a workshop convened in March, 2013, to review updates to the 1982 report. Health care providers, researchers, government officials, and other experts from midwifery, nursing, obstetric medicine, neonatal medicine, public health, social science, and related fields presented and discussed research findings that advance our understanding of the effects of maternal care services in different birth settings on labor, clinical and other birth procedures, and birth outcomes. These settings include conventional hospital labor and delivery wards, birth centers, and home births. This report identifies datasets and relevant research literature that may inform a future ad hoc consensus study to address these concerns.
Antenatal Disorders For The Mrcog And Beyond
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Author : Dilly Anumba
language : en
Publisher: Cambridge University Press
Release Date : 2016-08-18
Antenatal Disorders For The Mrcog And Beyond written by Dilly Anumba and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-08-18 with Medical categories.
Fully up to date, this new edition covers all aspects of care for women developing disorders during pregnancy.
Birthing Outside The System
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Author : Hannah G. Dahlen
language : en
Publisher:
Release Date : 2021-06-30
Birthing Outside The System written by Hannah G. Dahlen and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-06-30 with Maternal health services categories.
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.
Oxford Handbook Of Midwifery
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Author : Maggie Evans
language : en
Publisher: Oxford University Press
Release Date : 2011-07-28
Oxford Handbook Of Midwifery written by Maggie Evans and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-07-28 with Medical categories.
This unique and bestselling handbook provides midwives with everything they need for successful practice. It contains concise, practical and expert guidance on all aspects of the midwife's role, from pre-conceptual advice to the final post-natal examination of the mother and baby.
Theory For Midwifery Practice
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Author : Rosamund Bryar
language : en
Publisher: Bloomsbury Publishing
Release Date : 2011-04-19
Theory For Midwifery Practice written by Rosamund Bryar and has been published by Bloomsbury Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-04-19 with Medical categories.
This new edition of a highly regarded classic midwifery text encourages critical thinking about the art and science of midwifery. Promoting the idea that thinking directly affects practice, it offers a clear explanation of the concepts, theories and models that shape effective evidence-informed care for women. This insightful book challenges the reader to reconsider the knowledge at the heart of your own midwifery practice. It is the essential text on midwifery's growing theoretical framework for students and practitioners alike. New to this Edition: - Extensively updated and reworked edited collection - New exercises: undergraduate and postgraduate specific activities highlight the significance of the theoretical framework to everyday practice