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What Diminishes Joy
Published in Eve Shapiro, Joy in Medicine?, 2020
When I went through obstetrics, I didn’t like it. It was very different from the midwifery model. Midwives are much more holistic and they’re much more patient than obstetricians. Midwifery is not as clinical as obstetrics. And, unfortunately, I think my instructor wasn’t great and wasn’t very inspiring. And I didn’t like gynecology. A midwife can just deliver babies and take care of pregnant moms, but an obstetrician/gynecologist (OB/GYN) cannot sustain that. One would have to do both. I then tried pediatrics and loved it.
Midwifery and obstetrics
Published in Roy Palmer, Diana Wetherill, Medicine for Lawyers, 2020
Beverley Gordon, Gareth Thomas
There is no line of distinction between midwifery and obstetrics. In practice, a midwife will assist a woman through normal pregnancy and childbirth while an obstetrician is trained to manage any abnormalities encountered during that time. Midwives must know how to prevent or detect those abnormalities in a skilled and timely manner.1 Equally they have a duty to inform and acknowledge patient choice. Sometimes the balance can be very difficult to achieve.
Disorders of the nervous system
Published in Judy Bothamley, Maureen Boyle, Medical Conditions Affecting Pregnancy and Childbirth, 2020
During the pregnancy it is important that the midwife and woman visit the hospital wards together to try and predict any problems (for example, with mobility aids, toilet and washing facilities, etc.), and ensure a plan is made and resources are accessed before delivery. Consideration of the possible triggers of a relapse (see Box 8.16), could help the midwife to provide an appropriate environment. For example, a hot environment can make symptoms worse. The woman is the expert in her needs, and her suggestions will probably greatly aid her care.
Enhancing interprofessional collaboration and interprofessional education in women’s health
Published in Medical Education Online, 2022
Laura Baecher-Lind, Angela C. Fleming, Rashmi Bhargava, Susan M. Cox, Elise N. Everett, David A. Forstein, Shireen Madani Sims, Helen K. Morgan, Christopher M. Morosky, Celeste S. Royce, Tammy S. Sonn, Jill M. Sutton, Scott C. Graziano
Obstetrics and Gynecology has long been a collaborative specialty. Even well into the 20th century, women sought care from traditional birth attendants for expertise in pregnancy and childbirth rather than from a physician. In the 1940s, nurse midwifery was promoted by public health nurses, social reformers, and obstetricians in order to reduce maternal morbidity and mortality [10]. Expertise in pregnancy and childbirth is now shared between obstetricians and other health-care providers including nurse midwives, family medicine physicians, women’s health nurse practitioners, physician assistants, and doulas. Nearly 13% of women in the USA choose a midwife rather than an obstetrician for their care [11]. Women receiving care with midwives experience fewer interventions in labor and have reduced risks of cesarean section or operative vaginal delivery [12]. It is recognized that increasing access to and learning best practices from nurse midwifery may be a primary strategy to continuing to reduce maternal morbidity and mortality in the USA [11–13]. Team-training, a form of interprofessional education, has been shown to reduce rates of adverse obstetric events including return to the operating room and birth injury [14].
The Medical Training Evaluation Questionnaire (MeTrE-Q): a multidimensional self-report instrument for assessing the quality of midwifery students' education
Published in Journal of Obstetrics and Gynaecology, 2022
Valentina Lucia La Rosa, Michał Ciebiera, Kornelia Zaręba, Enrique Reyes-Muñoz, Tais Marques Cerentini, Fabio Barra, Simone Garzon, Gaetano Riemma, Pasquale De Franciscis, Antonio Simone Laganà, Salvatore Giovanni Vitale
According to the International Confederation of Midwives (ICM), a midwife is ‘a responsible and accountable professional who works in partnership with women to give the necessary support, caring and advice during pregnancy, labour and the postpartum period, to conduct births on the midwife's responsibility and to provide care for the newborn and the infant’ (International Confederation of Midwives Council 2011). In Italy, midwifery education follows the Bologna process. The successful completion of a university course of study in midwifery is required to obtain a designation as a midwife (Doctor of Midwifery). High school graduation is required to enter the course in midwifery. The didactic plan consists of a three-year course of study in midwifery leading to graduation by obtaining a total of 180 credits (each credit is 30 hours for a total of 5400 hours plus 1800 hours of internship) (Decree of the Italian Ministry of Education University and Research 2009). After graduation with a bachelor’s degree, most midwives begin to practice; however, midwives desiring to develop his/her skills further can attend a one-year course (total of 60 credits) or a two-year master course (120 credits) in midwifery and nursing sciences in order to acquire advanced competencies in management, teaching and research. Finally, it is possible to advance to the Bologna Process's third cycle, i.e. the Ph.D. level, and to leadership positions in the National Health Service (Decree of the Italian Ministry of Education University and Research 2009).
Effects of the time of pregnant women’s admission to the labor ward on the labor process and interventions
Published in Health Care for Women International, 2021
Melek Balcik Colak, Hafize Ozturk Can
Basic principles of care given during labor are as follows:Every woman should be provided with one-to-one care at birth.All pregnant women should receive midwifery care and support during labor.Women should be offered birth options at home, in a midwife-led unit, or in a maternity ward. Women with a particular problem may be recommended to give birth in the maternity ward but women still have the right to choose where to give birth.Fathers’ participation in births should be ensured.Women should have normal labor and birth experience as much as possible.Medical interventions should be performed only if the mother’s and/or the baby’s health necessitates them.