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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.
Caesarean section
Published in Michael S. Marsch, Janet M. Rennie, Phillipa A. Groves, Clinical Protocols in Labour, 2020
Michael S. Marsch, Janet M. Rennie, Phillipa A. Groves
The midwife is responsible for the provision of care to the mother and baby pre- and postoperatively, including the documentation. the midwife has a responsibility to promote and provide continuity of care, a safe environment and ensure that the psychological and physical needs of the mother and baby are met. the midwife should undertake the responsibility for the preparation of the mother preoperatively, take the baby in theatre and provide postoperative care for them both. in the event of a general anaesthetic, she should remain with the mother until she is anaesthetized.
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).
Strategies to increase uptake of maternal pertussis vaccination
Published in Expert Review of Vaccines, 2021
Kavin M. Patel, Laia Vazquez Guillamet, Lauren Pischel, Mallory K. Ellingson, Azucena Bardají, Saad B. Omer
Secondly, there remains a significant shortage of studies conducted evaluating interventions targeting midwives and/or home birth. This knowledge gap is crucial to address as the provider of prenatal care and/or setting of childbirth varies in different countries around the world. For example, in the diverse countries of Rwanda, India, Vietnam, and Colombia, a nurse or midwife rather than a physician provided prenatal care 92, 50, 46 and 86% of the time, and the setting of childbirth was at home rather than at the hospital 47, 58, 20 and 7% of the time [82]. Women in these countries may prefer home birth over hospital birth for a number of reasons, including cultural or religious reasons, dissatisfaction or distrust of health institutions and/or a desire to retain greater control over the birthing process [83,84]. For others it may be a default option given lack of transportation, lack of financial resources or lack of a nearby maternity services [83,84]. Many pregnant women may also prefer to retain a midwife to oversee their birthing process either in a hospital setting or at home. It is important to understand the most effective interventions that can be implemented among midwives and in a medically austere home environment, as many of these interventions may vary from those identified in this review, most of which were conducted in the U.S. where physicians provide the vast majority of prenatal care and oversee almost 99% of childbirths in the hospital setting [85].
Stillbirth and risk factors: an evaluation of Irish and UK websites
Published in Journal of Communication in Healthcare, 2021
Tamara Escañuela Sánchez, Sarah Meaney, Keelin O’Donoghue
This study was focused on websites targeted at pregnant women in the Republic of Ireland and the UK, based on the similarities among the antenatal care systems of both countries. In Ireland, all pregnant women and their babies are entitled to access a free programme of care with their General Practitioners (GP) and antenatal hospital services under the Maternity and Infant Care Scheme [32]. This programme includes eleven visits during a woman’s pregnancy, which are alternated between visits to the maternity unit/hospital and GP. The care of the women is midwifery-led in cases of normal risk, and a combination of midwifery and obstetrician care is provided in higher risk cases [33]. Similarly, the National Health Service in the UK offers 10 pregnancy appointments to all pregnant women. The care is also midwifery-led combined with GP appointments in normal risk cases, and obstetrician-led care in higher risk cases.