It is the midwife’s responsibility to demonstrate self-awareness and understand their own fears and anxieties around providing care during physiological third stage of labour and identify ways to improve their knowledge, skills and confidence. Midwives must understand normal physiology to comprehend the influence their own practice can have on the delicate interplay of hormones and physiological responses during the third stage. The maternal body has an array of physiological apparatus to protect the mother against post-partum haemorrhage (PPH), yet active management of labour is still the most preferred way of delivering care during the third stage of labour, despite a lack of good-quality research evidence. Midwives should endeavour to provide a birthing space which protects the mother, becoming her midwifery guardian and supporting her internal power to believe in her body’s ability to birth her own placenta without complications.
{"title":"A Positive Approach to Physiological Third Stage of Labour: Optimising Psychophysiological Care","authors":"Sophie Layfield","doi":"10.55975/wwns2748","DOIUrl":"https://doi.org/10.55975/wwns2748","url":null,"abstract":"It is the midwife’s responsibility to demonstrate self-awareness and understand their own fears and anxieties around providing care during physiological third stage of labour and identify ways to improve their knowledge, skills and confidence. Midwives must understand normal physiology to comprehend the influence their own practice can have on the delicate interplay of hormones and physiological responses during the third stage. The maternal body has an array of physiological apparatus to protect the mother against post-partum haemorrhage (PPH), yet active management of labour is still the most preferred way of delivering care during the third stage of labour, despite a lack of good-quality research evidence. Midwives should endeavour to provide a birthing space which protects the mother, becoming her midwifery guardian and supporting her internal power to believe in her body’s ability to birth her own placenta without complications.","PeriodicalId":35678,"journal":{"name":"Practising Midwife","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90143896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sára Irlanda, Dr Mo Tabib, Dr Benjamin Clubbs Coldron
Vaginal birth after c-section (VBAC) can be physically and mentally challenging. This paper intends to highlight the importance of humanistic care and human rights-based approaches when women are preparing for VBAC. The discussion stems from the personal experience of the primary author and aims to add to the debate, especially from the perspective of women with lived experience of VBAC.
{"title":"Human Rights In Childbearing 7. The Role of (Mid)Wife: The Challenges of Positive Birth Experience During Vbac","authors":"Sára Irlanda, Dr Mo Tabib, Dr Benjamin Clubbs Coldron","doi":"10.55975/ywsn4706","DOIUrl":"https://doi.org/10.55975/ywsn4706","url":null,"abstract":"Vaginal birth after c-section (VBAC) can be physically and mentally challenging. This paper intends to highlight the importance of humanistic care and human rights-based approaches when women are preparing for VBAC. The discussion stems from the personal experience of the primary author and aims to add to the debate, especially from the perspective of women with lived experience of VBAC.","PeriodicalId":35678,"journal":{"name":"Practising Midwife","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73084688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Understanding Research is a series of articles aimed at dispelling the myths around research theories and practices and exploring just what is meant by the different terminologies encountered when reading and using research articles. On alternate months we explore different aspects of research to make this knowledge accessible and relevant. It forms part of the Evidence Series, and aims to help midwives understand, use and engage with research and consider how research matters to their practice. Originally published in The Practising Midwife September, 2019.
{"title":"Understanding Research 2. Theoretical And Conceptual Frameworks And Their Application To Midwifery Knowledge And Research","authors":"Becky Baker","doi":"10.55975/uefe1952","DOIUrl":"https://doi.org/10.55975/uefe1952","url":null,"abstract":"Understanding Research is a series of articles aimed at dispelling the myths around research theories and practices and exploring just what is meant by the different terminologies encountered when reading and using research articles. On alternate months we explore different aspects of research to make this knowledge accessible and relevant. It forms part of the Evidence Series, and aims to help midwives understand, use and engage with research and consider how research matters to their practice. Originally published in The Practising Midwife September, 2019.","PeriodicalId":35678,"journal":{"name":"Practising Midwife","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135131017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Childbirth education (CBE) and health promotion is an integral part of the midwife’s role. With today’s shorter hospital stays for women, the increasing workload and diminished midwifery workforce, women are at risk of receiving inadequate postnatal care and education. The National Centre for Clinical Excellence says “Postnatal care has long been regarded as a ‘Cinderella service’ where in comparison with some other European countries, provision is scanty and inadequate”.1
{"title":"Exploring Caesarean Birth 2: The Midwife’s Responsibility In Antenatal And Postnatal Education","authors":"Leonie Rastas","doi":"10.55975/ptxt2727","DOIUrl":"https://doi.org/10.55975/ptxt2727","url":null,"abstract":"Childbirth education (CBE) and health promotion is an integral part of the midwife’s role. With today’s shorter hospital stays for women, the increasing workload and diminished midwifery workforce, women are at risk of receiving inadequate postnatal care and education. The National Centre for Clinical Excellence says “Postnatal care has long been regarded as a ‘Cinderella service’ where in comparison with some other European countries, provision is scanty and inadequate”.1","PeriodicalId":35678,"journal":{"name":"Practising Midwife","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73707098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This reflection will critically evaluate women’s perceptions of safety, by focusing on an episode of latent phase labour care.1
这一反思将批判性地评价妇女对安全的看法，重点关注潜伏期分娩护理1
{"title":"A Reflection on Perceptions of Safety During the Latent Phase of Labour","authors":"Esther Byrne","doi":"10.55975/bzwf6978","DOIUrl":"https://doi.org/10.55975/bzwf6978","url":null,"abstract":"This reflection will critically evaluate women’s perceptions of safety, by focusing on an episode of latent phase labour care.1","PeriodicalId":35678,"journal":{"name":"Practising Midwife","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87944476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The current statistics of the incarceration of Aboriginal and Torres Strait Islander women and the subsequent impact on their health and well-being are appalling. When referring to the health and wellbeing of our mob it must be recognised and understood that connection to land, culture, ancestry, kinship and community play a vital role in our physical, social and emotional health and wellbeing. This calls for culturally-safe models of care to support and advocate for these women in custody in collaboration with Aboriginal Community Controlled Health Organisations (ACCHOs) to address health and social and emotional wellbeing (SEWB), and to break the cycle of incarceration.1
{"title":"SUPPORTING OUR SISTAS INSIDE: ANFPP WORKING WITH WOMEN IN CUSTODY","authors":"Rachel Whiting","doi":"10.55975/vauw4536","DOIUrl":"https://doi.org/10.55975/vauw4536","url":null,"abstract":"The current statistics of the incarceration of Aboriginal and Torres Strait Islander women and the subsequent impact on their health and well-being are appalling. When referring to the health and wellbeing of our mob it must be recognised and understood that connection to land, culture, ancestry, kinship and community play a vital role in our physical, social and emotional health and wellbeing. This calls for culturally-safe models of care to support and advocate for these women in custody in collaboration with Aboriginal Community Controlled Health Organisations (ACCHOs) to address health and social and emotional wellbeing (SEWB), and to break the cycle of incarceration.1","PeriodicalId":35678,"journal":{"name":"Practising Midwife","volume":"632 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76810814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The roles of doulas and midwives converge in some areas, yet their divergences are vast. Transitioning from doula to midwife has given me an insider’s view, enabling me to reflect on the advantages and challenges of these vocations and the benefits of merging these skills. Providing continuity and woman-centred care in an emotionally-safe environment is a skill both doulas and midwives can develop. However, the variations in responsibilities and regulations can create discord, interfering with a woman’s experience, autonomy in decision-making and empowerment. When women’s voices are heard and philosophies align, doulas’ and midwives’ skills in supporting physiological birth are protective against over-medicalisation and iatrogenic trauma.
{"title":"TRANSFORMING FROM DOULA TO MIDWIFE","authors":"Caitlin Siboulet","doi":"10.55975/debr2802","DOIUrl":"https://doi.org/10.55975/debr2802","url":null,"abstract":"The roles of doulas and midwives converge in some areas, yet their divergences are vast. Transitioning from doula to midwife has given me an insider’s view, enabling me to reflect on the advantages and challenges of these vocations and the benefits of merging these skills. Providing continuity and woman-centred care in an emotionally-safe environment is a skill both doulas and midwives can develop. However, the variations in responsibilities and regulations can create discord, interfering with a woman’s experience, autonomy in decision-making and empowerment. When women’s voices are heard and philosophies align, doulas’ and midwives’ skills in supporting physiological birth are protective against over-medicalisation and iatrogenic trauma.","PeriodicalId":35678,"journal":{"name":"Practising Midwife","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82268165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A midwifery degree consists of an even mix between theoretical load and student placement in an appropriate facility.1 I spent two years with a private practising midwife, completing my entire antenatal and postnatal placement hours with her, as well as most of my continuity of care experiences. In this article, I am taking you on my journey through long-term student placement with a private practising midwife.
{"title":"Learning ‘With Woman’ Alongside a Privately Practising Midwife","authors":"Edda Hurley Eckhardt","doi":"10.55975/szoq8787","DOIUrl":"https://doi.org/10.55975/szoq8787","url":null,"abstract":"A midwifery degree consists of an even mix between theoretical load and student placement in an appropriate facility.1 I spent two years with a private practising midwife, completing my entire antenatal and postnatal placement hours with her, as well as most of my continuity of care experiences. In this article, I am taking you on my journey through long-term student placement with a private practising midwife.","PeriodicalId":35678,"journal":{"name":"Practising Midwife","volume":"70 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80300404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Since the 19th Century, hospital has been considered the default place of birth for Australian women, with the vast majority of women giving birth in hospital labour ward settings. Currently in Australia, less than 1,000 women give birth at home each year, with homebirths representing just 0.4% of all births in 2020.1 As such, many maternity-care providers have never been exposed to homebirth in their personal or professional lives, making them unfamiliar with this unique birth setting.
{"title":"Seeing Birth in a New Light: How Exposure to Homebirth Transforms Midwives’ Understanding of Physiological Birth","authors":"Dr Rebecca Coddington","doi":"10.55975/jnrf3062","DOIUrl":"https://doi.org/10.55975/jnrf3062","url":null,"abstract":"Since the 19th Century, hospital has been considered the default place of birth for Australian women, with the vast majority of women giving birth in hospital labour ward settings. Currently in Australia, less than 1,000 women give birth at home each year, with homebirths representing just 0.4% of all births in 2020.1 As such, many maternity-care providers have never been exposed to homebirth in their personal or professional lives, making them unfamiliar with this unique birth setting.","PeriodicalId":35678,"journal":{"name":"Practising Midwife","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86669603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Welcome to the Advancing Practice series Exploring Caesarean Birth and Birth After Caesarean. In Australia, the caesarean birth rate has risen to 37.2%, rising from 7% in 1980, translating to an increase of over 500% in 52 years. In this series we will look at the growing trend for caesarean birth, the reasons women have caesarean births, the risks associated, and the maternal mortality rate associated with caesarean births. A look at some consumer feedback about their experience of caesarean birth will highlight the gaps in knowledge for some women. In addition, the status of childbirth education for women who have caesarean births will also be explored.
{"title":"Exploring Caesarean Birth 1: Caesarean Birth Talk","authors":"Leonie Rastas","doi":"10.55975/asif4000","DOIUrl":"https://doi.org/10.55975/asif4000","url":null,"abstract":"Welcome to the Advancing Practice series Exploring Caesarean Birth and Birth After Caesarean. In Australia, the caesarean birth rate has risen to 37.2%, rising from 7% in 1980, translating to an increase of over 500% in 52 years. In this series we will look at the growing trend for caesarean birth, the reasons women have caesarean births, the risks associated, and the maternal mortality rate associated with caesarean births. A look at some consumer feedback about their experience of caesarean birth will highlight the gaps in knowledge for some women. In addition, the status of childbirth education for women who have caesarean births will also be explored.","PeriodicalId":35678,"journal":{"name":"Practising Midwife","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78748220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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