Sutured damage to the perineum occurs in at least 39% of women being delivered in Australia and perineal wound breakdown is associated with perineal oedema. The available literature was reviewed to ascertain what might constitute best practice for postpartum perineal wound management. Classification of levels of evidence was used to prioritise the available evidence. Little evidence that might be considered scientifically robust was found. Recommendations based on the available levels of evidence include a careful emphasis on perineal hygiene, cryotherapy, elevation of the foot of the bed in the presence of perineal oedema and regularly performed pelvic floor exercises.
{"title":"Postpartum perineal management and best practice","authors":"Diploma Phsio (Sydney University), Graduate Diploma H SocSc(H Prom), M MedSc (H Prom) Pauline Chiarelli , PhD, MSc Epidemiol (London) Jill Cockburn (Head)","doi":"10.1016/S1031-170X(99)80035-X","DOIUrl":"10.1016/S1031-170X(99)80035-X","url":null,"abstract":"<div><p>Sutured damage to the perineum occurs in at least 39% of women being delivered in Australia and perineal wound breakdown is associated with perineal oedema. The available literature was reviewed to ascertain what might constitute best practice for postpartum perineal wound management. Classification of levels of evidence was used to prioritise the available evidence. Little evidence that might be considered scientifically robust was found. Recommendations based on the available levels of evidence include a careful emphasis on perineal hygiene, cryotherapy, elevation of the foot of the bed in the presence of perineal oedema and regularly performed pelvic floor exercises.</p></div>","PeriodicalId":77020,"journal":{"name":"Australian College of Midwives Incorporated journal","volume":"12 1","pages":"Pages 14-18"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1031-170X(99)80035-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21094214","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}
Pub Date : 1998-12-01DOI: 10.1016/S1031-170X(98)80018-4
{"title":"Breastfeeding education kit for health professionals","authors":"","doi":"10.1016/S1031-170X(98)80018-4","DOIUrl":"https://doi.org/10.1016/S1031-170X(98)80018-4","url":null,"abstract":"","PeriodicalId":77020,"journal":{"name":"Australian College of Midwives Incorporated journal","volume":"11 4","pages":"Page 12"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1031-170X(98)80018-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92034842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1998-12-01DOI: 10.1016/S1031-170X(98)80017-2
Msc, DipEd, IBCLC Ellen McIntyre
{"title":"Breastfeeding education campaign — An update","authors":"Msc, DipEd, IBCLC Ellen McIntyre","doi":"10.1016/S1031-170X(98)80017-2","DOIUrl":"https://doi.org/10.1016/S1031-170X(98)80017-2","url":null,"abstract":"","PeriodicalId":77020,"journal":{"name":"Australian College of Midwives Incorporated journal","volume":"11 4","pages":"Page 12"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1031-170X(98)80017-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92034841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1998-12-01DOI: 10.1016/S1031-170X(98)80014-7
Marie Chamberlain (Professor)
{"title":"Midwifery and the next millenium: Issues for the future","authors":"Marie Chamberlain (Professor)","doi":"10.1016/S1031-170X(98)80014-7","DOIUrl":"10.1016/S1031-170X(98)80014-7","url":null,"abstract":"","PeriodicalId":77020,"journal":{"name":"Australian College of Midwives Incorporated journal","volume":"11 4","pages":"Pages 7-8"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1031-170X(98)80014-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20968148","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}
Pub Date : 1998-12-01DOI: 10.1016/S1031-170X(98)80019-6
RN CM MNgSt Jennifer Fenwick (Researcher)
This paper attempts to present two levels of argument. Firstly it argues that the use of story, in its entirety, is a valid, relevant and useful tool for informing personal and professional knowing. The second level of debate is elicited by the story itself and the discourse surrounding the challenges of implementing continuity of midwifery care models within the mainstream maternity care system. The author hopes that the telling of the story provides a window through which others can share her experience. It is argued that ‘identification’ with the challenges involved in implementing innovative models of care is an important and vital step in the process, if these models are to begin, survive and achieve their aim of providing women-centred health care.
{"title":"Mothering and midwifery: Sometimes a challenge","authors":"RN CM MNgSt Jennifer Fenwick (Researcher)","doi":"10.1016/S1031-170X(98)80019-6","DOIUrl":"10.1016/S1031-170X(98)80019-6","url":null,"abstract":"<div><p>This paper attempts to present two levels of argument. Firstly it argues that the use of story, in its entirety, is a valid, relevant and useful tool for informing personal and professional knowing. The second level of debate is elicited by the story itself and the discourse surrounding the challenges of implementing continuity of midwifery care models within the mainstream maternity care system. The author hopes that the telling of the story provides a window through which others can share her experience. It is argued that ‘identification’ with the challenges involved in implementing innovative models of care is an important and vital step in the process, if these models are to begin, survive and achieve their aim of providing women-centred health care.</p></div>","PeriodicalId":77020,"journal":{"name":"Australian College of Midwives Incorporated journal","volume":"11 4","pages":"Pages 13-18"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1031-170X(98)80019-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20968150","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}
Pub Date : 1998-12-01DOI: 10.1016/S1031-170X(98)80021-4
NHMRC National Health and Medical Research Council
{"title":"NHMRC report calls for formal recognition of expanded midwives' role","authors":"NHMRC National Health and Medical Research Council","doi":"10.1016/S1031-170X(98)80021-4","DOIUrl":"10.1016/S1031-170X(98)80021-4","url":null,"abstract":"","PeriodicalId":77020,"journal":{"name":"Australian College of Midwives Incorporated journal","volume":"11 4","pages":"Pages 25-31"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1031-170X(98)80021-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20968152","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}
Pub Date : 1998-12-01DOI: 10.1016/S1031-170X(98)80020-2
BA (Macquarie University), Diploma in Urban Studies (Macquarie University Cathy Richardson (Smoking Prevention Coordinator), BA (UWS Nepean), Master of Public Health (UWS Macarthur), Graduate Certificate in Adult and Training (UTS) Karina Day
Nurses, particularly those working in antenatal, maternity and paediatrics, can greatly assist their patients to reduce the harms associated with tobacco use. Senior nursing staff from the Division of Women's and Child's Health, and Primary Health in the Liverpool Health Service were surveyed to identify action currently taken with patients, on active and passive smoking. The survey showed that there was an emphasis on assessment and education. Barriers that hindered staff action included the lack of resources, particularly for people of non-English speaking background (NESB), and training. This research also suggests the need for policy development as a way to achieve consistency and maintenance of action.
{"title":"Perceptions of senior nursing staff about current action, barriers and solutions to working on active and passive smoking in the Liverpool health sector","authors":"BA (Macquarie University), Diploma in Urban Studies (Macquarie University Cathy Richardson (Smoking Prevention Coordinator), BA (UWS Nepean), Master of Public Health (UWS Macarthur), Graduate Certificate in Adult and Training (UTS) Karina Day","doi":"10.1016/S1031-170X(98)80020-2","DOIUrl":"10.1016/S1031-170X(98)80020-2","url":null,"abstract":"<div><p>Nurses, particularly those working in antenatal, maternity and paediatrics, can greatly assist their patients to reduce the harms associated with tobacco use. Senior nursing staff from the Division of Women's and Child's Health, and Primary Health in the Liverpool Health Service were surveyed to identify action currently taken with patients, on active and passive smoking. The survey showed that there was an emphasis on assessment and education. Barriers that hindered staff action included the lack of resources, particularly for people of non-English speaking background (NESB), and training. This research also suggests the need for policy development as a way to achieve consistency and maintenance of action.</p></div>","PeriodicalId":77020,"journal":{"name":"Australian College of Midwives Incorporated journal","volume":"11 4","pages":"Pages 19-24"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1031-170X(98)80020-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20968151","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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