In this paper evidence-based care is defined. The evidence to support the provision of care by midwives is presented, as is the evidence to support home birth for those women at low obstetric risk. In conclusion midwives are challenged to be political and use this evidence to support changes to improve the quality of care provided to women and their families.
This quantitative study aimed to determine Thai working women's planned intention to breastfeed and to identify why the mothers chose to breastfeed their infants, how long they initially planned to breastfeed and how long they actually breastfeed. Ninety-nine Thai working mothers who had breastfed within the last 18 months, or who were still breastfeeding their infants and who used the services at three clinics in Ubon Ratchathani Province, Northeast Thailand were asked to participate in the study. The study findings show a strong correlation between the women's planned duration of breastfeeding and between the length of time she actually breastfed. The authors recommend that breastfeeding educational programs include partners and that the work environment provides support facilities to encourage and support the continuation of breastfeeding.
This prospective longitudinal study explored the relationship between anxiety and functional status after childbirth. Two hundred new mothers aged 20 to 35 years who experienced a normal pregnancy and delivered a healthy term infant were surveyed using the Inventory of Functional Status After Childbirth and Spielberger's State Anxiety Inventory. All participants attended maternal child health centres in regional New South Wales, Australia. Results revealed a significant increase in functional status during the first six months postpartum and significant correlations were found between functional status and maternal anxiety at six weeks, three months and six months postpartum. The more anxious mothers were also significantly more likely than less anxious mothers to have an unsettled baby, a baby that slept fewer hours at night and were significantly less satisfied with motherhood. Assessing maternal anxiety levels may assist midwives identify women at risk of parenting difficulties and psychological distress postpartum.
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