In Australia, the maternity care is safest when compared with other countries. However, the rate of the caesarean section has increased in the past decades. Many of pregnancies complicated caesarean section cause more serious problem than natural birth, yet still many women perceive caesarean section to be more effective and safer than natural birthing. The role of these two models of care is to provide effective quality care to women, their babies and their families as well. National Maternity Action Plan (NMAP) was established in 2010 to provide guidance for both midwives and student midwives to work effectively with the women and give the best quality of care to them. In Australia there are two mainly separation options of the maternity care. This paper will explain the two diverse models of maternity care including obstetric care and caseload midwifery care given to the women and their babies. How this effects to the woman’s childbearing experience and midwifery practice will also be discussed in this essay.
The caseload midwifery care provides the continuity of care for women during the period of pregnancy, birth and the postnatal (Hodnett, 2008). In general, caseload midwives given the care to women with both in high and low risk of pregnancies. They also work in the hospital and as well as working in the community centre. The role of caseload midwives including attending births in women’s homes and as well as midwife led or obstetric units (Hartz et al., 2012). In addition, caseload model of midwifery is to facilitate the woman to be aware of how the midwife offering her with individualised care. Caseload Midwifery values women centred care and community based care. Women centred care refers to as allowing women to be inv...
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...Midwifery, 28(2), 146-49.
Talbot, L., & Verrinder, G. (2010). Promoting health: the primary health care approach, (4th edn).
Elsevier, NSW: Chatswood.
Tracy, S., Hartz, D., Nicholl, M., McCann, Y & Latta, D. (2005). An integrated service network in maternity: the implementation of a midwifery-led unit, Australian Health Review, 29(3), 332-39.
Tracy, S. K., Welsh, A., Hall, B., Hartz, D., Lainchbury, A., Bisits, A.,...& Tracy, M. B. (2014). Caseload midwifery compared to standard or private obstetric are for first time mothers in a public teaching hospital in Australia: a cross sectional study of cost and birth outcomes. BMC Pregnancy and Childbirth, 14(46), 71-93.
Williams, K., Lago, L., Lainchbury, A., & Eagar, K. (2010). Mothers’ views of caseload midwifery and the value of continuity of care at an Australian regional hospital. Midwifery,
26(6), 15-21.
Johnson, K. C., & Daviss, B. A. (2005). Outcomes of planned home births with certified professional midwives: large prospective study in North America. Bmj, 330(7505), 1416.
In doing this project the literature drawn from is largely non-scholarly for the reason that I am prevailing upon the reader to think outside the box about birth. Most of the “scholarly” research that is available was written by doctors or nurses/nurse midwives who were trained in the medical model of birth. Since part of my premise is that the high rate of Cesarean sections is caused in part by viewing birth as a medical and therefore pathological event, and in part for its emergence as a capitalistic industry, it was then necessary to find literature written by people who have expertise in birthing though not from the traditional obstetrical/medical school approach.
This birthing plan is often documented in the patient’s medical record which aids the health care staff during the birthing event. Documentation and discussion of these events is often necessary to ensure all the needs of the family are met. Too often all the potential needs are not discussed and the opportunity to meet the needs of the new family is missed. These missed opportunities can result in emotional and religious conflicts within the family unit and toward the health care staff. For the nurse leader these missed opportunities in care could result in unfavorable patient satisfaction scores and reports within and outside the institution which necessitates follow up. The most important missed opportunity is how this affects the family unit itself. Depending on the missed opportunity the family unit may be affected for years based on questions not asked or decisions made with poor information. Some cultures must bury the placenta after birth and if this was not discussed and the placenta discarded the religious implications could be devastating for this family. Application of Henderson’s need theory guides the nurse in the educational plan for the patient-family unit to ensure all basic needs are covered and questions related to those needs are posed in advanced of the birthing
Tannahill, A., Tannahill, C., & Downie, R. S. (1999) Health Promotion. Models and Values. Oxford University Press.
There has been a long standing turf war between obstetricians and midwives, but this article explains why that might be coming to an end. Britain’s National Institute for Health and Care Excellence has discovered that it is safer for healthy women with uncomplicated pregnancies to give birth at home with the supervision of midwives. Studies have shown that doctors are much more likely to use interventions such as forceps, spinal anesthesia and cesarean section, when unnecessary and those procedures carry risks of inaction and surgical accidents. Many studies have shown that midwives provide care just as well, or even better than obstetricians, when mothers are expected to deliver a single baby at full term and the babies head is presenting first in the birth canal. “The professional society for obstetricians, however, cites evidence that planned home birth carries an increased risk of neonatal death, compared with planned hospital birth.”
The Citizens of America do not realize the freedoms they have in the birthing process. Instead of knowing all the paths women can choose from in the United States most believe the only option is in the hospital. It is not common knowledge that the midwife can be the best choice for most healthy able women bearing children. This circumstance is reinforced by more than one factor. Historically, midwives have been exiled by the medical elite during the turn of the twentieth century. Another aspect that can be taken into account is that the birthing process is generational, meaning the tradition is passed down through the mother to her own daughter. These two factors play a major role in continuing the popular birthing norms of America. These reasons cause most people to lose interest when advocates of midwives try to convey their message. Through the examination of American birth models, the focus will be on the following: the historical context of the midwife up to modern day assumptions, the comparison and contrast of American practices in relation to the other countries of the world, and the financial break down and services a mother would receive in from an OB/GYN versus a midwife. These three factors will be used to fully exemplify the importance and necessity a midwife has on a birth, advocate for the knowledge of midwifery to the common public, and call for more American women to take advantage of such a powerful opportunity by educating themselves on what options they have when they become pregnant
The Business of Being Born is a documentary film produced by Ricki Lake that studies the contemporary experience of childbirth in the United States. The film explores the various childbirth methods such as midwives, natural birth, Cesarean section, and Hospital birth that include medication such as Epidurals and Pitocin. Analyzing the various childbirth methods allows people to become aware of the pros and cons of each method. It also brings attention to the decrease of natural birth and babies’ delivery by midwives in the United States. In the United States Midwives attend less than 8% of birth compare to 70% in Europe and Spain. Another issues regard this difference is countries that have a high percent of Midwives birth is they lose fewer women and babies compare to the United
For any mother the birth of a newborn child can be a challenging experience. As nurses it is part of our job to ensure their experience is positive. We can help do this by providing the information they will need to affective care for their newborn. This information includes topics such as, breastfeeding, jaundice, when to call your doctor and even how to put your baby to sleep. When the parents have an understanding of these topics before discharge it can largely reduce their natural anxiety accompanied with the transition to parenthood. Health teaching for new parents is seen as such an important aspect of care on post-partum floors it is actually a necessary component that needs to be covered before the hospital can discharge the patients. At the moment the strategies most hospitals use in Durham Region are Video’s and Parenting Booklets that are primarily based in the English Language. In such a culturally diverse region this becomes a barrier to providing the health teaching to patients who do not speak English as a first language (ESL). This reflection will explore the challenges I faced when providing health teaching to an ESL patient as well as the importance of health teaching in the post-partum area.
Firstly, my name is Amal Abdi, I am seventeen years old and currently attend Bsix College where I am a full time student; working hard to gain my level three diploma in health and social care. This essay is going to identify my career aspirations and the skills required to fulfil my dream of becoming a midwife it will also highlight my values,practice and also my beliefs .
In this article Devane et al. compared midwife led care of pregnant women with other models of care such as medical doctors being the primary care provider. The aim of the study is to establish wether there are significant differences in the outcomes between a midwives being the primary carer compared to other models. The authors used pregnant women who were randomly allocated to either midwife led care or other models of care during the ante and postnatally as well as during labour. This article is useful to my research topic as Devane et al. concluded that a midwife as a primary carer resulted in benefits for mothers and babies with no identified adverse affects. A limitation of this study is the exclusion of pregnant women with maternal disease and women with substance abuse in some trials. Therefore, the findings of this study should not be applied to pregnant women with substantial medical or obstetric complications. The authors suggest that more research is needed in midwife led models of care over a longer postpartum period.
Berk conveys that while doctors are present during some home births, most are attended “…by certified nurse-midwives who have degrees in nursing and additional training in childbirth management” (CITATION). There are risks associated with childbirth, regardless of the setting. For women who are healthy, have not experienced issues during their pregnancies, and have not experienced issues with previous pregnancies, and are attended by a medical professional, home births can be just as safe as hospital births. Homebirths can also be more relaxing because the mother can move about more freely and has more control over the birthing experience than generally permitted during a hospital birth. Complications can arise during home births just as they can during a hospital birth. Therefore, it is wise to have a plan in place for transportation to the hospital if needed. There are numerous advantages to home births which include freedom of movement, more control over the birthing experience, decreased unnecessary medical interventions, and faster recovery. Disadvantages to homebirths include that a doctor is not likely to be quickly
"The Role of a Nurse / Midwife." Irish Nursing Board, An Bord Altranais. N.p., n.d.
...o find a balance between interventional and non-interventional birth. With this being said, I also understand that there are strict policies and protocols set in place, which I must abide to as a healthcare provider, in any birth setting. Unfortunately, these guidelines can be abused. Christiane Northrup, MD, a well recognized and respected obstetrician-gynecologist has gone as far as to tell her own daughters that they should not give birth in a hospital setting, with the safest place being home (Block, 2007, p. xxiii). Although I am not entirely against hospital births, I am a firm believe that normal, healthy pregnancies should be fully permissible to all midwives. However, high-risk pregnancies and births must remain the responsibility of skilled obstetricians. My heart’s desire is to do what is ultimately in the best interest of the mother, and her unborn child.
Pairman,S., Tracy, S., Thorogood, C., & Pincombe, J. (2013). Theoretical frameworks for midwifery practice. Midwifery: Preparation for practice.(2nd ed, pp. 313-336). Chatswood, N.S.W. : Elsevier Australia
Introduction to Maternity & Pediatric Nursing, Fourth Edition; Gloria Leifer, MA, Copyright 2003, Elsevier Science (USA).