Dissertations / Theses on the topic 'Maternity'
To see the other types of publications on this topic, follow the link: Maternity.
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 dissertations / theses for your research on the topic 'Maternity.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse dissertations / theses on a wide variety of disciplines and organise your bibliography correctly.
1
Filippi, Marie-Sophie. "La maternité." Thesis, Aix-Marseille, 2018. http://www.theses.fr/2018AIXM0529.
Full textAbstract:
La maternité se définit de manière intuitive par le fait de porter un enfant et de le mettre au monde. Notion universelle, la maternité semble empreinte d’évidence et de certitude et à ce titre n’a guère suscité d’interrogation jusqu’à une époque récente. Pourtant, cette évidence supposée caractériser la maternité n’est bien qu’une évidence relative, tant du point de vue de la science que du droit. En effet, la maternité biologique peut désormais être divisée entre maternité utérine et génétique, elle n’est donc plus certaine. Ensuite, la notion juridique de maternité ne procède pas d’un pur décalque de la biologie. Au contraire, s’il s’appuie sur le fait biologique de la maternité, le droit en adopte une interprétation singulière, laissant découvrir l’existence d’un véritable concept juridique de maternité. Le contexte de la maternité apparaît en outre aujourd’hui profondément bouleversé, si bien que cette notion semble se restructurer autour de la seule volonté et subir un brouillage de sa distinction avec la paternité. Ainsi bouleversée, la maternité peut-elle alors être repensée ? S’il est nécessaire de prendre en compte les facteurs de bouleversement de la maternité, sa spécificité tirée de l’accouchement ne semble guère devoir être remise en cause. Une telle affirmation n’exclut toutefois pas d’admettre une réception conditionnée des formes nouvelles de maternitéMotherhood is intuitively defined by carrying a child and giving birth. Universal concept, motherhood seems to be evident and sure, and as such, has hardly raised questions until recently. Yet, this obviousness supposed to characterize motherhood is only relative from the point of view of both science and law. Indeed, biological maternity can now be divided between uterine maternity and genetics, so it is no longer certain. Next, the legal notion of motherhood does not come from a pure decal of biology. On the contrary, if it is based on the biological fact of maternity, the law adopts a singular interpretation, revealing the existence of a real legal concept of motherhood. The context of motherhood also seems to be deeply upset, so that this notion seems to be restructured around intention, and its distinction with paternity is blurred. So upset, can maternity be rethought? Although it is necessary to take into account factors of change in motherhood, its specificity derived from childbirth does not seem to be denied. However, this affirmation does not exclude a conditioned admission of new forms of maternity
2
Briscoe, Lesley. "Vulnerability within maternity care." Thesis, Edge Hill University, 2018. http://repository.edgehill.ac.uk/10083/.
Full textAbstract:
Background: Vulnerability is universally present but experienced biopsychosocially on an individual level. Stigma develops when populations are labelled vulnerable. Individual vulnerability can be lessened by resources accessed to assist in developing resilience. A deeper analysis of vulnerability and resilience is required to inform policy, ethics, law and social life. Design: Qualitative, quantitative and mixed method approaches were used. Sample: Five papers represented the perspectives of 102 women, 21 clinicians and 13 student midwives. A further paper presented a concept analysis which included the perspectives of 10,067 women and 325 clinicians (total sample size women n=10,169; clinicians n=346; student midwives n=13). Methods: Gadamer’s ontological perspective of time, place and culture and was seen through Engel’s biopsychosocial lens. Epistemologically, truth originated from multiple realities. Methodologically, women’s experiences were captured via mixed methods. 7 Analysis: Thematic analysis and descriptive statistics were synthesised via framework analysis. Findings: A coherent theme of vulnerability in maternity care was apparent. Women’s concerns were trivialised. The professional’s style of communication determined the women’s experience of maternity care. Clinician control of care provision undermined women’s ability to choose. Women developed resilience in adverse circumstances via: accessing other supportive members of society, identifying their need for information, talking to others and developing accommodative coping strategies. Conclusion: The new conceptual model, in this thesis, should be evaluated via mixed methods. A biopsychosocial approach should underpin informed choice. Clinicians need raised awareness about how interaction can lower women’s self-esteem and build resilience in others. Higher education needs to challenge preconceived biases in safe environments via reflective processes. Research should explore women’s influential circle in decision making during maternity care. Women should be involved in the design of research to inform how best to capture their complex lived experience. Funders of research and ethics committees should request information about how implementation of evidence may be influenced by the current clinical environment. Impact should be measured post implementation. Social policy should be informed by a deeper, conceptual analysis of vulnerability and resilience.
3
Edwards, Sian Elizabeth. "Sepsis in maternity care." Thesis, University of Bristol, 2016. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.707715.
Full text
4
Wabeke, Cherie Anne. "Maternity transitions in management." Thesis, Curtin University, 2020. http://hdl.handle.net/20.500.11937/84573.
Full textAbstract:
This study looks at how the transition experience of pregnancy, maternity leave and return to work shapes women’s careers in management. Under the umbrella of qualitative methodology, the research epistemology is informed through a phenomenological inquiry and uses interpretivism as a way of understanding how women interpret their life-world experience. The qualitative study allows for the stories of 17 women and 4 HR/Line managers experiencing workforce transitions to be told. The Mosaic Model is the resulting framework that explains the findings for how women, who are mothers, build and manage their professional identity and achieve career goals or maintain their aspirations in management. It shows how the mosaic is built through the regulatory, organisational and individual layers. The findings from this research provide a base for understanding individual and organisational transition themes. The Mosaic Model provides a backdrop to the careful arrangement, positioning and presentation of the transition identity during the experience, highlighting how women manage their extra pieces and how they fit these within a structured organisational context. Furthermore, it contributes to the existing body of work relating to women in management and organisational practice. In doing so, the study identifies the need for new work patterns that reflect flexibilisation for women, workforce transition training for organisations and coaching for managers and women as a vehicle to explore expectations and design fit for purpose roles. The aim of the Mosaic Model is to provide a vehicle for discussion that may help springboard new working styles in the contemporary workplace that promote fusion rather than separation between motherhood and management identities.
5
Lanyi, Michael G. "Examining the effects of changes in paid maternity leave policy in Canada, with particular attention to Quebec and Ontario /." Burnaby B.C. : Simon Fraser University, 2006. http://ir.lib.sfu.ca/handle/1892/3485.
Full text
6
Ackah, Elizabeth Carol. "Employment decisions following maternity leave." Thesis, London School of Economics and Political Science (University of London), 1997. http://etheses.lse.ac.uk/2598/.
Full textAbstract:
Employment among women with children has grown rapidly in the United Kingdom since the early 1980s. Nonetheless, in this society motherhood remains the major correlate of female labour force participation and women, on becoming a mother, typically make a decision as to whether they should leave employment, interrupting their working lives to raise children, or continue in employment throughout the childbearing years. The aims of this study were to explore the decisions made by women on the transition to motherhood, and to gain an understanding of why some women continue in employment while others do not. The research for the study was based on interviews with a sample of two hundred and two women, who were first time mothers, taking maternity leave from employment in the health service in Northern Ireland. The interviews were structured around eight propositions suggesting a probablistic relationship between various characteristics and circumstances, and the likelihood of a woman continuing in employment. The study found that almost three-quarters of women intended to return to work. Analysis of the data indicated that for the majority, the co-existence and interaction of three variables - high earnings, availability of childcare and a care-sharing partner - influenced the likelihood of a woman continuing in employment. The conclusions drawn are that a woman's circumstances, in particular her income level, the availability of childcare, and the support of her partner, will largely determine the choice-set available to her, and hence may restrict the role which personal preference can play in her employment decision following maternity leave. The policy implications of the study's findings are considered, and a range of policy responses proposed, with a view to enhancing the choices available to both men and women for combining parenthood and employment.
7
Kinser, Amber E. "Plotting Maternity in Three Persons." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/1241.
Full textAbstract:
This performance text examines complexities of personal and maternal identity in family life. Speaking in first, second, and third person voices, the author offers autoethnographic accounts of the tensions between separateness and connectedness, normative and subjective motherhood, and novice and seasoned perspectives. The piece functions as a text of resistance that pushes against normative expectations about maternal emotion and child-centered maternal dialogue and gives voice to evolutions in mother wit and lifeworlds. (Contains 1 note.)
8
Xanthouli, Paraskevi. "De la maternité à l’infanticide : la construction de la figure maternelle dans la mythologie grecque." Thesis, Sorbonne université, 2018. http://www.theses.fr/2018SORUL195.
Full textAbstract:
La principale question à laquelle cette thèse tente de répondre, c’est la façon dont est abordée et révélée la question de la maternité et, plus largement, de la parentalité dans la mythologie grecque et comment, par le biais de cette approche, nous pouvons déceler et expliquer la situation sociale des femmes et leur statut maternel dans le système de valeurs que véhicule la mythologie. En utilisant la catégorie du genre dans le traitement de cette thématique, cette thèse s’efforce de proposer de nouvelles possibilités pour interpréter et expliquer l'abolition de la maternité et plus largement de la parentalité, l'infanticide, mais aussi la survivance du système pré-patriarcal dans le système religieux androcentré du panthéon grec. On examine les mythes en prenant en compte leur contexte social, culturel et historique afin d’en tirer des conclusions sur la position de chaque sexe dans la sphère publique et privée, sur le rôle respectif des hommes et des femmes dans leur vie privée, sur les relations de pouvoir et de subordination entre les sexes, ainsi que sur le système des valeurs et des perceptions qui dominent, mais – surtout – sur la représentation qui est donnée de ce système dans les mythes grecs. En sens, cette thèse se veut une contribution à la tentative plus large qui est universellement en cours pour réintégrer les femmes dans le contexte non seulement de l'histoire, mais aussi de la mythologieThe main question that this thesis tries to answer is how the subject of maternity and, in general, parenthood is discussed and revealed through the Greek mythology and how we can, through this approach, pinpoint and explain the social status of women and maternity in the mythological value system. By using the category of “sex” in this subject’s approach, analysis and conclusions, the purpose of this thesis is to offer new possibilities to interpret and explain, regarding the abolishment of maternity and, generally, parenthood, the act of infanticide, but also the survival of the prοpatriachal system in the male-dominated religious belief of the Greek pantheon. The myths are being examined by taking into consideration their social, cultural and historical context in order to come to conclusions about each sex’s position in the public and private sector, about the roles of men and women in their private lives, about the relationships of power and submission between them, as well as the dominant value and perception system and, above all, about the representation of this system in the Greek mythology. In this sense, this thesis aims to be a contribution to the ongoing wider global effort to reintegrate women not only in a historical context but also in mythology
9
Caplan, Victoria F. "Maternity and modernity in Hong Kong." Click to view the E-thesis via HKUTO, 2005. http://sunzi.lib.hku.hk/hkuto/record/B3145852X.
Full text
10
De, Laine John. "The maternity ward : a poetry book /." Title page and table of contents only, 2005. http://web4.library.adelaide.edu.au/theses/09AR/09ard3341.pdf.
Full text
11
Caplan, Victoria F., and 郭碧蘭. "Maternity and modernity in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2005. http://hub.hku.hk/bib/B3145852X.
Full text
12
Churchill, Helen. "Caesarean birth : conflict in maternity services." Thesis, Middlesex University, 1994. http://eprints.mdx.ac.uk/6686/.
Full textAbstract:
This study investigates the history of caesarean section and women's experience of the operation today. There has been no systematic collection of historical data on caesarean section since 1944. This study now constitutes the most comprehensive compilation of the history of the operation to date. It illustrates the development of the medical ethos concerning women as patients and provides the background to the next phase of research: the experience of caesarean section. Previous research on caesarean section has exhaustively analysed the indications for the operation, reasons for the increasing rate and women's perceptions of abdominal delivery. This study differs in eliciting responses from women on a range of issues relating to caesarean birth in order to assess the quality of information given to women in hopital regarding the necessity for caesarean operations and analyse the effects of abdominal birth on women. Women's experiences were examined in a sample of 300 women who had delivered by caesarean section. Significant differences were found in reactions between women who had emergency operations and those whose caesareans were elective. The emergency caesarean women suffered more in all negative measures including increased feelings of pain and depression. Negative sequelae was found to relate to the unexpected nature of emergency operations and the use of general anaesthesia. Subjectively women report that they do not suffer as a result of caesarean birth, yet objectively it is clear that they do. This anomaly is attributed to the unequal relationship between women and doctors. Women feel grateful for the treatment offered by the doctors and therefore do not express dissatisfaction with their care. Recommendations are made suggesting practical ways in which maternity services, in respect of caesarean birth, can be improved.
13
Bockman, Victoria Cahill 1952. "BLOOD LOSS ESTIMATION BY MATERNITY NURSES." Thesis, The University of Arizona, 1986. http://hdl.handle.net/10150/275498.
Full text
14
Schaffer, Shari Dean. "Victorian Maternity and Edna Pontellier's Awakening." W&M ScholarWorks, 1986. https://scholarworks.wm.edu/etd/1539625355.
Full text
15
Holm, Camilla. "Maternity home and education center in Mozambique." Thesis, KTH, Arkitektur, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-122563.
Full textAbstract:
There is a large indigence for more maternity homes in Mozambique. Pregnant women often have to walk long distances to get assistance giving birth. The conditions are hard to improve because of the shortage of educated staff. The maternity home and education center is a combined program for women in Maputo, Mozambique. The purpose for this is – apart from improving opportunities and help for pregnant women – to create a connection between education and practice so that the pupils can do their practice at the maternity home before working out in the country. The two instances are therefore closely integrated with each other. We want to develop a program that is also long-term giving, a kind of pay-forward effect. The supposed consequence of the pay-forward effect is for graduated women to spread the knowledge to less educated midwifes in the countryside and at a long term improve health care for women.Det finns ett stort behov av fler mödravårdscentraler i Mocambique. Gravida kvinnor går oftast långa sträckor för att få hjälp att föda. Förhållandena är svåra att förbättra i avsaknad av utbildad personal. Mödravårdscentralen och barnmorskeutbildningen är ett kombinerat program för kvinnor i Maputo, Mocambique. Målet med vårt projekt är att hjälpa gravida kvinnor och att skapa ett utbyte mellan utbildning och praktik. Därför är programmen tätt integrerade med varandra. Programmet ska skapa insikt om graviditet, födsel, sexualitet, en slags ”pay-forward effect”. Verkningarna av ”pay-forward” är att utbildade kvinnor ska sprida kunskap till mindre utbildade barnmorskor på landsbygden och på lång sikt bidra till en bättre sjukvård för kvinnor.
16
Melin, Wenström Lisa. "Maternity Home and Education Center in Mozambique." Thesis, KTH, Arkitektur, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-122577.
Full textAbstract:
There is a large indigence for more maternity homes in Mozambique. Pregnant women often have to walk long distances to get assistance giving birth. The conditions are hard to improve because of the shortage of educated staff. The maternity home and education center is a combined program for women in Maputo, Mozambique. The purpose for this is – apart from improving opportunities and help for pregnant women – to create a connection between education and practice so that the pupils can do their practice at the maternity home before working out in the country. The two instances are therefore closely integrated with each other. We want to develop a program that is also long-term giving, a kind of pay-forward-effect. The supposed consequence of the pay-forward effect is for graduated women to spread the knowledge to less educated midwifes in the countryside and at a long term improve health care for women.Det finns ett stort behov av fler mödravårdscentraler i Mocambique. Gravida kvinnor går oftast långa sträckor för att få hjälp att föda. Förhållandena är svåra att förbättra i avsaknad av utbildad personal. Mödravårdscentralen och barnmorskeutbildningen är ett kombinerat program för kvinnor i Maputo, Mocambique. Målet med vårt projekt är att hjälpa gravida kvinnor och att skapa ett utbyte mellan utbildning och praktik. Därför är programmen tätt integrerade med varandra. Programmet ska skapa insikt om graviditet, födsel, sexualitet, en slags ”pay-forward effect”. Verkningarna av ”pay-forward” är att utbildade kvinnor ska sprida kunskap till mindre utbildade barnmorskor på landsbygden och på lång sikt bidra till en bättre sjukvård för kvinnor.
17
Kennerley, H. A. "Psychological and social aspects of maternity blues." Thesis, University of Oxford, 1985. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.371549.
Full text
18
Muir, Angela Joy. "Deviant maternity : illegitimacy in eighteenth-century Wales." Thesis, University of Exeter, 2017. http://hdl.handle.net/10871/32105.
Full textAbstract:
This thesis is a study of the prevalence, context, and experience of illegitimacy in Wales during the long eighteenth century, between approximately 1680 and 1800. It explores levels of illegitimacy across the Welsh counties of Montgomeryshire and Radnorshire, and investigates many of the underlying causes of childbirth outside of wedlock throughout eighteenth-century Wales. It is argued that Welsh illegitimacy was influenced by a combination of courtship-led marriage customs, a decline in traditional forms of social control, and worsening economic circumstances. In addition to exploring broader demographic trends, this study also examines the diverse individual identities, relationships and socioeconomic backgrounds of the mothers and fathers of illegitimate children in Wales, and the lived experience of conception, pregnancy and childbirth for unmarried mothers. The sexual encounters which resulted in the birth of an illegitimate child ranged from consensual sex which took place within the context of courtship, to sexual exploitation and rape. It is argued that these broad range of experiences are central to our understanding of illegitimacy. This thesis also examines infant and maternal survival chances, both in terms of overall risk of mortality in the days, weeks, and months after birth, and in terms of the ways in which fatal violence against illegitimate children and their mothers was contextualised in court records. These narratives reveal how the bodies of illegitimate infants and unmarried mothers often represented deviance, and served as the locus of anxieties surrounding unregulated reproduction. Finally, this study also analyses the provision of care for married and unmarried pauper women immediately before, during and after parturition. The skills, reputation, and availability of midwifery services in Wales are also explored. This thesis unites many disparate historical fields, including social and cultural history, historical demography, and the histories of crime, gender, sex, reproduction, and medicine, and analyses evidence from previously unstudied regions of Wales. It demonstrates that illegitimacy in eighteenth-century Wales was a deeply complex phenomenon governed by diverse regionally-specific social, cultural and economic influences.
19
Brundell, Kathryn Felicity. "Maternity care in rural Victoria: Midwives' perspectives." Thesis, Australian Catholic University, 2015. https://acuresearchbank.acu.edu.au/download/86d0d9b9b67fb204d15a134d98ff32193e99938b46baebfb665a6e6f4947d1b5/2369167/Brundell_2015_Maternity_care_in_rural_Victoria.pdf.
Full textAbstract:
This modified Grounded Theory study explored the experiences of midwives working in a rural Victorian setting during a period of maternity service redesign. Changes to the local maternity service under study were block funded by the Rural Maternity Initiative, Victoria, Australia (Edwards & Gale, 2007). The Rural Maternity Initiative, along with the release of the maternity service review report (Commonwealth of Australia, 2009), incorporated women’s requests for continuity of care provision, demedicalised care, choice in care, and accessibility of services across the pregnancy, birth and postnatal period. Midwifery workforce shortages and maternity unit closures in rural Australia have been identified by the government, maternity service users and other stakeholders as factors reducing options, and increasing travel requirements, and social and emotional costs for women (Hoang, Le, & Ogden, 2014). Australian state and territory governments encouraged the redesign of maternity services with continuity models of care, more often caseload care or team midwifery, in an effort to combat workforce deficits and rural inequities (Commonwealth of Australia, 2009). A review of literature was undertaken to frame key points associated with Australian health and maternity provision, recent policy developments, health workforce strategies, models of continuity care and rural maternity care accessibility. Significant gaps were noted, relating to the experience of the maternity service restructure in the rural setting, and the relationship between the health services undergoing maternity redesign and local communities. A modified Grounded Theory methodological approach was undertaken, using symbolic interactionalism as the theoretical perspective to frame the study. The work of seminal theorists Glaser and Strauss (1967) informed the design methods employed, particularly that of constant comparative analysis, coding and memoing. A modified approach was taken, however, influenced by constructivist concepts. Charmaz asserts that rather than ‘discovering’ theory, data is socially constructed by study participants with reference to their individual circumstances (Charmaz, 2006). Developmental work by Blumer (1986) significantly influenced the theoretical perspective of this study, as an inquiry based on the lived experiences of a small group of midwives who were affected by maternity service redesign in one locality. In line with symbolic interactionism, this study seeks to understand the meaning these midwives placed on changes and the social interactions they attributed to their work environment. The research setting was a small, rural maternity service, with a select sample population of fifteen. Participants were theoretically sampled and semi-structured interviews were the primary method of data collection. Constant comparative analysis was employed throughout the study, during which time the researcher became increasingly and thoroughly immersed in the data. Coding and categorisation was completed using OneNote Microsoft software to demonstrate thematic saturation and emerging theoretical concepts. It was during this rigorous analysis of data that a deep appreciation and understanding of Grounded Theory methodology was achieved. Constant comparative analysis enabled repeated interaction with data, comparative assessment of literature in conjunction with further data collection, and self-examination by the researcher. Themes that emerged from the midwives’ experiences of maternity service redesign in the rural Victorian context reflected known elements such as midwifery retention rates and burnout (Mollart, Skinner, Newing, & Foureur, 2013), and change planning, change leadership and interprofessional relationships associated with sustaining continuity models of maternity care (Monk, Tracy, Foureur, & Barclay, 2013). Two key themes related specifically to the rural context were communication of maternity service change, and change preparedness inclusive of women, families and interwoven rural communities.
20
Wahl, Grendi Heidi. "Measuring Patient Experience in Hospital Maternity Care." Thesis, KTH, Skolan för elektroteknik och datavetenskap (EECS), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-281290.
Full textAbstract:
This thesis concerns Patient Experience (PX), in hospital maternity care in Sweden. The focus lies in the development of a measure to describe the current state of PX. The thesis uses a semi-sequential mixed-methods study design; exploration of the patient journey, through qualitative methods, informs the adaptation of an existing maternity care experience survey instrument. The resulting survey instrument is tried in a pilot study and renders a composite measure of PX. Part of the analysis is dedicated to understanding the e!ect of information and communication in PX; Exploratory Factor Analysis is used to test the model and attempt an answer. The results show that it is possible to describe PX using the proposed survey instrument. The composite measure preserves di!erences in perceptions better than an arithmetic average of two discrete VAS-1 type measurements, and is more appropriate when measuring attitudes, and opinions using Likert-type measures. A three component solution describes 65.44% of the total sample variance. Determining to what degree PX is influenced by information and communication remains di"cult to quantify, but these initial results indicate that the manner of the attending sta! during aftercare and the respondent’s mastery of information during discharge are important dimensions of patients’ total PX (ANOVA R .695, R Square .483). The model’s three components are almost entirely built from items that address interpersonal skills and information assimilation. These correspond to two of the three Service Quality Dimensions, namely Interaction Quality and Outcome Quality. Most important of the three is the component “Chemistry in aftercare”. The predictive strength of the model shows merit under the context of the study and could advise further e!orts to develop measurements for PX in maternity care in a Swedish hospital setting. Lastly, this study contextualises Service Design in hospital maternity healthcare; the study therefore o!ers ample opportunity for innovation.Arbetet handlar om Patientupplevelse (PU), i förlossningsvården i Sverige. Fokus ligger på utvecklingen av ett mätvärde att beskriva den nuvarande patientupplevelsen. Arbetet använder kvalitativa och kvantitativa metoder (mixed-methods), i en semi-sekventiell design; utforskning av patientresan ligger till grund för anpassningen av ett existerande mätinstrument. Det nya mätinstrumentet testas i en pilotstudie och ger ett kompositmätvärde av PU. En del av analysen ägnas åt att förstå vilken e!ekt information och kommunikation har på PU; Explorativ faktoranalys används för ändamålet. Resultaten visar att det är möjligt att beskriva PU genom det föreslagna mätinstrumentet. Det resulterande kompositvärdet är bättre på att beskriva skillnader i uppfattning än ett medelvärde av två diskreta variabler av VAS-1 typen, och är också lämpligare när attityder och åsikter mäts med hjälp av Likert-skalor. En trekomponentslösning beskriver 65.44% av den totala stickprovsvariansen. Att avgöra hur mycket PU påverkas av information och kommunikation förblir svårt att kvantifiera, men dessa inledande resultat visar att patientbemötande under eftervårdstiden och patientens förmåga att bemästra information under utskrivningen är viktiga dimensioner av patienters totala PU (ANOVA R .695, R Square .483). Modellens tre komponenter är nästan uteslutande uppbyggda av variabler som fångar upp personliga relationer och assimilering av information. Dessa motsvarar två av de tre dimensionerna i Servicekvalitetsmodellen, nämligen Interaktionskvalitet och Utfallskvalitet. Viktigaste komponenten är Personlig kemi under eftervården. Modellens förutsägningsstyrka visar förtjänst under studiens kontext och kunde informera framtida ansträngningar att utveckla mätvärden för förlossningsvården inom svensk sjukhusmiljö. Till sist kan nämnas att studien kontextualiserar Service Design inom förlossningsvården; studien erbjuder därför omfattande möjligheter för innovation.
21
Rhodes, Maxine. "Municipal maternity services : policy and provision 1900-1939 with particular reference to Kingston upon Hull and its Municipal Maternity Home." Thesis, University of Hull, 1996. http://hydra.hull.ac.uk/resources/hull:4620.
Full text
22
Byrne, Kirsty Nicola. "Literary representations of maternity in the eighteenth century." Thesis, Durham University, 1993. http://etheses.dur.ac.uk/5803/.
Full textAbstract:
The primary concern of this thesis is the representation, in the eighteenth century, of mothers' bodies. It is also concerned with the treatment of domestic duties which were supposed a consequence of a woman's very nature. Throughout the first seven decades of the century, medical men and virtuosi demonstrated particular interest in the nature of physicality, and especially in women's bodies, pregnancy, and childbirth. 1 will be testing out a widely-held view that dissection and new anatomical findings regarding women's bodies produced a new idealisation of motherhood, and that this was immediately translated into lay-medical and related discourse, and was thus firmly established in middle-class culture by the end of the century. The relationship between primary medical and lay-medical literature raises several questions: my work asks whether lay-medical literature mirrored medical writing, and whether there was a direct translation of material from one to the other. Lay-medical texts for women are especially interesting. They offer an insight into precisely what examples of female nature and correspondingly 'natural' behaviour were intended for women readers. Representations of maternity in specific forms of writing which rely heavily upon women for subject matter are further extended in the second half of this study. 1 have focussed upon two genres, conduct literature and narrative fiction. Neither is conventionally associated with medical or lay-medical discourse, yet both have significant links with these. Conduct literature and narrative fiction have much to offer in this attempt to recover what women were being taught about their bodies and roles; both were concerned with what the body displays externally, and with corresponding ideas of 'naturalness'. Conduct literature for women was enjoying a period of growth and change, and has obvious, direct links with medical texts. Narrative fiction also had important links with medical writing, and 1 will describe these. The dissemination of medical representations of the maternal body was a process which contributed to a contradictory cultural sense of female identity.
23
Long, Carol Patricia. "Contradicting maternity : HIV-positive motherhood in South Africa." Thesis, University of Cambridge, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.615208.
Full text
24
Putnina, Aivita. "Maternity services and agency in post-Soviet Latvia." Thesis, University of Cambridge, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.624521.
Full text
25
Warner, Sarah Jane. "Ruth Miller and the poetics of literary maternity." Doctoral thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/11597.
Full textAbstract:
Includes bibliographical references.Ruth Miller's poetry was written between 1940 and the year of her death in 1969, and is published in three volumes, Floating Island (1965), Selected Poems (1968), and Ruth Miller: Poems Prose Plays (1990). In this thesis, I modify the concept of literary maternity suggested by Joan Metelerkamp in her article, “Ruth Miller: Father's Law or Mother's Lore?” (1992). My approach is informed by a model of literary maternity that is not defined in terms of a female figure but in terms of a relation between the earliest parent and the child, or what is referred to in psychoanalytic terms as the preoedipal relation. My thesis is concerned to show how Miller's poetry and a theory on the maternal function of literature reinterpret each other; it includes a consideration of Miller's literary legacy, the critical literature describing her oeuvre, and the issues of continuity and authority that arise in the context of literary publication.
26
Hundley, Vanora. "Determining success in the provision of maternity care." Thesis, University of Aberdeen, 2001. http://digitool.abdn.ac.uk/R?func=search-advanced-go&find_code1=WSN&request1=AAIU137217.
Full textAbstract:
This thesis explores the benefits and limitations of traditional evaluations of maternity care, looking specifically at one innovation in service provision, a midwife managed delivery unit. The research undertaken in this thesis can be described in terms of three developmental phases. In phase one, care in a midwife-managed delivery unit is compared with care in a consultant-led labour ward within the framework of a randomised controlled trial. 'Success' is measured in terms of both the clinical aspects of care and as viewed by the women who received this care. Care of women at low obstetric risk in a midwife-managed delivery unit is shown to result in less intervention, greater continuity of carer, more involvement in decision making and greater women's satisfaction with how care was managed. There were no differences in overall satisfaction and the limitations of satisfaction as an outcome measure are discussed. Phases two and three build on the work of the randomised controlled trial. In phase two, perinatal mortality and morbidity data are reviewed through an independent case review of the perinatal deaths and further analysis of the morbidity data. In phase three, the thesis utilises techniques from the discipline of health economics to go beyond the traditional measure of women's views, satisfaction. Willingness to pay and conjoint analysis are used to determine women's preferences, and the strength of these preferences, for different models of maternity service provision.
27
Spendlove, Zoey. "Revalidation repercussions : contemporary regulatory reform within English maternity services." Thesis, University of Nottingham, 2016. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.716488.
Full textAbstract:
Revalidation, as a government-led healthcare professional regulatory reform process, marks the largest and potentially the most significant development in the history of healthcare professional regulation within the United Kingdom (UK) National Health Service (NHS). Revalidation, as an emergent regulatory reform, is a professionalisation dilemma for healthcare professionals as it would appear to be diametrically opposed to the notion of professional autonomy and selfregulation; the theorised core characteristics of health professionalism (Dixon-Woods et al., 2011; Freidson, 1970a). At the time of implementation, the impact that this reform would have upon professional groups was unknown. The national rollout of revalidation therefore presented a real time opportunity to witness the operationalisation of such a top-down regulatory reform. Drawing on the concepts of professional 'licence and mandate' (Hughes, 1958) and the 'professional project' (Larson, 1977) as a theoretical framework, I used a focused ethnographic approach to answer the following research questions: Over-arching research question: How are regulatory mechanisms, such as revalidation, interpreted and utilised as part of a 'professional project'? Sub-questions: How is revalidation being implemented within an NHS organisation and how does this compare with national recommendations? How are plans for revalidation being received and implemented within maternity services? How are regulatory mechanisms such as revalidation impacting upon professional roles and responsibilities within maternity services? The overall contribution of my research study lies in providing insight into the intended and unintended consequences of revalidation as contemporary healthcare professional regulatory reform. From a practice perspective this study illustrates how formal regulatory mechanisms were shaped at local level by the informal processes of the research organisation. From a theoretical perspective this study challenges the concept of organisational professionalism (Evetts, 2012; McClelland, 1990), whereby national and organisational objectives, such as revalidation, are theorised to control and regulate professional groups. I argue that professionals engaged with revalidation as part of an ongoing, professional maintenance project of professional status and survival. This was an ultimate acknowledgement that in order to maintain a licence to practise (Hughes, 1958), engagement with revalidation was a statutory requirement.
28
Altman, Arliss Marilyn. "The organizational implications of employment behavior following maternity leave." Thesis, University of British Columbia, 1989. http://hdl.handle.net/2429/28708.
Full textAbstract:
Although participation of Canadian women in the labour force has significantly increased in the past decade, and in turn the number of maternity leave claims, information is limited on actual employment behavior following maternity leave and the factors which influence this behavior. The purpose of this study was to examine the employment behavior following maternity leave for 313 women of varying occupations from a large metropolitan hospital in order to: isolate significant variables which influence this behavior, examine return rates and employment patterns for women who return to work, identify the major problems women experience upon their return to work, examine the experience of women with the current maternity leave legislation, obtain their opinions on whether flexible work policies encourage staff retention and finally, to develop a set of recommendations to assist organizations in achieving staff retention following maternity leave.
Data respecting the positions of the women, their personal characteristics and their employment behavior following their leave were collected from personnel records. The dependent variables for the study were three distinct types of employment behavior: employees who terminated following their maternity leave, employees who terminated following their return to work and employees who remained employed at the hospital. There were nine independent variables which were tested as potential employment behavior influences namely level of education, age,
organizational tenure, employment status, union/management affiliation, salary level, occupational level, number of previous maternity leaves and organizational division. The Chi Square test of Independence was run for six variables and the One Way Analysis of Variance for three variables. In-depth structured interviews were conducted with five women selected randomly from the sample in order to identify the major problems they encountered in returning to work as well as to obtain their opinions on the current maternity leave legislation. They were also questioned regarding the effectiveness of flexible work policies.
Two of the variables tested were found to be significant employment behavior influences: type of union and organizational tenure. It was also found that the least flexible union had the highest termination rate. Although the majority of women returned to work and remained employed at the hospital, a high percentage transferred to part-time and casual employment. The interviews revealed that the major concerns women had were the need for more flexible work policies, an increase in part-time opportunities and child-care concerns including the need for on-site day care. All of the women interviewed felt that 18 weeks was an inadequate length of time for a maternity leave and some of the women wanted maternity benefits for their entire leave and not just 15 weeks.
It was concluded from the results of the study that flexible work policies and organizational support systems encourage staff
retention following maternity leave, it was recommended that in order for organizations to achieve staff retention following maternity leave that they must introduce flexible work policies and a specific staff retention plan.Business, Sauder School of
Graduate
29
Matin, Lyra Angelica V. "Protective Maternity| The Prevention and Healing of Childbirth Trauma." Thesis, Pacifica Graduate Institute, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10749570.
Full textAbstract:
Childbirth trauma for mothers in hospital settings is an escalating reality in American healthcare. References on childbirth-related posttraumatic stress disorder (PTSD) show gaps in detection and care. Using hermeneutic and heuristic methodologies, this thesis explores cultural and individual factors that lead to the traumatization of women and the medical failure to restore them to holistic well-being. Literature reviewed contrasts contemporary childbirth paradigms—technocratic, holistic, and humanistic—and their implications on systemic protocols and birth outcomes. Somatic and psychospiritual modalities to treat trauma are introduced. The author’s birth narrative and analysis illustrates the inner experience of trauma, while providing psychological insights using the Heroine’s Journey as a framework for liberating women from patriarchal victimization and facilitating individuation—the Jungian model of psychological development. Clinical applications are offered that aim to be protective for would-be mothers and restorative for women suffering from childbirth trauma—providing healing on mental, emotional, and spiritual levels.
30
Siassakos, Dimitrios. "The active ingredients of effective teamwork in maternity care." Thesis, University of Bristol, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.571277.
Full textAbstract:
The body of work described in this thesis aimed to identify the characteristics of effective teams to inform the development of better team training. Whereas previous studies from the same research group showed that practical team rehearsals (clinical drills) are beneficial, subsequent work suggested that further improvement might be possible. The commentary links the studies that comprise this thesis with the background: a sustained need for better teamwork, a previous preponderance of opinion over evidence as to what constitutes effective teamwork in healthcare, and a widespread use of teamwork training programmes based on aviation despite lack of evidence for impact of aviation-derived training alone on outcome. The commentary summarises the peer-reviewed papers, starting with a critical review of training programmes at the time this body of work was developed and planned. Two studies followed that aimed to clarify the successes and the challenges, from a team perspective, of a unit with published improvements in outcome after the introduction of a clinical training programme. Mixed-methods multicentre research was used in subsequent studies in an iterative process, to identify what makes teams effective in simulation, and what makes them effective in actual emergencies as described by frontline staff. A critical analysis evaluates their contribution to testing the hypothesis and to informing further research. The commentary concludes by summarising the academic, clinical, and educational impact of this thesis and by outlining possible future work to ensure team training programmes remain relevant, evidence-based, effective, and responsive to patient and staff needs.
31
Kongnyuy, Eugene Justine. "An innovative approach to improving maternity care in Malawi." Thesis, Staffordshire University, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.522122.
Full text
32
Taylor, A. "Consumer perceptions of maternity care in one health district." Thesis, University of Bath, 1988. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.383618.
Full text
33
Baraitser, Lisa. "One, two, infinity : ethics and the undoing of maternity." Thesis, Birkbeck (University of London), 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.429511.
Full text
34
Enyeribe, Iwuh Ibezimako Augustus. "Maternal near miss audit in Metro West Maternity services." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/16525.
Full textAbstract:
Includes bibliographical referencesBackground: A near miss occurs when a pregnant woman experiences a severe life threatening complication during pregnancy or up to 42 days after the end of the pregnancy and survives. The near miss rate is defined as the number of near misses per 1000 live births. In 2011, World Health Organization (WHO) produced a useful tool for identifying near misses according to composite criteria which include the occurrence of a severe maternal complication together with organ dysfunction and/or specified critical interventions. The ratio of maternal near miss cases to maternal deaths and the mortality index both reflect the quality of care provided in a maternity service Maternal deaths have been audited in the Metro West maternity service for many years but there has been no routine monitoring or evaluation of maternal near misses. Aim of study: The study aim was to perform a near miss audit in Metro West, specifically (a) measuring the near miss rate, the maternal mortality ratio and the mortality index, (b) performing an in-depth investigation of the associated demographic, clinical and health system factors of the near miss cases, and (c) providing input into the development of an on -going system of auditing near misses cases in Metro West. Methods: A retrospective observational study conducted over 6 months between mid- March 2014 to mid -September 2014. This service includes 9 level one maternity facilities which refer all complicated maternal cases to two secondary hospitals, New Somerset (NSH) and Mowbray Maternity (MMH); or to the tertiary hospital, Groote Schuur Maternity Center (GSH). All cases of near miss managed at the three hospitals were identified weekly by the author with the assistance of onsite health providers. These cases included near misses that occurred at level one facilities and were referred on to one or more of the three hospitals. Strict criteria were used to ascertain a case as a near miss according to the WHO near miss definitions. The folders of all the near misses were reviewed and relevant data entered into a data collection form which was adapted from the WHO near miss data form. In addition, these identified folders were reviewed by two senior obstetric specialists to confirm adherence to the WHO inclusion criteria for near miss classification, and also to determine avoidable factors in the management of the near miss cases. Maternal deaths occurring during the same time period of the Near Miss audit were identified from monthly mortality meetings and the ongoing maternal mortality audit system in Metro West. Results: 112 near miss cases and 13 maternal deaths were identified, giving a total of 125 women with severe maternal outcomes. There were a total of 19,222 live births in Metro West facilities. The Maternal mortality ratio (M MR) was 67.6 per 100,000 live births and the maternal near miss rate was 5.83 per 1000 live births. The maternal near miss to death ratio was 8.6:1 and the mortality index was 10.4% Hypertension, obstetric hemorrhage and pregnancy related sepsis were the major causes of the near miss cases accounting for 50(44.6%), 38(33.9%), and 13 (11.6%) of near misses respectively. These three conditions all had low mortality indices; 1.9%, 1.9% and 0 for hypertension, pregnancy related sepsis and hemorrhage respectively. Less common conditions were, medical /surgical conditions, non-pregnancy related infections and acute collapse, accounting for 7 (6.3%), 2 (1.8%), and 2 (1.8%) of near misses respectively. Although these numbers were small, these three conditions accounted for more maternal deaths with mortality indices of 66.7 %, 33.3% and 33.3% for non- pregnancy related infections, medical /surgical conditions, and acute collapse respectively. There were 25 (22.3%) of the near miss cases who were HIV positive. The majority of near misses 99(88.4%) had antenatal care. Analysis of avoidable factors showed that, the most common problems were lack of antenatal clinic attendance (11.6%) and inter-facility transport problems (6.3%). For health provider related avoidable factors, the highest number of avoidable factors were identified at level 2 (38.2%), followed by level one (25.9%) and level 3 (7.1%). The most common factors were problem recognition, monitoring and substandard care Discussion and Conclusions: The near miss rates and maternal mortality ratio in Metro West were lower than for some other developing countries, but higher than rates in high income countries. The mortality index was low for direct obstetric conditions such as hypertensive disorders, obstetric hemorrhage and pregnancy related sepsis, reflecting good quality of care and referral mechanisms for these conditions. The mortality indices for non-pregnancy related infections, medical/surgical conditions and acute collapse were much higher and, suggest that medical problems may need more focused attention. Ongoing near miss audit would be valuable for Metro West but would require identification and monitoring systems to be institutionalized.
35
Chambers, Kate Melanie. "Review of Late Preterm birth at Mowbray Maternity Hospital." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/29563.
Full textAbstract:
Introduction: Preterm births are common in all obstetric hospitals and present multiple challenges to both the obstetrician and the paediatrician. Preterm delivery is an important cause of perinatal morbidity and mortality, and places significant psychosocial stress on all involved. Late Preterm Birth (LPTB) is an important topic with many consequences for mother, child and society. It would be of interest to quantify the problem of late preterm birth at Mowbray Maternity Hospital (MMH); quantifying the deliveries into spontaneous versus medically indicated, and to explore the reasons and outcomes for each category. Aims and Objectives: To review the causes, indications for, and outcomes (maternal and neonatal) of all late preterm births delivered at Mowbray Maternity Hospital. Methods: This was a retrospective descriptive study, conducted at Mowbray Maternity Hospital, between January 1 st 2016 and March 31 st 2016. The study population, consisting of 231 patients, includes all deliveries at MMH during the above time period, which fit the inclusion criteria of a gestational age (GA) of between 34⁺⁰ and 36⁺⁶ weeks. All data pertaining to the patient’s previous history, risk factors and current pregnancy were captured and analyzed using Stata. This study was approved by the UCT Ethics Committee (HREC) and institutional approval was obtained from Mowbray Maternity Hospital. All information was treated with confidentially and in accordance with the Helsinki Declaration. Results: During the study period, 1st January 2016 and 31st March 2016, there were a total of 2342 deliveries. Of these deliveries 36 (1.5%) were found to have a GA < 28 weeks (these included those that were categorised as miscarriages); 24 (1%) were between 28 – 31⁺⁶ weeks; 56 (2.4%) were between 32 – 33⁺⁶ weeks and 1833 (78.2%) had a GA above 37 weeks. 162 (6.9%) folders were missing and therefore GA was not calculated, leaving 231 (9.9%) deliveries of late preterm infants. Of the 231 patients included, 64 (27.7%) were noted to have a poor obstetric history, 38 (16.5%) had a history of a previous preterm delivery. Gestational age was calculated by Early Ultrasound Scan (EUS) in 44.2% of cases; Late Ultrasound Scan (LUS) in 36.4 % of cases; Last Normal Menstrual Period (LNMP) in 14.3% of cases and booking palpation in 5.12% of cases. At least one maternal characteristic associated with preterm labour was seen in 131 (56.7%) of the included patients. There were 20 (8.7%) sets of twins. Of the 231 patients, 129 (55.8%) presented in spontaneous labour and 102 were delivered late preterm for medical reasons; this included 70 (30.3% of 231) who had labour induced and 32 (13.9% of 231) who were delivered via caesarean section despite not being in labour for reasons that prevented an Induction of Labour (IOL)/vaginal birth. There were 251 babies delivered in the late preterm category, and of these, 250 (99.6%) were born alive, with 1 Early Neonatal Death (ENND) and 1 macerated stillborn. Of the 251 newborns, 63 (25.1%) were admitted to at least one of the neonatal wards during their hospital stay. Of these, 64.1% spent time in the High Care Unit (HCU), 28.1% spent time in the Neonatal Intensive Care Unit (NICU) and 68.8% spent time in Kangaroo Mother Care (KMC) unit (majority of these newborns had been in either HCU or NICU prior to KMC). Of the 63 neonates admitted to a neonatal ward; there were 37 (36.3%) from the 102 mothers delivered for medical reasons and 26 (20.2%) from the 129 mothers who had presented in spontaneous labour. The overall correlation between gestational age calculated by EUS/LUS/LMNP and Ballard score was calculated as 37%. The average length of stay in the hospital for the newborns, whether admitted or with mom, was 4.96 days. Discussion and Conclusion: Late Preterm Birth accounts for 9.9% of all births and 66.6% of all preterm births at Mowbray Maternity Hospital. This is a substantial proportion of MMH deliveries, putting pressure on already strained resources. This pressure is confounded by the fact that 25.1% of these neonates are admitted to a neonatal ward. 44.2% of these births are medically initiated and this should give cause for thought as to whether our protocols that govern certain medical conditions in pregnancy could possibly be altered to prolong pregnancies and reduce the incidence of Late Preterm Birth.
36
Ertok, Merve. "Essays on the economics of maternity care in England." Thesis, University of Bristol, 2015. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.683702.
Full textAbstract:
This PhD examines the impact of policies introduced to improve outcomes in health care in England in the first decade of the 21st century, focusing on their impact on outcomes in maternity care. It uses data from the primary hospital discharge data set for English National Health Service hospitals, known as Hospital Episode Statistics (HES). Chapter 1 examines the impact of a "payment by results" policy aimed at improving care outcomes in hospitals. This scheme was known as the Commissioning Quality and Innovation (CQUIN) payment framework. I examine the impact of this policy on csection rates in England. My focus is on the scheme as used in the financial year 2010/11. I investigate whether there are any reductions attributable to the CQUIN scheme in c-sections. [ find that the scheme does not have any statistically significant impact on c-section rates. Chapter 2 investigates the effect of being born on a weekend on the probability of dying among babies born at English NHS acute hospitals. The "weekend effect" has been documented in a range of hospital settings. We examine whether this is still present in maternity care after large increases in hospital staffing during the mid-2000s. We use 2009/10 Hospital Episode Statistics maternity data and control for a wide range of baby's and mother's characteristics. We find that being born on a weekend is not associated with any statistically significant increase in the odds of dying. Chapter 3 examines the use of the hospital (as distinct from the individual) as the unit of analysis in a difference-in-difference analysis. We provide evidence for our theoretical framework with an empirical application of the evaluation of Payment by Results (PbR) scheme, started in 2005/2006 in maternity care. We find that there is no statistically significant association of this scheme on the outcomes. However, we find modest evidence for the fact that NHS acute trusts game the scheme by increasing the amount of antenatal admissions not related to a delivery event. Chapter 4 examines the impact of Maternity Matters Agenda (2009) on maternal outcomes. The policy introduced choice of place of birth among women. This followed the introduction of competition across English NHS acute trusts. I investigate the impact of competition on the quality of maternity services. I find that although the market competition has increased over the 7 year period, this is not associated with any improvements in the level of quality of maternity services.
37
Caeiro, Sandra Cristina Piteira. "Estudo de caso de um processo de maternity coaching." Master's thesis, Universidade de Évora, 2013. http://hdl.handle.net/10174/16079.
Full textAbstract:
Esta dissertação trata-se de um estudo de caso de um processo de maternity coaching. Com ela pretendemos elaborar preposições teóricas baseadas no conhecimento aprofundado do caso em análise, bem como caracterizar o processo a partir do ponto de vista dos diferentes intervenientes. Considerando a natureza do estudo, o problema de investigação e os objetivos do estudo, optámos por seguir uma metodologia de análise qualitativa, através da realização de entrevistas semiestruturadas. Os resultados do estudo sugerem que o maternity coaching é uma forma de apoio às mulheres numa altura de adaptação à maternidade, em que têm que reequacionar a sua identidade pessoal e profissional. Os dados sugerem que o maternity coaching ajudou a desenvolver a capacidade de liderança e gestão, assim como a capacidade de organização, planeamento e comunicação. Foi ainda um contributo importante na competência de conciliação entre o trabalho e a família e no desenvolvimento da autoestima e autoconfiança; ABSTRACT:This dissertation is a case study of a maternity coaching process. We aim to develop theoretical propositions based on a thorough knowledge of the case, as well as characterize the process from the point of view of the different stakeholders. Considering the nature of the study, the research problem and the objectives of the study, we chose to follow a qualitative analysis methodology by conducting semi structured interviews. The study results suggest that maternity coaching is a form of support for women at a time of adaptation to motherhood, where they have to rethink their personal and professional identity. The data suggest that maternity coaching helped develop leadership and management as well as organizational, planning and communication skills. It was an important contribution in the competence of balancing work and family and the development of self-esteem and self-confidence.
38
Manley, Janine W. "Self-worth, body cathexis, and satisfaction with available selection for those who wear different-size maternity clothing." Diss., This resource online, 1991. http://scholar.lib.vt.edu/theses/available/etd-07282008-135523/.
Full text
39
Wibbelink, Margreet. "Perceptions of private sector midwives and obstetricians regarding collaborative maternity." Thesis, Nelson Mandela Metropolitan University, 2014. http://hdl.handle.net/10948/d1020979.
Full textAbstract:
The World Health Organization (WHO) states that no region in the world is justified in having a caesarean section rate greater than 10-15 percent, calculated as the number of caesarean deliveries over the total number of live births. There is however, an international increase in the rate of caesarean section deliveries and this is a concern to midwives. The increase is evident in South Africa as well. Currently the rate of caesarean section deliveries in the private sector can be as high as 70 percent per total number of live births per year. As a result, the public often perceives giving birth surgically in South Africa as ‘normal’ and ‘safer’ than vaginal delivery, even for low-risk pregnancies. The lack of involvement of midwives in the care of pregnant women in the private sector is indicated as one of the reasons related to the high caesarean section delivery rates. This motivated the researcher to undertake a study to explore and describe the perceptions of private sector midwives and obstetricians regarding the feasibility of collaboration in maternity care. A literature review to support the study identified research done previously regarding collaborative maternity care. The study followed a qualitative, exploratory, descriptive, contextual design. The research population included midwives and obstetricians in the private sector in the Eastern Cape. Non-probability, purposive sampling was used. The researcher conducted semi-structured one-to-one interviews to collect information rich data. The researcher ensured that the study was conducted in an ethical manner by adhering to ethical principles such as autonomy, non-maleficence, beneficence and justice. The interviews were transcribed and Creswell’s’ data analysis spiral was used as a guide for the data analysis. Themes and sub-themes were identified and grouped together to form new categories. An independent coder assisted with the coding process. Data analysis results revealed the following results Participants perceived a collaborative working relationship as being beneficial to maternity care. Participants identified that there might be critical impediments that need to be faced in order to realize collaborative maternity care. The researcher ensured the validity of the study by conforming to Lincoln and Guba’s model of trustworthiness, which consists of the following four criteria namely credibility, transferability, dependability and conformability. The information obtained from this study assisted in developing guidelines to facilitate the implementation of collaborative maternity care between midwives and obstetricians in private practice in South Africa. The objective of the study was thus met.
40
Bennett, Cristóbal. "Impact of an extension of maternity leave on mother's health." Tesis, Universidad de Chile, 2016. http://repositorio.uchile.cl/handle/2250/140791.
Full textAbstract:
Tesis para optar al título de Magíster en Análisis EconómicoThe present study analyzes the effect of an extension to maternity leave on mothers’ health. Using administrative data from sick leave records for 84% of the total working women who gave birth during 2011, we estimate the effect of this extension in the probability of mothers taking sick leave, after the maternity leave has ended. To do so, we implemented a fuzzy regression discontinuity design, which took advantage of the fact that there is a jump in the probability of being treated after a certain threshold date. The evidence we found supports the hypothesis and demonstrates that the policy has a positive effect on mothers’ health.
41
Maimbolwa, Margaret C. "Maternity care in Zambia : with special reference to social support /." Stockholm, 2004. http://diss.kib.ki.se/2004/91-7349-612-X/.
Full text
42
Frame, Jean Caitlin. "Outcomes of primary maternity care in Fort Smith, Northwest Territories." Thesis, University of British Columbia, 2014. http://hdl.handle.net/2429/46568.
Full textAbstract:
Introduction:
In northern Canada women residing in rural communities without local access to maternity care must evacuate at 36-37 weeks gestation to await labour in a city with a regional hospital. Midwifery services are expanding to rural areas of Canada, yet there are few studies that evaluate the safety of rural and remote midwifery compared to routine evacuation for birth. The purpose of this study is to assess the safety of the Fort Smith Midwifery Program in the Northwest Territories, and to understand the experiences of, and the meaning of, community birth with midwives among the women of Fort Smith.
Methods:
A retrospective cohort study was conducted to compare birth outcomes from the Fort Smith Midwifery Program (n=281) to: 1) the Inuulitsivik Midwifery Program in northern Quebec (n=1388), and 2) the community of Hay River where women evacuate at 37 weeks to receive intrapartum care elsewhere (n=143). Maternal and newborn outcomes were compared among the three comparison groups using univariate and multivariate logistic regression. Focus groups were held with women from Fort Smith who had used the midwifery program to understand their experiences of using the midwifery service and what it means to have access to community birth. Purposive sampling was used to invite Aboriginal and non-Aboriginal participants who gave birth in the community and elsewhere.
Results:
There were no statistically significant differences in the odds of 5-minute APGAR scores less than 7. The odds of 1-minute APGAR scores below 7 in Fort Smith were increased compared to the Hudson coast communities, however the rate was similar to those of newborns of women who reside in Hay River and delivered in Yellowknife.
Two themes emerged from the focus groups: 1) the midwifery model of care in the community leads to positive experiences of maternity care, and 2) the benefits of and reasons for giving birth in the community. Women spoke positively about their experiences of using the midwifery service whether or not they delivered in the community.
Discussion:
The findings of this thesis support the development and evaluation of midwife-led models of maternity care in rural and remote communities.
43
Humphreys, Katherine Louise. "Medicalised maternity : an investigation into women's experiences of medicalised childbirth." Master's thesis, University of Cape Town, 1998. http://hdl.handle.net/11427/14634.
Full textAbstract:
Bibliography: leaves 169-175.This dissertation reports on a qualitative study of the childbearing experiences of 20 women having their first child. The study attempts to examine the dominant discourses surrounding pregnancy, childbirth and motherhood, with specific reference to the medical discourse, and to describe the way in which these impact on the women's experiences. The non-probability, convenience sample used in the study comprised women attending an antenatal class held at a Cape Town private hospital. The sample was relatively socially and medically homogeneous. The size and nature of the sample makes broad generalisations tentative. Individual interviews based on in-depth and open-ended questions were conducted. These were aimed at gathering qualitative data on the women's perceptions of their experiences. The women were interviewed during the last trimester of pregnancy about their experiences of pregnancy and their anticipation of childbirth. A further interview conducted a few weeks after birth focused on their experience of childbirth within the hospital setting and their impressions of early motherhood. It was found that the women's accounts of their experiences of pregnancy, childbirth and early motherhood were shaped to a large extent by the discourses within which the process of childbearing has been constructed. These include the medical, 'natural' birth and feminine discourses. The dominance of the medical discourse of birth was evident in the fact that the medical view was thoroughly incorporated into the women's perceptions of their childbearing experiences. This view of birth, along with the dominance of scientific medical knowledge, was found to limit the perception of acceptable birthing practice. The medical discourse intersected with both the 'natural' birth discourse which, as a social construction, was shown to uphold essentialist and prescriptive notions of motherhood, and the feminine discourse. This discourse, along with its assumptions regarding the mothering role, was fom1d to impact on the women's experiences through the creation of unrealistic expectations and ideals, which contributed to the shock and stress of first-time motherhood.
44
Zlatkin, Rachel L. "Remembering Mothers: Representations of Maternity in Early Modern English Literature." University of Cincinnati / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1368014379.
Full text
45
Lino, Ana Catarina Neves Ferreira. "Diet and occupancy of a maternity roost by Rhinolophus hipposideros." Master's thesis, Universidade de Aveiro, 2013. http://hdl.handle.net/10773/11830.
Full textAbstract:
Mestrado em Biologia Aplicada - Ecologia, Biodiversidade e Gestão de EcossistemasRhinolophus hipposideros (Bechstein, 1800) sofreu um severo declínio ao longo da sua área de distribuição estando já extinto em alguns países europeus. Apesar de não se conhecer com exatidão a tendência populacional desta espécie em Portugal devido à sua ampla dispersão, pensa-se que as populações estão em declínio devido principalmente à perda de abrigos adequados e à perda da qualidade de áreas de caça. Em Sintra, numa infraestrutura da Quinta da Regaleira, encontra-se uma das maiores colónias de maternidade conhecidas do país, objeto de estudo deste trabalho. O ambiente em redor deste abrigo é composto por uma floresta tipicamente mediterrânica intercalada com plantações de Pinus pinaster, algumas espécies exóticas e campos agrícolas. A ocupação e a atividade dentro do abrigo e a época em que ocorrem os nascimentos foram avaliados através da análise de gravações de vídeo obtidas no interior do abrigo durante 2010 e 2012. A dieta desta colónia foi avaliada através da análise de dejetos recolhidos mensalmente e a disponibilidade alimentar foi avaliada através da amostragem de artrópodes feita com uma armadilha luminosa colocada nas proximidades do abrigo. O pico de ocupação do abrigo ocorre durante o verão, quando as fêmeas se juntam para darem à luz. Nos meses de estudo foi possível observar um padrão de atividade noturna bimodal que parece ser determinado pelos picos de intensidade de luz ao anoitecer e amanhecer. Os nascimentos ocorreram no final de maio e início de junho em 2010 e 2012, respetivamente. A dieta desta colónia é composta essencialmente por Lepidoptera, Tipulidae (Diptera), Hymenoptera, Diptera e Neuroptera. A diversidade de artrópodes manteve-se relativamente constante na dieta mas variou em termos de disponibilidade. Os resultados referentes à dieta demonstraram que R. hipposideros em Sintra é uma espécie generalista mas não oportunista, selecionando ativamente pequenos dípteros.
Rhinolophus hipposideros (Bechstein, 1800) has suffered a severe decline throughout its distribution area, and is extinct in some European regions. The exact population trend in Portugal is unknown, mainly due to its wide distribution, but its populations are probably declining due to loss of suitable roosts and foraging habitats. In Sintra, an infrastructure of the “Quinta da Regaleira” harbours one of the largest known Portuguese maternity colony of this species, focus of this research. The surrounding area is mostly composed by Mediterranean woodland intercalated with Pinus pinaster plantations, some exotic species, and agricultural fields. Roost occupancy, activity inside the roost and time of births were evaluated through the analysis of video recordings obtained inside the roost in 2010 and 2012. Diet composition was evaluated through the analysis of faecal pellets collected monthly underneath the colony, and arthropod availability was sampled using a light trap set outside the roost. The peak of occupation occurs during summer, when females gather to give birth. There seems to be a bimodal pattern of nocturnal activity determined by the peaks of light intensity at sunset and sunrise. The highest number of flights inside of roost was registered immediately before and after the foraging periods. Births occurred in late May and early June in 2010 and 2012, respectively. The diet of this colony is essentially composed by Lepidoptera, Tipulidae (Diptera), Hymenoptera, Diptera and Neuroptera. Arthropod diversity remained fairly constant in the diet, but prey availability clearly varied along the year. R. hipposideros seems to be a generalist, but not an opportunistic species, actively selecting small Diptera.
46
Simms, Rebecca Ann. "Monitoring the quality of maternity care : methods, experiences and opinions." Thesis, University of Bristol, 2015. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.685355.
Full textAbstract:
Reducing substandard care and improving healthcare quality is an NHS priority. Maternity care is a key area where improvements can be made. Through risk management strategies multiple quality-monitoring tools exist, including the clinical dashboard. Maternity dashboards were nationally recommended for use by all UK maternity units in 2008. However, it is unclear to what extent units have implemented dashboards or any associated issues with their use and quality monitoring as a whole.
47
ten, Cate Adrienne E. Jones S. R. G. "Three essays on maternity and parental leave policy in Canada." *McMaster only, 2007.
Find full text
48
Lowe, Lucy. "Displacement, maternity, and onward migration among Somalis in Nairobi, Kenya." Thesis, University of Edinburgh, 2015. http://hdl.handle.net/1842/32555.
Full textAbstract:
This thesis provides an anthropological account of the relationship between experiences of migration and reproduction among Somalis living in Nairobi, Kenya, specifically the complex relationship between motherhood and migration, and the intricacies of balancing the significance and consequences of both. Due to their legally ambiguous and often volatile status, many Somalis did not perceive Kenya as a 'durable solution' for settlement, instead locating themselves within an ongoing process of migration, and as part of a fluid yet highly connected transnational diaspora. This thesis draws on twenty months of ethnographic fieldwork in Eastleigh, the 'Little Mogadishu' area of Nairobi, with Somali women and their families, as well as medical practitioners, NGOs, UN agencies, and governmental bodies, during which I followed how reproductive decisions were made and medical facilities were navigated within a context of displacement. In this thesis I unpack what it means to exist as a 'refugee', 'a migrant', and 'a Somali' within Kenya, as well as the significance of living within a global diaspora community. I analyse (re)creations of 'home' through the temporal appropriation of space, as well as the reproduction of the nation within a context of displacement. I argue that in order to understand how women experience migration, it is essential to understand how they identify themselves within their own transnational family and clan networks as women, wives, and mothers. By illuminating how women protect and act upon their own social positions, this thesis will analyse interwoven concepts of beauty, morality, and motherhood, with a particular focus on how these were entwined with perceptions of both Islam and the Somali nation. Finally, a detailed ethnographic exploration of how women and their families navigated fertility, pregnancy, and childbirth, while simultaneously accounting for possibilities of onward migration, will shed light on the body as a site at which matters of kinship, migration and the future were negotiated. Drawing these issues together, and situating them within medical and political anthropology, this thesis argues that maternity and motherhood are points at which concepts of kinship, religion, citizenship, and gender are intricately interwoven and crucially tethered to strategies for onward migration.
49
Bahr, Adam. "The Industry and Occupation Incidence of State Mandated Maternity Benefits." DigitalCommons@USU, 2018. https://digitalcommons.usu.edu/etd/7159.
Full textAbstract:
Government mandates are often used to promote equality in the workplace, often imposing additional costs upon employers. Economic theory suggest that these additional costs will be shifted onto the employees through a reduction in wages. However, when wage shifting is not an option due to anti-discrimination laws, how will employers respond to the additional costs imposed? Gruber (1994) found that wage shifting occurs when the groups benefiting from a government mandate are easily identifiable to the employer, despite the existence of anti-discrimination laws.
This study seeks to further the work of Gruber (1994) and examine wage shifting at an industry level. We look at industries that have a large percentage of workers who are benefited by a government mandate to see if the wage shifting in these industries was more significant. This study finds that, as the percentage of workforce receiving benefits increases, the amount of wage shifting grows.
50
Kuforiji, Oluwatoyosi A. "Qualitative study exploring Maternity Ward Attendants' perceptions of occupational (work related) stress and the coping methods they adopted within maternity care settings (hospital) in Nigeria." Thesis, University of Bradford, 2017. http://hdl.handle.net/10454/15941.
Full textAbstract:
Background: Occupational stress is a global and complex phenomenon, and workers in developing countries can be affected by it (International Labour Organisation 2001). Staff within maternity settings have been identified as being at risk of suffering from stress, resulting in adverse health outcomes (Evenden and Sharpe, 2002). However, MWAs’ perceptions of stress have not been captured and are not reflected in the literature. Purpose: The aim of this study was to explore MWAs’ perceptions of occupational stress, possible cause(s), the impact and support available and the coping methods they adopted within maternity care settings (hospital) in Nigeria. Methodology: This study adopted a qualitative methodology. Husserl’s (1962) phenomenological approach was chosen as it enabled the researcher to collect rich, in-depth, descriptive accounts of the MWAs’ perceptions of the phenomenon under study through the use of semi-structured interviews. Findings: The major sources of stress for MWAs included work overload, long working hours, staff shortages, work exploitation and intensification and lack of support from senior staff. The stress levels MWAs experienced impacted on their health and well-being and resulted in related behavioural and physical reactions. Conclusion: This study confirmed that MWAs were exposed to similar stress factors experienced by other health workers and reported in the research literature. Additionally, it demonstrated the need for more qualitative studies to explore the perceptions of occupational stress among under-represented groups of healthcare workers. Importantly, this study created an opportunity to explore the experience of dedicated women facing challenging employment practices in hospital settings in Nigeria. Equally, it gave a voice to these unrecognised, almost invisible women, who were the MWAs that played a key role within the maternity services.