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Articoli di riviste sul tema "Maternity services"

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Autore: Grafiati
Pubblicato: 4 giugno 2021
Ultima modifica: 28 luglio 2024

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1

Sackin, P. "Maternity services." BMJ 304, n. 6833 (18 aprile 1992): 1056–57. http://dx.doi.org/10.1136/bmj.304.6833.1056-b.

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Balen, A. "Maternity services." BMJ 304, n. 6833 (18 aprile 1992): 1057. http://dx.doi.org/10.1136/bmj.304.6833.1057.

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McGarry, J. "Maternity services." BMJ 304, n. 6833 (18 aprile 1992): 1057. http://dx.doi.org/10.1136/bmj.304.6833.1057-a.

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Schatzberger, P. "Maternity services." BMJ 304, n. 6838 (23 maggio 1992): 1382–83. http://dx.doi.org/10.1136/bmj.304.6838.1382-d.

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Faiz, Sadaf, Zahira Batool, Sana Ejaz e Abid Rashid. "MATERNITY CARE SERVICES". Professional Medical Journal 23, n. 06 (10 giugno 2016): 721–26. http://dx.doi.org/10.29309/tpmj/2016.23.06.1624.

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Introduction: Maternal health care refers to high quality health care providedto a pregnant woman during pregnancy, delivery and postnatal period. The maternal mortalityratio is quite high in the rural areas of Pakistan. Rural society is highly associated with itstraditions and cultural values. There are some cultural and social barriers for women. Theyare being considered negligible part of the population and are facing a number of hardshipsin availing health facilities. Objective: The aim of the study was to find out the socioeconomic,cultural and demographic factors affecting the access of rural women to maternity care services.Study Design: A cross-sectional study was conducted in the rural areas of District Faisalabad.Quantitative research method was used to get meaningful, detailed information. Material andMethods: A sample of 205 pregnant women aged 18-38 was taken, purposively to explore theresearch objectives through pre-designed interviewing schedule with open and closed endedquestions. Results: Univariate and bivariate analysis reveal the factors associated with theutilization of maternity care services such as education of the respondents and their husbands,family type, household income, age at marriage, attitudes towards health care facilities werefound to be associated with the utilization of maternity care service. Conclusion: The studyreveals that a number of reproductive problems occurred among pregnant women in the ruralareas of Pakistan due to the limited health facilities, socio-demographic and cultural barricadeswhich restricted them to utilize maternity care services
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Lloyd, Carmel. "Protecting maternity services". Nursing Management 22, n. 2 (29 aprile 2015): 14. http://dx.doi.org/10.7748/nm.22.2.14.s14.

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Klein, Luella. "Small Maternity Services". JAMA: The Journal of the American Medical Association 255, n. 14 (11 aprile 1986): 1923. http://dx.doi.org/10.1001/jama.1986.03370140121037.

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Homer, Caroline S. E., Janice Biggs, Geraldine Vaughan e Elizabeth A. Sullivan. "Mapping maternity services in Australia: location, classification and services". Australian Health Review 35, n. 2 (2011): 222. http://dx.doi.org/10.1071/ah10908.

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Objective. To describe maternity services available to Australian women and, in particular, the location, classification of services and support services available. Design. A descriptive study was conducted using an online survey that was emailed to eligible hospitals. Inclusion criteria for the study included public and private maternity units with greater than 50 births per year. In total, 278 maternity units were identified. Units were asked to classify their level of acuity (Levels 2–6). Results. A total of 150 (53%) maternity units responded. Those who responded were reasonably similar to those who did not respond, and were representative of Australian maternity units. Almost three-quarters of respondents were from public maternity units and almost 70% defined themselves as being in a rural or remote location. Maternity units with higher birth rates were more likely to classify themselves as providing higher acuity services, that is, Levels 5 and 6. Private maternity units were more likely to have higher acuity classifications. Interventions such as induction of labour, either using an artificial rupture of membranes (ARM) and oxytocin infusion or with prostaglandins, were common across most units. Although electronic fetal monitoring (EFM) was also widely available, access to fetal scalp pH monitoring was low. Conclusion. Maternity service provision varies across the country and is defined predominately by location and annual birth rate. What is known about the topic? In 2007, over 99% of the 289 496 women who gave birth in Australia did so in a hospital. It is estimated that there are more than 300 maternity units in the country, ranging from large tertiary referral centres in major cities to smaller maternity units in rural towns, some of which only provide postnatal care with the woman giving birth at a larger facility. Geographical location, population and ability to attract a maternity workforce determine the number of maternity units within a region, although the means of determining the number of maternity units within a region is often unclear. In recent years, a large number of small maternity units have closed, particularly in rural areas, often due to difficulties securing an adequate workforce, particularly midwives and general practitioner obstetricians. There is a lack of understanding about the nature of maternity service provision in Australia and considerable differences across states and territories. What does this paper add? This paper provides a description of the geographic distribution and level of maternity services, the demand on services, the available obstetric interventions, the level of staffing (paediatric and anaesthetic) and support services available and the private and public mix of maternity units. The paper also provides an exploration of the different interventions and discusses whether these are appropriate, given the level of acuity and access to emergency Caesarean section services. What are the implications for practitioners? This study provides useful information particularly for policy-makers, managers and practitioners. This is at a time when considerable maternity reform is underway and changes at a broader level to the health system are planned. Understanding the nature of maternity services is critical to this debate and ongoing planning decisions.
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Smith, M. L., e J. G. Craig. "Future of maternity services". BMJ 302, n. 6768 (12 gennaio 1991): 117. http://dx.doi.org/10.1136/bmj.302.6768.117-d.

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Williams, Kate. "Equality code for maternity services". Nursing Standard 8, n. 39 (22 giugno 1994): 6. http://dx.doi.org/10.7748/ns.8.39.6.s5.

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Churchill, Helen, e Angie Benbow. "Informed choice in maternity services". British Journal of Midwifery 8, n. 1 (13 gennaio 2000): 41–47. http://dx.doi.org/10.12968/bjom.2000.8.1.8198.

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Dimond, Bridgit. "Mental incapacity and maternity services". British Journal of Midwifery 8, n. 2 (3 febbraio 2000): 80–82. http://dx.doi.org/10.12968/bjom.2000.8.2.8186.

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McGuire, Margaret, Fiona Dagge-Bel, Patricia Purton e Monica Thompson. "Shaping maternity services in Scotland". British Journal of Midwifery 12, n. 11 (novembre 2004): 674–78. http://dx.doi.org/10.12968/bjom.2004.12.11.16687.

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Bainbridge, Jane. "Maternity services to tackle obesity". British Journal of Midwifery 16, n. 1 (gennaio 2008): 39. http://dx.doi.org/10.12968/bjom.2008.16.1.27929.

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Kinnear, Ann. "Building a maternity services system". Women and Birth 24 (ottobre 2011): S39—S40. http://dx.doi.org/10.1016/j.wombi.2011.07.128.

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Smith, Norman C. "Developing maternity services in Scotland". Hospital Medicine 65, n. 11 (novembre 2004): 662–67. http://dx.doi.org/10.12968/hosp.2004.65.11.17045.

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Hall, M. H. "Crisis in the maternity services." BMJ 297, n. 6647 (20 agosto 1988): 500–501. http://dx.doi.org/10.1136/bmj.297.6647.500.

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O'Hara, J. E. "Crisis in the maternity services". BMJ 297, n. 6649 (10 settembre 1988): 688. http://dx.doi.org/10.1136/bmj.297.6649.688-b.

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Longman, Jo, Jennifer M. Pilcher, Deborah A. Donoghue, Margaret Rolfe, Sue V. Kildea, Sue Kruske, Jeremy J. N. Oats, Geoffrey G. Morgan e Lesley M. Barclay. "Identifying maternity services in public hospitals in rural and remote Australia". Australian Health Review 38, n. 3 (2014): 337. http://dx.doi.org/10.1071/ah13188.

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Objective This paper articulates the importance of accurately identifying maternity services. It describes the process and challenges of identifying the number, level and networks of rural and remote maternity services in public hospitals serving communities of between 1000 and 25 000 people across Australia, and presents the findings of this process. Methods Health departments and the national government’s websites, along with lists of public hospitals, were used to identify all rural and remote Australian public hospitals offering maternity services in small towns. State perinatal reports were reviewed to establish numbers of births by hospital. The level of maternity services and networks of hospitals within which services functioned were determined via discussion with senior jurisdictional representatives. Results In all, 198 rural and remote public hospitals offering maternity services were identified. There were challenges in sourcing information on maternity services to generate an accurate national picture. The nature of information about maternity services held centrally by jurisdictions varied, and different frameworks were used to describe minimum requirements for service levels. Service networks appeared to be based on a combination of individual links, geography and transport infrastructure. Conclusions The lack of readily available centralised and comparable information on rural and remote maternity services has implications for policy review and development, equity, safety and quality, network development and planning. Accountability for services and capacity to identify problems is also compromised. What is known about the topic? Australian birthing services have previously been identified for hospitals with 50 or more births a year. Less is known about public hospitals with fewer than 50 births a year or those with only antenatal and postnatal services, particularly in rural and remote locations, or how maternity services information may be identified from publicly available sources. What does this paper add? This paper describes the process and challenges of identifying maternity services in rural and remote public hospitals serving towns of between 1000 and 25 000, and presents the findings of this process. What are the implications for practitioners? Nationally accessible, reliable and comparable information is important for health planners, policy makers and health practitioners. This paper provides useful information on the variations in the capability and location of maternity services across Australia. Opportunities exist for consistent collection, collation and reporting of maternity services across rural and remote Australia. This will ensure quality and safety of services, contribute to policy review, support the development and maintenance of service networks, and assist in planning services and expenditure, as well as in the identification of problems. It is therefore key to providing equitable services across the country.
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Steward, Emily. "Interprofessional team trust in maternity services: a service evaluation". British Journal of Midwifery 31, n. 3 (2 marzo 2023): 126–32. http://dx.doi.org/10.12968/bjom.2023.31.3.126.

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Background/Aims A climate of trust in maternity may improve the experiences of staff and women accessing maternity services. The aim of this study was to explore how a climate of trust was promoted through creation of a regular virtual maternity multidisciplinary forum, known as a maternal medicine huddle, during the COVID-19 pandemic and what influence this had on the organisational culture of a local maternity system and the experiences of women receiving maternity care. Methods Through a critical feminist methodology, six participants were interviewed using a semi-structured interview schedule. Interviews were conducted through Miscrosoft Teams, with the six participants representing each of the six trusts in a selected local maternity and neonatal system. Results Developing trust for teamwork is valued, while at the same time interprofessional and interorganisation challenges are highlighted that can impact workplace culture. Conclusions The huddles have built a climate of trust, working to deliver safe, equitable care for those using maternity services and a supportive learning environment for those providing it.
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McMillan, Jean. "Maternity services and the White Paper". Nursing Standard 4, n. 7 (8 novembre 1989): 18–19. http://dx.doi.org/10.7748/ns.4.7.18.s40.

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Cross-Sudworth, Fiona. "Racism and discrimination in maternity services". British Journal of Midwifery 15, n. 6 (giugno 2007): 327–31. http://dx.doi.org/10.12968/bjom.2007.15.6.23670.

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Franks, Lauren. "An insight into Chinese maternity services". British Journal of Midwifery 16, n. 8 (agosto 2008): 536–38. http://dx.doi.org/10.12968/bjom.2008.16.8.30789.

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McKie-Addy, Cynthia. "Should Maternity Services Be Hotel-Like?" MCN, The American Journal of Maternal/Child Nursing 33, n. 5 (settembre 2008): 270. http://dx.doi.org/10.1097/01.nmc.0000334890.61226.80.

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Strek, Sharon. "Should Maternity Services Be Hotel-Like?" MCN, The American Journal of Maternal/Child Nursing 33, n. 5 (settembre 2008): 271. http://dx.doi.org/10.1097/01.nmc.0000334891.38355.4b.

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Chamberlain, Geoffrey. "UK parliamentary report of maternity services". Lancet 339, n. 8796 (marzo 1992): 812. http://dx.doi.org/10.1016/0140-6736(92)91940-a.

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Uyeno, Dean, Craig Galbraith e David Buchan. "Forecasting the Demand for Maternity Services". Healthcare Management Forum 7, n. 4 (dicembre 1994): 51–53. http://dx.doi.org/10.1016/s0840-4704(10)61078-2.

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Faced with demands on maternity services exceeding design capacity, one British Columbia hospital commissioned forecasting studies to determine trends in demand and if accurate forecasts could be obtained. In addition to describing the forecasting method employed, the data used and the results, the authors look at what literature is available on obstetrics forecasting.
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Drife, J. "Maternity services: the Audit Commission reports". BMJ 314, n. 7084 (22 marzo 1997): 844. http://dx.doi.org/10.1136/bmj.314.7084.844.

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Downe, Soo. "GP fundholding and the maternity services". British Journal of Midwifery 3, n. 6 (2 giugno 1995): 339–40. http://dx.doi.org/10.12968/bjom.1995.3.6.339.

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Sargent, Carolyn, e Joan Rawlins. "Transformations in maternity services in Jamaica". Social Science & Medicine 35, n. 10 (novembre 1992): 1225–32. http://dx.doi.org/10.1016/0277-9536(92)90176-q.

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Mathew, M. G. "Integrating dental care with maternity services". British Dental Journal 237, n. 1 (12 luglio 2024): 10. http://dx.doi.org/10.1038/s41415-024-7630-2.

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Keleher, Helen, Rebecca Round e Gay Wilson. "Report of the mid-term review of Victoria's Maternity Services Program". Australian Health Review 25, n. 4 (2002): 119. http://dx.doi.org/10.1071/ah020119.

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Substantial State Government funding has been committed in Victoria for the enhancement of maternity services. The funding is intended to improve the quality of care for women and meet consumer expectations for choice and continuity of care in maternity services. This paper reports on a mid-term review (the 'Review') of the Victorian Maternity Services Program, which was conducted by the authors on behalf of the Victorian Department of Human Services. Documentary analysis was conducted for the review, and workshops and key informant interviews were held throughout Victoria with midwives, medical staff and Department of Human Services staff. The Review found that there had been many gains as a result of the Maternity Services Program and identified directions for further development. Issues of change and facilitators of change processes in maternity services are highlighted in this article.
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Gibbons, Veronique, Gytha Lancaster, Kim Gosman e Ross Lawrenson. "Rural women’s perspectives of maternity services in the Midland Region of New Zealand". Journal of Primary Health Care 8, n. 3 (2016): 220. http://dx.doi.org/10.1071/hc15051.

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ABSTRACT INTRODUCTION Rural women face many challenges with regards to maternity services. Many rural primary birthing facilities in New Zealand have closed. The Lead Maternity Carer (LMC) model of maternity care, introduced in 1990, has moved provision of rural maternity care from doctors to independent midwifery services. Shortages of rural midwives in the Midland region led to rural maternity care being seen as a vulnerable service. AIM To understand the views and experiences of rural women concerning maternity care, to inform the future design and provision of rural maternity services. METHODS Participants were drawn from areas purposively selected to represent the five District Health Boards comprising the Midland health region. A demographic questionnaire, focus groups and individual interviews explored rural women’s perspectives of antenatal care provision. These were analysed thematically. RESULTS Sixty-two women were recruited. Key themes emerging from focus groups and interviews included: access to services, the importance of safety and quality of care, the need for appropriate information at different stages, and the role of partners, family and friends in the birthing journey. While most women were happy with access to services, quality of care, provision of information, and the role of family in their care, for some women, this experience could be enhanced. CONCLUSION Midwives are the frontline service for women seeking antenatal services. Support for rural midwives and for local birthing units is needed to ensure rural women receive services equal to that of their urban counterparts.
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Klemetti, Reija, Maaret Vuorenmaa, Anna Heino, Eija Raussi-Lehto, Johanna Kalliolehto, Minna Kaarakainen, Anneli Hujala e Mika Gissler. "Integration of maternity care as a part of social welfare and health care reform in Finland". International Journal of Integrated Care 23, S1 (28 dicembre 2023): 556. http://dx.doi.org/10.5334/ijic.icic23204.

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Introduction: The vertical integration of primary and specialized care has been identified as a key challenge internationally. In Finland, 23 wellbeing services counties will be responsible for organizing integrated social and health care of primary and specialized care starting 2023. Primary maternity care services are offered in antenatal clinics. Specialized care is offered at 23 maternity hospitals including specialized ante- and postnatal care and childbirth. Specialized maternity care has been burdened due to the ever-increasing number of visits and the insufficient information flow between primary and specialized care. In some wellbeing services counties, services have already been integrated, but no information is available whether this integration has improved processes, outcomes or customer satisfaction. Aims and methods: The first aim is to investigate whether there are differences in maternity care service processes, outcomes and customer satisfaction between the wellbeing services counties. The second aim is to find out perceptions of maternity care managers about the integration of maternity care. Three data sets will be used: the Finnish Medical Birth Register data on all newborns in Finland in 2021 (N=49 726), FinChildren survey on parents with 3-6 months old babies (N=14 820) and qualitative thematic interview among maternity care managers (N=8). All data have been collected and analysis of register and survey data is ongoing. Interview data have been analyzed. Highlights: There are differences in the outcomes and customer satisfaction between the wellbeing services counties. However, more detailed data analyses are needed by adjusting for the most evident confounders and comparing the counties with integrated care to the other counties. These results will be presented at the conference. Maternity care managers felt that the structures within maternity care together with organizational boundaries pose a challenge to integration. Political decision-making was considered to have an influence on maternity care structures. Furthermore, more expertise in maternity care was expected from policy makers to support decision-making. Shared maternity care structure, management, and information systems were seen as factors promoting integration. A partial ambiguity or overlap in the roles between maternity clinics and maternity care at hospitals was observed, as well as inter-professional tensions between public health nurses who are working on primary maternity care and midwives who are working both in primary and specialized maternity care. Conclusions: The maternity care system should be more integrated in terms of governance structures, resources, and management. The expertise of maternity care professionals should be utilized in a customer-oriented and cost-effective way. More conclusions will be drawn after finalizing the quantitative analyses. Implications: New models of integrated maternity care should be developed, paying attention to the optimal continuity of care from the perspective of pregnant mothers and families. The results of this study can be used to develop the maternity care systems in different countries.
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Mortimore, Vivien, Michelle Richardson e Sally Unwin. "Identifying adverse childhood experiences in maternity services". British Journal of Midwifery 29, n. 2 (2 febbraio 2021): 70–80. http://dx.doi.org/10.12968/bjom.2021.29.2.70.

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Background Maternity services have a unique opportunity to support women and families to build resilience and mitigate against the harmful impact of parental exposure to adverse childhood experiences (ACEs) but, most importantly, to prevent exposure to ACEs in future generations. Aim To identify ACEs in families who use maternity services in order to improve the professional response to risk, build parental resilience and strengthen parenting capacity. Methods A quality improvement project piloted an ACEs screening tool with 44 women and their partners when booking for maternity services. Implementation was supported by the development of a range of bespoke tools. Evaluation took place through quantitative data analysis and qualitative feedback from professionals and parents. Findings The use of the ACEs screening tool successfully identified ACEs which would otherwise not have been known using the previous antenatal booking questions. The bespoke tool kit was well-received by women, their partners and professionals. Identification and discussion of ACEs enabled appropriate support to be offered. Conclusion Identifying ACEs in maternity services and offering additional support requires further work before wider implementation. These interventions have the potential to reduce risk, build resilience and strengthen parenting capacity which could protect infants from experiencing a cycle of adversity.
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Jones, Isobel H. M., Amy Thompson, Catherine Louise Dunlop e Amie Wilson. "Midwives’ and maternity support workers’ perceptions of the impact of the first year of the COVID-19 pandemic on respectful maternity care in a diverse region of the UK: a qualitative study". BMJ Open 12, n. 9 (settembre 2022): e064731. http://dx.doi.org/10.1136/bmjopen-2022-064731.

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ObjectivesTo explore midwives’ and maternity support workers’ perceptions of the impact of the COVID-19 pandemic on maternity services and understand factors influencing respectful maternity care.DesignA qualitative study. Eleven semistructured interviews were conducted (on Zoom) and thematically analysed. Inductive themes were developed and compared with components of respectful maternity care.SettingMaternity services in a diverse region of the United Kingdom.ParticipantsMidwives and maternity support workers who worked during the first year of the COVID-19 pandemic.ResultsThe findings offer insights into the experiences and challenges faced by midwives and maternity support workers during the first year of the COVID-19 pandemic in the UK (March 2020–2021). Three core themes were interpreted that impacted respectful maternity care: (1) communication of care, (2) clinical care and (3) support for families. 1. Midwives and maternity support workers felt changing guidance impaired communication of accurate information. However, women attending appointments alone encouraged safeguarding disclosures. 2. Maternity staffing pressures worsened and delayed care provision. The health service’s COVID-19 response was thought to have discouraged women’s engagement with maternity care. 3. Social support for women was reduced and overstretched staff struggled to fill this role. The continuity of carer model of midwifery facilitated supportive care. COVID-19 restrictions separated families and were considered detrimental to parents’ mental health and newborn bonding. Overall, comparison of interview quotes to components of respectful maternity care showed challenges during the early COVID-19 pandemic in upholding each of the 10 rights afforded to women and newborns.ConclusionsRespectful maternity care was impacted through changes in communication, delivery of clinical care and restrictions on social support for women and their infants in the first year of the COVID-19 pandemic. Future guidance for pandemic scenarios must make careful consideration of women’s and newborns’ rights to respectful maternity care.
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Preston, Hanna, Chrystal Jaye e Dawn Miller. "General practice registrars' views on maternity care in general practice in New Zealand". Journal of Primary Health Care 7, n. 4 (2015): 316. http://dx.doi.org/10.1071/hc15316.

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INTRODUCTION: The number of general practitioners (GPs) providing maternity care in New Zealand has declined dramatically since legislative changes of the 1990s. The Ministry of Health wants GPs to provide maternity care again. AIM: To investigate New Zealand general practice registrars' perspectives on GPs' role in maternity care; specifically, whether maternity services should be provided by GPs, registrars' preparedness to provide such services, and training opportunities available or required to achieve this. METHODS: An anonymous online questionnaire was distributed to all registrars enrolled in The Royal New Zealand College of General Practitioners' (RNZCGP's) General Practice Education Programme (GPEP) in 2012, via their online learning platform OWL. RESULTS: 165 of the 643 general practice registrars responded (25.7% response rate). Most (95%) believe that GPs interested and trained in maternity care should consider providing antenatal, postnatal or shared care with midwives, and 95% believe women should be able to access maternity care from their general practice. When practising as a GP, 90% would consider providing antenatal and postnatal care, 47.3% shared care, and 4.3% full pregnancy care. Professional factors including training and adequate funding were most important when considering providing maternity care as a GP. DISCUSSION: Ninety-five percent of general practice registrars who responded to our survey believe that GPs should provide some maternity services, and about 90% would consider providing maternity care in their future practice. Addressing professional issues of training, support and funding are essential if more GPs are to participate in maternity care in New Zealand. KEYWORDS: General practice; education; maternity care; New Zealand; rural health services
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Newnham, Elizabeth. "Midwifery directions: The Australian Maternity Services Review". Health Sociology Review 19, n. 2 (giugno 2010): 245–59. http://dx.doi.org/10.5172/hesr.2010.19.2.245.

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Gayle, Elsie. "Give maternity services robust racial equality protections". Nursing Standard 29, n. 33 (15 aprile 2015): 32–33. http://dx.doi.org/10.7748/ns.29.33.32.s38.

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Fazal, Nusrat, Anne Webb, Jo Bangoura e Mohamed El Nasharty. "Telehealth: improving maternity services by modern technology". BMJ Open Quality 9, n. 4 (novembre 2020): e000895. http://dx.doi.org/10.1136/bmjoq-2019-000895.

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Hypertension is considered one of the most common medical disorders causing complexities in pregnancy. It could be a newly developed pregnancy-induced hypertension (PIH) or a pre-existing hypertension developing into superimposed pre-eclamptic toxaemia. PIH affects approximately 10% of pregnancies and can have a serious impact on both maternal and fetal well-being; hence requires frequent monitoring and timely intervention. National Institute for Health and Care Excellence (NICE) guidelines recommends once or twice weekly monitoring of blood pressure for such patients. The required frequent monitoring comes with certain implications for patients and healthcare services. An average patient with PIH would need to see her healthcare provider once or twice a week until delivery and 6 weeks thereafter. This certainly increases pressure on limited National Health Service (NHS) resources. Home-based monitoring using Telehealth technology can represent a potential solution for achieving good-quality care for the patient without increasing the workload for healthcare providers. We used ‘Florence’, a text-based technology platform to support home monitoring. We tested its acceptability, feasibility and safety to replace face-to-face appointments for blood pressure monitoring in selected patients with PIH. We implemented our project in three progressive phases using a plan, do, study, act methodology. Florence, telehealth technology was used for blood pressure monitoring instead of face-to-face appointments, and the effect of this innovative technology on the services and the patient experience was studied and necessary modifications were made before progression into the next phase. We recruited 75 patients over 12 months through the progressive phases and replaced around 800 face-to-face appointments by remotely supervised monitoring sessions with Florence successfully, with improved care and patient satisfaction. We also achieved better compliance with the NICE guidelines for blood pressure monitoring in PIH. Our project concluded that Telehealth can be a potential solution for improving care in maternity services, with lesser burden on NHS resources.
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41

Richards, M. P. M. "Doulas and the Quality of Maternity Services". Birth 19, n. 1 (marzo 1992): 40–41. http://dx.doi.org/10.1111/j.1523-536x.1992.tb00375.x.

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42

Marsh, Anna. "The importance of language in maternity services". British Journal of Midwifery 27, n. 5 (2 maggio 2019): 320–23. http://dx.doi.org/10.12968/bjom.2019.27.5.320.

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An essential element of communication in maternity services is the use of language. This article will examine three key themes in the use of language: medical jargon, emotive language and those for whom English is not a first language. Medical jargon detracts from patient autonomy, and emotive language can influence women's mindset and experience both positively and negatively. When English is not an individual's first language, women feel defenceless and lack understanding. This can be mitigated by the use of an interpreter; however, their misuse, or a health professional's inexperience in using them, can limit their effectiveness.
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43

Vernon, Samantha. "People with learning disabilities accessing maternity services". British Journal of Midwifery 27, n. 9 (2 settembre 2019): 589–92. http://dx.doi.org/10.12968/bjom.2019.27.9.589.

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From September 2018–June 2019, I was fortunate enough to undertake a research internship with the National Institute for Health Research (NIHR). My chosen topic was ‘people with learning disabilities accessing maternity services'. This was because, through 19 years of clinical practice, I identified an increasing number of women and families with learning disabilities presenting for care in my Trust, but found no specific mention of learning disabilities in the National Institute for Health and Care Excellence (NICE) (2019) guidelines, nor a standard definition within which to work. This led me to reflect on my experience and how midwives can assist women and families with learning disabilities. This refelection has been guided by Gibbs (1988) .
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44

Hankins, Gary D. V., Alastair H. MacLennan, Michael E. Speer, Albert Strunk e Karin Nelson. "Obstetric Litigation Is Asphyxiating Our Maternity Services". Obstetrics & Gynecology 107, n. 6 (giugno 2006): 1382–85. http://dx.doi.org/10.1097/01.aog.0000220531.25707.27.

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45

Bharj, Kuldip. "Drug dependancy: a case for maternity services". British Journal of Midwifery 7, n. 4 (aprile 1999): 282. http://dx.doi.org/10.12968/bjom.1999.7.4.8358.

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46

Page, Lesley. "All is not well with maternity services". British Journal of Midwifery 9, n. 6 (giugno 2001): 353. http://dx.doi.org/10.12968/bjom.2001.9.6.7965.

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47

Page, Lesley. "Shaping the future of the maternity services". British Journal of Midwifery 11, n. 3 (marzo 2003): 134. http://dx.doi.org/10.12968/bjom.2003.11.3.11120.

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48

Lee, Elaine. "Lesbian users of maternity services: appropriate care". British Journal of Midwifery 12, n. 6 (giugno 2004): 353–58. http://dx.doi.org/10.12968/bjom.2004.12.6.13132.

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49

Magill-Cuerden, Julia. "How do maternity services provide individualized care?" British Journal of Midwifery 13, n. 8 (agosto 2005): 480. http://dx.doi.org/10.12968/bjom.2005.13.8.18559.

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50

Gould, Debby. "Professional dominance and subversion in maternity services". British Journal of Midwifery 16, n. 4 (aprile 2008): 210. http://dx.doi.org/10.12968/bjom.2008.16.4.29042.

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