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1
Reid, Lindsay. "Scottish midwives, 1916-1983 : the Central Midwives Board for Scotland and practising midwives". Thesis, University of Glasgow, 2002. http://theses.gla.ac.uk/3489/.
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The purpose of this thesis is to explore how differing circumstances came together to help or hinder the autonomous practice of midwives in Scotland between 1916 and 1983 when the Central Midwives Board (CMB) oversaw their training and practice. The thesis includes an examination of the records of the CMB for Scotland from 1916 to 1983 and, through oral testimonies, the work of practising midwives during the same period. The thesis is divided into two parts. Part I, comprising five chapters, explores the work of the CMB from 1916 to 1983. This includes: an examination of the issues surrounding the 1902 Midwives Act which did not apply to Scotland, and the campaign for, and opposition to, a similar Act for Scotland, passed in 1915; the constitution and early activities of the CMB which the 1915 Midwives (Scotland) Act established to oversee the enrolment, training and practice of midwives; a discussion of the national concern over the Maternal Mortality Rate in the 1920s and 1930s, subsequent Government reports and legislation and the CMB’s responses to these issues; an examination of the CMB’s work during the time of the World War II, the shortage of midwives, and the changes the National Health Service administration made to midwifery in Scotland. Finally, Part I examines the last decades of the CMB’s existence, including its response to changes in midwifery management, education, practice and statute. Part II, comprising three chapters, focuses on the practice of midwives in Scotland during the period through the aspects of antenatal, intranatal and postnatal care. Each chapter uses evidence from oral testimonies of midwives working within the framework established by relevant Acts and the CMB. Part II illuminates the contrast between the work of the CMB and the world of hands-on midwifery practice.
2
Esling, Ellen. "Coyote Midwives". OpenSIUC, 2018. https://opensiuc.lib.siu.edu/theses/2389.
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Coyote Midwives is a documentary film about the birth workers who are leading alternative maternity care and reproductive justice in the state of Illinois. This film examines the medicalization of labor and delivery, the patriarchal norms that constitute a threat to a birthing parent’s health, and the structure in place to ensure that birth remains exclusively physician-controlled. Coyote Midwives captures the energy, spirit, and empowering potential of birth, the negotiation and compromise of “professionalizing” midwives, and the networks of criminalized, black market, safe maternity care that persevere despite the illegalities.
3
Fannin, Maria. "Midwifery as mediation : birthing subjects and the politics of self-determination /". Thesis, Connect to this title online; UW restricted, 2006. http://hdl.handle.net/1773/5619.
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Sonti, Balandeli Siphumelele Israel. "Perceptions of Nelson Mandela Metropolitan obstetric unit midwives regarding consulting advanced midwives". Thesis, Nelson Mandela Metropolitan University, 2015. http://hdl.handle.net/10948/d1021196.
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The perceptions of Nelson Mandela Metropolitan Municipality obstetric unit midwives regarding consulting advanced midwives were researched. Currently South Africa is burdened with an increasing maternal mortality rate despite the control measures that have been put in place. One of those control measures is the skilling of midwives and ensuring that skilled birth attendants assist every woman in confinement. A concern, though, was observed by the researcher that an increasing number of midwives in the country now have an additional qualification in advanced midwifery and yet the maternal and neonatal mortality rates are gradually increasing. The researcher, as a midwife and a midwifery lecturer in that capacity, observed that in the clinical areas midwives prefer to consult with the doctor rather than the advanced midwife. In most cases looking and waiting for the doctor delays the management of the labouring woman as the doctor may not be immediately available. The advanced midwives are supposed to have advanced skills which should be used to assist in the absence of the doctor, particularly in the midwife obstetrics units. The study objectives were firstly, to describe and explore the perceptions of NMM obstetric unit midwives regarding consulting with advanced midwives. Secondly, based on the results of the study, to make recommendations to the managers of the obstetric units within the NMM that will enhance consulting between advanced midwives and midwives in obstetric units. The study was quantitative in nature and utilised an explorative, descriptive and contextual design. Sampling was made possible through simple random probability sampling using the non-replacement approach. The method of data collection was by self-administered questionnaires that were developed by the researcher under the guidance of a qualified and experienced statistician and researcher and the supervision of the research supervisor. Data was collected during July and September of 2014. One hundred and thirty questionnaires were distributed and ninety four were returned. Responses were captured on a spread sheet for easy and accurate calculation and the numerical data was categorized, ordered and manipulated with the help of a statistician using the software package Statistica Version 21 to ensure efficacy of the results The findings were presented by describing the biographic profile of participants, their competence in the identification and management of high risk situations, their consultation with advanced midwives in high risk situations, their reasons for not consulting advanced midwives and a description of factors that might encourage midwives to consult the advanced midwives. Literature controls were utilized to compare findings with current views of other researchers. Trustworthiness was maintained by observing the principles of reliability and validity. The ethical considerations of confidentiality, anonymity and protection of the participants from harm were maintained by the researcher. The findings revealed that there were significant numbers of midwives with many years of clinical experience and years in the units. The age difference of the midwives in the obstetrics units was seen to be an added advantage to the care of women as the young and old could complement each other with the latest information and experience in dealing with midwifery related emergencies respectively. The difference in gender was as expected but did not have an influence on the non-consulting with advanced midwives by the midwives who are working in the obstetrics units. Also, the limited confidence of midwives regarding their performance of certain low risk skills and their confidence in the performance of the advanced midwives was a reason to consult with the advanced midwives in their areas of speciality. Based on these findings, the researcher attended to the second objective and made the necessary recommendations to the managers of the obstetric units within the NMM to enhance consulting with advanced midwives by midwives in obstetric units. Midwives globally would gain information that would assist them in motivating recommendations to the managers of the obstetric units with regard to consulting with advanced midwives by midwives in their obstetric units.
5
Cullen, Miriam C. "Australian midwives' practice domain". Thesis, Curtin University, 1997. http://hdl.handle.net/20.500.11937/51.
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This exploratory, descriptive research used a case study approach to analyse the role of the midwife in providing maternal and infant care in Australia. Midwives from the states of New South Wales, Victoria and Western Australia comprised the target population. These midwives were considered to be representative of the general midwifery population practising in the diverse settings of Australia.A triangulation of methods (Denzin, 1970) was used for data collection. This included observational field work, a questionnaire survey of a randomly selected sample of registered midwives (n=1754), and in-depth interviews (n=75), using a grounded theory approach (Glaser and Strauss, 1967; Strauss and Corbin, 1990).The questionnaire, in-depth interviews and observational field work addressed the practice of midwives:1. as documented in policies and procedures in practice settings.2. as defined by the Australian College of Midwives Incorporated in Standards for the Practice of Midwifery (1989), based on the International Confederation of Midwives' Definition of a Midwife (World Health Organisation, 1976).Data obtained through the survey questionnaire were analysed using descriptive analysis (Wilson, 1985) to portray a summarization of the entire data set. A thematic content analysis was used for the open-ended questions of the survey (Burnard, 1991). In an attempt to discover the 'how and why' questions associated with the study's survey findings, the constant comparative method of analysis of data from in-depth interviews was deemed appropriate (Glaser, 1978; Field and Morse, 1985; Chenitz and Swanson, 1986). This allowed a more abstract level of conceptualization that led to the development of a paradigm reflective of the midwives' practice domain (Strauss and Corbin, 1990).Lack of opportunities to practise throughout all stages of pregnancy and childbirth was identified as the major problem limiting the Australian midwives' practice domain. An explanatory process of Optimising Opportunities for Holistic Midwifery Practice emerged explaining midwives' actions and interactions throughout the four stages of optimising: revealing the image; influencing decision making; changing the paradigm; and expanding the profession.The findings of the study provide an analysis of Australian midwifery practice that considers factors facilitating and/or impeding the professional role and development of Australian midwives, and their ability to provide care that meets consumer needs.
6
Cullen, Miriam C. "Australian midwives' practice domain". Curtin University of Technology, School of Nursing, 1997. http://espace.library.curtin.edu.au:80/R/?func=dbin-jump-full&object_id=12173.
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This exploratory, descriptive research used a case study approach to analyse the role of the midwife in providing maternal and infant care in Australia. Midwives from the states of New South Wales, Victoria and Western Australia comprised the target population. These midwives were considered to be representative of the general midwifery population practising in the diverse settings of Australia.A triangulation of methods (Denzin, 1970) was used for data collection. This included observational field work, a questionnaire survey of a randomly selected sample of registered midwives (n=1754), and in-depth interviews (n=75), using a grounded theory approach (Glaser and Strauss, 1967; Strauss and Corbin, 1990).The questionnaire, in-depth interviews and observational field work addressed the practice of midwives:1. as documented in policies and procedures in practice settings.2. as defined by the Australian College of Midwives Incorporated in Standards for the Practice of Midwifery (1989), based on the International Confederation of Midwives' Definition of a Midwife (World Health Organisation, 1976).Data obtained through the survey questionnaire were analysed using descriptive analysis (Wilson, 1985) to portray a summarization of the entire data set. A thematic content analysis was used for the open-ended questions of the survey (Burnard, 1991). In an attempt to discover the 'how and why' questions associated with the study's survey findings, the constant comparative method of analysis of data from in-depth interviews was deemed appropriate (Glaser, 1978; Field and Morse, 1985; Chenitz and Swanson, 1986). This allowed a more abstract level of conceptualization that led to the development of a paradigm reflective of the midwives' practice domain (Strauss and Corbin, 1990).Lack of opportunities to practise throughout all stages of pregnancy and childbirth was identified as ++the major problem limiting the Australian midwives' practice domain. An explanatory process of Optimising Opportunities for Holistic Midwifery Practice emerged explaining midwives' actions and interactions throughout the four stages of optimising: revealing the image; influencing decision making; changing the paradigm; and expanding the profession.The findings of the study provide an analysis of Australian midwifery practice that considers factors facilitating and/or impeding the professional role and development of Australian midwives, and their ability to provide care that meets consumer needs.
7
Barker, Susan A. "The midwife's coracle : a phenomenological study of midwives' experiences of emotionally supporting motherhood". Thesis, Bournemouth University, 2010. http://eprints.bournemouth.ac.uk/13820/.
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Background An initial review of the literature pertaining to the emotional health of women in their transition to motherhood was undertaken. It became clear that this is an emotional time for women where they are particularly at risk of becoming distressed (Drift 2004) and if women are emotionally distressed at this time it may have long term implications for mother (Drift 2004), baby (Miller et al 1993, Lemaitre-Sillere 1998, McMahon et a1200l) and family (Burke 2003, Tammentie et al 2004a, Tammentie et al 2004b). This understanding led to an exploration of who might provide for the emotional health needs ofwomen at this time. Midwives were identified as key professionals because of their regular contact with women through pregnancy, labour, birth and early childcare. The literature review indicated that midwives were providing for the emotional needs of women but there was no indication of how, despite the recent studies conducted into the emotion work of midwives by Hunter and her colleagues (Hunter 2001,2005,2006, Hunter and Deery 2009). Design This study has been conducted using the Husserlian philo.sophical approach with Giorgi's psychological method (Giorgi 1985). Eight community midwives were recruited following a presentation at their community midwifery team meeting at a local NHS Trust and subsequent 'snowballing'. Unstructured interviews were conducted with them in 2004 in order to explore their experiences ofproviding emotional support to women who were becoming mothers. Findings A general structure was developed along with four constituents: these were 'tipping the balance to showing emotionally supportive care', 'showing emotionally supportive care', 'struggles in showing emotionally supportive care' and 'emotional experiences'. The descriptions of experiences shared by the midwives led to an understanding that emotional support is a special type of care. This occurs in an intimate relationship supported by a 'circle of care'. The midwives use their communication skills with the aim of facilitating comfort and ameliorating emotional distress. To give this care, midwives needed to go through a process of 'tipping the balance' but even after this was enacted, they still struggled in providing this care. They appeared to particularly struggle with maintaining their 'with woman' ideology within their current professional culture. Recommendations There is a need for midwifery to consider how midwives might manage their 'with woman' care within health and social care services. For the midwives in this study, having the autonomy to manage their own diaries and caseloads along with good working relationships with their colleagues was facilitative. This was a small study in one geographical area but it clearly indicates the need for further research in this area.
8
Burden, Barbara. "Privacy in maternity care environments : exploring perspectives of mothers, midwives and student midwives". Thesis, Open University, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.441141.
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Hoffman, Bruce Lowell. "The cultural power of law : the criminalization, organization, and mobilization of independent midwifery /". Thesis, Connect to this title online; UW restricted, 2004. http://hdl.handle.net/1773/8852.
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Wegner, Carolyn Marie. "Rio : Connecting Midwives and Knowledge". Thesis, Umeå universitet, Designhögskolan vid Umeå universitet, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-182468.
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Mothers around the world experience preventable medical complications during labor and delivery that can lead to maternal and newborn mortality. In addition, some expectant mothers can experience abuse, neglect, and discrimination from attending midwives. This lack of quality care has more connection to maternal mortality than lack of access to health services itself, and it is shown that the most effective way to improve care is through training and continuous education of the midwife, the primary obstetric care-giver. Laerdal Global Health [LGH], was collaborated with in this thesis, a not-for-profit company whose work is dedicated to saving the lives of mothers and newborns in low income regions, through high-impact, low-cost solutions involving educational materials and training programs for midwives. The aim of the partnership with LGH was to support competency development for labor management, with a focus on continuous training and education for midwives in Tanzania, sub Saharan Africa. Continuous training is on-going education of midwives through various methods of training and learning, with the goal of keeping skill sets current and evolving with best practice knowledge. Around the world, as well as in in sub Saharan Africa, medical systems can be stressed by a range of factors, including lack of resources and lack experienced midwives, which leads to challenges to follow standardized obstetric guidelines and an over-burdening workload for the midwife. (LGH, 2019). There is also a high frequency of midwife turnover within clinics and hospitals, making it difficult to train a fluctuating staff of varying competencies and knowledge sets. (LGH, 2019). The net effect of these challenges and beyond, made it imperative to address how midwives could be supported in their efforts to engage in continuous education and training. To facilitate and support continuous education, a hybrid chat and professional education platform, Rio, was created, powered by social interaction, knowledge exchange, and democratization of information. This platform’s aim was to give form and body to existing digital and social behaviors, and midwives’ continuous education efforts, something that comes in many shapes and sizes, and levels of tangibility. A proposal in the digital space was determined to be optimal due to its ability to increase access to information, and its adaptability to user needs and environments. Rio also challenges the ubiquitous nature of WhatsApp in the medical context by addressing and rethinking the generation, use, and storage of patient data. In tandem, Rio maintains the successful social platform use patterns, while utilizing these traits to propel and facilitate professional education and knowledge exchange.
11
Masala-Chokwe, MET, i TS Ramukumba. "Exploring the meaning of caring amongst student midwives, professional midwives and educators in Tshwane, South Africa". African Journal of Primary Health Care and Family Medicine, 2015. http://encore.tut.ac.za/iii/cpro/DigitalItemViewPage.external?sp=1001972.
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Summary
Background: In spite of caring being the core of midwifery and nursing, there is a constant
public outcry about uncaring behaviours of midwives towards clients. Local media reports
and recent discussion in the health system have highlighted the concerns regarding caring
behaviours of midwives. Thus, there is a need to compare the meaning of caring from the
perspectives of student midwives, midwives and educators.
Aims: The aim of this article was to determine the meaning of caring from the perspectives of
the undergraduate student midwives, the professional midwives, and the educators teaching
midwifery in Tshwane.
Setting: The study was conducted at healthcare institutions which the undergraduate student
midwives attended for work integrated learning and at nursing education institutions in
Tshwane, South Africa.
Methods: The strategy was qualitative and exploratory in nature. The population comprised
student midwives, professional midwives and educators. Purposive sampling was done.
Focus group discussions were held with student midwives and professional midwives, whilst
the naïve sketch form was used as data-collection instrument for educators. Content data
analysis was done. The total sample realised was 38.
Results: The findings revealed that ‘caring’ was taken to mean being well conversant, upto-
date and proficient in the field of work as well as considerate and respectful to others.
The professional midwives indicated that they have seen colleagues demonstrate uncaring
behaviour whilst educators emphasised respect as caring.
Conclusion: The student midwives, professional midwives and educators described caring as
being a competent nurse with compassion and respect for others.
12
MacDonald, Corey Meghan. ""We Listen to Women": Exploring Midwifery in Virginia from Certified Nurse-Midwives and Certified Professional Midwives". Thesis, Virginia Tech, 2007. http://hdl.handle.net/10919/31974.
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The purposes of this study were to explore the work of midwives and their experiences with the medical community, and to examine their goals and hopes for the profession of midwifery in Virginia. To facilitate this purpose, the guiding research questions included: What do midwives believe the role of a midwife is? What are their experiences with the medical community? What are their hopes and goals for the future of midwifery in Virginia? Through interviews, focus groups and participating as a researcher-observer, I found that both certified nurse-midwives and certified professional midwives believe the role of midwife is one of support. Furthermore, midwivesâ experiences with the medical community are both restrictive and supportive, and both groups are pursuing the advancement of midwifery acceptance and practice through building relationships and advocating for midwifery. The dominance of medical authoritative knowledge of childbirth in the United States creates struggles for midwives. Consequently networking and consumer advocacy are cited as vehicles for the growth of midwifery.Master of Science
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Purkis, Judith Christine. "Beyond qualification : learning to be midwives". Thesis, University of Warwick, 2006. http://wrap.warwick.ac.uk/4079/.
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"I know that every day I am gaining experience ... learning more" (Int. 6(a)) This thesis examines the social practices and associated learning that shape the meaning of midwifery for new members of the profession. In doing so it explores the extent to which the implications of practice either liberate or circumscribe midwives' identity formation. The thesis further suggests how this identity formation may impact upon commitment to a long term career in midwifery. The theoretical framework for this thesis acknowledges that continuing professional development and evidence of recognised learning activity is, for all midwives, a professional requirement. However, less attention has historically been paid to the unstructured, unintended and relatively informal learning that occurs within and throughout midwives' involvement in everyday practice. It is through these forms of learning, and drawing upon data elicited through surveys, interviews and diaries, that this thesis seeks to make a contribution. Using a social model of learning, particularly through Wenger's (1998) work on communities of practice, the development of identity is presented as a negotiated process mediated to a greater or lesser degree by workplace relationships. Whilst relationships with pregnant women form an important element of this process, the thesis argues that collegial relationships generally assume greater importance and impact on the development of identity and meaning for newly qualified midwives. By situating the everyday experiences of newly qualified midwives within a broader theoretical debate about social learning, identity and the making of meaning, this thesis suggests that the contemporary 'doing' of hospital based midwifery remains within what are fairly narrowly prescribed, contested, yet firm boundaries. The development, existence and negotiation of these boundaries is central to the space which pregnant women, midwifery and midwives can occupy. These boundaries are simultaneously hierarchical, intra professional and personal. Furthermore, in practice, these boundaries are frequently unclear and rapidly changing. Whilst this contributes to a potentially dynamic opportunity for identity formation, the thesis demonstrates how this also transpires to contribute to an unstable, frustrating and frequently challenging context particularly for newly qualified members of the profession. Overall, this thesis contributes to an understanding of the development, or lack of development, of midwifery practice at theoretical, conceptual and practical levels. Viewing practice as social learning offers a new perspective on the opportunities and challenges inherent in the current model of care. Simultaneously it suggests a new perspective on the recruitment crisis faced by the profession and accordingly the opportunity for new potential solutions.
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ME, Chokwe, i SCD Wright. "Caring during clinical practice: Midwives’ perspective". Adelaide Tambo School of Nursing Science, Tshwane University of Technology, 2013. http://encore.tut.ac.za/iii/cpro/DigitalItemViewPage.external?sp=1001969.
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Summary
Background: Caring forms the core of nursing and midwifery. Despite caring being an
important emotional aspect of midwifery and nursing, there are general public complaints
about uncaring behaviour in midwifery. Therefore, there is a need to explore caring from
midwives’ point of view with the hope of identifying solutions and recommendations for
midwifery practice. Furthermore, the study aimed to stimulate debate and discussion about
the caring behaviour of midwives.
Objective: To explore caring during clinical practice as perceived and experienced by
midwives.
Method: The study was contextual, exploratory and qualitative. The participants were
midwives working in state and private hospitals in Tshwane, South Africa where BTech II
and III midwifery learners were allocated for work integrated learning (WIL). Data collection
was carried out through self-report using a questionnaire and focus group. Questionnaires
were distributed to 40 midwives at private and state hospitals in Tshwane. This was followed
by two focus group sessions to ensure that data is enriched. The hermeneutic interpretive
approach was used to analyse data, and analysis continued until saturation.
Results: Themes of caring and uncaring related to patient care and midwives emerged. The
findings illustrated that the midwives had excellent theoretical knowledge of caring, but some
of them did not display caring behaviour during clinical practice.
Conclusion: Some of the midwives did not display caring behaviour. Implication for practice
was provided based on the research findings. Recommendations included measures of
improving caring behaviours during midwifery practice.
15
Al-Nuaimi, Karimeh. "Exploring newly-qualified Jordanian midwives' competencies". Thesis, Glasgow Caledonian University, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.517963.
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Jackson, Ima. "Midwives' talk : a discourse analysis of midwives' experience of hospital-based maternity care in a Scottish city". Thesis, Glasgow Caledonian University, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.443436.
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Stewart, Mary. "Midwives' discourses on vaginal examination in labour". Thesis, University of the West of England, Bristol, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.486303.
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Vaginal examination is a common and routine aspect of midwifery practice that is used to . determine the presentation and position of the fetus and to measure cervical dilatation in order to assess progress in labour. It is known that the procedure may be problematic. The available literature focuses on the accuracy or otherwise of estimates of cervical dilatation and the potential for vaginal examination to result in post-traumatic stress disorder, particularly for women who have experienced sexual abuse. However, no research has previously been undertaken to explore midwives' accounts of the procedure. This PhD uses the work of Foucault, in particular his writing on surveillance, to identify midwives' discourses on vaginal examination and to explore these within the context of knowledge and power. Qualitative research methods and a methodology of critical ethnography were used to identify the discourses, underpinned by postmodern and feminist principles. In total, sixteen midwives and ten pregnant women were recruited to the study and data were analysed thematically using ethnographic principles. The findings from this PhD confirm that vaginal examination is problematic. In addition, the research demonstrates that midwives experience vaginal examination as a form of surveillance and modify and monitor their behaviour in response to this scrutiny. Midwives described the punitive nature of this surveillance and, in response, hid and obfuscated some of their behaviour. The implications of practitioners acting in this way are profound for both midwives and the women in their care. Further work is needed to explore how the culture of the maternity services can be improved to support more transparent and open practice. The findings demonstrate the multi-faceted nature of knowledge within the context of vaginal examination and raise important issues for policy and practice about the ways in which midwives use this knowledge, particularly in relation to recording their clinical findings. Midwives in this study stated that during their training they did not feel equipped for the physical and emotional realities of vaginal examination. Further research is needed to improve the preparation of students for this particularly intimate aspect of body work. Finally, this study demonstrates that midwives exert a form of power that can best be described as matriarchal. This concept has not previously been identified in the midwifery literature and is worthy of further exploration.
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Schottle, Nancy Kristine. "Obstetrical nurses' intentions toward collaborating with midwives". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape9/PQDD_0006/MQ45415.pdf.
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Bewley, Chris. "Midwives' experiences of personal pregnanacy related loss". Thesis, Middlesex University, 2005. http://eprints.mdx.ac.uk/6873/.
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The aim of the study was to explore the experiences of midwives who were having problems with any aspect of reproduction, and relate this to their approach and attitude to their work with pregnant and childbearing women, and to their colleagues. The study used a grounded theory approach. Data were obtained from written narrative accounts from 40 participants and from 10 follow up, in-depths, semi-structured interviews. Data were analysed using a constant comparative technique producing categories and the core category of the thesis. The findings suggested that pregnancy related losses, including infertility, miscarriage, termination of pregnancy, stillbirth and neonatal death, influenced the participants' personal and professional relationships. In common with nonmidwives in similar situations, some midwives found it difficult being with pregnant women or babies, although most differentiated between longing for their own baby, and envy of any other baby. Some found difficulty working in particular areas, for example labour ward, although there seemed to be no link between the type of loss, and problematic areas. Most participants spoke of their love for midwifery, and their determination to continue despite difficulties. At work, participants valued practical and emotional support. Some participants suggested that their experiences had increased their practical knowledge and understanding. Some had improved support systems for clients and for colleagues. Many participants mentioned the therapeutic value of involvement in the study. The implications of the study were that the midwives could not avoid evidence of others' fertility in their work. How they addressed this influenced their approach to work, and some recommendations are made, based on the findings. These relate to potentially supportive management and teaching strategies, and to further research and awareness raising which might help midwives and others in similar occupations following personal experience of pregnancy related loss.
20
Mander, Rosemary. "The employment decisions of newly qualified midwives". Thesis, University of Edinburgh, 1987. http://hdl.handle.net/1842/19101.
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Church, Sarah Llywela Rees. "Midwives and mothers : reproductive identities and experiences". Thesis, Open University, 2009. http://oro.open.ac.uk/54493/.
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This thesis explores gender identity in relation to reproduction, midwifery and motherhood from the perspectives of midwives and mothers. Using auto/biography this research emerged from my own embodied experiences of reproduction, childbirth and midwifery. It questions how experiences of reproduction might shape the identity of the midwife and the relationships between midwives and mothers. This research focuses on three specific aims; first, to contribute to the theoretical and sociological understanding of gender identity; second, to explore midwives' personal experiences of pregnancy and birth, and how their embodied experiences influence practice; and third, to contribute to the understanding of the 'meaning of motherhood', from the experience of midwives and mothers. Following in-depth interviews with fourteen midwives and thirteen mothers, the research findings show that gender expectations of midwives as female carers are bound by socially constructed expectations of the identity of the midwife as a carer, in which the role of emotion is a key theme. This thesis illustrates how the analysis of gender identity shows the interconnectivity between midwifery, reproduction and motherhood, and emotion. It contributes to the understanding of the relationship between emotion, midwives embodied experiences of reproduction, childbirth and motherhood, and the issue of professional identity. The findings highlight the significance of emotion in mediating the relationship between midwives' experiences and their practice, especially in the context of midwives' identity. This research provides an insight into the relational aspects of emotion work within reproduction and childbirth, and reveals that emotion work is not limited to midwives, but their actions or inactions can create emotion work for mothers. Recommendations for policy and practice emphasise the significance of community based midwifery services, a review of hospital based postnatal care; and highlight the need for the support of midwives returning to work following maternity leave. Future research recommendations focus on the development of auto/biography as a research approach and the exploration of emotion in midwifery research; issues of midwifery care; embodied experiences and the identity of the midwife.
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Kitson-Reynolds, Ellen. "The lived experience of newly qualified midwives". Thesis, University of Southampton, 2010. https://eprints.soton.ac.uk/193561/.
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After completing a three year midwifery degree course at university newly qualified midwives are expected to function fully as autonomous and accountable practitioners. This interpretive phenomenological investigation explored the lived experiences of twelve participants throughout their first twelve months post registration. Data were collected using semi-structured interviews at three points in time: the point of registration, four and twelve months post registration. Analysis and interpretation of these data were achieved using van Manen's methodological structure combined with an interpretive phenomenological approach. The findings revealed two final interpretive themes that described the meaning of 'becoming a midwife'. These were 'Fairy tale midwifery: fact or fiction' and 'Submissive empowerment: between a rock and a hard place'. The first incorporated the two super-ordinate themes false promises and reality shock; the second incorporated four super-ordinate themes beyond competence, part of the club, self doubt and struggling. This study has contributed to existing knowledge by way of highlighting the 'crisis of reality shock' that these newly qualified midwives experience surrounding the change of responsibility upon qualification. When participants experience the 'real' world as a newly qualified midwife, they may have to undertake work that previously they did not want to do and could opt out of as a student. The newly qualified midwives did not perceive themselves to have autonomy and by virtue, responsibility. Lack of autonomy and the ability to undertake decisions can lead to high levels of anxiety in the newly qualified midwife. Despite this, they prefer to work on the delivery suite where they have instant access to support and advice compared to being on their own in what they perceive to be a chaotic community setting. It may be that transition is an emotional challenge and like birth, the reality is that preparation might help, but that the 'reality' can only be experienced.
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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.
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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.
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Jones, Brooke Eve. "Tanzanian Midwives’ perceptions of their professional role". Thesis, Curtin University, 2014. http://hdl.handle.net/20.500.11937/2260.
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This study explored Tanzanian midwives’ perceptions of their professional role within their local context. Findings were to inform recommendations for educational midwifery programs. Using focus group interviews with sixteen Tanzanian midwives, the findings revealed the overwhelming focus was on saving lives of women and newborns. The fundamental elements of this involved prioritising care and undertaking patient assessment. Midwives were challenged by the poor working conditions, knowledge deficit and hence low status viewed by the community.
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Garratt, Rosemary. "Connecting with women : the working lives of independent midwives and their perceptions of the mother-midwife relationship". Thesis, De Montfort University, 2014. http://hdl.handle.net/2086/9707.
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This study aimed to explore the lived experience of the working lives of midwives in the UK who practice independently of the NHS. It was designed to understand their motivations for working in this way and to explore their beliefs and values about midwifery care with particular emphasis on their perceptions of building and maintaining relationships with childbearing women. Hermeneutic phenomenology informed the methodology for the study and an adapted biographical narrative interpretive method (Wengraf 2001) was used for data collection. In depth qualitative interviews were carried out with twenty Independent midwives in the UK between 2007 & 2009. Data were analysed using Ricoeur's theory of interpretation (Ricoeur 1981). Keys findings indicate that motivated by a very strong sense of what it means to be 'with woman'; these midwives initially chose a career path in the NHS that enabled them to better enact this philosophy. However, constraints on their ability to enact this philosophy in the NHS combined with a desire to form more meaningful relationships with childbearing women and to support their individual needs informed a final move from the NHS into independent practice. Independent midwifery is experienced as very positive career move which results in considerable job satisfaction and an opportunity to use the full range of midwifery skills. Formation of the mother midwife relationship is perceived as a pivotal midwifery tool which facilitates understanding of individual childbearing women and their needs. Ricoeur's theory of interpretation (1981) is utilized to explain how Independent midwives form relationships with their clients in this context. The concepts of 'time', 'autonomy' and 'risk' are discussed in the light of study findings, contributing a unique insight into the working lives of Independent midwives, the mother midwife relationship and enactment of the 'with woman' philosophy in this context. The study also demonstrates that whilst there are many positive aspects of working as an Independent midwife there are also several constraints and potential vulnerabilities. These include the blurring of work/life boundaries, financial insecurity and the consequences of working with clients who often have very complex needs and particular expectations of the midwife-client relationship. Supporting women's choices, working flexibly to meet the needs of clients and respecting their right to autonomous decision making can place Independent midwives in a position of potential vulnerability and leave them subject to professional criticism.
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Bäck, Lena. "Confidence in Midwifery : Midwifery students and midwives’ perspectives". Licentiate thesis, Mittuniversitetet, Avdelningen för omvårdnad, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-33560.
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A confident midwife has an impact on a pregnant woman’s clinical outcome and birth experience. Knowledge acquisition, competence, and confidence develops over a lifetime and is of great importance in developing and forming personal skills and allowing the personal traits to grow and mature. Previous international studies have shown that midwifery students do not feel confident in many areas in which they are supposed to practice independently. The aim of this thesis was to investigate confidence levels in basic midwifery skills in Swedish midwifery students in their final semester just before entering the midwifery profession. An additional aim was to describe clinical midwives’ reflections about learning and what factors that developes professional competence, and confidence. Study I was a cross-sectional survey with Swedish midwifery students (n=238). They assessed their own confidence in all competencies that a midwife should have and could practice independently. The results of study I confirmed that Swedish midwifery students feel confident in dealing with the most common procedures during normal pregnancy, childbirth, and postpartum and newborn care. However, they do not feel fully confident in cases in which there are deviations from the normal procedures and obstetric emergencies. When comparing groups of midwifery students, the younger group of midwifery students felt more confident in general compared to the older group. Students at a university with a medical faculty were also more confident than the students at a university without a medical faculty. In study II, focus group discussions were held with 14 midwives emphasizing the way in which midwives reflect on learning and the development of competence and confidence. Content analysis was used to analyze the focus group discussions. Four categories were identified as a result of study II: 1.) feelings of professional safety evolve over time; 2.) personal qualities affect professional development; 3.) methods for knowledge and competence expansion; and 4.) competence as developing and demanding. The conclusion of this thesis is that more practical and clinical training during education is desirable. Midwifery students need to have access and the opportunity to practice obstetrical emergencies within a team of obstetricians and pediatricians. Learning takes time, and one improvement is to extend midwifery education to include and increase in clinical training. This would strengthen the students theoretical, scientific, and clinical confidence. Clinical midwives claim that it takes time to feel confident and that there is a need to develop professionalism.En trygg barnmorska har en positiv inverkan för förlossningsutfall samt förlossningsupplevelse. Kunskap, kompetens och trygghet är ett livslångt lärande och har stor betydelse för att utveckla och forma personliga färdigheter, att låta de personliga egenskaperna växa och mogna. Tidigare internationella studier har påvisat att barnmorskestudenter känner sig otrygga inom områden där förväntas vara självständiga. Syftet med denna avhandling var att undersöka graden av trygghet hos svenska barnmorskstudenter strax innan de var färdigutbildade. Ett annat syfte var att utforska hur kliniskt verksamma barnmorskor reflekterar över lärande och vilka faktorer som bidrar till att utveckla yrkesmässig kompetens och trygghet. Studie I var en tvärsnittsundersökning med svenska barnmorskestudenter (n = 238). De bedömde egen trygghet inom alla kompetenser som en barnmorska förväntas kunna samt utföra självständigt. Resultaten av studie I bekräftade att svenska barnmorskestudenter känner sig trygga att hantera de vanligaste rutinerna vid normal graviditet, förlossning, eftervård samt nyföddhets vård. De känner sig emellertid inte fullt så trygga när något avviker från det normala samt vid obstetriska nödsituationer. Vid jämförelse mellan yngre och äldre barnmorskestudenter samt grad av trygghet, var det den yngre gruppen av barnmorskestudenter som kände sig tryggare i allmänhet jämfört med den äldre gruppen. Studenter vid ett universitet med en medicinsk fakultet var också mer trygga än studenterna vid ett universitet utan en medicinsk fakultet. I studie II hölls fokusgrupper med 14 barnmorskor, de diskuterade och reflekterade över hur barnmorskor utvecklar kompetens. Metod för att analysera var innehållsanalys, i resultatet framkom fyra kategorier 1.) känslor av professionell trygghet utvecklas över tid ; 2.) Personliga kvaliteter påverkar yrkesutveckling. 3.) metoder för kunskap och kompetensutveckling; och 4.) Kompetens som utveckling och krävande. Slutsatsen av denna avhandling är att mer klinisk träning under utbildning är önskvärt. Barnmorskestudenter behöver tillgång och möjlighet att öva obstetriska nödsituationer tillsammans i team bestående av förlossningspersonal och barnläkare. Det tar tid att lära samt att känna trygghet, en möjlighet att underlätta för studenter vore att utöka samt förlänga barnmorskeutbildningen, att inkludera mer klinisk träning. Detta skulle innebära att stärka studenters möjligheter till en utökad klinisk trygghet. Kliniska barnmorskor hävdar att det tar tid att känna sig trygg och att det ett finns behov av att utveckla professionalism.
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Sookhoo, Maureen Lowdon. "Midwives assessing progress in labour : working and learning". Thesis, Northumbria University, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.410382.
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Cheng, Mong-Chue. "Critical thinking in the professional practices of midwives". Thesis, University College London (University of London), 2006. http://discovery.ucl.ac.uk/10019839/.
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Hall, Brandi M., i L. Lee Glenn. "Detection and Management of Perinatal Depression by Midwives". Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/7488.
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Bell, Cate A. "The moral compass : women's experiences of excellent midwives". Thesis, University of Brighton, 2011. https://research.brighton.ac.uk/en/studentTheses/2f6878eb-0301-42cb-b8e9-f68d46473257.
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For midwifery practitioners, the concept of excellence is central to the ethos of quality midwifery care (DH 2009, NMC 2009) and although midwives are being asked to aspire to ‘a standard of excellence’ (DH 2009), the meaning of ‘excellence’ for both women and midwifery practitioners has not been defined. The focus of this study is to understand excellence at a personal level, what makes some midwives ‘stand out’ and what it means to ‘be’ an excellent midwife, from the service users perspective.
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Martin, Sedeeka. "Quality care during childbirth at a midwife obstetric unit in Cape Town, Western Cape: Women and midwives’ perceptions". University of the Western Cape, 2018. http://hdl.handle.net/11394/6892.
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Magister Curationis - MCurGlobally, there has been significant progress in reducing preventable maternal deaths and disability, and growing attention on improving the quality of care in maternal health care facilities. The World Health Organization (WHO) describes quality care as delivering healthcare that is effective, efficient, accessible, acceptable, patient–centred, equitable and safe (WHO, 2014). Midwives are the backbone of midwifery and therefore the primary care giver for pregnant women accessing maternal care and women’s ability to access quality midwifery care during the antenatal, labour and postnatal period is the key component in midwifery care. The Primary Level Protocol of South Africa is under the umbrella of the Primary Health Care System, and according to this system low risk women are expected to seek antenatal, intrapartum and postnatal care from the nearest Midwife Obstetric Unit (MOU). The choice a woman makes regarding access to maternity care depends on the social norms in her society and what services are offered. However, the services that are available may not meet the needs of pregnant women. Women may need detailed information about the availability of the maternity care system in order to make an informed decision on where to access the health system. The gap between the perceived needs of pregnant women and the care provided by midwives can be bridged by listening to women to create a reciprocal understanding of quality care. In South Africa, limited research has been conducted on midwives and women’s perceptions of maternity care. In the absence of such information, this study was conducted at an MOU in the Western Cape, with the aim of exploring women and midwives’ perceptions of quality care during childbirth.
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Lawn-Day, Gayle A. "Using institutionalized social movements to explain policy implementation failure : the case of midwifery /". Full-text version available from OU Domain via ProQuest Digital Dissertations, 1994.
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Linhares, Carmen. "Mana From Heaven: The Essential Structure of the Lived Experiences of Nurse-Midwives with the Concept of Spirituality in Childbirth A Phenomenological". Diss., University of Hawaii at Manoa, 2007. http://hdl.handle.net/10125/22059.
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Spirituality is a subject of growing interest and relevance in health care. Yet, very little research has been done relating to health and spirituality in general, and even less research specifically relating to midwifery, childbirth, and spirituality.
The purpose of this study was to describe the essential structure of the lived experiences of midwives who said they have experienced the phenomenon of spirituality when they have attended childbirths. The research design was descriptive, using a transcendental phenomenological approach reflected in Clark Moustakas' model. Purposive and snowball sampling were used to recruit the sample of 10 female certified nurse- midwives.
The major findings of this study consisted of five Theme Categories: Belief in the Existence of a Higher Power, The Essence of Spirituality, Birth is Spiritual, The Essence of Midwifery, and Relationships. The results added new knowledge from the themes described in all five of the theme categories. The midwives interviewed for this study validate the assumption that spirituality is an integral and essential component of childbirth. The midwives described in detail, what the meaning of spirituality was for them, how they had experienced it, how it affected their personal lives, their practices, and their calling to midwifery. The midwives had experienced spirituality when attending childbirth, and used elements of spirituality as instruments that helped them to assist their patients. Spirituality also helped to foster the relationships between the midwives and the birthing families. The midwives revealed their dependence on spirituality and a belief in a Higher Being who guided their lives and their work as midwives.
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Earl, Deborah J. "Keeping birth normal midwives experiences in a secondary care setting : a qualitative study : a thesis presented in partial fulfilment of the requirements for the degree of Master of Health Science (Midwifery), Auckland University of Technology, October 2004". Full thesis. Abstract, 2004.
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Verber, Christine Hindle. "Continuing education needs of practicing certified-nurse-midwives : perceptions of CNM practitioners and CNM leaders /". Access Digital Full Text version, 1986. http://pocketknowledge.tc.columbia.edu/home.php/bybib/10601624.
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Hussein, Marjorie Helen. "Nurse midwifery practice in selected hospital and non-hospital settings /". Access Digital Full Text version, 1989. http://pocketknowledge.tc.columbia.edu/home.php/bybib/10857825.
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Martin, Kerstin. "The midwife as teacher : dialogue with and confidence in the woman". Thesis, McGill University, 2002. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=79794.
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Midwifery care is often described as "woman-centred" and "empowering," yet the concrete or specific practices underlying this kind of care are not well understood. The study examined what midwives say and do in the process of care-giving during pregnancy, and how their care enhances clients' sense of personal competence and capability. Using qualitative methods, the researcher observed, recorded, transcribed and analyzed prenatal visits with nine midwives and their clients in Quebec birth centres. Findings revealed that relaxed conversation was a pivotal feature of the visits and primarily served the client's purposes. At multiple levels, the reciprocal, genuinely dialogic nature of the conversational process allowed the client to take charge and encouraged her to name her world. Educational aspects of care started with the client's agenda, assumed that she had expertise of her own, and affirmed that she could know and act for herself. The key characteristic of midwives' work was the communication of confidence in the essential normalcy of pregnancy and birth, and in the inherent strengths of women in these experiences.
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Drury, Colleen A. "An exploration of the influences of supervisors of midwives in the context of the lifelong learning (continuing professional development) of practising midwives". Thesis, University of Nottingham, 2012. http://eprints.nottingham.ac.uk/14320/.
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This study aimed to explore the influences of Supervisors of Midwives in the context of Lifelong Learning (continuing professional development) (CPO) of practising midwives. This study was designed using a mixed method approach incorporating both qualitative and quantitative approaches to data collection to enable validation of results and to gain a variety of information to illuminate the experiences of participants in this area of study. Questionnaires and focus groups were utilised in order to obtain the data. The participants in this study comprised: • the total population of midwives and Supervisors of Midwives in three NHS Trusts • the total population of LSA Midwifery Officers in England • the total population of Lead Midwives for Education in England. This study has provided a variety of evidence specifically on the developmental role of the Supervisor of Midwives which has not been explored previously. There is an increasing emphasis on informal learning to meet CPO and these need to be given a higher priority for achievement within the work environment and supervisory framework. Collaboration between supervisors, managers and educationalists requires review to ensure midwives are afforded the opportunities to meet their needs. The process of education contracting between NHS service providers and education providers is not understood by supervisors unless they hold the dual role of manager and this needs addressing if midwives are to have equal opportunity In accessing resources. The dual role of manager and supervisor also needs further research as an emergence of the 'policing' role has been raised by some midwives in this study. Conclusions - Supervisors of Midwives are in a unique position to influence midwives CPO but the lack of a coherent approach with managers and educationalists prevents this being effective. Supervisors of Midwives need to have more influence in enabling midwives to access the available resources to achieve their CPO needs. Informal learning opportunities need to be valued and developed to facilitate midwives lifelong learning to improve practice and good outcomes for women and their families.
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Fergusson, Lindsay. "Working as a coordinator midwife in a tertiary hospital delivery suite a phenomenological study : a thesis submitted to Auckland University of Technology in partial fulfilment of the requirement for the degree of Master of Health Science (Midwifery), 2009 /". Click here to access this resource online, 2009. http://hdl.handle.net/10292/725.
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This phenomenological study has been conducted to reveal midwives’ experiences working as coordinator/charge midwives in tertiary hospital delivery suite settings. The methodology is informed by Heidegger’s interpretive phenomenological, hermeneutic philosophy (1927/1962). Data analysis is based on van Manen’s (1990) research methodology. Five coordinator/charge midwives who work at three tertiary hospitals were interviewed. These interviews were tape recorded, transcribed and analyzed to uncover commonality of themes which revealed what it felt like ‘being’ a coordinator/charge midwife. The three themes which emerged and are discussed in the data analysis chapters are: “The performing art of leadership”, “Time as lived” and “In the face of the ‘known’ and the ‘unknown’”. The findings of this study reveal coordinators are the ‘hub’ or the ‘pivot’ at their workplace with their art and soul of midwifery at the very core of their ‘being’. They ‘know’ the unpredictability of childbirth and are regularly challenged by ‘lived time’ as they ‘leap in’ to situations and ‘leap ahead’. Their ability to facilitate teamwork and their resilience in the face, at times, of seemingly insurmountable obstacles shines through.
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Minhas, Gurjeet S., University of Western Sydney i School of Health and Nursing. "Complementary therapies : familiarity and use by midwives and women". THESIS_XXXX_SHN_Minhas_G.xml, 1998. http://handle.uws.edu.au:8081/1959.7/513.
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This study is an exploratory study, descriptive in nature and investigates the familiarity and practices of midwives and women with regard to complementary therapies during pregnancy and labour. The study was conducted in four major hospitals in Western Sydney, namely Nepean, Jamieson, Blue Mountains Anzac Memorial and Hawkesbury hospitals. The findings showed that in the main the midwives and women were familiar and made use of four therapies, ie. aromatherapy, massage, music and hydrotherapy. The midwives practiced without any significant training in these therapies. Hospital policies were almost non existant in relation to the practice of complementary therapies and nurses often felt frustrated at not being able to implement complementary therapies. The main issues that emerged from the study were the need for education for the midwives related to specific complementary therapies, hospital policies conducive to the practice of complementary therapies and research into the efficacy of the different complementary therapies. The women need further exposure to complementary therapies and education in the respective therapies if they are to feel empowered in dealing with the stress of their daily livesMaster of Nursing (Hons)
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Curtis, Penelope Ann. "Midwives in hospital : work, emotion and the labour process". Thesis, University of Manchester, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.507965.
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Goodenough, Trudy A. "Midwives and mothers' perceptions of the transition to parenthood". Thesis, University of Bristol, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.357090.
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Betts, Helen Joan. "A biographical investigation of the Nightingale School for Midwives". Thesis, University of Southampton, 2002. https://eprints.soton.ac.uk/427100/.
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The thesis considers primary, contemporaneous documents and secondary sources concerning Florence Nightingale, her motives and experiences with the profession of midwifery. The thesis sets Nightingale within her family context and that of mid Victorian England, drawing on previous biographies, an autobiographical account (Cassandra), historical evidence and literature. The main events investigated take place following her return from the Crimean War and are focused on the work of Nightingale in relation to the profession of midwifery, childbirth, infection and maternal mortality, placing Nightingale in the English and European nineteenth century midwifery context and investigating the rationale for the commissioning of the Nightingale School for Midwives at King's College Hospital, London in 1862 followed by its subsequent closure five years later and the publication of Notes on Lying-in Institutions in 1871. The two events are linked, although the focus of the research is an investigation of evidence to substantiate Nightingale's reason for commissioning a training school for midwives. Evidence is ascertained through life documents including biographies, letters and other contemporaneous documents written by and to her or pertaining to the work, in particular, of the Nightingale Fund. These are reviewed using the biographical method and Nightingale's rationale is finally exposed within a complex web of personal and organisational inter-relationships.
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Aquino, M. R. J. V. "Studies of midwives' and health visitors' interprofessional collaborative relationships". Thesis, City, University of London, 2018. http://openaccess.city.ac.uk/20330/.
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This thesis explored the processes underlying interprofessional working relationships between midwives and health visitors in UK maternity services; using a multi method approach consisting of a systematic review, interviews, and focus groups. The systematic review synthesised the literature on midwife-health visitor collaboration, identifying barriers and enablers that are influential to successful interprofessional collaboration. Thus, the subsequent empirical studies attempted to explore these barriers and enablers in greater depth, from the perspectives of midwives and health visitors. Two studies utilised the Theoretical Domains Framework to explore the barriers and enablers to midwife-health visitor collaboration (Chapters 3 6). These are the first studies to examine midwives’ and health visitors’ perceived barriers and enablers to interprofessional collaboration using a psychologically grounded theoretical framework. Midwives and health visitors identified barriers and enablers to interprofessional collaboration across each of the 12 theoretical domains, such as ‘Knowledge’ (e.g. awareness of processes involved in contacting midwives) and ‘Memory, attention, and decision processes’ (e.g. contacting health visitors when there is a concern). Chapter 6 compared midwives’ and health visitors’ perceived barriers and enablers to interprofessional collaboration, and discussed its research and practice implications, including approaches to intervention development for improving interprofessional collaboration. For example, various behaviour change techniques can be integrated as part of interventions aiming to enhance interprofessional collaboration. The final empirical study attempted to address the gap in the interprofessional literature by involving service users’ views. Focus groups with recent mothers were conducted to gain explore their perspectives of interprofessional collaboration in maternity services. Findings suggest that women observe fragmentation between midwifery and health visiting. Participants recommended service changes including group based antenatal classes jointly provided by midwives and health visitors. In summary, the findings indicate that midwife-health visitor interprofessional collaboration is important to professionals and women, but will require health professional behaviour change along with service changes.
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Abney, Laura Ann. "Obstetrical Screening Practices of Nurse-Midwives and Nurse Practitioners". UNF Digital Commons, 2009. http://digitalcommons.unf.edu/etd/243.
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With the continued growth in the numbers of nurse practitioners and certified nurse-midwives, more and more women will receive prenatal care from advanced practice nurses. The purpose of this research was to assess the routine screening practices of advance practice nurses providing prenatal care and to compare those practices with current guidelines. The study focused on five areas of prenatal screening: bacterial vaginosis, group B streptococcus, gestational diabetes, maternal serum markers, and fetal movement monitoring. The interaction model of client health behavior by Cheryl Cox, specifically professional-technical competencies, part of the client-professional element of the model, provided the theoretical framework for this study.
The sample was obtained :from two major nursing organizations involved in prenatal care: the National Association of Nurse Practitioners in Women's Health and the American College of Nurse-Midwives. A random sample of250 members from each organization was sent a postcard explaining the study and directing them to the online survey.
In four out of five screening areas, there was no significant difference in the screening practices of NPs and CNMs. Bacterial vaginosis was the only screening with a significant difference. There was inconsistency with what the advanced practice nurses state they do and current guidelines with respect to screening for group B streptococcus and maternal serum markers.
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Marsh, Wendy. "Babies removed at birth : narratives of mothers and midwives". Thesis, University of Surrey, 2016. http://epubs.surrey.ac.uk/812833/.
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Background: There is growing evidence that the numbers of babies being removed at birth, here in the UK is increasing and that the presence of domestic violence, drug misuse and mental ill-health are all contributory factors. Evidence is however lacking regarding the mothers experience and the impact of such removal. There also lacks evidence regarding the midwifery profession involvement, practitioners experience and possible strategies of amelioration for women and professional education needs of midwives, for this challenging aspect of contemporary midwifery practice. Methods: Four mothers and eight midwives were recruited to the study. Narrative inquiry incorporating oral and photo-elicitation was used to collect the data, with mothers being interviewed face to face and midwives taking part via focus groups. Pre-existing analytical frameworks did not fit the study ambition and objectives leading to the creation of one to identify patterns, commonalities, as well as the contrasts and relationships across the data. Results: The outcome of the analytical process enabled the reframing of the data to be shared via two composite narratives, one for the mothers and one for the midwives, each presenting the participant’s experiences in a coherent and meaningful way. It also enabled analysis across the mothers’ and midwives’ narratives and the reporting of interconnected themes. Included in the results is emergent consideration of a model of grief for women who have their babies removed at birth. Reflection on midwifery care models and the educational needs and support for midwives. Plus the recognition that mothers whose babies may be removed at birth are vulnerable themselves and currently may have unmet safeguarding needs, which needs addressing. Conclusions: This study has contributed to our collective understanding of mothers’ and midwives’ experience of babies being removed at birth. This narrative understanding provides valuable insight into a topic that has previously received minimal research attention within a changing social landscape, and evidence to guide and inform midwifery practice. This evidence has potential to inform and educate midwives in preparation for and in their continuing professional practice. It also provides a platform for further research and development in three areas. The process of grief for women who have their babies removed and how this may inform further life choices, care needs requires further exploration to enable understanding and guide services and practice. Midwifery models of care that enable midwives to focus on the dyad of mother and baby who are both vulnerable, may have safeguarding needs, rather than privileging one at the detriment of the other. Thirdly the dissemination of the creative analytical process of reviewing verbal and visual data linked to the use of narrative methodology.
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King, Janet. "Midwives, infant and maternal health in Monmouthshire, 1900-1938". Thesis, University of South Wales, 1999. https://pure.southwales.ac.uk/en/studentthesis/midwives-infant-and-maternal-health-in-monmouthshire-19001938(0b0e1ce6-6dba-48bd-851a-75728e3ead82).html.
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The purpose of this study is to extend knowledge concerning the health of expectant and nursing mothers and infants in working-class districts of Wales, particularly mothers and infants residing in the county of Monmouthshire during the 1920s and 1930s. The thesis covers the period 1900-1938 and considers the implementation of various Acts of Parliament and the effects of the legislation on the lives of women and infants. The main Acts covered are the Midwives Act 1902 and 1936, the Notification of Births Act 1907 and 1915, the Maternity and Child Welfare Act 1918 and the 'Special Areas' Act of 1934. Through the use of mainly primary sources and oral testimony, it will be argued that these social policies did extend the welfare system and bring benefits to mothers and infants. However, at the same time, the implementation of the policies exerted control over the realm of motherhood to such an extent that pregnancy, child-birth and infant care were irrevocably transported from the natural and familiar domestic sphere, into the unnatural and unfamiliar sphere of the public, male-dominated medical world. Furthermore, the policies which were initially introduced to improve the health of both mothers and infants were limited, discriminatory and did little to address the poverty, which was a reality of life for mothers in the working-class districts of Wales.
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Lythgoe, J. "Experiences of pregnant women recieving acupuncture treatment from Midwives". Thesis, University of Salford, 2015. http://usir.salford.ac.uk/35700/.
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Acupuncture is potentially an effective treatment for common conditions of pregnancy and labour pain with midwives being well placed to offer it. The aims of this study were to explore the experiences of pregnant women receiving acupuncture treatment from midwives, to provide insight into their perceptions of effect including the influence and value of the midwife on this experience. The lack of qualitative evidence has provided the rationale for this study. Within a phenomenological methodology an 'Interpretative Phenomenological Analysis' (IPA) approach was adopted, with 10 women attending the Salford Midwifery Acupuncture Service (SMAS) being recruited to this study. Data was collected via semi-structured interviews and the IPA analysis identified five main themes; justification of choice, relief & relaxation, trust & understanding, regaining self, discovering and sharing a secret. The women were happy to access acupuncture if recommended by a health professional; they gained pain relief and improved function, with more ability to care for their children and to continue working. They were grateful for the opportunity to access acupuncture, finding it enjoyable and reporting intense emotional and physical sensations. It offered prolonged effect, improving sleep and wellbeing, and it correlated well with purported neurophysiological mechanisms. Responses seemed more intense than in previous reports, possibly due to their pregnant state or heightened affective component. A midwife-acupuncturist was advantageous having knowledge and understanding of pregnancy, with ‘understanding’ being more important than professional background. The women felt optimistic and empowered to make plans for birth and parenthood and were wishing to share their experiences with others. The ‘lay network’ was an important factor within the women’s choice to access acupuncture. These findings indicate acupuncture is an acceptable treatment which can provide relief, improved wellbeing and support normality. Midwives could offer acupuncture as an adjunct to their role to facilitate individualised reflexive practice.
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Loewenberg, Weisband Jiska. "Midwives as prenatal care providers in the United States". The Ohio State University, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=osu1491485404224992.
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Almoghrabi, Hannoud. "WATER BIRTH: MIDWIVES PERCEPTION, ATTITUDE, KNOWLEDGE, AND CLINICAL PRACTICES". Case Western Reserve University Doctor of Nursing Practice / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1523398858143798.
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