Bibliografias temáticas / Maternity services

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Literatura científica selecionada sobre o tema "Maternity services"

Autor: Grafiati

Publicado: 4 de junho de 2021

Última modificação: 28 de julho de 2024

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Artigos de revistas sobre o assunto "Maternity services"

Sackin, P. "Maternity services." BMJ 304, n.º 6833 (18 de abril de 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.º 6833 (18 de abril de 1992): 1057. http://dx.doi.org/10.1136/bmj.304.6833.1057.

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

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Schatzberger, P. "Maternity services." BMJ 304, n.º 6838 (23 de maio de 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.º 06 (10 de junho de 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.º 2 (29 de abril de 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.º 14 (11 de abril de 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.º 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.º 6768 (12 de janeiro de 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.º 39 (22 de junho de 1994): 6. http://dx.doi.org/10.7748/ns.8.39.6.s5.

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Teses / dissertações sobre o assunto "Maternity services"

Churchill, Helen. "Caesarean birth : conflict in maternity services". Thesis, Middlesex University, 1994. http://eprints.mdx.ac.uk/6686/.

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This study investigates the history of caesarean section and women's experience of the operation today. There has been no systematic collection of historical data on caesarean section since 1944. This study now constitutes the most comprehensive compilation of the history of the operation to date. It illustrates the development of the medical ethos concerning women as patients and provides the background to the next phase of research: the experience of caesarean section. Previous research on caesarean section has exhaustively analysed the indications for the operation, reasons for the increasing rate and women's perceptions of abdominal delivery. This study differs in eliciting responses from women on a range of issues relating to caesarean birth in order to assess the quality of information given to women in hopital regarding the necessity for caesarean operations and analyse the effects of abdominal birth on women. Women's experiences were examined in a sample of 300 women who had delivered by caesarean section. Significant differences were found in reactions between women who had emergency operations and those whose caesareans were elective. The emergency caesarean women suffered more in all negative measures including increased feelings of pain and depression. Negative sequelae was found to relate to the unexpected nature of emergency operations and the use of general anaesthesia. Subjectively women report that they do not suffer as a result of caesarean birth, yet objectively it is clear that they do. This anomaly is attributed to the unequal relationship between women and doctors. Women feel grateful for the treatment offered by the doctors and therefore do not express dissatisfaction with their care. Recommendations are made suggesting practical ways in which maternity services, in respect of caesarean birth, can be improved.

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Hundley, Vanora. "Determining success in the provision of maternity care". Thesis, University of Aberdeen, 2001. http://digitool.abdn.ac.uk/R?func=search-advanced-go&find_code1=WSN&request1=AAIU137217.

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This thesis explores the benefits and limitations of traditional evaluations of maternity care, looking specifically at one innovation in service provision, a midwife managed delivery unit. The research undertaken in this thesis can be described in terms of three developmental phases. In phase one, care in a midwife-managed delivery unit is compared with care in a consultant-led labour ward within the framework of a randomised controlled trial. 'Success' is measured in terms of both the clinical aspects of care and as viewed by the women who received this care. Care of women at low obstetric risk in a midwife-managed delivery unit is shown to result in less intervention, greater continuity of carer, more involvement in decision making and greater women's satisfaction with how care was managed. There were no differences in overall satisfaction and the limitations of satisfaction as an outcome measure are discussed. Phases two and three build on the work of the randomised controlled trial. In phase two, perinatal mortality and morbidity data are reviewed through an independent case review of the perinatal deaths and further analysis of the morbidity data. In phase three, the thesis utilises techniques from the discipline of health economics to go beyond the traditional measure of women's views, satisfaction. Willingness to pay and conjoint analysis are used to determine women's preferences, and the strength of these preferences, for different models of maternity service provision.

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Putnina, Aivita. "Maternity services and agency in post-Soviet Latvia". Thesis, University of Cambridge, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.624521.

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Spendlove, Zoey. "Revalidation repercussions : contemporary regulatory reform within English maternity services". Thesis, University of Nottingham, 2016. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.716488.

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Revalidation, as a government-led healthcare professional regulatory reform process, marks the largest and potentially the most significant development in the history of healthcare professional regulation within the United Kingdom (UK) National Health Service (NHS). Revalidation, as an emergent regulatory reform, is a professionalisation dilemma for healthcare professionals as it would appear to be diametrically opposed to the notion of professional autonomy and selfregulation; the theorised core characteristics of health professionalism (Dixon-Woods et al., 2011; Freidson, 1970a). At the time of implementation, the impact that this reform would have upon professional groups was unknown. The national rollout of revalidation therefore presented a real time opportunity to witness the operationalisation of such a top-down regulatory reform. Drawing on the concepts of professional 'licence and mandate' (Hughes, 1958) and the 'professional project' (Larson, 1977) as a theoretical framework, I used a focused ethnographic approach to answer the following research questions: Over-arching research question: How are regulatory mechanisms, such as revalidation, interpreted and utilised as part of a 'professional project'? Sub-questions: How is revalidation being implemented within an NHS organisation and how does this compare with national recommendations? How are plans for revalidation being received and implemented within maternity services? How are regulatory mechanisms such as revalidation impacting upon professional roles and responsibilities within maternity services? The overall contribution of my research study lies in providing insight into the intended and unintended consequences of revalidation as contemporary healthcare professional regulatory reform. From a practice perspective this study illustrates how formal regulatory mechanisms were shaped at local level by the informal processes of the research organisation. From a theoretical perspective this study challenges the concept of organisational professionalism (Evetts, 2012; McClelland, 1990), whereby national and organisational objectives, such as revalidation, are theorised to control and regulate professional groups. I argue that professionals engaged with revalidation as part of an ongoing, professional maintenance project of professional status and survival. This was an ultimate acknowledgement that in order to maintain a licence to practise (Hughes, 1958), engagement with revalidation was a statutory requirement.

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Enyeribe, Iwuh Ibezimako Augustus. "Maternal near miss audit in Metro West Maternity services". Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/16525.

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Includes bibliographical references
Background: A near miss occurs when a pregnant woman experiences a severe life threatening complication during pregnancy or up to 42 days after the end of the pregnancy and survives. The near miss rate is defined as the number of near misses per 1000 live births. In 2011, World Health Organization (WHO) produced a useful tool for identifying near misses according to composite criteria which include the occurrence of a severe maternal complication together with organ dysfunction and/or specified critical interventions. The ratio of maternal near miss cases to maternal deaths and the mortality index both reflect the quality of care provided in a maternity service Maternal deaths have been audited in the Metro West maternity service for many years but there has been no routine monitoring or evaluation of maternal near misses. Aim of study: The study aim was to perform a near miss audit in Metro West, specifically (a) measuring the near miss rate, the maternal mortality ratio and the mortality index, (b) performing an in-depth investigation of the associated demographic, clinical and health system factors of the near miss cases, and (c) providing input into the development of an on -going system of auditing near misses cases in Metro West. Methods: A retrospective observational study conducted over 6 months between mid- March 2014 to mid -September 2014. This service includes 9 level one maternity facilities which refer all complicated maternal cases to two secondary hospitals, New Somerset (NSH) and Mowbray Maternity (MMH); or to the tertiary hospital, Groote Schuur Maternity Center (GSH). All cases of near miss managed at the three hospitals were identified weekly by the author with the assistance of onsite health providers. These cases included near misses that occurred at level one facilities and were referred on to one or more of the three hospitals. Strict criteria were used to ascertain a case as a near miss according to the WHO near miss definitions. The folders of all the near misses were reviewed and relevant data entered into a data collection form which was adapted from the WHO near miss data form. In addition, these identified folders were reviewed by two senior obstetric specialists to confirm adherence to the WHO inclusion criteria for near miss classification, and also to determine avoidable factors in the management of the near miss cases. Maternal deaths occurring during the same time period of the Near Miss audit were identified from monthly mortality meetings and the ongoing maternal mortality audit system in Metro West. Results: 112 near miss cases and 13 maternal deaths were identified, giving a total of 125 women with severe maternal outcomes. There were a total of 19,222 live births in Metro West facilities. The Maternal mortality ratio (M MR) was 67.6 per 100,000 live births and the maternal near miss rate was 5.83 per 1000 live births. The maternal near miss to death ratio was 8.6:1 and the mortality index was 10.4% Hypertension, obstetric hemorrhage and pregnancy related sepsis were the major causes of the near miss cases accounting for 50(44.6%), 38(33.9%), and 13 (11.6%) of near misses respectively. These three conditions all had low mortality indices; 1.9%, 1.9% and 0 for hypertension, pregnancy related sepsis and hemorrhage respectively. Less common conditions were, medical /surgical conditions, non-pregnancy related infections and acute collapse, accounting for 7 (6.3%), 2 (1.8%), and 2 (1.8%) of near misses respectively. Although these numbers were small, these three conditions accounted for more maternal deaths with mortality indices of 66.7 %, 33.3% and 33.3% for non- pregnancy related infections, medical /surgical conditions, and acute collapse respectively. There were 25 (22.3%) of the near miss cases who were HIV positive. The majority of near misses 99(88.4%) had antenatal care. Analysis of avoidable factors showed that, the most common problems were lack of antenatal clinic attendance (11.6%) and inter-facility transport problems (6.3%). For health provider related avoidable factors, the highest number of avoidable factors were identified at level 2 (38.2%), followed by level one (25.9%) and level 3 (7.1%). The most common factors were problem recognition, monitoring and substandard care Discussion and Conclusions: The near miss rates and maternal mortality ratio in Metro West were lower than for some other developing countries, but higher than rates in high income countries. The mortality index was low for direct obstetric conditions such as hypertensive disorders, obstetric hemorrhage and pregnancy related sepsis, reflecting good quality of care and referral mechanisms for these conditions. The mortality indices for non-pregnancy related infections, medical/surgical conditions and acute collapse were much higher and, suggest that medical problems may need more focused attention. Ongoing near miss audit would be valuable for Metro West but would require identification and monitoring systems to be institutionalized.

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Taylor, A. "Consumer perceptions of maternity care in one health district". Thesis, University of Bath, 1988. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.383618.

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Smith, Helen Jane. "Implementing evidence-based obstetrics in a middle-income setting : a qualitative study of the change process". Thesis, University of Liverpool, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.268901.

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Ngula, Asser Kondjashili. "Women's perception on the under utilization of intrapartum care services in Okakarara district, Namibia". Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&amp.

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Maternal health care services are one of the health interventions to reduce maternal and infant morbidity and mortality. The health of mothers of childbearing age and of the unborn babies is influenced by many factors some of which include the availability and accessibility of health services for pregnant women. Low quality of health services being provided, and limited access to health facilities is correlated with increases maternal morbidity and mortality. This situation is caused by long distances between facilities as well as the people's own beliefs in traditional practices. This study was about the assessment of the women's knowledge on benefits of delivery in a hospital, the barriers to delivery services, and the perception of the delivery services rendered in the maternity ward of Okakarara hospital.

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Maimbolwa, Margaret C. "Maternity care in Zambia : with special reference to social support /". Stockholm, 2004. http://diss.kib.ki.se/2004/91-7349-612-X/.

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De, Labrusse Claire. "Patient-centred care in maternity services : a multiple case study approach". Thesis, University of Aberdeen, 2016. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=233533.

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Livros sobre o assunto "Maternity services"

Great Britain. Department of Health. e Great Britain. Department for Education and Skills., eds. Maternity services: National Service Framework for Children, Young People and Maternity Services. London: Department of Health, 2004.

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Group, Great Britain Department of Health and Social Security Performance Indicator. Maternity & children's services. [London]: [DHSS], 1987.

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Victoria. Office of the Auditor-General. Maternity services: Capacity. [Melbourne, Vic.]: Victorian Government Printer, 2011.

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Board, Greater Glasgow Health. Maternity services strategy: Principles for the provision of maternity services : consultation paper. Glasgow: The Board, 1997.

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Health, Great Britain Department of. Children's & maternity services information strategy: Supporting the Children's, Young People and Maternity Services National Service Framework. [London]: Department of Health, 2004.

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Hogg, Christine. The maternity crisis: A report on London's maternity services. London: Greater London Association of Community Health Councils, 1987.

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Oregon. Maternal and Child Health Section. e Oregon Health Division, eds. Maternity services needs assessment, 1990. Portland, OR (1400 SW 5th Ave., Portland 97201): Oregon Dept. of Human Resources, Health Division, 1991.

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CHC, West Birmingham. Maternity services in West Birmingham. Birmingham: West Birmingham Community Health Council, 1990.

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Great Britain. Department of Health and Social Services, Northern Ireland. Health and Social Services Executive. Charter standards for maternity services. Belfast: Department of Health and Social Services, 1996.

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East Dorset Community Health Council., ed. Report on district maternity services. Bournemouth, Dorset: East Dorset Community Health Council, 1986.

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Capítulos de livros sobre o assunto "Maternity services"

Fry, John, Kenneth Scott e Pauline Jeffree. "Maternity Services". In Practice Management Compendium, 193–201. Dordrecht: Springer Netherlands, 1990. http://dx.doi.org/10.1007/978-94-011-3913-7_2.

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Kirkham, Mavis. "The Maternity Services Context". In The Midwife-Mother Relationship, 1–16. London: Macmillan Education UK, 2010. http://dx.doi.org/10.1007/978-1-137-04133-3_1.

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McKay, Nurse. "Maternity Services and Benefits". In Babies Growing Up, 224–25. London: Routledge, 2022. http://dx.doi.org/10.4324/9781003328995-46.

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Murphy-Lawless, Jo. "Globalisation, midwifery and maternity services". In Sustainability, Midwifery and Birth, 15–30. Second edition. | Milton Park, Abingdon, Oxon ; New York : Routledge, 2020.: Routledge, 2020. http://dx.doi.org/10.4324/9780429290558-1.

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Heggelund, Cathrine, e Siri Wiig. "Promoting resilience in the maternity services". In Delivering Resilient Health Care, 80–96. Abingdon, Oxon ; New York, NY : Routledge, 2019.: Routledge, 2018. http://dx.doi.org/10.4324/9780429469695-8.

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Murphy-Lawless, Jo, Rosemary Mander e Nadine Edwards. "Confronting the state of emergency which is our maternity services". In Untangling the Maternity Crisis, 144–50. Abingdon, Oxon ; New York, NY : Routledge, 2018.: Routledge, 2018. http://dx.doi.org/10.4324/9781315277059-19.

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Edwards, Nadine. "The trauma women experience as the result of our current maternity services". In Untangling the Maternity Crisis, 59–65. Abingdon, Oxon ; New York, NY : Routledge, 2018.: Routledge, 2018. http://dx.doi.org/10.4324/9781315277059-9.

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Vinothiyalakshmi, P., V. Pallavi, N. Rajganesh e V. Adityavignesh. "Internet of Things (IoT)-Based Smart Maternity Healthcare Services". In Intelligent Systems and Sustainable Computational Models, 266–74. Boca Raton: Auerbach Publications, 2024. http://dx.doi.org/10.1201/9781003407959-17.

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Edwards, Nadine Pilley. "Women’s Emotion Work in the Context of Current Maternity Services". In Emotions in Midwifery and Reproduction, 36–55. London: Macmillan Education UK, 2009. http://dx.doi.org/10.1007/978-1-137-08641-9_3.

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Downe, Soo, Claudia Meier Magistretti, Shefaly Shorey e Bengt Lindström. "The Application of Salutogenesis in Birth, Neonatal, and Infant Care Settings". In The Handbook of Salutogenesis, 465–77. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-79515-3_43.

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AbstractIn this chapter, the relation of salutogenesis to maternity care is discussed by giving a critical overview of studies in perinatal care, primarily measuring and promoting parental sense of coherence (SOC) and well-being.An overview is given on salutogenic approaches to neonatal and infant service provision. Important aspects of and salutogenic interventions for parent–child attachment in the first year of a child’s life are examined. Parents’ and caregivers’ relationship with their infants and newborns plays a critical role in shaping the emotional, cognitive, and social development of their child. Different interventions of early support to optimize parenting capacity and their impact are also discussed.Although the chapter focuses only on examples of salutogenic approaches based on reasonable evidence, there is a growing awareness of the value of salutogenic approaches to the provision of maternity care, and to facilities and services to enhance parenting and well-being in infancy and early childhood. Research gaps are identified, and suggestions for the direction of future research are outlined.

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Trabalhos de conferências sobre o assunto "Maternity services"

Hoang, D. B., E. Lawrence, N. F. Ahmad, V. Balasubramanian, C. Homer, M. Foureur e N. Leap. "Assistive care loop with electronic maternity records". In 2008 10th International Conference on e-health Networking, Applications and Services (Healthcom). IEEE, 2008. http://dx.doi.org/10.1109/health.2008.4600121.

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TRENCHER, J., A. K. SHAHANI, C. LAW, R. J. PORTER e N. SAUNDERS. "MODELLING FOR MATERNITY CARE IN THE UNITED KINGDOM". In Proceedings of the 24th Meeting of the European Working Group on Operational Research Applied to Health Services. WORLD SCIENTIFIC, 1999. http://dx.doi.org/10.1142/9789812817839_0017.

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Mukherjee, Chinmoy, Komal Gupta e Rajarathnam Nallusamy. "A System to Provide Primary Maternity Healthcare Services in Developing Countries". In 2012 Annual SRII Global Conference (SRII). IEEE, 2012. http://dx.doi.org/10.1109/srii.2012.34.

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Afwani, Royana, Andy Hidayat Jatmika e Nadiyasari Agitha. "Designing Enterprise Architecture of Patient-Centered Mobile Child and Maternity Health Services". In The 2nd International Symposium of Public Health. SCITEPRESS - Science and Technology Publications, 2017. http://dx.doi.org/10.5220/0007511001740180.

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Afwani, Royana, Budi Irmawati, Andy Hidayat Jatmika e Nadiyasari Agitha. "Specialized Mobile Health Design Using the Open Group Architecture Framework (TOGAF): A Case Study in Child and Maternity Health Services Organization". In 2018 5th International Conference on Data and Software Engineering (ICoDSE). IEEE, 2018. http://dx.doi.org/10.1109/icodse.2018.8705779.

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Hadiuzzaman, M., R. Yantzi, W. van den Boogaard, SY Lim, PS Gupta, K. Whitehouse, EM Aderie, D. Lagrou e S. Burza. "Why mothers give birth at home: exploration of Rohingya refugees’ perceptions, experiences, and expectations regarding maternity services in Cox’s Bazar, Bangladesh". In MSF Scientific Days International 2022. NYC: MSF-USA, 2022. http://dx.doi.org/10.57740/qwgn-be73.

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INTRODUCTION Maternal health indicators remain unacceptably poor within the densely populated Rohingya refugee camps in Cox’s Bazar, Bangladesh. With a high prevalence of home births, we sought to explore perceptions, experiences, and expectations around delivery care of women of reproductive age. We also examined the potential roles of family and key community members within Camp 22, a relatively isolated camp with 23,000 refugees where MSF is the only provider of facility-based maternity care. METHODS In 2021, we selected 45 participants from Camp 22 through purposive and snowball sampling for in-depth interviews. Participants included 36 Rohingya women and their family members, three traditional birth attendants (TBA’s) and six community and religious leaders. Interviews were recorded, translated and transcribed into English by trained staff fluent in Rohingya. Thematic-content analysis was performed, whereby codes and emerging themes were identified. ETHICS This study was approved by the MSF Ethics Review Board (ERB) and by the ERB of Bangladesh University of Health Sciences. RESULTS Findings showed that delivery choices were made as a family, with husband and parents-in-law being primary decision makers. An uncomplicated birth was not perceived as requiring facility-based assistance; many women preferred to give birth at home assisted by TBA’s, family, or local healers, due to placing greater trust in their own community. Lack of security and transport were crucial determinants in repudiating facility-based care at night. Concerns about male staff and being undressed during facility-based births, as well as the possibility of onward referrals should surgery or episiotomies be required, drove hesitancy. Separation from family and children added more anxiety. Lack of understanding by facility staff towards Rohingya birthing practices and beliefs, and the Rohingya’s unfamiliarity with formally-trained midwives and medical procedures, featured heavily in decisions for home births. Factors such as utilising birthing ropes and guaranteed privacy at home were key influencers for choosing home births. Additionally, perceived inexperience of midwives and lack of autonomy while in the facility, were other common reasons for apprehension. CONCLUSION This study emphasizes community trust as a factor in collective decision-making regarding birth choices. Trust was higher in TBA’s than in formally-trained midwives and this negatively affected perceptions regarding competence. Perceptions may also be affected by rapid midwife turnover, a factor endemic to non-governmental organizations working in Cox’s Bazar. The persistent gap in cultural understanding and adaptation by facility-based staff, even after three years of presence, suggests the need for a more iterative, inclusive and reflective approach, with community engagement strategies founded on beneficiaries own explicitly stated needs, beliefs and practices. CONFLICTS OF INTEREST None declared

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Hadiuzzaman, M. "Why mothers give birth at home: exploration of Rohingya refugees’ perceptions, experiences, and expectations regarding maternity services in Cox’s Bazar, Bangladesh". In MSF Scientific Days International 2022. NYC: MSF-USA, 2022. http://dx.doi.org/10.57740/nv2f-fx60.

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Ochieng, Beverly M., Dan Kaseje e Monica Magadi. "47:poster Perspectives of stakeholders of the free maternity services for economicaly constrained mothers in Western Kenya, lessons for universal health coverage". In Abstracts of the 13th International Society for Priorities in Health Conference, Bergen, Norway, 28–30 April 2022. BMJ Publishing Group Ltd, 2022. http://dx.doi.org/10.1136/bmjgh-2022-isph.13.

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Schoenaker, Danielle, Judith Stephenson, Keith Godfrey, Mary Barker e Nisreen Alwan. "OP69 Socio-demographic differences in smoking status and cessation before and during early pregnancy among women in England: an analysis of the national maternity services dataset". In Society for Social Medicine Annual Scientific Meeting Abstracts. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/jech-2021-ssmabstracts.69.

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Relatórios de organizações sobre o assunto "Maternity services"

Kelly, Elaine, e Tom Lee. Under pressure? NHS maternity services in England. Institute for Fiscal Studies, setembro de 2017. http://dx.doi.org/10.1920/bn.ifs.2017.bn0215.

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McFadden, Alison, Lindsay Siebelt, Cath Jackson, Helen Jones, Nicola Innes, Stephen MacGillivray, Kerry Bell et al. Enhancing Gypsy, Roma and Traveller peoples’ trust: using maternity and early years’ health services and dental health services as exemplars of mainstream service provision. University of Dundee, setembro de 2018. http://dx.doi.org/10.20933/100001117.

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Rooks, Judith, e Beverly Winikoff. A reassessment of the concept of reproductive risk in maternity care and family planning services. Population Council, 1990. http://dx.doi.org/10.31899/rh16.1018.

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Dudley, Lilian D. Do maternity waiting homes improve maternal and neonatal outcomes in low-resource settings? SUPPORT, 2011. http://dx.doi.org/10.30846/110509.

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The poor utilisation of maternal health services and antenatal care by women living in rural areas has been associated with high maternal and neonatal mortality. Maternity waiting homes have been advocated as a way of overcoming geographical barriers in such settings and improving access to care and maternal and neonatal outcomes.

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Uribe, Lynne. DLA Demonstration All Service Maternity Battle Dress Uniform - Coat & Slack Year 3. Fort Belvoir, VA: Defense Technical Information Center, setembro de 1999. http://dx.doi.org/10.21236/ada369859.

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Maternity services: evidence to support improvement. National Institute for Health Research, maio de 2023. http://dx.doi.org/10.3310/nihrevidence_58172.

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Maternity services: research can improve safety and quality of care. National Institute for Health Research, março de 2024. http://dx.doi.org/10.3310/nihrevidence_62672.

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Men in maternity study: Men matter. Population Council, 2002. http://dx.doi.org/10.31899/rh2002.1009.

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The Population Council and the Employees’ State Insurance Company are collaborating in a Men in Maternity (MiM) study in India to test a model of antenatal and postnatal services designed to help thousands of couples, especially men, redefine their roles in reproductive health and improve birth outcomes and maternal health. This is part of a global study that will assess the impact of male partnership in improving pregnancy outcomes and reproductive health, primarily by reducing the prevalence of STIs and increasing postpartum family planning use. Studies suggest that the lack of men’s participation in reproductive health actually undermines women’s health. The MiM study is the first of its kind in India. It includes more than a focus on contraception or safe motherhood and covers topics ranging from child survival and postpartum services to STI diagnosis and treatment and prevention of HIV/AIDS. This research update provides an overview of the MiM experimental intervention and some lessons learned in establishing the new services and maintaining operations during the first 14 months of the study’s intervention period.

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Enhanced communication and staff training could improve the experience of maternity services for asylum-seeking women. National Institute for Health Research, setembro de 2019. http://dx.doi.org/10.3310/signal-000822.

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Perinatal experiences during the COVID-19 pandemic in Scotland: exploring the impact of changes in maternity services on women and staff. Public Health Scotland, abril de 2022. http://dx.doi.org/10.52487/81220.

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