A Case Study of Maternal Response to the Implied Antepartum Diagnosis of Inevitable Labor Dystocia

McAlister, Barbara S.

doi:10.1111/1552-6909.12005

Cited by 2 publications

(2 citation statements)

References 32 publications

(30 reference statements)

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“…Identifying core values can help women to choose and foster a relationship with a midwife or doctor, establish a framework for decision‐making with their partner and navigate social and medical expectations of pregnant women's choices . Women may also clarify their values about the very process of choice: in what circumstances they prefer decision‐making that is paternalistic (clinician‐directed), shared (between patient and clinician) or informed (patient‐directed).…”

Section: A New Model Of Doula Work: Fostering Relational Autonomymentioning

confidence: 99%

Defining the doula's role: fostering relational autonomy

Meadow

2014

Health Expectations

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Background Training organizations as well as academic and popular literature provide ambiguous or ethically contentious characterizations of the role of the birth doula, a non-clinical role assisting women in pregnancy and birth with information and physical and emotional support. Doulas have been criticized for attempting to impose their own agendas on their clients and for interfering with the relationship between women and their medical caregivers.

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Section: A New Model Of Doula Work: Fostering Relational Autonomymentioning

confidence: 99%

Defining the doula's role: fostering relational autonomy

Meadow

2014

Health Expectations

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“…Nurses must harness their collective voice to educate women regarding the current guidelines for optimum maternal–newborn outcomes and the associated potentially negative sequelae of interventive birth without indication. When viewed in light of the QHOM, nurses, as members of a predominantly female profession, simultaneously embody the powerful dual roles of system and client (McAlister, 2013). Subsequently, this positions nurses as uniquely suited stakeholders, responsible for creatively advocating optimal maternal–fetal care.…”

Section: Discussionmentioning

confidence: 99%

Early Term Birth

2013

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The American College of Obstetricians and Gynecologists guidelines discourage elective deliveries before 39 weeks gestation, but clinicians continue to schedule elective inductions and cesareans resulting in births at 37 0/7 to 38 6/7 weeks gestation. These "early term" (ET) infants incur more morbidity and mortality than their 39-to-41-week counterparts. Using the Quality Health Outcomes Model, four hypotheses were tested: Among hospitals in one southwestern U.S. county, there are different rates of ET births, ET births preceded by elective labor induction, ET births preceded by elective cesarean section, and Neonatal Intensive Care Unit (NICU) admissions of ET infants. Analyses of 75,625 birth certificates involved 26,199 ET and 49,426 full term births in 16 hospitals. Chi-square analyses revealed significant differences in rates among hospitals for ET births, ET births preceded by elective labor induction, and ET births preceded by elective cesarean section, but no significant differences in NICU admissions. Wide variance across hospitals demonstrated practice patterns amenable to improvements.

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A Case Study of Maternal Response to the Implied Antepartum Diagnosis of Inevitable Labor Dystocia

Cited by 2 publications

References 32 publications

Defining the doula's role: fostering relational autonomy

Defining the doula's role: fostering relational autonomy

Early Term Birth

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