Processes of care Comparisons of certified nurse-midwives and obstetricians

Oakley, Deborah; Murtland, Terri L.; Mayes, Fran; Hayashi, Robert H.; Petersen, Barbara A.; Rorie, Cheryl; Andersen, Frank

doi:10.1016/0091-2182(95)00053-m

Cited by 42 publications

(48 citation statements)

References 22 publications

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“…Evidence suggests that good midwifery practice benefits women (Oakley et al 1995;de Veer &Meijer 1996;Fullerton et al 1996;Oakley et al 1996;Tucker et al 1996;Law &Lam 1999), but accepting that midwives should be encouraged to practise to the full extent of their professional role is not always easy (Blais et al 1994;Cheyne et al 1995;de Veer &Meijer 1996;Fullerton et al 1996;Gau et al 2002;Hyde &Roche-Reid 2004). The evidence from the study suggests that it is imperative for midwives to utilise the European legislation to ensure that Belgium, a member state of the European Union, implements to the full Directive 80/155/EEC on the activities of the midwife.…”

Section: Discussionmentioning

confidence: 92%

Midwives’ perception of the intrapartum risk of healthy nulliparae in spontaneous labour, in The Flanders, Belgium

Mead

Bogaerts²,

Reyns³

2007

Midwifery

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ObjectiveTo explore midwives' perception of intrapartum risk for healthy nulliparous women in spontaneous labour at term of a healthy singleton pregnancy, in the Belgian Flanders, and compare these results with those of a previous study undertaken in England. DesignSurvey of the care midwives would advocate and their perception of intrapartum risk using a standardised scenario. This study replicates part of a survey undertaken with British midwives , with an added section to capture the particularities of the Belgian situation and explore the likelihood of midwives being fully responsible for the whole intrapartum care of healthy women, including their delivery. The questionnaire was translated into Dutch by MR and distributed by the Flemish midwives' association.. ParticipantsAll 845 midwives and 143 student midwives members of VLOV were sent a questionnaire with their invitation to take part in their annual conference. Two hundred and seventy-five midwives and 107 students attended the conference, and 128 questionnaires were returned at the conference: 99 midwives (36% of the attendees), 26 students (24% of attendees), with three unidentified respondents. This convenience sample represents 12% of all midwives and 18% of all students. Analysis SPSS for Windows was used for the statistical analysis. Descriptive statistics were used and differences between categorical variables were analysed using chi-square and Fisher's Exact tests and differences between continuous variables were analysed by ANOVA. FindingsMidwives generally described a more medicalised approach to intrapartum care on admission and during the first stage of labour than their British counterparts, but were much more optimistic about the chances of healthy women in spontaneous labour achieving a normal delivery within 12 hours. However Belgian midwives had only a very limited ability to undertake normal deliveries because of the very high proportion of obstetricians who fulfil this responsibility. This contravenes the EU directive on the activities of the midwife. Key conclusionsDespite a much greater involvement of obstetricians in the care of women suitable for full midwifery care and a more medicalised approach to intrapartum care, the Belgian Flanders has a significantly lower caesarean section rate than the UK. However the inability of Belgian midwives to fulfil the activities of the midwives as identified by the EU directives raises questions about the migration of midwives trained in Belgium to other EU member states.

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Section: Discussionmentioning

confidence: 92%

Midwives’ perception of the intrapartum risk of healthy nulliparae in spontaneous labour, in The Flanders, Belgium

Mead

Bogaerts²,

Reyns³

2007

Midwifery

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“…A d increased use of ambulation in labor (see also Step 4, p. 25S) (Jackson, 2003 AJPH;Hundley, 1994;Oakley, 1995 Step 6, p. 34S) (Harvey, 1996;Jackson, 2003 AJPH;Johnson, 2005;Law, 1999;Oakley, 1995).…”

Section: Qualitymentioning

confidence: 99%

“…A d less use of continuous electronic fetal monitoring, external and internal (see also Step 6, p. 39S) Jackson, 2003 AJPH;Johnson, 2005;Hundley, 1994;Oakley, 1995).…”

Section: Qualitymentioning

confidence: 99%

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Step 1: Offers All Birthing Mothers Unrestricted Access to Birth Companions, Labor Support, Professional Midwifery Care

Leslie

Storton²

2007

jpe

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The first step of the Ten Steps of Mother-Friendly Care insures that women have access to a wide variety of support in labor and during the pregnancy and postpartum periods: unrestricted access to birth companions of their choice, including family and friends; unrestricted access to continuous emotional and physical support from a skilled woman such as a doula; and access to midwifery care. The rationales for the importance of each factor and the evidence to support those rationales are presented.

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“…The role of the midwife can be examined with two different perspectives, firstly as a group of Health Care Providers (this point of view is discussed elsewhere [2,16,18,22], secondly as individual persons with respect to different practice styles and different personal characteristics, which is the main subject of this study.…”

Section: Introductionmentioning

confidence: 99%