The International Confederation of Midwives’ study of essential competencies of midwifery practice

Fullerton, Judith T.; Severino, Ricardo; Brogan, Kelly; Thompson, Joyce Beebe

doi:10.1016/s0266-6138(03)00032-9

Cited by 47 publications

(27 citation statements)

References 49 publications

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“…16 In order for them to provide qualified antenatal care, students are expected to become skilled mainly in taking the histories and conducting the physical examinations. 17 The scores for these steps were found to be relatively lower in the control group because the members of this group had not received their education according to the developed curriculum. Those in the intervention group, however, had received their education in line with this curriculum, using the learning and evaluation guides developed for the antenatal care.…”

Section: Discussionmentioning

confidence: 93%

Developing an educational program for fourth-year students at Balikesir University's school of health, department of midwifery, to learn and practice antenatal skills

Yörük

Günay

2014

Int J Res Med Sci

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Section: Discussionmentioning

confidence: 93%

Developing an educational program for fourth-year students at Balikesir University's school of health, department of midwifery, to learn and practice antenatal skills

Yörük

Günay

2014

Int J Res Med Sci

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“…According to the International Confederation of Midwives, suturing episiotomy is included in essential competency of midwives. 17 The limitations of the present study were using individual interviews instead of focus groups to identifying their perspectives and studying few aspects of midwives' practice regarding episiotomy.…”

Section: Resultsmentioning

confidence: 99%

Midwives' perspectives regarding episiotomy practice in Kurdistan region/Iraq

Piro

Ahmed

2016

ZJMS

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IntroductionAn episiotomy is a surgical incision made into the perineum, which if required should only be performed immediately prior to birth to enlarge the vaginal outlet and to assist the birth of the baby.1 The reason for using episiotomy depends on the need to minimize the risks of severe spontaneous maternal trauma and fetal comprise. Performing episiotomy has undergone a number of revisions starting from 1920s when routine episiotomy was advocated to the 1980s when restrictive use of episiotomy became the recommended practice.3 There is no evidence to support the use of routine episiotomy in any circumstance, not even when there has been a previous third-degree tear. 1The World Health Organization also supports the restricted use of episiotomy (less than 20%) as there is no evidence that routine episiotomy decreases perineal damage. 4 Australian research has shown a high prevalence of maternal health problems up to six months after birth, with one or more health problems reported by 94% of women. Painful perineum (21%) and sexual problems (26.3%) were two of the most commonly cited. These problems were especially relevant to primiparous women and to women who had an episiotomy and/or instrumental birth. 5Episiotomy rates widely vary between countries, institutions, and individuals because of differences in attitudes and training.6 Wide practice variation in rate Background and objective: Local professional norms, experiences in tainting, and individual provider preference may lead to wide practice variation in rate and practice of episiotomy by midwives. The aim of this study was to find out the midwives' perspectives regarding practicing of episiotomy in three main cities of Kurdistan region/Iraq. Methods: A cross-sectional, descriptive study was conducted on 53 midwives working in delivery room in three maternity teaching hospitals in the three biggest cities of Kurdistan Region of Iraq. A questionnaire was constructed for the purpose of the study and data were collected by interview with midwives. F test and Chi-square test were used for analyzing the data. Results:The majority (88.7%) of midwives thought that the rate of episiotomy were high in their hospitals that were attributed to five factors; maternal (77.35%), fetal (39.62%), midwives (37.73%), obstetricians (30.18%) and hospital policy and health system (20.75%). The opinion of midwives regarding how to decrease the rate of episiotomy included improving midwifery care during delivery (77.35%), reforming health system (60.37%), reforming hospital policy (50.94%) and improving maternal care during pregnancy (26.41%). Conclusion: Taking into consideration the midwives' perspectives and views regarding episiotomy and providing training courses may help in decreasing the rate of episiotomy and its practice in correct way in Kurdistan's maternity hospitals.

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“…Short-staffing, busyness and medicalised models of care may contribute to this perception (Larkin et al, 2012) and advice during pregnancy, labour and the postpartum period, to conduct births on the midwife's own responsibility and to provide care for the newborn and the infant'. In particular, the International Confederation of Midwives (Fullerton et al, 2011) delineates the knowledge, skills and behavior that would characterize the domain of competencies of the midwife who is educated according to the international definition of the profession.…”

Section: This Paper Reports the Literature Review Around What Is Consmentioning

confidence: 99%

What is a good midwife? Insights from the literature

Borrelli¹

2014

Midwifery

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Objective. To review the literature around what is considered to be a good midwife and in particular what women value in a midwife, in order to identify the gaps in the evidence for future research. Design. This paper reviews the research in the area of interest over the past 30 years. The literature search focused on the concept of good midwife using synonyms and antonyms. The inclusion criteria included language (English or Italian). The examined databases were Medline, Maternity and Infant Care, Applied Social Sciences Index and Abstract and CINAHL. Setting. Studies conducted in high-income countries were taken into account. A focused review of papers which explicitly investigated what a good midwife means and a thematic analysis on what women value in a midwife were carried out. There is a dearth of information around women's expectations and experiences specifically of a good midwife, and even less around whether this changes according to where they give birth. Implications for practice. This literature review seeks to stimulate debate and reflection among midwives and professionals involved in the childbearing event, in order to fulfil women's expectations of their midwife and increase their satisfaction with the birth experience. The identification of the gaps in the evidence provided the starting point and allowed the development of research questions and methodology for an ongoing doctoral research. Based on the gaps in the evidence, the doctoral research will explore and seek to explain nulliparous women's expectations and experiences of a good midwife in the context of different planned place of birth, using a Grounded Theory methodology. It is also expected that the findings of this literature review will stimulate additional research in this area to ultimately inform midwifery practice and midwifery educational programmes.

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The International Confederation of Midwives’ study of essential competencies of midwifery practice

Cited by 47 publications

References 49 publications

Developing an educational program for fourth-year students at Balikesir University's school of health, department of midwifery, to learn and practice antenatal skills

Developing an educational program for fourth-year students at Balikesir University's school of health, department of midwifery, to learn and practice antenatal skills

Midwives' perspectives regarding episiotomy practice in Kurdistan region/Iraq

What is a good midwife? Insights from the literature

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