The midwifery model of care

Rooks, Judith P.

doi:10.1016/s0091-2182(99)00060-9

Cited by 149 publications

(87 citation statements)

References 29 publications

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“…Although there is no precise definition in the midwifery/obstetric literature regarding what constitutes an intervention during labour, in this study the term is used to refer to a treatment that is either clinically justified or one instigated for convenience, clinician's choice or to achieve efficiency. The term has also be used to describe aspects of care that are not seen to sit comfortably within the concept of woman centred care (Maputle & Donavon, 2013 Fahy & Parratt, 2006;Rooks, 1999). Determining what constitutes an intervention can thus also reflect the flow of power and decision making between care providers and pregnant/labouring women.…”

Section: Theme I: Swi -Midwifery Strategy or Medical Intervention?mentioning

confidence: 99%

‘Tough love’: The experiences of midwives giving women sterile water injections for the relief of back pain in labour

2017

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Section: Theme I: Swi -Midwifery Strategy or Medical Intervention?mentioning

confidence: 99%

‘Tough love’: The experiences of midwives giving women sterile water injections for the relief of back pain in labour

2017

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Section: Mode Of Delivery and Models Of Carementioning

confidence: 99%

“…The two professions are based on two fundamentally different models of care [32]. Midwives are responsible for normal labours, due to their expertise in protecting, supporting and enhancing the normal physiology of labour [32]. Physicians have a background in medicine and are responsible for the pathologic aspects of labour, with often involve diagnosing and treating complications [32].…”

Section: Mode Of Delivery and Models Of Carementioning

confidence: 99%

“…Midwives are responsible for normal labours, due to their expertise in protecting, supporting and enhancing the normal physiology of labour [32]. Physicians have a background in medicine and are responsible for the pathologic aspects of labour, with often involve diagnosing and treating complications [32]. In reality, despite the fact that these two basic differences are non-debatable, the two professions share information, expert opinions and research, working together to holistically safeguard both the physiological and the pathological labour.…”

Section: Mode Of Delivery and Models Of Carementioning

confidence: 99%

“…Midwives' and physicians' different models of care [32] can also have conse-quences for the mode of delivery, in that a midwife performs MR to support and enhance the normal physiology of labour. In other words, the midwife performs MR and then waits to see if the labour proceeds normally, as this is the basic philosophy of the midwifery profession.…”

Section: Mode Of Delivery and Models Of Carementioning

confidence: 99%

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How Can Manual Rotation Reduce Vacuum, Forceps and Caesarean Deliveries?—A Review of the Evidence

Os¹,

Severinsson²

2017

OJN

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The aim of this review was to investigate whether manual rotation can be used to reduce vacuum, forceps and caesarean deliveries in women with occiput posterior or occiput transverse positions from 7 cm dilation in labour. A search strategy was developed and relevant papers published between 1946 and January 2015 were identified from electronic databases. Key search terms used were manual and digital rotation, labour presentation, obstetric labour complications, occiput posterior and version foetal. The search revealed 330 papers. A short list of 33 publications of possible relevance was compiled and assessed using the following criteria: primary studies on the effectiveness of manual rotation performed in women with singleton occiput posterior or occiput transverse presentations published in English or the Scandinavian languages. The quality of the included studies was evaluated by means of the critical appraisal tools for quantitative studies. Seven studies were included in the thematic analysis. The results varied but the main finding was that in order to decrease vacuum, forceps and caesarean deliveries by means of manual rotation, it is essential that the procedure is successful. The success rate of manual rotation is dependent on the experience of the healthcare professionals who perform the rotation procedure rather than the technique employed. Predictors of successful manual rotation were used after engagement of the foetal head, at full dilatation and prophylactic use before failure to progress in labour. In conclusion, although the results vary, there is a consensus in all the studies that manual rotation is worth considering and that it can contribute to decreasing vacuum, forceps and caesarean deliveries. The implications for practice are that successful manual rotation can reduce caesarean delivery and increase spontaneous vaginal delivery, but experience is necessary to perform successful rotations. Because there are no risk factors associated with manual or digital rotation when performed after engagement of the head and at full dilatation, they are worth considering. The central role of the midwife in each individual labour makes her important for ensuring that manual rotation can be considered at the right time in labour.

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Planned hospital birth versus planned home birth

Olsen

Clausen²

2012

Cochrane Database of Systematic Reviews

113

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Background Observational studies of increasingly better quality and in different settings suggest that planned home birth in many places can be as safe as planned hospital birth and with less intervention and fewer complications. This is an update of a Cochrane review first published in 1998. Objectives To assess the effects of planned hospital birth compared with planned home birth in selected low-risk women, assisted by an experienced midwife with collaborative medical back up in case transfer should be necessary. Search methods We searched the Cochrane Pregnancy and Childbirth Group’s Trials Register (30 March 2012) and contacted editors and authors involved with possible trials. Selection criteria Randomised controlled trials comparing planned hospital birth with planned home birth in low-risk women as described in the objectives. Data collection and analysis The two review authors as independently as possible assessed trial quality and extracted data. We contacted study authors for additional information. Main results Two trials met the inclusion criteria but only one trial involving 11 women provided some outcome data and was included. The evidence from this trial was of moderate quality and too small to allow conclusions to be drawn. Authors’ conclusions There is no strong evidence from randomised trials to favour either planned hospital birth or planned home birth for low-risk pregnant women. However, the trials show that women living in areas where they are not well informed about home birth may welcome ethically well-designed trials that would ensure an informed choice. As the quality of evidence in favour of home birth from observational studies seems to be steadily increasing, it might be as important to prepare a regularly updated systematic review including observational studies as described in the Cochrane Handbook for Systematic Reviews of Interventions as to attempt to set up new randomised controlled trials.

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The midwifery model of care

Cited by 149 publications

References 29 publications

‘Tough love’: The experiences of midwives giving women sterile water injections for the relief of back pain in labour

‘Tough love’: The experiences of midwives giving women sterile water injections for the relief of back pain in labour

How Can Manual Rotation Reduce Vacuum, Forceps and Caesarean Deliveries?—A Review of the Evidence

Planned hospital birth versus planned home birth

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