Australian journal of midwifery : professional journal of the Australian College of Midwives Incorporated

Allison Buck

The Australian Journal of Midwifery

Desert storks - bush midwives

沙漠鹳鸟 - 灌木丛中的助产士

This paper examines practices in second stage labour of a woman with an epidural. Common practices are compared with the current literature. Recommendations from this comparison are that practices such as directed pushing should be discouraged and pushing should be delayed until the presenting part has descended to a vaginal station greater than +1. Implications for practice are discussed and recommendations made to implement changes.

Deborah Birrell

Management of second stage labour with an epidural — a problem in isolation?

硬膜外麻醉下第二产程管理——一个孤立的问题吗？

This paper analyses the history of the subordination of midwifery to medicine and nursing. With the important exception of Evan Willis’ work on medical dominance and Annette Summers’ work on the takeover of midwifery by nursing, other histories of Australian midwifery have taken a neutral approach to issue of power and control. The aim of analysing this period is to identify the strategies of power that were used to subordinate midwifery. With increased consciousness of how power has operated in the past, midwives and woman of today can be more empowered when seeking to promote normal birth and midwifery models of care.Concepts of ‘power’, ‘the state’ and midwife are defined and discussed. A summary of the decline of midwifery and the rise of obstetrics in Europe and the United Kingdom (UK) gives a background against which to understand the Australian experience. The historical account given here draws to a climax by focussing on the period 1886–1928. It was during this time that medicine forged an alliance with nursing and achieved both legal and disciplinary control of midwifery. Knowing how this was done is important because it helps us to recognise the power strategies that are currently being used by medicine. This is helpful when planning how these strategies might be matched or countered by contemporary woman and midwives when seeking to promote normal birth and midwifery models of care.

Vicki Startin

Midwifery and nursing — A tension for rural areas

助产与护理——农村地区的紧张关系

Having a known midwife throughout pregnancy, birth and the early parenting period improves outcomes for mothers and babies. In Australia, midwifery continuity of care has been recommended in all states, territories and nationally although uptake has been slow. Several barriers exist to implementing midwifery continuity of care models and some maternity services have responded by introducing modified models of continuity of care. An antenatal and postnatal continuity of care model without intrapartum care is one example of a modified model of care that has been introduced by health services.The aim of this study was to explore the value and acceptability of an antenatal and postnatal midwifery program to women, midwives and obstetricians prior to implementation of the model at one hospital in Metropolitan Sydney, Australia.A qualitative descriptive methodology was undertaken to discover the value and acceptability to the implementation of the model. Data was collected via focus groups and one to one interviews from the service users (pregnant women and two partners) and service providers (midwives and obstetricians). We also collected demographic data to demonstrate the diversity of the setting. The Quality Maternal Newborn Care (QMNC) Framework was used to guide the focus groups and analyse the data.Four themes emerged from the data that were named feeling safe and connected, having more quality time and being confident, having a sense of community and respecting cultural diversity. The findings were analysed through the lens of the quality components of the QMNC framework. The final findings demonstrate the value and acceptability of implementing this model of care from women’s, midwives and obstetrician’s perspective.Providing midwifery continuity of care through the antenatal and postnatal period without intrapartum care, is being implemented in Australia without any research. Using the QMNC framework is a useful way to explore the qualities of a new emerging service and the values and acceptability of this model of care for service providers and service users.

Ann Popelier

Management of second stage—a comment

第二阶段管理——评述

Thirteen women's experiences in antenatal education classes emerged as significant during the data analysis of a much larger study on women's experiences of their first pregnancy. Two grounded theory procedures, the making of comparisons and the asking of questions were used to analyse the antenatal classes experiences. Subcategories Unprepared (labour and birth experiences), and Vulnerable (breastfeeding) evolved during the grouping of the concepts. Tape recorded, individual interviews were held with the women in their homes for about one hour on four occasions. The classes were completed in the 3rd trimester; this discussion, therefore, relates to the third trimester and post birth interviews only. Ten women were delivered in private hospitals and three women in public hospitals. Comments about the classes during the third interview were generally positive. Following birth, comments were less favourable. Audit trials were created for the larger study of which the present topic was a small part.

Z Schneider

Antenatal education classes in Victoria: What the women said

维多利亚州的产前教育课程：女性之声

Multiple national and local data sources collected by healthcare systems across Europe contain information regarding coronary artery bypass grafts (CABG). Currently surveillance for surgical site infections (SSIs) in this patient group is voluntary in the UK.To investigate and compare the currently available data sources in England for SSI surveillance in CABG patients.Data were extracted from the Society for Cardiothoracic Surgery in Great Britain and Ireland (SCTS) Adult Cardiac Surgery Registry, the Health Protection Agency SSI surveillance, and the Patient Administration System (PAS) from a single large National Health Service Trust. These data were deterministically linked using patient identifiers, anonymized, and then underwent descriptive analysis.From 1 January 2011 to 30 June 2011, 306 patients were recorded in at least one dataset as having undergone CABG. Of these, 76% were recorded by all three data sources being investigated. Of the discordant patients, 5% were recorded by both the local cardiac registry and PAS, and 18% by both the HPA surveillance and PAS. A total of 28 surgical site infections were recorded, of which 21% were identified by all the data sources.Currently, the databases which collect and store data relating to CABG patients suffer from duplications and discrepancies. Integration of the discordant systems is recommended to create a streamlined, sustainable electronic surveillance system.

Debra K Creedy

Jan Horsfall

Jenny Gamble

Developing critical appraisal skills using a review of the evidence for postpartum debriefing

利用证据回顾发展产后反思的关键评估技能

This literature review highlights that research about the effect of maternal hypotension in pregnancy has either concentrated on an acute hypotensive episode, or looked at the influence of persistent maternal hypotension on fetal growth and/or premature birth. Whilst there is some German literature no published English study has specifically examined the possible significance of chronic maternal hypotension on the risk of stillbirth. There is, therefore, a significant gap in the research in this area.

Mrs Jane Warland

Helen McCutcheon

Is there an association between maternal hypotension and poor pregnancy outcome?: A review of contemporary literature

母体低血压与不良妊娠结局之间是否存在关联？：当代文献综述

Depression following childbirth is a common, distressing but frequently underreported disorder. It involves a spectrum of symptoms, some of which may be self-limiting, while others can have major mental health implications in the post partum period. A range of health professionals, including midwives and mental health nurses, come into contact with women who suffer from postnatal depression; however, there is often little attempt made to integrate maternity and mental health care approaches. More collaborative frameworks of care are vital if health professionals are to adequately meet the needs of 'unhappy' women in the postnatal period.

Kerry Peart

Margaret Grigg

Postnatal Unhappiness: Who should direct support?

产后不快：谁应主导支持？

This paper presents a review of the literature that informed research undertaken to determine what features of childbirth have a positive effect on women's sense of self. The literature looked at control: of women or with women, trusting relationships, balancing self-empathy, self understanding through an instinctual response, altered concious states, childbirth and mother/baby relationships.

Jenny Parratt

The impact of Childbirth experiences on women's sense of self: A review of the literature

分娩经历对女性自我认知的影响：文献综述

Effective treatment for cognitive dysfunction after traumatic brain injury (TBI) is lacking in clinical practice. Increased brain-derived neurotrophic factor (BDNF) expression in cognitive circuits can significantly alleviate cognitive dysfunction in animal models of TBI. Selective 5-hydroxytryptamine receptor 6 (5-HT6R) agonists significantly increase BDNF expression and improve cognitive function. Therefore, we evaluated the protective effect of a highly selective 5-HT6R agonist, WAY-181187, on cognitive dysfunction after TBI. We established a controlled cortical impact model of moderate TBI in rats and performed drug intervention for five consecutive days. Rats had spatial reference memory impairment in the Morris water maze one and four weeks after TBI. BDNF expression in the medial prefrontal cortex (mPFC) and hippocampus decreased two and five weeks after TBI. Additionally, five weeks after TBI, decreases in neuronal dendritic spine density and the proportion of thin, mushroom-shaped dendritic spines and an increased proportion of stubby-type dendritic spines were observed. WAY-181187 administration (3 mg/kg) for five consecutive days after TBI significantly alleviated cognitive dysfunction at one and four weeks (P < 0.001 and P < 0.01), upregulated BDNF expression in the mPFC and hippocampus at two (P < 0.01 and P < 0.05) and five (P < 0.01 and P < 0.001) weeks and increased the dendritic spine density and the proportions of thin, mushroom-shaped dendrites in the mPFC (P < 0.05, P < 0.001 and P < 0.01) and hippocampus (P < 0.05, P < 0.001 and P < 0.05) at five weeks after TBI. Our results confirm that WAY-181187 administration (3 mg/kg) in the acute phase alleviated cognitive dysfunction after TBI, possibly by upregulating BDNF expression in the mPFC and hippocampus, enhancing neuroplasticity.

Alison Chandra

Midwifery in Victoria

维多利亚的助产术

出版信息	出版商: Australian College of Midwives，出版周期: ，期刊类型: journal，开源期刊: 否
基本数据	创刊年份: 2001，原创研究文献占比: ，自引率:， Gold OA占比:

Australian journal of midwifery : professional journal of the Australian College of Midwives Incorporated

期刊引文格式

有 1 位以上作者的期刊

有 2 位作者的期刊

有 3 位作者的期刊

有 5 位以上作者的期刊

书籍引用格式

学位论文引用格式

网页引用格式

专利引用格式

手工熬夜修改参考文献？研飞自动匹配期刊，一键轻松成稿，支持 Word/WPS

投稿经验分享