In another mixed method study to explore the knowledge of the UK weaning guidelines and the sources of weaning advice used by UK first-time mothers (Moore et al, 2012), findings were quite similar to the first study. The use of elements from both quantitative and qualitative research approaches have been found to contribute positively to the research process (Johnson et al. 2007). This was the main methodological strength of this study together with its size although there remains the argument that combining two methods of research can be difficult (Giddings and Grant, 2006). Gildea et al (2009) support the use of the internet in obtaining information on weaning. The result showed 86% of the respondents had knowledge about the guidelines that related to weaning which resulted in later weaning. A significant number of the mothers got weaning information from different places, but health visitor advice had the most influence on the 26% of the mother’s decision to wean, while the internet attributed to 25% and books to 18% of mothers. Nevertheless, 56% still attributed the source of conflicting advice to come from healthcare professionals. This supports findings by Moore et al (2012) who found that Health Visitors were inconsistent with the advice they gave on weaning guidelines and recommendations. This is despite the fact that they are the largest number of health professionals who give advice to postnatal mothers in the UK. This inconsistency in advice also contributes to
* Pre - birth conference was held to establish the issues surrounding the mother, her pregnancy and her parenting skills. Mother did not attend. The pre – birth conference attended by the CDAT key worker, safeguarding midwife, health visitor, GP, social worker. The pre – birth conference took place as mum was concealing her pregnancy and that she was heavily
It relies on persuasive tactics to ensure compliance. Being medical-based, it aims to reduce morbidity and reduce premature mortality and is conceptualised around the absence of disease. As midwives do not regard pregnancy and child-birth as states of ill-health, its validity in midwifery care must be questioned (Dunkley, 2000a). The benefits of breastfeeding are well-documented (Appendix Two), however difficulties arise in making this information relevant and personal to each woman. Often, simply giving women ‘information’ makes little difference to them (Dunkley, 2000b).
©Copyright 2010 This work is copyright February 2010. Copyright is held jointly by the Australian Nursing and Midwifery Council and the Nursing Council of New Zealand. ISBN 978-0-9807515-7-4 This work is copyright. It may be reproduced in whole or in part for study or training purposes subject to an inclusion of an acknowledgement of the source and is available electronically at www.anmc.org.au. It may not be reproduced for commercial use or sale. Reproduction for purposes other than those indicated above requires a licence or written permission, which may be obtained from the Australian
Dawn Kingston (assistant professor of Faculty of Nursing) studied a s survey done by ‘6,400’ mothers and how their experiences before they got pregnant, during pregnancy, and after delivery. With her research she offered first time views
For any mother the birth of a newborn child can be a challenging experience. As nurses it is part of our job to ensure their experience is positive. We can help do this by providing the information they will need to affective care for their newborn. This information includes topics such as, breastfeeding, jaundice, when to call your doctor and even how to put your baby to sleep. When the parents have an understanding of these topics before discharge it can largely reduce their natural anxiety accompanied with the transition to parenthood. Health teaching for new parents is seen as such an important aspect of care on post-partum floors it is actually a necessary component that needs to be covered before the hospital can discharge the
Within Victoria there are multiple models of maternity care available to women. An initial discussion with the woman’s treating GP during the early stages of her pregnancy is critical in her decision-making about which model of care she will choose and this key discussion is essential in allowing a woman to make the first of many informed decisions throughout her pregnancy. According to a survey conducted by Stevens et al. (2010) only 43% of women felt ‘they were not supported to maintain up-to-date knowledge on models of care, and most reported that model of care referrals were influenced by whether women had private health insurance coverage.’ Many elements of these models of care differ: from location of care, degree of caregiver continuity, rates of intervention and maternal and infant health, outcomes access to medical procedure, and philosophical orientation such as natural or medical (Stevens, Thompson, Kruske, Watson, & Miller, 2014). According to the World Health Organization (1985) and Commonwealth of Australia (2008) there is a recognition that ‘85% of pregnant women are capable of giving birth safely with minimal intervention with the remaining 15% at potential risk of medical complications’ (McIntyre & Francis, 2012).
The Nursing and Midwifery Council (NMC) published the expected standards for pre-registration midwifery education. They stated that Student Midwives are required to assist in the care and support of several women throughout their antenatal, intrapartum and postpartum period. This is achieved via the caseload holding scheme (Nursing and Midwifery Council, 2009). Midwifery led continuity of care models are described as care given during the antenatal, intrapartum and postnatal period from a known and trusted midwife in order to empower a woman to have a healthy pregnancy and birth (Sandall, Soltani and Gates, 2016). In September 2005 research was published supporting midwifery-led continuity of care, which they found was linked to a number of benefits for both mothers and babies, in contrast with obstetrically led and shared care (The Royal College of Midwives, 2014).
Midwives have a responsibility towards the woman throughout her pregnancy journey by promoting normality whilst acting as her advocate and maintaining her autonomy. The woman throughout the pregnancy continuum will undoubtedly have expectations of receiving good care where her preferences and any concerns which may arise are dealt with in a professional manner. This essay aims to explore key areas of care such as communication, obtaining consent, maintaining autonomy and confidentiality. This will show how the midwife utilises their ethical and professional knowledge to inform their practice to meet such demands.
After revising the key terms, additional searches were made using both CINAHL and MEDLINE databases, with each article being evaluated and better search mechanisms being applied. In this search the key words preterm AND aboriginal women were used with the result being relatively successful, however there were still a number of articles that were not all applicable. I then decided to go through each article and critique how each study was conducted and what information it could provide to increase my knowledge on the factors that affect preterm birth. Additionally I also looked at which articles provided the highest level of evidence using NHMRC guidelines, as well as observing the number of people who had cited the source (National Health and Medical Research Council, 2015). Being more specific in database searches was a skill that became vital in the search process (Symmons, 2013). For example, I also chose synonyms such as, ‘neonatal outcomes’ and ‘premature pregnancy’ so articles relevant to preterm birth could be discovered. By establishing effective search terms, evaluating the reliability of the source, restricting
Healthy childbirth is defined as a safe, natural process that rarely requires medical intervention (Goer & Romano, 2012). The medical model of care, however, often includes interventions that are not supported by the evidence and can increase a woman’s risk of having a cesarean section. These intrusions into labor and birth often lead to what has been called the “cascade of interventions” (DeClercq, Sakala, Corry,
Centre for Maternal and Child Enquiries (CMACE) (2011) Saving mothers’ lives; reviewing maternal deaths to make motherhood safer: 2006-2008. BJOG 18(1): 1-203. London. Blackwell Synergy.
On arrival, Joe’s mother Catherine was distressed and throughout every stage of Joe’s care it was important Catherine was provided with clear information in order to empower her to make informed choices regarding Joe’s care (Glasper et al. 2010). Parental involvement was introduced after the Platt Report in 1959 which recommended that parents should be allowed to stay with their hospitalised child. The report has led to significant improvements in interactions between parents of hospitalised children and the staff who care for them (Priddis and Sheilds 2011). Sousa et al (2013) carried out a study that found communication between parents and children’s nurses is vital. Sousa et al (2013) found that almost all parents who participated in the questionnaire agreed it was a priority to get information on their child’s health condition. This indicates that is important for nurses to manage the child and family as a whole holistically (NMC 2015). Catherine
The neonatal specialists care [NICE] (2010) quality standards are drawn from key priorities for implementation which are listed in the [NICE] Clinical guideline, which emphasises on patient experience and the whole clinical team. It requires that physical, psychological and social needs of babies and their families are the main focus of all care given, it covers the care whilst babies are in the need of specialist services that should be commissioned across all relevant agencies for on-going care (NICE, 2010). This According to the [NICE] Guidelines (2015) preterm birth is the single biggest cause of neonatal mortality and morbidity in the United Kingdom [UK]. This guideline reviews evidence to provide the best treatment when caring for women
All mothers have a choice in how they decide to raise their family. In the hospital, the health care team is supposed to be there in support to protect and to educate their patient, help them in identifying their rights, and educating them with proper and abundant information. The dilemma I am exploring specifically relates to the postpartum floor at Kaiser Walnut Creek, which is the idea of breastfeeding versus formula feeding. According to Healthy People 2020 as cited by the Centers for Disease Control and Prevention, in 2011, 81.9% of mothers breast-fed during the early postpartum period, 60.6% until 6 months, and 34.1% until 12 months. In addition to the increasing rate of breast-feeding, there are many benefits for the newborn, as well as the mother. The newborn will have passive immunity against infections, decreased rate of sudden infant death syndrome, reduced risk of allergies and asthma, and decreased incidence of diabetes mellitus and obesity later in the future. The mother will have easier postpartum weight loss and lessens bleeding, delayed fertility, and reduced risk of breast and ovarian cancer. In addition, breast-feeding is convenient and cost effective (Ladewig,
Statistical Product and Service Solutions for Windows (SPSS) 12.0 software package and SAS 8.0 software. SPSS 12.0 was used for all statistical analysis except linear regression which used SAS 8.0.