Team Midwifery Care in a Tertiary Level Obstetric Service: A Randomized Controlled Trial

Biró, Mary Anne; Waldenström, Ulla; Pannifex, Jan

doi:10.1046/j.1523-536x.2000.00168.x

Cited by 72 publications

(42 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…8 The first randomised controlled trials of continuity of midwifery care date back to the late 1980s 9 and many have followed including a number of Australian trials. [10][11][12][13][14][15] Other research has demonstrated the benefits of one-to-one 16 and caseload models of care. 17 Caseload models have also been shown to be beneficial for midwives, reducing burnout and improving retention.…”

Section: The Evidence For Changementioning

confidence: 99%

“…The randomised controlled trials on team midwifery showed positive outcomes with teams of six to eight midwives. 9,[11][12][13][14] In many settings in Australia, teams are now made up of 20 or more midwives who work rotating shifts through the maternity unit. It is hard to see how any amount of continuity of carer is possible with teams this size.…”

Section: The Evidence For Changementioning

confidence: 99%

See 1 more Smart Citation

Challenging midwifery care, challenging midwives and challenging the system

Homer

2006

Women and Birth

View full text Add to dashboard Cite

The purpose of this paper is to generate debate and discussion about the state of midwifery services in Australia today. While numerous reports have been published that highlight what women want in maternity care, widespread change has not occurred. This paper presents the story of Alice (a real woman with a fictitious name). Alice's story highlights the challenges that women face in dealing with a system that is often inflexible. While the health systems, and those who work within them, usually have the best intentions to try to provide the type of care that women want, they are not always successful. The paper summarises the evidence and support for models of continuity of midwifery care and outlines a series of strategies to ensure that change can occur. Finally, the paper challenges all midwives to work towards widespread, system-level change in Australian maternity services.

show abstract

Section: The Evidence For Changementioning

confidence: 99%

Section: The Evidence For Changementioning

confidence: 99%

Challenging midwifery care, challenging midwives and challenging the system

Homer

2006

Women and Birth

View full text Add to dashboard Cite

show abstract

“…Supervised by physicians, nurses or midwives, nitrous oxide is widely used as a safe analgesic in many parts of the world including Canada, Australia, Finland, United Kingdom and New Zealand (43 to 49%) (STAKES, 2006;NSW Department of Health, 2005;Biró et al, 2000).…”

Section: Discussionmentioning

confidence: 99%

Nitrous oxide versus pethidine with promethasine for reducing labor pain

Teimoori¹,

Sakhavar²,

Mirteimoori³

et al. 2011

Afr. J. Pharm. Pharmacol.

View full text Add to dashboard Cite

Systemic opioids are widely used for the relief of labor pain. Self-administered nitrous oxide with concentration of 50% is a new form of analgesia. The aim of this study was to compare the analgesic efficacy and side effects of the patient controlled inhaled nitrous oxide (50% ''Entonox'') with systemic intramuscular pethidine, in reducing pain during normal vaginal labor in Iranian population. In a randomized controlled study, the analgesic efficacy of inhaled 50% nitrous oxide (Entonox) was evaluated as compared to intra muscular pethidine for reducing labor pain among 100 women undergoing normal vaginal delivery. Mean maternal age was 26.2 and 27.2 years in entonox and pethidine groups, respectively. Duration of first and second stages was significantly shorter in patients receiving nitrous oxide as analgesia as compared to pethidine group (P < 0.05). Pain severity according to visual analog scale (VAS) score was significantly lower in patient that received nitrous oxide (P = 0.0001). We also showed significantly higher satisfaction of pain reduction in nitrous oxide group during labor (P = 0.01). No significant difference was observed among the groups regarding neonatal complications. Although, nitrous oxide is certainly not a potent analgesic, we found that it has more beneficial effects than pethidine in parturient women which is yet to be cleared.

show abstract

“…This example of the inverse care law finally drove me to establishing a continuity of care model for women attending the public maternity clinics at a tertiary hospital in Melbourne. 61 Hart 62 describes the inverse care law as a classic reference reflecting ''a global shift of British medical and allied professionalism towards alliance with the mass of the people the profession serves.'' (p. 18) Whilst Hart 62 coined the term in relation to the availability of medical care, it can be just as easily applied to the provision of midwifery care at all levels.…”

Section: The Inverse Care Lawmentioning

confidence: 99%

Team Midwifery Care in a Tertiary Level Obstetric Service: A Randomized Controlled Trial

Abstract: Continuity of midwifery care was associated with a reduction in medical procedures in labor and a shorter length of stay without compromising maternal and perinatal safety. Continuity of midwifery care is realistically achievable in a tertiary obstetric referral service.

Cited by 72 publications

References 10 publications

Challenging midwifery care, challenging midwives and challenging the system

Challenging midwifery care, challenging midwives and challenging the system

Nitrous oxide versus pethidine with promethasine for reducing labor pain

What has public health got to do with midwifery? Midwives’ role in securing better health outcomes for mothers and babies

Contact Info

Product

Resources

About