BACKGROUND Clinical decision-making was initially studied in medicine where hypothetico-deductive reasoning is the model for decision-making. The nursing perspective on clinical decision-making has largely been shaped by Patricia Benner's ground breaking work. Benner claimed expert nurses use humanistic-intuitive ways of making clinical decisions rather than the 'rational reasoning' as claimed ...

BACKGROUND Satisfaction with birth care is part of quality assessment of care. The aim of this study was to investigate possible differences in satisfaction with intrapartum care among low-risk women, randomized to a midwifery unit or to an obstetric unit within the same hospital. METHODS Randomized controlled trial conducted at the Department of Obstetrics and Gynecology, Østfold Hospital Tr...

Background—Changing Childbirth (1993), a report on the future of maternity services in the United Kingdom, endorsed the development of a primarily community based midwifery led service for normal pregnancy, with priority given to the provision of “woman centred care”. This has led to the development of local schemes emphasising continuity of midwifery care and increased choice and control for w...

BACKGROUND Mal-distribution of the health workforce with a strong bias for urban living is a major constraint to expanding midwifery services in Ghana. According to the UN Millennium Development Goals (MDG) report, the high risk of dying in pregnancy or childbirth continues in Africa. Maternal death is currently estimated at 350 per 100,000, partially a reflection of the low rates of profession...

Shokofe Darkhor, Fatemeh Estebsari, Jamshid Yazdani Charati. Master student Community Health Nursing, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences &, Tehran, Iran; PhD of Health Education & Promotion, Department of Health, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran; AssociateProfessor, Department of Biostatistics,...

OBJECTIVE To compare maternal and neonatal birth outcomes and morbidities associated with the intention to give birth in two freestanding midwifery units and two tertiary-level maternity units in New South Wales, Australia. DESIGN Prospective cohort study. PARTICIPANTS 494 women who intended to give birth at freestanding midwifery units and 3157 women who intended to give birth at tertiary-...

The five years which have elapsed since the publication of the last edition of this book have seen a steady progress in the movement which has been converting midwifery from a branch of medicine into an art requiring a thorough and practical knowledge of surgery. The book faithfully represents up-to-date practice in this respect, the author's advice being always based on sound surgical principl...

more erudite I will be deemed to be. Erudition is not, however, an attribute I have been accused of possessing: my most vivid remembrance of that was the cry of my form and classics master in the Glasgow school I shared (not simultaneously) with John Buchan and described by him in 'Memory Holds the Door' as 'an ancient grammar school on the south side of the river'. 'Stirrat' cried Chunky Cowan...