{"title":"Policy or tradition: Oral intake in labour","authors":"Myra Parsons","doi":"10.1016/S1445-4386(01)80017-3","DOIUrl":"10.1016/S1445-4386(01)80017-3","url":null,"abstract":"<div><p>Oral intake restrictions have varied over time and around the world with written hospital policies for this issue often being non-existent. As there are differing views on this issue within hospitals overseas, a survey was conducted of 109 maternity units in New South Wales, Australia during early 2000 to identify the trends across the state. In New South Wales 81.7% of hospitals did not have a written policy for oral intake in labour. The remaining 18.3% had written policies which varied in their oral intake allowances from ice only to whatever women feel like eating and drinking. Of the 109 hospitals in this survey 60.5% leave food and fluid requirements to the individual woman's discretion, providing they have no increased risk of general anaesthetic.</p></div>","PeriodicalId":83630,"journal":{"name":"Australian journal of midwifery : professional journal of the Australian College of Midwives Incorporated","volume":"14 3","pages":"Pages 6-12"},"PeriodicalIF":0.0,"publicationDate":"2001-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1445-4386(01)80017-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22394980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The role of the midwife when the pathology report states your pregnant client has bacterial vaginosis.","authors":"M F Annells","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Bacterial vaginosis (BV) has been associated with preterm labour, preterm prelabour rupture of membranes and preterm birth. Organisms in high concentrations in BV may ascend from the vagina into the uterine cavity causing infection. Many factors may change the vaginal pH and microflora increasing the risk of BV, and midwives need to recognise signs and symptoms of BV. The vaginal pH is a useful tool for BV screening. Midwives may play a future role in pH testing, especially in pregnant women at high risk, for example, those with a previous preterm birth.</p>","PeriodicalId":83630,"journal":{"name":"Australian journal of midwifery : professional journal of the Australian College of Midwives Incorporated","volume":"14 2","pages":"18-20"},"PeriodicalIF":0.0,"publicationDate":"2001-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22396669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Management of second stage labour with an epidural — a problem in isolation?","authors":"BSc BApp Sci(Nsg) RN RM Deborah Birrell (Master of Midwifery Student)","doi":"10.1016/S1445-4386(01)80043-4","DOIUrl":"10.1016/S1445-4386(01)80043-4","url":null,"abstract":"<div><p>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.</p></div>","PeriodicalId":83630,"journal":{"name":"Australian journal of midwifery : professional journal of the Australian College of Midwives Incorporated","volume":"14 2","pages":"Pages 5-10"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1445-4386(01)80043-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22394988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dr, PhD, MEd, BHSc (HProm), BEd (PhysEd) Janet Currie
{"title":"Pramwalking as postnatal exercise and support: An evaluation of the stroll your way to well-being® program and supporting resources in terms of individual participation rates and community group formation","authors":"Dr, PhD, MEd, BHSc (HProm), BEd (PhysEd) Janet Currie","doi":"10.1016/S1445-4386(01)80045-8","DOIUrl":"10.1016/S1445-4386(01)80045-8","url":null,"abstract":"<div><p>Stroll Your Way To Well Being® is a community pramwalking program designed to increase access by mothers to sociable postnatal exercise. This study evaluated the program in terms of long-term adherence rates by mothers to walking, and the effectiveness of kits distributed to providers in assisting them to set up their own groups. Approximately one quarter of information kit recipients established a pramwalking group. Reasons for non-initiation included lack of time or a perceived lack of priority. Mothers reported program benefits to be the opportunity to exercise, socialise and share information about baby issues. 70% of mothers were still walking 16 months after the program's commencement. Reasons for mothers ceasing participation in pramwalking included lack of interest, no group leader available or their baby was too old. Future studies need to focus on the prevention and treatment of postnatal depression through exercise.</p></div>","PeriodicalId":83630,"journal":{"name":"Australian journal of midwifery : professional journal of the Australian College of Midwives Incorporated","volume":"14 2","pages":"Pages 21-25"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1445-4386(01)80045-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22396671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"37 Trillion hits!! Now what?! The benefits of literature searching","authors":"RN, PhD Diane S. Pravikoff","doi":"10.1016/S1445-4386(01)80025-2","DOIUrl":"10.1016/S1445-4386(01)80025-2","url":null,"abstract":"","PeriodicalId":83630,"journal":{"name":"Australian journal of midwifery : professional journal of the Australian College of Midwives Incorporated","volume":"14 1","pages":"Pages 3-4"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1445-4386(01)80025-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22396318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PhD Georgina E. Stamp ((pictured) Registered Midwife), Gillian S. Kruzins (Registered Midwife, Bachelor of Midwifery, Midwife researcher)
{"title":"A survey of midwives who participated in a randomised trial of perineal massage in labour","authors":"PhD Georgina E. Stamp ((pictured) Registered Midwife), Gillian S. Kruzins (Registered Midwife, Bachelor of Midwifery, Midwife researcher)","doi":"10.1016/S1445-4386(01)80030-6","DOIUrl":"10.1016/S1445-4386(01)80030-6","url":null,"abstract":"<div><p>A multi-centred randomised perineal massage in labour trial (PMLT) was conducted in which participating midwives randomised eligible women in the second stage of labour. A survey of these midwives was conducted after completion of the PMLT, but before results had been analysed and presented.</p><p>The aim of the study was to seek from midwives, following the PMLT, their reasons why some eligible women were not randomly allocated to a group; why others did not receive care as allocated and the midwives' views about the massage, including whether significant trial results would influence their clinical practice. (This paper presents the results of this survey.)</p></div>","PeriodicalId":83630,"journal":{"name":"Australian journal of midwifery : professional journal of the Australian College of Midwives Incorporated","volume":"14 1","pages":"Pages 15-21"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1445-4386(01)80030-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22396320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"","authors":"Carole Gilmour (Midwifery Educator)","doi":"10.1016/S1445-4386(01)80028-8","DOIUrl":"10.1016/S1445-4386(01)80028-8","url":null,"abstract":"","PeriodicalId":83630,"journal":{"name":"Australian journal of midwifery : professional journal of the Australian College of Midwives Incorporated","volume":"14 1","pages":"Page 7"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1445-4386(01)80028-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56572583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M.A., BA, Grad. Dip. Health Sciences Sarah A. Roberts ((Cand.), (Hon.), Couns., Midwife), Ph.D., Cand., M.N., Grad. Dip. Clin. Nurs. Prac. & Mgt. Gina B. Kruger (Adv. Mid., Midwife)
{"title":"Reasons for increased postnatal length of stay & women's perceptions of length of stay","authors":"M.A., BA, Grad. Dip. Health Sciences Sarah A. Roberts ((Cand.), (Hon.), Couns., Midwife), Ph.D., Cand., M.N., Grad. Dip. Clin. Nurs. Prac. & Mgt. Gina B. Kruger (Adv. Mid., Midwife)","doi":"10.1016/S1445-4386(01)80044-6","DOIUrl":"10.1016/S1445-4386(01)80044-6","url":null,"abstract":"<div><p>A quality improvement project was conducted by a major maternity provider (3000 births per year) in the western suburbs of Melbourne. The first part of the project explored the reasons for increased length of stay (LOS), beyond the average timeframe for women receiving postnatal care. The perceptions of 100 women on their length of stay was also measured in the second part of the project. Two information audits were conducted to explore reasons for increased LOS. These reasons were varied, and by the time of the second audit, there was a demonstrated reduction in LOS. A Length of Stay Questionnaire was used to investigate women's perceptions of their LOS on discharge from hospital, and by telephone follow-up 14 days post-discharge. Perceptions varied between women and related to issues such as individual health complications, models of care, postnatal education, and degree of support at home. This project has implications for postnatal midwifery care in relation to discharge planning and women's expectations of care following birth.</p></div>","PeriodicalId":83630,"journal":{"name":"Australian journal of midwifery : professional journal of the Australian College of Midwives Incorporated","volume":"14 2","pages":"Pages 12-15"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1445-4386(01)80044-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22394989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Amniotic fluid embolus: A review of the research literature","authors":"RM. RN. PHD. Kathleen Fahy","doi":"10.1016/S1445-4386(01)80029-X","DOIUrl":"10.1016/S1445-4386(01)80029-X","url":null,"abstract":"<div><p>The diagnosis of Amniotic Fluid Embolus (AFE) is often missed clinically leading to the incorrect attribution of a major post-partum haemorrhage, which may accompany AFE, to uterine atony. This paper reviews the research on AFE with particular emphasis on the clinical presentation and diagnosis; both before and after death. It begins by dealing with the difficulty of defining AFE due to confusion about the underlying pathophysiological events. As this paper will demonstrate, the theory that AFE is an embolic event is no longer valid. A description of the clinical manifestations is provided so that these can be explained by the contemporary theory of AFE as an ‘anaphylactoid’ reaction. Finally, the difficulties of diagnosis, particularly laboratory diagnosis, will be discussed. The research indicates that it is not possible to accurately diagnose AFE, either, pre or post mortem, by any currently available laboratory tests. Because of better diagnosis it is now known that AFE in not uncommon and, if it is diagnosed early, a much higher rate of intact survival can be achieved than was previously thought possible.</p></div>","PeriodicalId":83630,"journal":{"name":"Australian journal of midwifery : professional journal of the Australian College of Midwives Incorporated","volume":"14 1","pages":"Pages 9-13"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1445-4386(01)80029-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22396319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Secret midwives business","authors":"RPN. RN. RM. BN (HONS) Sheryl Alexander","doi":"10.1016/S1445-4386(01)80041-0","DOIUrl":"https://doi.org/10.1016/S1445-4386(01)80041-0","url":null,"abstract":"","PeriodicalId":83630,"journal":{"name":"Australian journal of midwifery : professional journal of the Australian College of Midwives Incorporated","volume":"14 2","pages":"Page 4"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1445-4386(01)80041-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92062495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}