Dear Declan,
You talk about "safety", which is a very professionalised, maybe even
medicalised expression, or even indicator of midwifery care.
I am not quite sure yet; I am doing a cross cultural study and somebody just
"gave" this to me.
Concerning antenatal care I have a concept called "Feeling sure". Although
there is an article called " Safe passage" and people also talked about
"safety".
In Switzerland somebody said to me Sicherheit kriegen, which could be
translated as Getting safety/ security OR as transfering a level of
expertise, something like Getting experience/ certainty. This make me open
my eyes.
So there could be a passive and an active meaning of this word.
The midwifery sense might be more like the second one, with a bit of the
first ( it is not about protection, they said).
With regards,
Ans Luyben
Chur, Switzerland
----- Original Message -----
From: "ddevane" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, December 20, 2002 10:56 AM
Subject: Re: Fw: Outcome data
> Jane/Rosalee
>
> I agree with Rosalee that there is a great deal of difficulty in
> differentiating between medical and midwifery outcomes and indeed there is
> also differentiation within midwifery and obstetrics themselves. The
> concept of 'safety' for example, is an ambiguous definition with the
> indicators of same varying depending on the professional/lay person asked
> and the perspective they hold. A medical colleague and I are conducting a
> study, the purpose of which is to elicit indicators for maternal and
> neonatal 'safety'. At the moment discussions range from PNDepression to
PPH
> to breast feeding to mode of delivery etc.
>
> We talk of safety but there is little to define what we mean by this fuzzy
> concept.
>
> Happy Christmas to all
>
> Regards
>
>
> Declan
>
> Declan Devane,
> Doctoral Student / Midwifery Research Assistant,
> School of Nursing and Midwifery Studies,
> University of Dublin Trinity College,
> Trinity Centre for Health Sciences Education,
> St. James's Hospital,
> Dublin 8.
> Tel: 087 659 6923
> Email: [log in to unmask]
>
> *******************************************
> Please note that electronic mail to,
> from or within Trinity College may be
> the subject of a request under the
> Freedom of Information Act
> *******************************************
>
>
> -----Original Message-----
> From: A forum for discussion on midwifery and reproductive health
> research. [mailto:[log in to unmask]]On Behalf Of Rosalee
> Shaw
> Sent: 17 December 2002 22:38
> To: [log in to unmask]
> Subject: Re: Fw: Outcome data
>
>
> Jane, my doctoral work was looking at midwifery indicators and outcomes.
> Although the work is yet unfinished, I would be happy to discuss it
further.
>
> There is a deal of difficulty in differentiating between medical and
> midwifery outcomes, and I found that for both of these groups the
ultimate
> outcome is "healthy mother, healthy baby" and the indicators linked to
this.
> The main difference between midwifery and medicine is not in the ultimate
> aim, but in the process, and so I am finding that process indicators are
> much more relevant, e.g. the use of chemical pain management is one
example.
>
> Happy to discuss this further if its useful.
> Rosalee
>
> >>> [log in to unmask] 12/17/02 06:33PM >>>
> I have forwarded this message on behalf of a query to ICM. Please send
> replies to list and I will collate, and return to the list and the
original
> sender.
> Jane Sandall - list moderator
>
> -----Original Message-----
>
>
> Pam McQuide and I are working on a paper re: nursing and midwifery
outcomes.
> Do you have any recommendations regarding literature of midwifery outcomes
> or cost comparisons across different types of care providers. Finding good
> conclusive studies in the literature has been difficult.
>
> Any suggestions would be welcome. Thanks for your help. Judy
>
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