The problem with useing the concept "healthy" is that if you do not have it
you are "unhealthy" or "pathological". We used the concept developed in
Holland - optimality. It sounds a bit crazy but it avoids the whole notion
of pathology around birth.
Patty
----- Original Message -----
From: "Soo Downe" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, January 14, 2003 4:45 PM
Subject: Re: Fw: Outcome data
> rosalee, this is of interest to us in the light of some work that a number
of us are trying to do both in the context of outcome measures, and of
minimum data sets to measure 'normal birth' (whatever that is). Do you think
that the term 'healthy' is interpreted in a common manner, both between
midwives, and between midwives, obstetricans and women? some of the work i
am involved in suggests that womens interpretation of wellbeing may well be
very different from that of professional groups. This may affect the kinds
of outcomes used to measure 'health'. did you find anything which may chime
with these findings?
>
> all the best
>
> Soo
>
> Dr Soo Downe
> Director
> Research in Childbearing and Health (ReaCH) group
> Midwifery Studies Research Unit
> University of Central Lancashire
> Preston PR1 2HE
> Lancs
> England
>
> tel: 01772 893815
>
> >>> [log in to unmask] 12/17/02 10:38pm >>>
> 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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