Dear all

please see threads below for previous discussions and sorry they are a
bit hard to read.

In response to Deborah - we did a study looking at women's responses to
caseload midwifery care in the late 1990s. The survey included questions
about women's worry levels, their feelings of preparedness for labour
and for parenthood, their expectations and experiences of control and
their confidence about labour and coping with the new baby. 

We didn't have a validated scale but we did use a number of items from
Jo Green's Great Expectations study, and these questions have been used
in a number of maternity surveys, so there is a good basis for adopting
some of them. If you are interested in seeing the details of the
questionnaire, please  let me know.


Key findings of the study were published in

Page L, Beake S, McCourt C. Clinical outcomes of caseload midwifery. BJM
Nov 2001 but this is mainly clinical findings and gives only a few key
items on women's responses that were analysed inferentially.

Chris












-----Original Message-----
From:	ICM network of research advisors on behalf of Luyben Ans
Sent:	Thu 03-Apr-08 10:42 AM
To:	[log in to unmask]
Cc:	
Subject:	AW: maternal confidence

Dear `Deborah, dear all,

I am a bit surprised that this wonderful discussion goes only through
the RAN, whereas the Midwifery Research List would be better, as all can
benefit from it.

(Maternal) Confidence, with its properties and consequences, is one of
the main categories of the model of womens' development during becoming
a mother as well as a subject for routine antenatal care (but not only
antenatal) that I found cross-nationally in three European countries
(PhD). Self- confidence (Rubin/ Mercer) is only part of that . It is
quite a complex issue, but according to my study,it is all related to
the match between women's expectations and experiences- and therefore a
very important indicator for women's postnatal "status" (more than
well-being).
As Soo says, it is related to anxieties and fear etc. (see Melender-
fears contrasting security- i personally like confidence better than
security- but this is a cross- national issue).
Preliminary results are published in Luyben/ Fleming: Midwifery
September 2005, which will also appear in the next midwifery book of
Sara Wickham. Of course, explanations of how it all works is more
difficult- if you'd like to discuss more in detail- please contact me
off-line.

Best wishes, Ans


Ans Luyben
Lagerstrasse 9
7000 Chur, Switzerland
E- mail: [log in to unmask]
Tel.p. 081- 2840810



-----Ursprüngliche Nachricht-----
Von: ICM network of research advisors im Auftrag von Rainhild Schäfers
Gesendet: Do 03.04.2008 11:03
An: [log in to unmask]
Betreff: Re: maternal confidence


Dear Soo Downe, would you be so kind and let me know it too what you
decide to go with,and why? I am very interested in evaluating the
influence of antenatal care on health promotion and disease prevention
and how it could be measured.
Thanks a lot.
Rainhild SchäfersRainhild Schäfers Hägerstr. 77 48161 Münster Tel
02533-1510 email: [log in to unmask]> Date: Thu, 3 Apr 2008 09:11:22
+0100> From: [log in to unmask]> Subject: Re: maternal confidence> To:
[log in to unmask]> > Deb, we are
currently planning a RCT based on an antenatal intervention> that we
theorise will impact on anxiety, fear, and pain in labour, and> which
therefore will impact on use of epidural analgesia and consequent>
intrapartum interventions, and thereforeon longer term postnatal>
wellbeing and parenting capacity. We are still finalising the tools we>
will be using, but we will certainly pay attention to Banduras work>
(though it has been criticised, of course). We aim to finalise our
tools> in the next week or so, so Ill let you know what we decide to go
with,> and why.> > All the best> > Soo> > Professor Soo Downe> Director>
Midwifery Studies Research Unit> University of Central Lancashire>
Preston PR1 2HE> Lancashire> England> > +44 (0) 1772 893815> > > tel:
01772 893815> > >>> Deborah Davis <[log in to unmask]> 04/03/08 8:12
am >>>> thank you for your reply. The PhD is complete and I am now
thinking> about potential future projects. So there are no details at
this> stage,> I am just exploring possibilities.> cheers> Deb> > Deborah
Davis> Principal Lecturer> School of Midwifery> Otago Polytechnic>
Private Bag 1910> Dunedin> New Zealand> > ph: (03) 477 3014> fax: (03)
474 8486> >>> "Manju Chhugani" <[log in to unmask]> 04/03/08 7:31
PM >>>> Dear Deborah Davis> I am happy to note that you are touching
this important aspect.> Midwifery> care based model can be helpful and
we can assess the outcome in> intranatal> time and also we can do
equivalence study. To suggest anything else I> need> to know the project
in detail. I am a midwife in a teaching> institution> and> is a
secretary of Society of Midwives, India, Delhi Chapter. We have> 2-3>
midwifery run clinics in Delhi. We can take data from them for review.>
Regards> Dr Manju Chhugani> > > On 4/3/08, Deborah Davis
<[log in to unmask]> wrote:> >> > Hi there list members, I have been
thinking about some of the> findings> > from my phD study and in
particular the work that midwives do> > antenatally to build women's
confidence in their ability to birth> and> > parent. I am interested in
exploring how this confidence could be> > measured, whether certain
models of care have a greater impact on> > confidence and whether having
greater confidence is related to an> > increased likelihood of normal
birth. I have a few articles that> use> > the "childbirth self efficacy
inventory" and wondered if anyone had> any> > experience with this tool
or could suggest any others that might be> > useful.> >> >> > Jane
Drummond & Debra Rickwood (1997) Childbirth confidence:> validating> >
the childbirth> > self-efficacy inventory (CBSEI) in an Australian
sample. Journal of> > Advanced Nursing, 1997, 26, 613-622> >> > Marlene
Sinclair & Colm O'Boyle (1999) The Childbirth Self-Efficacy> >
Inventory:> > a replication study. Journal of Advanced Nursing, 1999,
30(6),> 1416±1423> >> >> > thanks> >> > Deborah Davis> > Principal
Lecturer> > School of Midwifery> > Otago Polytechnic> > Private Bag
1910> > Dunedin> > New Zealand> >> > ph: (03) 477 3014> > fax: (03) 474
8486> >
_________________________________________________________________
Neu: Mit Live Search Ihre Stadt in der Vogelperspektive!
http://maps.live.de