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Rosalee, This may help a bit. I've been involved in work at a local maternity unit regarding evidence-based care (however you want to define that) which looked at markers for good practice. In a low risk group, the following were examined: use of intermittent fetal heart monitoring, spontaneous pushing in 2 nd stage, upright birth posture, polyglycolic sutures for perineal repair. In another Project we looked at: continuity of carer targets for labour & birth perineal outcomes, including episitomy rate for normal birth <10% physiological 3rd stage rate home birth & use of midwife-led birthing suite reduction in pharmological pain support e.g. epidural & pethidine In addition, some way of examining women's expereince of midwifery care. We did this through qualitative interviews. Many of these markers assume a social rather than medical model of childbirth e.g. emphasis on physiological birth, relationships with carers, birth away from hospitals and traditional delivery suites. Best wishes, Denis Walsh Lecturer in Midwifery De Montfort University Leicester, UK ----- Original Message ----- From: "Ishbel Kargar" <[log in to unmask]> To: "Rosalee M Shaw" <[log in to unmask]> Cc: "*UKMidwifery List" <[log in to unmask]>; "*Professional Midwife List" <[log in to unmask]>; "*Midwifery Research" <[log in to unmask]> Sent: Wednesday, April 26, 2000 11:01 AM Subject: Re: midwifery indicators > Dear Rosalee > > I've forwarded your message to the midwives on three email discussion lists, > and I feel sure you will get a response fairly soon. These wonderful people > are so helpful and use the list to exchange information and help where > necessary. > > With best wishes > Ishbel Kargar > > -----Original Message----- > From: Rosalee M Shaw <[log in to unmask]> > To: [log in to unmask] <[log in to unmask]> > Date: 26 April 2000 04:41 > Subject: midwifery indicators > > > Hi, I'm a midwife from Australia, currently doing doctoral studies, and > while surfing the net, I found your site.... very impressive ! > I wondered if you might be able to help me, or put me in contact with some > one who might. > > My doctoral work involves the development of a set of indicators for the > quality of midwifery care - you know - measuring the difference a midwife > makes, which sounds easy, but hasn't been so far. Frankly I got sick of > looking at Caesar rates and induction rates and perinatal death rates..... > etc. Midwifery has different priorities, and both we and the women who use > midwifery services need other indicators of what's good care, and what > isn't. > > My question is, do you know of ANYONE who has done / is doing similar work? > > regards > > Rosalee Shaw > Clinical Consultant - Midwifery > John Hunter Hospital > Newcastle, NSW > > > %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%