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Hi Nicky, Sorry I probably didn't make myself clear, this isn't about determining or deciding women as 'High Risk' but this is about women who already have a serious recognised existing medical condition or who have already developed a serious medical complication in their pregnancy which requires the involvement of obstetric lead services. Sorry, to mislead but I was not talking about 'risk' but about actually trying to bring a degree of 'normal midwifery' to women who need many specialist services already. I hope that clears things a little or does it muddy the waters? Actually is the debate that we ignore all the pre existing medical conditions and those that develop in pregnancy and just pretend everything is 'normal'? Cheers Pam On Fri, Jun 24, 2011 at 10:58 AM, [log in to unmask] <[log in to unmask]>wrote: > Hi Pam, > > Just one quick thought off the top of my head related to your topic, and I > hope thus doesn't come across as critical, but speaking of language and > terminology I wonder if we should reconsider the term 'high risk women' - we > all know there are risks associated with childbirth but they are relative. > When you look at women who are categorized as 'high risk' most of the time > what we are talking about is a risk that is raised from a low baseline - so > raised risk is probably more accurate, but is even that a bit too much > emphasis on the risk part of the equation? > > I am trying to think of a less medicalised way of discussing women with > raised risk factors - how about 'possible complications'. I am sure there > are many ways to describe these situations! > > Not too helpful regarding refs I'm afraid, will have a think ... > > Nicky > > > -- Sent from my HTC Desire on 3 -- > > > ----- Reply message ----- > From: "Pamela Harnden" <[log in to unmask]> > Date: Thu, Jun 23, 2011 23:18 > Subject: Article about statistical methods used in Cochrane Pregnancy and > Childbirth Group's reviews > To: <[log in to unmask]> > > Hi everyone, > > I wondered if anyone could help. > I am currently writing an educational online module for student midwives. > The subject is around pharmacology. I have created simple clinical scenarios > around some simple issues we see in practice all the time i.e. Walking > around with strips of paracetamol in uniform pocket. My thought process is > centered around 'ethics of pharmacology in midwifery'. > The issue mainly is that whilst this maybe a solid concept, I am struggling > to come up with readings to support the students in answering the ethical > scenarios I have created. > > Has anyone come across any readings around 'ethics, pharmacology and the > midwife'? > > The other subject I am writing is around the role of the midwife in high > risk women. I would like to take the students on a journey to explore > 1. How we maintain midwifery for these women rather than abandoning them to > obstetric services > 2. How we maintain a professional, mutually respectful working relationship > with obstetric colleagues whilst still holding on to our core values of > being a midwife and don't abandon ourselves as professionals to the > obstetric services > > I know and already have alluded to the writings of Helen Baston where she > talks about the rights of high risk women to have midwifery care input as > well as obstetric services. I also recall in the depths of my mind and > article I once read about how nurses and midwives communicate with medical > colleagues.. The article talked about how sometimes it is a manipulative > relationship with nurses and midwives attempting to influence medical staff > into making clinical decisions they think most appropriate. > > If anyone has anything anywhere could you let me know. > > Thanks very much > Pam Harnden > Honorary Research Fellow > Melbourne University > > Sent from my iPad > > On 24/06/2011, at 7:24 AM, "Sandall, Jane" <[log in to unmask]> wrote: > > > FYI > > > > > > > > From: Discussion list for PCG Reviewers [mailto:[log in to unmask]] > On Behalf Of Henderson, Sonja > > Sent: 23 June 2011 11:42 > > To: [log in to unmask] > > Subject: Article about statistical methods used in Cochrane Pregnancy and > Childbirth Group's reviews > > > > > > > > Dear All > > > > > > > > As you know, we updated our methodological guidelines in April this year. > Our guidelines were updated following a formal assessment of the statistical > m > > > -- Pam Harnden Honorary Research Fellow & Research Assistant Melbourne University Health E Learning Consultancy Web: http://midwifepam.wikispaces.com Phone: +61 431 259 755 Skype: pamela.harnden Twitter: SmilingPamela