Indeed!
– referring back to our research on caseload midwifery, mentioned in my previous post, we also undertook a diary
analysis study to look at working patterns and time spent. We found that while working patterns changed, the amount of time midwives spent working in the scheme we studied (mixed low—high risk caseload of 40 women per year across all settings for birth) did
not. The observation study helped us to understand why –continuity helps a midwife to be more effective with the working time.
I recommend people if very interested in this issue read Trudy Stevens chapter in my book on the subject, where
she discussed how midwives’ time orientation shifted with adaptation to working in this form of practice, and also how institutional structures may impede midwives in doing this, in either model of care.
Stevens T . Time and Midwifery Practice. In
McCourt C. 2009. (Ed) Childbirth, Midwifery and Concepts of Time. Oxford: Berghahn. 2009.
http://www.berghahnbooks.com/title/McCourtChildbirth
Christine McCourt
Professor of Maternal Health & Centre Lead
Centre for Maternal & Child Health Research
City, University of London
Tel: 0207 040 5863
Mob: 0791 235 1476
Twitter: @ProfMcCourt
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Centre for Maternal and Child Health Research | City ...
The Centre for Maternal and Child Health Research carries out high quality research that aims to improve the health and care
of women, children, families and communities.
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Want to further your clinical and academic career? To find out more about City, University of London’s MSc Advanced Practice
Midwifery programme please click here.
!
From: Rijnders, M.E.B. (Marlies) <[log in to unmask]>
Sent: 12 February 2019 11:51
To: A forum for discussion on midwifery and reproductive health research. <[log in to unmask]>; Soo Downe <School of Community Health & Midwifery> <[log in to unmask]>
Subject: RE: MIDWIFERY-RESEARCH Digest - 11 Feb 2019 (#2019-33)
Yes! Or:
Rush hour slows everyone down
Van: A forum for discussion on midwifery and reproductive health research. <[log in to unmask]>
Namens Soo Downe
Verzonden: dinsdag 12 februari 2019 12:47
Aan: [log in to unmask]
Onderwerp: Re: MIDWIFERY-RESEARCH Digest - 11 Feb 2019 (#2019-33)
I think we should disseminate a new slogan – ‘Time is safety’…!
From: A forum for discussion on midwifery and reproductive health research. <[log in to unmask]>
On Behalf Of Katherine Hales
Sent: 12 February 2019 09:52
To: [log in to unmask]
Subject: Re: MIDWIFERY-RESEARCH Digest - 11 Feb 2019 (#2019-33)
Thank you Johanne, this is certainly one of my frustrations - in many care settings we are struggling to give effective and appropriate care which a
better level of continuity would mitigate towards.
HI Sam
This is a great practical contribution, I think - thank you - [and/but] for me helpfully clarifies one of the underlying tensions in this discussion.
Hopefully things have moved on, but in my experience HCPs barely seem to have time to find out and call women/birthers their preferred name, let alone to have any in-depth understanding of other personal characteristics/needs/preferences, however critical these
are to the provision of culturally safe care.
Some midwives also say that they often struggle to find time to brief themselves (ie review the records they have access to) before commencing a consultation with someone they may have never met before. We know that this creates harm. The #Matexp facebook group
discussed this in early 2018, in the context of previous birth-related trauma/ adverse outcomes. This gave rise to a lively conversation at last year's ARM Spring Study Day in Wigan.
Whilst I appreciate the focus on this particular issue, as a much-desired improvement in the maternity services, whilst we discuss it I do not think that we can usefully separate our consideration of this issue from the broader need for reform. For many in
the UK, #continuityofcarer is seen as a key part of the reform agenda, as a mechanism through which many different areas for improvement, this one included, might be addressed well. But the #continuityofcarer ambition is so very fragile at the moment, and
I'm not sure that enough people realise this. For me, a concerted effort to keep the Govt's commitment to #continuityofcarer on track to deliver is desperately needed, as a crucial underpinning to a wide range of reform.
Jo Dagustun
AIMS Volunteer
________________________________
From: A forum for discussion on midwifery and reproductive health research.
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