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MIDWIFERY-RESEARCH  November 2018

MIDWIFERY-RESEARCH November 2018

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Subject:

Re: MIDWIFERY-RESEARCH Digest - 9 Nov 2018 to 10 Nov 2018 (#2018-200)

From:

"Susan Crowther (snm)" <[log in to unmask]>

Reply-To:

A forum for discussion on midwifery and reproductive health research." <[log in to unmask]>, Susan Crowther (snm)

Date:

Sun, 11 Nov 2018 19:44:09 +0000

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Soo, 
Perhaps a meeting/focused forum at 2019 normal birth conference - people sign up and come prepared to be proactive in contributing? 
Susan 
 
Dr Susan Crowther 
Professor of Midwifery 
Faculty of Health and Social Care | Robert Gordon University | Garthdee Road|Aberdeen | AB10 7AQ 
T: +44(0)1224 263291<tel:+441224%20263291>| E mail: [log in to unmask]<mailto:[log in to unmask]> 
ORCID ID:  0000-0002-4133-2189 
Twitter: https://twitter.com/SusanCrowtherMW 
New book 2017  https://twitter.com<https://twitter.com/SusanCrowtherMW>/spiritbirthbook 
Blog: DrSusanCrowther.com<x-apple-msg-load://FA94F0BC-AD61-470A-8F25-ECA235DFEB6B/DrSusanCrowther.wordpress.com> 
Those finding themselves at birth need to pause .. allow the profundity of its meaning to surface and inspire their actions 
 
On 11 Nov 2018, at 00:02, MIDWIFERY-RESEARCH automatic digest system <[log in to unmask]<mailto:[log in to unmask]>> wrote: 
 
There is 1 message totaling 97 lines in this issue. 
 
Topics of the day: 
 
 1. MIDWIFERY-RESEARCH Digest - 6 Nov 2018 to 7 Nov 2018 (#2018-197) 
 
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---------------------------------------------------------------------- 
 
Date:    Sat, 10 Nov 2018 11:29:46 +0000 
From:    "[log in to unmask]<mailto:[log in to unmask]>" <[log in to unmask]<mailto:[log in to unmask]>> 
Subject: Re: MIDWIFERY-RESEARCH Digest - 6 Nov 2018 to 7 Nov 2018 (#2018-197) 
 
Dear all,I have been following this debate for several weeks and feel very inspired. I think midwifery is alive and well in the UK and I also feel there are many to want to see the profession flourish. 
We have had many policies and guideline. Many countries have led from the front re startegies to promote normality.The WHO's work is so important but I feel it needs to be disseminated more effectively. 
Personally I am not sure about the applicability of a baby friendly type strategy to the promotion of normal birth. Birth is a complex process. We need more work locally to promote normality and approaches that are used may differ from one provider to the next. 
An assessment of the local context by individuals leading on promoting normality must form the basis of solutions to address problems that interefere with promotion. It must present a action plan as to how problems specific to their context is going to be addressed, how it will be evaluated and what progress if any has been made and if not why not and what cn be done to address this.This focus must be sustained. 
Assessment of midwifery students with regards to birth physiology and factors that can disrupt this process needs to be more comprehensive. A viva type approach with a range of assessments re their understanding of physiology is crucial to be assessed as fit for practice. My observations of practice shows that this knowledege is still lacking. 
Preceptorship: We are really need to enforce this. Newly qualified midwives absolutely need this and it must form an important part of any strategy. This must also be applied to junior obstetricians who must be held equally accountable when they employ practices that harm women. 
I am currently doing a observational study on a labour ward and as part of this testing a observational Tool of practices to support physiological labour and birth. I complete my PhD in Oct next year and will be able to share my findings. The Tool can be used in a number of ways to structure support of midwifery practice. Soo, Denis, Mary Ross-Davie. Christine McCourt and several women from the MLC were involved in its development. I have written two articles on the Tool and feel quite strongly that structured approaches can be more effective in developing expertise. 
Revalidation processes needs to be tougher. Midwives must present evidence of  peer review of practice related to promoting normal physiological birth whether women are low risk or high risk. This can be done by PMAs. It is not enough to present just a reflective accounts. 
We need to improve ways in which evidence is communicated to women. Presenting induction as a way of reducing c-section rates is not going to help reduce interventions. 
Last but least we need to frame midwife-led care more strongly as evidence-based care as opposed to midwife-led care versus obstetric -led care. This is creating divisions that can only do harm. Women should be able to walk into any birth environment and receive care that supports physiology by all heathcare professionals. Nothing beats colloborative care. 
Thank you, Florence Darling 
 
 
----Original Message---- 
 
From: [log in to unmask]<mailto:[log in to unmask]> 
 
Date: 09/11/2018 10:31 
 
To: <[log in to unmask]<mailto:[log in to unmask]>> 
 
Subj: Re: MIDWIFERY-RESEARCH Digest - 6 Nov 2018 to 7 Nov 2018 (#2018-197) 
 
 
 
Discuss possible ways forward with Jacqueline Dunkley-Bent, Gates Foundation, WHO ... 
On Fri, 9 Nov 2018 at 09:49, Soo Downe <[log in to unmask]<mailto:[log in to unmask]>> wrote: 
 
 
 
 
 
 
 
 
Its great to see all this enthusiasm! Is anyone thinking about practical ways forward? 
 
All the best 
 
Soo 
 
From: A forum for discussion on midwifery and reproductive health research. 
 
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------------------------------ 
 
End of MIDWIFERY-RESEARCH Digest - 9 Nov 2018 to 10 Nov 2018 (#2018-200) 
************************************************************************ 
 
________________________________ 
 
Robert Gordon University has been awarded a TEF Gold award for the quality of its undergraduate teaching and learning, placing it in the top 20% of Universities in the UK 
 
 
Robert Gordon University, a Scottish charity registered under charity number SC 013781. 
 
This e-mail and any attachment is for authorised use by the intended recipient(s) only. It may contain proprietary material, confidential information and/or be subject to legal privilege. It should not be copied, disclosed to, retained or used by, any other party. If you are not an intended recipient then please promptly delete this e-mail and any attachment and all copies and inform the sender. Please note that any views or opinions presented in this email are solely those of the author and do not necessarily represent those of Robert Gordon University. Thank you. 
 
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