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Subject:

FW: Fw: Outcome data

From:

Laura Cao Romero <[log in to unmask]>

Reply-To:

A forum for discussion on midwifery and reproductive health research." <[log in to unmask]>

Date:

Fri, 20 Dec 2002 12:19:14 -0600

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (197 lines)

-----Original Message-----
From: Laura Cao Romero [mailto:[log in to unmask]]
Sent: Friday, December 20, 2002 11:17 AM
To: 'A forum for discussion on midwifery and reproductive health
research.'
Subject: RE: Fw: Outcome data

De acuerdo (I agree on this very important issue) and I also send to all
the list warm greetings from Mexico.

Laura Cao Romero, midwife

PS I intended to attend the Conference mentioned but couldn't. If there
are papers written and published from it I would like to have access to
them, you think its possible?

-----Original Message-----
From: A forum for discussion on midwifery and reproductive health
research. [mailto:[log in to unmask]] On Behalf Of
ddevane
Sent: Friday, December 20, 2002 11:05 AM
To: [log in to unmask]
Subject: Re: Fw: Outcome data

Dear Ans

I agree with you and the issues you raise make for interesting reading.

Holly Powell Kennedy also addressed the issue of the 'optimality index'
at
the Normal Birth Research Conference in Preston in October and I like
the
idea of this.  The only problem is that funders are very reluctant to
come
in behind non-morbidity' based indicators and I accept this as extremes
of
philosophy.  If midwifery had as much recourse to medical colleagues, we
might be well in a different position.

Best wishes for a Happy Christmas.

Declan

Declan Devane,
Doctoral Student / Midwifery Research Assistant,
School of Nursing and Midwifery Studies,
University of Dublin Trinity College,
Trinity Centre for Health Sciences Education,
St. James's Hospital,
Dublin 8.
Tel: 087 659 6923
Email: [log in to unmask]

*******************************************
Please note that electronic mail to,
from or within Trinity College may be
the subject of a request under the
Freedom of Information Act
*******************************************


-----Original Message-----
From: A forum for discussion on midwifery and reproductive health
research. [mailto:[log in to unmask]]On Behalf Of luyben
Sent: 20 December 2002 16:50
To: [log in to unmask]
Subject: Re: Fw: Outcome data


Dear Declan,
You talk about "safety", which is a very professionalised, maybe even
medicalised expression, or even indicator of midwifery care.
I am not quite sure yet; I am doing a cross cultural study and somebody
just
"gave" this to me.
Concerning antenatal care I have a concept called "Feeling sure".
Although
there is an article called " Safe passage" and people also talked about
"safety".
In Switzerland somebody said to me Sicherheit kriegen, which could be
translated as Getting safety/ security OR as transfering a level of
expertise, something like Getting experience/ certainty. This make me
open
my eyes.

So there could be a passive and an active meaning of this word.
The midwifery sense might be more like the second one, with a bit of the
first ( it is not about protection, they said).

With regards,
Ans Luyben
Chur, Switzerland

----- Original Message -----
From: "ddevane" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, December 20, 2002 10:56 AM
Subject: Re: Fw: Outcome data


> Jane/Rosalee
>
> I agree with Rosalee that there is a great deal of difficulty in
> differentiating between medical and midwifery outcomes and indeed
there is
> also differentiation within midwifery and obstetrics themselves.  The
> concept of 'safety' for example, is an ambiguous definition with the
> indicators of same varying depending on the professional/lay person
asked
> and the perspective they hold.  A medical colleague and I are
conducting a
> study, the purpose of which is to elicit indicators for maternal and
> neonatal 'safety'.  At the moment discussions range from PNDepression
to
PPH
> to breast feeding to mode of delivery etc.
>
> We talk of safety but there is little to define what we mean by this
fuzzy
> concept.
>
> Happy Christmas to all
>
> Regards
>
>
> Declan
>
> Declan Devane,
> Doctoral Student / Midwifery Research Assistant,
> School of Nursing and Midwifery Studies,
> University of Dublin Trinity College,
> Trinity Centre for Health Sciences Education,
> St. James's Hospital,
> Dublin 8.
> Tel: 087 659 6923
> Email: [log in to unmask]
>
> *******************************************
> Please note that electronic mail to,
> from or within Trinity College may be
> the subject of a request under the
> Freedom of Information Act
> *******************************************
>
>
> -----Original Message-----
> From: A forum for discussion on midwifery and reproductive health
> research. [mailto:[log in to unmask]]On Behalf Of
Rosalee
> Shaw
> Sent: 17 December 2002 22:38
> To: [log in to unmask]
> Subject: Re: Fw: Outcome data
>
>
> Jane, my doctoral work was looking at midwifery indicators and
outcomes.
> Although the work is yet unfinished, I would be happy to discuss it
further.
>
> There is a deal of difficulty in differentiating between medical and
> midwifery outcomes, and I found that for both of  these groups the
ultimate
> outcome is "healthy mother, healthy baby" and the indicators linked to
this.
> The main difference between midwifery and medicine is not in the
ultimate
> aim, but in the process, and so I am finding that process indicators
are
> much more relevant, e.g. the use of chemical pain management is one
example.
>
> Happy to discuss this further if its useful.
> Rosalee
>
> >>> [log in to unmask] 12/17/02 06:33PM >>>
> I have forwarded this message on behalf of a query to ICM. Please send
> replies to list and I will collate, and return to the list and the
original
> sender.
> Jane Sandall - list moderator
>
> -----Original Message-----
>
>
> Pam McQuide and I are working on a paper re: nursing and midwifery
outcomes.
> Do you have any recommendations regarding literature of midwifery
outcomes
> or cost comparisons across different types of care providers. Finding
good
> conclusive studies in the literature has been difficult.
>
> Any suggestions would be welcome. Thanks for your help. Judy
>

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