Hi there, I am interested in your experiences of case-loading models of midwifery with a mixed risk group of women (as in social and health risks), in particular the size of the case-load. It seems usual in Australia for employed case-loading midwives to take a case load of about 40 low risk women and I am looking for some information that might offer us some guidance in establishing the case-load for emplyed midwives caring for a mixed risk group? Do you have any advice or publications that you know of that might be useful?
Adjunct Professor of Midwifery
University of Technology, Sydney
Professor of Midwifery
University of Canberra
From: A forum for discussion on midwifery and reproductive health research. [[log in to unmask]] On Behalf Of Andrew Symon [[log in to unmask]]
Sent: Wednesday, 10 July 2013 7:45 PM
To: [log in to unmask]
Subject: Re: validated instruments for measuring mental health in pregnant women?
Your request came last week while I was away.
I wonder if you have considered using a quality of life tool along with the other instruments.
The Mother-Generated Index has been validated for postnatal use (Symon et al 2003), and has been used during pregnancy too (other references below). Its value is that it provides insights into what the woman really thinks, so can provide a lot more useful information than that collected using standard tools. It’s complementary in that sense.
The MGI form does need some explanation, because it’s not the usual ‘tick-box’ approach used by so many survey forms. It also requires a certain level of articulacy, but in practice we’ve found that once women see the point of it they’re quite comfortable with expressing their thoughts in this way.
It’s been used in several countries now (see JAN 2012 article cited below).
I’m happy to discuss if you want to contact me.
Dr Andrew Symon
School of Nursing & Midwifery
University of Dundee
Dundee DD1 4HJ
Tel: +44 (0)1382 388553
Masters in Research:
Symon A, Nagpal J, Maniecka-Bryùa I, Nowakowska-Gùàb A, Rashidian A, Khabiri R, Mendes I, Bezerra Pinheiro AK, Fontenele de Oliveira M, Wu L. (2013) Cross-cultural adaptation and translation of a quality of life tool for new mothers: a methodological and experiential account from six countries. Journal of Advanced Nursing, doi.10.1111/j.1365-2648.2012.06098.x.
Symon A (2012) The Mother-Generated Index: a new approach to assessing maternal quality of life. In: Perinatal Mental Health: A Clinical Guide (Martin C, ed). M&K Update Ltd., Keswick, pp 325-334
Symon A, Dobb B (2008) An Exploratory Study to Assess the Acceptability of an Antenatal Quality of Life Instrument (The Mother-Generated Index). Midwifery, 24: 442-450
Symon A, McGreavey J, Picken C (2003) Validation of the Mother-Generated Index. British Journal of Obstetrics and Gynaecology, 110: 865-868
Symon A, MacDonald A, Ruta D (2002) Postnatal Quality of Life Assessment: introducing the Mother-Generated Index. Birth, 29: 40-46
From: A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] On Behalf Of Hanne Kj¿rgaard
Sent: 03 July 2013 15:36
To: [log in to unmask]
Subject: validated instruments for measuring mental health in pregnant women?
Fra: Hanne Kj¿rgaard
Sendt: 3. juli 2013 16:18
Til: A forum for discussion on midwifery and reproductive health research.; [log in to unmask]
Cc: [log in to unmask]
Emne: validated instruments for measuring mental health in pregnant women?
Does anyone know about validated instruments for measuring mental health in pregnant women and instruments for measuring psychosocial distress and other social issues (incl SES)?
Thank you !
Hanne Kj¿rgaard, RM, Ph.D
Head of research, The Research Unit Women's and Children's Health Copenhagen University Hospital, Rigshospitalet, Denmark Associate professor Faculty of Helath and Medical Sciences, Copenhagen University, Denmark
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