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MIDWIFERY-RESEARCH  1999

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Subject:

Re: midwives and ventouse

From:

"Denis Walsh" <[log in to unmask]>

Reply-To:

[log in to unmask]

Date:

Tue, 26 Oct 1999 08:19:29 +0100

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (129 lines)

Here is a reference you'll find relevant.

Charles C (1999) How it feels to be a midwife ventouse practitioner. British
Journal of Midwifery 7(6):380-82

Mulholland L (1997) Midwife ventouse practitioners. British Journal of
Midwifery 5(5):255

Denis Walsh

-----Original Message-----
From: [log in to unmask] <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: 22 October 1999 07:39
Subject: Re: midwives and ventouse


>In a message dated 21/10/1999 23:15:25 GMT Daylight Time,
>[log in to unmask] writes:
>
>> I am seeking information regarding midwives using ventouse.
>>
>>  I would like to know
>>  a) where
>>  b) when
>>  and c) any results of evaluations of this use (if any)
>>  regards
>>
>>  Rosalee
>>
>
>In a study undertaken by the European Midwives Liaison Committee on the
>twelve then member states of the European Community (now European Union),
one
>question of the survey asked the statutory bodies, Head midwives and
clinical
>midwives questions related to the activities of the midwife as defined by
the
>Activities of the Midwives (European Directive 80/155/EEC).
>
>Several measures to alliviate abnormality were explored:
>- shoulder dystocia
>- manual removal of placenta
>- intra-uterine examination
>- vacuum extraction
>- forceps delivery
>to determine whether or not they were undertaken as part of normal practice
>or only in an emergency.
>
>As far as vacuum extraction was concerned, only the statutory authority in
>Denmark indicated that this was an activity permitted for its midwives.
9.5%
>of the Danish midwives surveyed stated that they undertook vaccuum
extraction
>as part of their normal practice.  15.8% of the Head midwives in Denmark
and
>0.6 in the UK allowed it as part of the normal practice of their midwives.
>But some midwives indicated that this was part of their normal practice:
>Belgium     3.5%
>France          3.6%
>Germany         1.5%
>Greece          2.1%
>Netherlands     1.7%
>Italy           10.1%
>Ireland         1.1%
>Luxembourg  2.4%
>Portugal        0%
>Spain           0.7%
>UK              0%
>
>Although it was only allowed by the Statutory authority, a number of Head
>midwives reported allowing midwives they were employing to undertake vacuum
>extractions:
>Belgium     12.1%
>Denmark     89.5%
>France          10.0%
>Germany     8.3%
>Greece          7.1%
>Netherlands     30.0%
>Italy           0%
>Ireland         0%
>Luxembourg  0%
>Portugal        0%
>Spain           0%
>UK              3.0%
>
>These proportions of midwives reported actually undertaking vacuum
extraction
>in an emergency:
>Belgium     6.6%
>Denmark     49.1%
>France          14.3%
>Germany     16.9%
>Greece          5.9%
>Netherlands     3.0%
>Italy           9.2%
>Ireland         1.1%
>Luxembourg  4.9%
>Portugal        5.0%
>Spain           11.6%
>UK              0.8%
>
>The questions asked were phrased as follow (in English and translated into
>the other eight national languages):
>Please indicate whether YOU carry out any of the following, AS PART OF
NORMAL
>PRACTICE by ringing 'yes' or 'no'
>- delivery by vacuum extraction
>
>Second question - identical except that "as part of normal practice" was
>replaced by "in an emergency".
>
>I am afraid I do not have information on other countries of Europe or
>elsewhere.  In this study we did not evaluate the outcome of the procedure
>and I am not aware of any study without looking it up in MEDLINE or CINAHL.
>I suggest that this would be the first places to investigate for the
>effectiveness of the procedure when undertaken by midwives compared to
>obstetricians.
>
>I hope this may be helpful.
>
>Marianne Mead
>Translator to the European Midwives Liaison Committee
>



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