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An evaluation of the midwifery services at a New Zealand community maternity unit (birth centre)

By Barlow, K, Hunter, M, Conroy, C, Lennan, M
on Friday, 01 Oct 2004 in New Zealand College of Midwives Journal - Volume: 31

A comprehensive evaluation was undertaken in 2002/2003 of the midwifery services in a New Zealand community maternity unit. A range of stakeholder perspectives included interviews with midwives and women, and analysis of birth outcomes statistics from 1203 women and their infants (1999-2001 inclusive). The important midwifery management and decision-making skills needed for working autonomously and successfully are recognised.

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Nuchal translucency screening for Down's syndrome: The midwife's role

By Irving, L
on Friday, 01 Oct 2004 in New Zealand College of Midwives Journal - Volume: 31

Nuchal translucency screening (NTS) for Down’s syndrome is carried out in New Zealand despite the absence of a national screening policy, information, guidelines or training. This article explores NTS in relation to its effectiveness, the issues generated for women and society, the midwife’s role and responsibilities and makes recommendations for midwifery practice.

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Midwives' experiences of working with women in labour: Interpreting the meaning of pain

By Vague, S
on Friday, 01 Oct 2004 in New Zealand College of Midwives Journal - Volume: 31

What is it like to stand by and watch a woman go through the pain of labour? How do midwives show that they care? How do they go about helping? These questions underpinned my study which explored the meaning of the experience of midwives working with women and their pain during labour. A qualitative study, using hermeneutic phenomenology, allowed me to talk with seven midwives about their experiences of providing intrapartum care. This article offers an interpretation of their narratives and, in presenting the findings, reveals aspects of practice frequently taken for granted in their everydayness.

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Utilising the unborn baby's in-labour movements - letter to the editor and author's reply

By Burgess, S, Banks, M
on Thursday, 01 Apr 2004 in New Zealand College of Midwives Journal - Volume: 30

re: Utilising the unborn baby's in-labour movements article, Journal 29

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Birth in a caul: a discussion on the role of amniotomy in physiological labour - letter to the editor and author's reply

By Crawshaw, J
on Thursday, 01 Apr 2004 in New Zealand College of Midwives Journal - Volume: 30

re: Birth in a caul article, Journal 29, page 7, by Lesley Dixon

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Waterbirth protocols: five North Island hospitals in New Zealand

By Chapman, B
on Thursday, 01 Apr 2004 in New Zealand College of Midwives Journal - Volume: 30

This article reviews protocols for waterbirth obtained from five North Island hospitals in New Zealand. Evaluation indicates varying practices. The findings are compared with available literature in order to develop suggestions for practice.

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Lactating, feminists and breastfeeding advocacy: some complexities

By Shaw, R
on Thursday, 01 Apr 2004 in New Zealand College of Midwives Journal - Volume: 30

Although it is widely recognised that breastfeeding has significant health benefits for infants and mothers, and breastfeeding advocates work hard to promote this message, breast-feeding rates in Aotearoa New Zealand have been decreasing. Reasons for the decline, say breastfeeding analysts, are multifarious. Sometimes, feminism is wrongly blamed as partly contributing to this decline. The following paper addresses this problematic belief and some of the unacknowledged assumptions surrounding it, as well as foregrounding the growing recognition, amongst feminist scholars, of the importance of breastfeeding as a subject of feminist analysis and debate.

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Creating a 'safe' place for birth: an empirically grounded theory

By Parratt, J, Fahy, K
on Thursday, 01 Apr 2004 in New Zealand College of Midwives Journal - Volume: 30

This paper asks what effect birth space has on women’s birth experience and outcome. Theorises how midwives can provide an holistically safe birth place. Reporting unpublished aspects of qualitative feminist research comparing the midwifery model with medical model care on women’s sense of self in childbirth it builds on the model of ‘midwifery partnership’. The paper illustrates how medical control imposes a predetermined concept of safe birth environment whereas in the midwifery model an ‘holistically safe’ space is jointly constructed by midwife and woman. This model enables the woman to feel in control of her birth space, respond intuitively and facilitate her potential for a safe, natural birth.

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Guest editorial: The Health Practitioners Competence Assurance Act 2003

By King, A
on Thursday, 01 Apr 2004 in New Zealand College of Midwives Journal - Volume: 30

The Health Practitioners Competence Assurance Act 2003

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The cultural capital of midwifery: unique foundations for self-employment

By Firkin, P
on Thursday, 01 Apr 2004 in New Zealand College of Midwives Journal - Volume: 30

This paper begins by conceptualising midwifery’s philosophy, and the practices underpinned by it, as the cultural capital of midwifery. It is then argued that such capital, both in nature and degree, serves as a unique and substantial foundation, not only for professional practice, but also for self-employment. This is achieved through the particular and various ways that it links consumers and professionals, and in the distinctive approach to care that it informs within the larger maternity market. Importantly, it is also acknowledged that the cultural capital of midwifery exists within a dynamic context of tension and change.

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