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Editorial: Let me introduce you to some of the Editorial Board

By White, G
on Monday, 01 Jan 2001 in New Zealand College of Midwives Journal - Volume: 23

Profiles of Anne Barlow, Linda Hasan-Stein, Maralyn Rowley, Liz Smythe

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Editorial: Transformation

By White, G
on Monday, 01 Jan 2001 in New Zealand College of Midwives Journal - Volume: 23

The transitional journeys for midwives, the midwifery profession, women and Maori.

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Midwifery Autonomy in New Zealand: How has it influenced the birth outcomes of New Zealand women

By Guilliland, K
on Monday, 01 Jan 2001 in New Zealand College of Midwives Journal - Volume: 23

Until recently New Zealand and Australian midwifery has had little access to comprehensive national birth outcome statistics. A recent Australian study in the British Medical Journal (Roberts, Tracy & Peat, 2000) has given us a valuable bench mark. It analysed 171,000 women having a live baby during 1996 and 1997 in New South Wales, Australia. The strength of this study is in its size and the validity of the population database it studied. The results are a salutary cause for serious reflection on how environment and choice of care provider can influence birth outcomes even in healthy “low risk” women. The study shows the often-talked about cascade effect of obstetric interventions when applied to low risk primaparous women. The more birth was managed, the more the interventions accumulated (epidural, induction, or augmentation). Among low risk nulliparous women in private hospitals only 18 per 100 achieved a vaginal birth without any intervention, compared with 28 per 100 private patients in public hospitals and 39 per 100 public patients. A similar pattern was shown for low risk multiparous women (39 per 100 private hospitals, 51 per private in public hospital and 67 per 100 in public hospitals).

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The Importance of evaluation: The Aims and Purpose of the Review Process

By Barlow, A
on Monday, 01 Jan 2001 in New Zealand College of Midwives Journal - Volume: 23

The NZCOM Review process has several major aims and the emphasis on certain of these goals has been changing over time. Some of the main NZCOM purposes for the Review will be explored: philosophical; partnership and accountability; quality assurance and audit of standards; and support, reflection and professional development.

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Mentoring - A Personal Analysis

By Holland, D
on Monday, 01 Jan 2001 in New Zealand College of Midwives Journal - Volume: 23

This paper presents a discussion of mentoring within Auckland midwifery practice. It emerged from my involvement in the debates within the New Zealand College of Midwives (NZCOM) about the need for new graduates to be mentored, and the requirements of Access Agreements from the different maternity hospitals. The exploration brought me to the literature regarding questions that were raised by the debate. It further involved a series of short interviews with 2 new graduate midwives, 4 potential mentors, 4 student midwives, and 3 women who had been cared for by a mentored midwife.

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Feeding baby: The experiences of first-time mothers

By Kerslake Hendricks, A
on Monday, 01 Jan 2001 in New Zealand College of Midwives Journal - Volume: 23

The research formed the basis of a thesis for a Master of Arts (Applied) in Social Science Research and the research design and methodology can be found in Kerslake Hendricks (1999). In this article the results of the research are presented as a summary of the experiences of the 12 first-time mothers as they attempt to learn to feed their babies, whether by breast or by bottle. Discussion about feeding issues arose during face-to-face semi-structured individual interviews, as the women talked about their postnatal support needs during the first six months following the birth of their babies. At the time the interviews were carried out, the women ranged in age from their early twenties to their late thirties and their babies were aged between seven and eleven months old. All of the women had given birth at the same local public hospital, two by Caesarean section.

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E Mahara Ana Te Whanau: The Family Remembers

By Kainamu, R
on Monday, 01 Jan 2001 in New Zealand College of Midwives Journal - Volume: 23

Indigenous New Zealand women live in two worlds, the world of the predominant Anglo-Saxon culture (Walker, 1990) and the world of taha Maori. The interface among the cultures brings about a tension between traditional and modern definitions of childbirth and motherhood (Daviss, 1997) for wahine Maori. Wahine Maori come from diverse backgrounds (Durie, 1998; Ministry of Women's Affairs, 1993) and share a universality (Rabuzzi, 1994) with women in general in wanting: to have sovereignty over the birth process; to have a safe birth; and to retain their mana as wahine and as members of whanau, hapu and iwi. Women are central to the transmission of traditional cultural wisdom (Long & Curry, 1998) encompassing childbirth beliefs and practices (Daviss, 1997). Among the Maori are tribal elders, kuia, aunts and mothers who are pivotal in the journey of wahine Maori towards childbirth and motherhood. Colonisation (Durie, 1998; Walker, 1990) and the medicalisation of birthing processes (Abel, 1997; Ramsden, 1994) have been factors that have resulted in the breakdown of cultural transmission (Daviss, 1997; Long & Curry, 1998). This paper review the need for health services to collaborate with Maori communities traditional or otherwise to support constructive transformation for wahine Maori and the role of government policy making in sustaining Maori values and beliefs.

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Midwives should nurture their young not eat them

By Calvert, I
on Monday, 01 Jan 2001 in New Zealand College of Midwives Journal - Volume: 23

Opinion piece: ...At the 1998 New Zealand College of Midwives conference in Auckland, students from one New Zealand Polytechnic performed a very moving account of the treatment, both positive and negative, they received from some members of the midwifery profession. I recall feeling both empathy and disappointment that students still encountered similar treatment from midwives that my student colleagues and I experienced in the early 1980s during our midwifery clinical experience.

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Letter to the editor: Understanding Toxoplasmosis

By MacLennan, L
on Monday, 01 Jan 2001 in New Zealand College of Midwives Journal - Volume: 23

Thank you for the well presented article on toxoplasmosis in Issue 22. Unfortunately there are some inaccuracies in this article regarding the screening and management of toxoplasma in pregnancy in New Zealand. (Letter refers to "Understanding toxoplasmosis" by Suzan Jeffries, New Zealand College of Midwives Journal 22, p.15)

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Letter to the editor: continuing increase in gonorrhoea

By Flannery, K
on Monday, 01 Jan 2001 in New Zealand College of Midwives Journal - Volume: 23

The New Zealand Venereological Society is contacting all providers involved with sexual and reproductive health care in regard to the continuing increase in gonorrhoea in all parts of the country... Gonorrhoea has more than doubled in the last three years... A significant number of infections are occurring in pregnant women and their partners.

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