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Postscript: One year on

By Morton, E
on Monday, 01 Apr 1996 in New Zealand College of Midwives Journal - Volume: 14

I practise midwifery on the West Coast of the South Island having graduated from the Direct Entry Midwifery programme at Otago Polytechnic in December 1995. My practice is 100 per cent midwifery only care and 75 per cent home birth. Since my first client in July 1995 I have had 15 clients deliver. When I first started as a new graduate I felt like a fraud. All that separated me from a student was a piece of paper and a star badge. And then it hit me. Total responsibility for people's lives... So they want a review of my first year of practise [sic]. What are some of the significant aspects of my practice?

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The shared journey: Models in midwifery practice

By Lauchland, M
on Monday, 01 Apr 1996 in New Zealand College of Midwives Journal - Volume: 14

Childbirth is a journey through a significant life event. Childbearing women share it with their families, support people and the midwife. The journey is essentially linear, culminating in a changed life for the woman and her family. For a childbearing woman, the quality of her experience is intimately connected to the people who surround her and the events that occur during her journey. The paths this journey may take now in New Zealand are various, yet the essence of the journey is the same for all women. In this article I offer a model of the shared journey set into its social context, showing the collaborative working relationship between childbearing woman and midwife, and showing some of the events along the way. I comment on different models and aspects of partnership, postulating that partnership is based on reciprocal trust, and acknowledging that research into partnership is just beginning.

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Proposals sent to the International Confederation of Midwives from the New Zealand College of Midwives - December 1995

By New Zealand College of Midwives
on Monday, 01 Apr 1996 in New Zealand College of Midwives Journal - Volume: 14

Resolution proposal: Nuclear testing and the use of nuclear arms threaten the health and wellbeing of all societies and environments. Women and their babies are particularly vulnerable to the effects of radiation and midwives internationally should take an active role in calling for an end to the nuclear arms race.

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Editorial: Farewell from Lesley Page

By Page, L
on Sunday, 01 Oct 1995 in New Zealand College of Midwives Journal - Volume: 13

As Visiting Scholar to the Department of Nursing and Midwifery at the Polytechnic of Otago in Dunedin... I have learned much to enrich my understanding of your system and I have many good ideas to take home. I was impressed by a fierce pride in the unique nature of midwifery, a strong system of independent midwifery which is available to women through the health system, the commitment to work in partnership with women, a sens of strong cultrual sensitivity, and a sophisticated system of professional review.

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Letter to the editor re: vaccination information

By Alber, E
on Sunday, 01 Oct 1995 in New Zealand College of Midwives Journal - Volume: 13

Dr Gillian Durham justifiably expresses 'grave concern that the midwives' professional organisation is happy to selectively use the medical literature to exaggerate the risks of immunisation, downplay its benefits, and apparently to oppose immunisation which has the endorsement of all major scientific bodies as being one of the most cost-effective means of preventing disease' (NZCOMJ, April 1995).

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Cultural safety: Implementing the concept

By Ramsden, I
on Sunday, 01 Oct 1995 in New Zealand College of Midwives Journal - Volume: 13

In July 1993 there was a minor media explosion as the notion of cultural safety in nursing education hit the national newspaper headlines, the television news and the radio talkback circuits. ...Like all issues in which Maori are involved, there is a large race relations component in cultural safety. Race relations issues are usually controversial and therefore newsworthy. This increases the potential sales of newspapers and attracts advertisers to prime time television and talkback radio and sustains the news business. the combination of Maori and nurses was particularly interesting to the New Zealand public since most people have some contact with nurses or midwives during their lives and everybody has an opinion about nurses and certainly about race relations.

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Needles in the haystack: Finding and reading research articles

By Stewart, A
on Sunday, 01 Oct 1995 in New Zealand College of Midwives Journal - Volume: 13

As members of a profession which claims to have a practice which is research-based (as opposed to practice-based on myth or authority), it is increasingly important that we develop our skills in 'consuming' research. first, this means finding research which is relevant to our practice or interests. The most current work is published in journals whereas a book may take one or two years to produce and publish. It is also important that we distinguish between primary and secondary sources of research information. Primary sources, which are 'straight from the horse's mouth', are where the researcher is writing about their own work and consequently there is generally more detail about the actual study. Secondary sources are where the research is reported by a person other than the researcher, often in readable terms and without specific details. So where to go for the research?

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'I gave birth to a dolphin'

By Axon, V
on Sunday, 01 Oct 1995 in New Zealand College of Midwives Journal - Volume: 13

The position of psychiatric liaison midwife (PLM) has been identified as necessary to interface obstetric services with mental health services, thereby streamlining and improving services offered to women and families with psychological/psychiatric disturbances. This position is a resource for the hospital. Care is planned, reviewed and adjusted as necessary for the pregnancy-childbirth continuum. Acknowledgement and the adjustments for the mental health perspective are incorporated. The PLM is also available in a consultative capacity for crisis management of a woman and family. With early identification of risks being critical, staff education is seen as a priority. The following is a case history of a woman I recently worked with.

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Burwood Continuity of Midwifery Care Scheme

By Hendry, C
on Sunday, 01 Oct 1995 in New Zealand College of Midwives Journal - Volume: 13

On 26 September 1994, the Burwood Birthing Service initiated a 'Continuity of Midwifery Care Scheme' based in the Burwood Birthing Unit and Burwood Hospital, Christchurch. Seven midwives offer continuity of care to all women birthing in the Unit who have not engaged the services of an independent midwife. Burwood Hospital is situated 10km from the centre of Christchurch and about 550-600 births take place in the Birthing Unit annually.

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Breastfeeding

By Donley, J
on Sunday, 01 Oct 1995 in New Zealand College of Midwives Journal - Volume: 13

When I was working 'inside', the emphasis was on labour and delivery. However, as a domiciliary midwife it didn't take too long to realise how important postnatal care is to the wellbeing of mothers and their babies. This is the time when women get to know their babies and adapt to the change in family dynamics - in-laws, siblings, who can be less than enthusiastic about the competition. It's the crucial time when breastfeeding is being established - while new mothers cope with sleepless nights, tender nipples (like putting your nipple in a mousetrap, according to one of my colleagues), engorged breasts and after pains. It is also the time to debrief from the labour. It is a time when a woman needs support and TLC if she is to parent effectively and breastfeed long term.

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