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Third stage of labour: Outcomes of physiological third stage of labour care in the homebirth setting (November 1991)

By Prichard, K, O'Boyle, A, Hodgen, J
on Saturday, 01 Apr 1995 in New Zealand College of Midwives Journal - Volume: 12

A retrospective exploratory study of physiological care of the third stage of labour. The aim of this study was to develop a research method which would examine the outcomes of the undisturbed physiological processes at work in the birth of the placenta. Blood loss and other outcomes were examined as indicators of the safety of physiological management and relationships between the variables were explored for trends which may warrant further study. Homebirth was chosen as the setting, where practitioners are both confident and competent with this method. Forty-eight New Zealand Domiciliary midwives (213 births in total) were surveyed using a postal questionnaire. The results showed a mean estimated blood loss of 239 ml, primary postpartum haemorrhage (blood loss >500 ml) rate of 3.3 per cent and no manual removals of the placenta were required.

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Why worry about research?

By Stewart, A
on Saturday, 01 Apr 1995 in New Zealand College of Midwives Journal - Volume: 12

In the New Zealand College of Midwives (NZCOM) Handbook for Practice, standard seven states: 'The midwife is accountable to the woman, to herself, to the midwifery profession and to the wider community for her practice'. One of the criteria for this standard is that the midwife 'ensures her practice is based on relevant and recent research', supporting the idea of a 'research-based profession'.

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New Zealand's first doctorate in midwifery: Valerie Fleming PhD

By Gilkison, A
on Saturday, 01 Apr 1995 in New Zealand College of Midwives Journal - Volume: 12

Valerie Fleming has 18 years' midwifery experience in a variety of settings, and in different countries. Prior to becoming, in 1990, one of New Zealand's first independent midwives, Valerie practised as a rural community midwife, serving Maori women. In 1991 Valerie took up an academic position at Massey University where she commenced research for a PhD. As well, Valerie has been instrumental in establishing a Masters of Midwifery programme in New Zealand. I talked to Valerie about her research, her findings and their relevance to midwives and the women she cared for.

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The magical moment of birth: Two perspectives

By Hammonds, M
on Saturday, 01 Apr 1995 in New Zealand College of Midwives Journal - Volume: 12

A baby is about to be born. The mother is working hard to birth her baby. It is just before dawn. Birds are starting to sing - a sound she will always associate with the baby's birth. The room is dimly lit. If people talk, they do so quietly, encouraging the mother. There are no intrusive or irrelevant conversations among the people present.

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Immunisation (responses to Joan Donley's article, Issue 11, p.14-15)

By Durham, G, Donley, J, Guilliland, K
on Saturday, 01 Apr 1995 in New Zealand College of Midwives Journal - Volume: 12

I am concerned about your College's submission on the Public Health Commission's (PHC's) draft Immunisation Standards which has appeared in the October issue of your journal as an article by Joan Donley. I would appreciate a copy of the New Zealand College of Midwives' policy on immunisation. I would hope that the views of Joan Donley do not represent the College position because of the flaws in her article.

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Patient files: Whose are they?

By Whyte, A
on Saturday, 01 Apr 1995 in New Zealand College of Midwives Journal - Volume: 12

For the past 12 months we have adopted a team approach in our independent midwifery practice. Women in our care now look after their own notes. When we began independent practice, each midwife made alternate visits to each woman in our care. Having no clinic, all our antenatal visits occurred at the women's home. We soon accumulated large volumes of notes which were being transported over long distance, and being carried in and out of cars and homes. Because each of us needed access to the information, we tried various methods to 'pass notes around' meetings, posting, photocopying and finally, for convenience, we began to leave each woman's notes in her care.

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A report of a pre-conceptual education programme in Wairarapa colleges

By Ireland, I, Temple, A, Merry, M
on Saturday, 01 Apr 1995 in New Zealand College of Midwives Journal - Volume: 12

For some years staff at the Masterton Maternity Unit have expressed concern about the number of teenage pregnancies in the Wairarapa. In 1993, 9.4 per cent of all births occurred in women under 19 years of age. Often the first contact we have with a teenage client is on admission for antenatal care with Intra Uterine Growth Retardation (IUGR) or premature labour. These young women are invariably withdrawn and anxious, often smoke heavily and have a history of marijuana and alcohol consumption. Many are young Maori women. They have little idea of self-care, or choices in pregnancy, and find themselves powerless - often facing a difficult road ahead, living with parents, in unstable relationships, or alone, often beginning a cycle of deprivation and loneliness. A 1993 Coopers and Lybrand Report expressing a belief that research suggests poor birth outcomes often result from events before conception, suggested education programmes in secondary schools could be a way of preparing women and their partners to make informed lifestyle choices.

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Midwifery as a culture

By Kearney, A
on Saturday, 01 Apr 1995 in New Zealand College of Midwives Journal - Volume: 12

New Zealand midwives are pioneers in the field of mother and child health. At long last we are able to be independent of doctors and offer to the mothers and children of Aotearoa quality care, nurturing and support. In traditional societies a midwife holds a prestigious position. She is the primary health care provider for the majority of women in the developing world. Recognising this, some governments have encouraged training and supervision of these traditional midwives and allowed them to understand and practise safe techniques of childbirth.... I would like to share some of my experiences with you in the hope that we New Zealand midwives will gain new understanding of cultural, religious, language and race differences.

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A midwife - the definitions

By Murray, G
on Saturday, 01 Apr 1995 in New Zealand College of Midwives Journal - Volume: 12

As a student I felt it very important to be able to quote the definition of a midwife. It gave me a sense of stability, a base from which to work. This was where education was taking me. That definition was learned word for word from our main midwifery text, "Mayes Midwifery, a Textbook for Midwives" (1988)... I still believe in the importance of a definition for midwifery. However, I no longer can quote this definition word for word. The definition, like midwifery itself, is flexible, personal, and ever changing.

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Editorial: Celebrating 5 years of the NZCOM Journal

By Pairman, S
on Saturday, 01 Oct 1994 in New Zealand College of Midwives - Volume: 11

This issue celebrates the fifth birthday of the New Zealand College of Midwives Journal. Our inaugural issue was in September 1989 and it is truly inspiring to see how far we have come since then, both as a professional organisation and as a professional journal... Independent midwifery is a reality and is being practised by many midwives throughout New Zealand, both in hospitals and in the community.

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