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The midwifery partnership: A model for practice

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

The bicultural nature of New Zealand society has evolved a practice and a profession of midwifery in a way which is unique in the world. What is unique is the regulatory and professional recognition and acceptance of the underlying principle of partnership in the definition of midwifery. The social context which provided the springboard for the midwifery partnership is a constitutional and legislative structure founded on the Treaty of Waitangi. New Zealand women's understanding of partnership under the Treaty has facilitated their understanding of, and their demand, for midwifery as a partnership.

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Letter to the editor: Midwifery practice

By Wheeler, K
on Saturday, 01 Oct 1994 in New Zealand College of Midwives Journal - Volume: 11

It was with great interest that I heard the College of Midwives is now taking up the cause of the hospital-based mdwives. I was overwhelmed at this positive initiative towards that ever-present group of midwives who practise midwifery in a hospital.

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Six myths that can lead us astray

By Enkin, M
on Saturday, 01 Oct 1994 in New Zealand College of Midwives Journal - Volume: 11

First, and most importantly, I want to thank the New Zealand College of Midwives for the opportunity to visit your beautiful country, and to meet and exchange ideas with so many beautiful people. The midwives of New Zealand have set a standard of care, dedication, and organisation that is without parallel, and should serve as a shining example to the rest of the world... Much of what could be known, based on good evidence is not known by most clinicians; the evidence is voluminous , scattered, and its validity is difficult to assess... In my presentations throughout New Zealand, I tried to raise our collective consciousness about some of the common but invalid assumptions, of myths, that can lead us seriously astray: 1. Association means causation; 2. If everyone believes it, it must be true; 3. Prevention is always better than cure; 4. The myth of the magic bullet; 5. The myth of authority; 6. Experience is the best teacher.

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Immunisation

By Donley, J
on Saturday, 01 Oct 1994 in New Zealand College of Midwives Journal - Volume: 11

Response to Public Health Commission Draft Immunisation Standards Paper

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Perineal suturing

By Carew, J
on Saturday, 01 Oct 1994 in New Zealand College of Midwives Journal - Volume: 11

It is estimated 70 per cent of women (in the developed world) are likely to require repair of perineal trauma following childbirth. Grant (1986) states that the majority of these women experience perineal pain or discomfort in the immediate postpartum period. Three months later, as many as 20 per cent still have problems, such as dyspareunia, which can be attributed to perineal trauma and/or its repair. The repair of perineal trauma should be carried out by doctors or midwives fully trained in this surgical technique.

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A fresh look

By Sutton, J
on Saturday, 01 Oct 1994 in New Zealand College of Midwives Journal - Volume: 11

During my years as a midwife and mother I have pondered about the miracle of birth and why it should be that one species, our own, seems to have more problems than any other...The human pelvis is perfectly designed to allow the passage of the fetus in only one effective, efficient position. This is the Occiptio Lateral-Anterior (OL-A) position.

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Is breastfeeding a feminist issue?

By Fellow, C
on Saturday, 01 Oct 1994 in New Zealand College of Midwives Journal - Volume: 11

Mutually exclusive or mutually supportive? What does feminism say about breastfeeding and what is the relationship between the two? Both may evoke intensely personal and emotive responses. It is interesting how certain viewpoints are almost automatically attributed to anyone who is identified as a feminist, or as a breastfeeding advocate. Feminists are not an homogeneous group; neither are breastfeeding women. Breastfeeding involves more than just the right information and help. Maher (1992) believes that the type of infant feeding women choose, and whether they 'succeed' or 'fail' at breastfeeding, is embedded in socioeconomic and gender inequalities in any given society. These dimensions can have as significant an impact on the incidence, exclusivity and duration of breastfeeding as physiological factors. There are women for whom the ultimate barrier to breastfeeding is not sore nipples, supply problems, night feeds or work outside the home - it is the disapproval and constraints encountered from within society. This also includes the tensions and so-called 'horizontal violence' sometimes occurring between women (such as 'earth mothers' vs 'career women'; 'breastfeeding women' vs 'bottle feeding women'; 'mothers' vs 'non-mothers', and so on). This discussion is not so much about rearguing the case for breastfeeding. It is an endeavour to integrate feminist thinking about the position of breastfeeding women in society.

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Direct entry midwifery

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

The first group of Direct Entry midwifery students commenced study at Otago Polytechnic on 22 March 1992. On 3 December 1994 they will graduate - the first Bachelor of Midwifery graduates in New Zealand. The three years have flown by in many ways yet at times it has felt like a long, slow road. The course has been challenging for everyone involved, from students, to lecturers, to clinicians, to the students' families. It is not easy to make a major life change and become a student after being a mother, a partner, a worker and to try and meld all the many roles women have in their lives with something that becomes so all consuming - midwifery. It has been exciting to be involved with this course and to see where it would take us. The students have been remarkable for their commitment and energy and thirst for knowledge, and for the maturity, wisdom and life experience they all bring with them. I feel very proud and privileged to have been associated with them and to have been able to learn so much from them.

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Israel

By Miller, L
on Saturday, 01 Oct 1994 in New Zealand College of Midwives Journal - Volume: 11

I am a third year Direct Entry Midwifery Degree student at Otago Polytechnic in Dunedin. As part of this years clinical elective, I spent six weeks working in the labour and delivery ward at the Holy Family hospital in Nazareth, Israel. Finding a placement in Israel was difficult because, legally, student midwives must be a registered nurses [sic] before studying midwifery. After many months of searching, I was thrilled to be accepted by the Holy Family hospital for six weeks placement during June-July 1994. Holy Family is an Arab hospital (as opposed to an Israeli hospital) funded by Italians. Most staff are Arab, although management and supervisory positions are filled by clergy from Italy and India. The majority of birthing women are Arab with Moslem, Druse and Christian being the three most common religions. Religious identification is strong within Arab communities, and significant in terms of providing culturally and spiritually appropriate care for birthing women. Arabic is the most common language spoken, with Hebrew, English and Italian also used. Midwives, doctors and nurses use English when they do not want the 'patient' to understand what is being discussing [sic] about them. The power differential between 'patient' and 'professional' varies depending on the economic status of the woman.

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Understanding the Muslim woman

By Isa, M
on Friday, 01 Apr 1994 in New Zealand College of Midwives Journal - Volume: 10

There is an increasing number of Muslims now residing in New Zealand - at least 5,000. As midwives we are going to come into contact with more and more Muslim women giving birth and therefore we need to understand their needs during pregnancy and birthing. It is also important to understand the many misconceptions that Muslim women are often subjected to. Some stereotypes are: that most Muslims are immigrants of low socioeconomic status; and that the women are suppressed and powerless victims of their marriages and societies. Much of our misunderstanding arises from media coverage of extremist behavious of some Muslims, mostly from the Middle East area. A distinction also needs to be made between religion and custom. In order to clarify these differences it is necessary to examine the basis of the Islamic religion.

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