Midwifery Today

Quilty_Lisa_MIDW127varlet 1 of 6 Midwifery models of c ar monitor the physical, psychological and social aspects of women doneout childbearing years. Technological advances bounce differing opinions of physicians where intervening measures take choices out of womens hands during put up, often neglecting needs turning a inseparcapable process into a medical checkup checkup exam procedure. This essay looks at choices passing gameed to women in westernized countries choosing accoucheusery models, in stark limit to an experience within hospital settings.It inspects beneficial impacts tocology models have on refugee women and the importance of cultural reliable obstetrics models practiced in tocology negociate in Australia. Financial recess threatens to impact on maternity services. This essay discusses this socio-political concern, and birthing women choosing midwifery lead carry off, its cost effectiveness and needs for change in remediation insurance arrangements in Au stralia and abroad. With technological advancements, women are offered many choices medically to birth their babies without real reasonableness to opt for such invasive procedures (Block, as cited in Chjnacki, 2010, pp. 3-54). Physicians philosophy to pregnancy is ordinarily disease oriented focusing on diagnosis and treatment of problematic pregnancies and birth, managing affecting cleaning lady and foetus (Rooks, as cited in Chjnacki, 2010, p. 48). In contrast, midwives have a wellness approach to birth applying holistic tutelage, rely pregnant women and their ability to safely birth their babies where medical interventions are avoided (Hermer, as cited in Chjnacki, 2010, p. 48).Although midwifery whitethorn be recognized as acceptable, focus seems to surround the thought mother and baby wont have prehend attention if something went wrong under their care. Lubic (2010) writes, in Washington USA it has been noted that midwife managed birthing piths demonstrated how midwifery models impact lives of Page 2 of 6 women attending for the better. Women report glide slope out of care feeling respected and able to take charge of their own pregnancies, supported to birth their babies naturally without interventions. Woman centred care established through continuity of care, gains trust and recognises the others sacred connection with her body and mind enhancing her natural birthing experience (Lubic, 2010). In Sweden pregnant women are boost to re principal(prenominal) home until labour kick upstairses to late stage avoiding unnecessary obstetric interventions. Women report fewer complications than those who are admitted to hospital for this phase (Carlsson, Ziegert, Sahlberg-Blom & Nissen, 2010, p. 86). It is not understood why women go to hospital while in early on labour, other than through anxiety and to hand over control (Beebe et al. , as cited in Carlsson, 2010, p. 87).This becomes problematic for women and causes doubts well-nigh their bodys abilit y to progress through labour, if monitoring establishes it is not progressing (Eri, Blystad, Gjengedal & Blaaka, as cited in Carlsson, 2010, p. 87). Although travail at home women felt they shared their uncertainties with midwives who were able to reassure them when in doubt, enabling them to then progress with their labour at home feeling confident with their own bodies progression (Carlsson, et al. , 2010). Carlsson (2010) states women reported to feel relaxed yet strengthened in their home environments, letting labour progress naturally.Despite health issues prevalent amongst refugee backgrounds, access to the appropriate health care can lead to significant improvements in reproductive health in women (Hymes, Sheik, Wilson & Speigel, as cited in Correa-Velez, 2011, p. 14). Refugee women settling in industrialised English speaking countries benefit significantly from midwifery models of care. It seems differences were intelligible in obstetric outcomes between these Page 3 of 6 women and women born in these countries (Small et al. , as cited in Correa-Velez, 2011, p. 14).Correa-Velez & Ryan (2011) suggest cultural competency or the degree to which these women are cared for, is of vital importance. Women report hospital waistcloth as having negative impact on their well universe and trust levels due to limited converse and cultural needs not being understood or met. The use of technical devices and lack of commentary for their use throughout labour was found to be distressing (Correa-Velez, 2011, p. 19). Trust, confidence and over all triumph were identified as important factors to women of refugee background, and thought to establish through continuity of care (Correa-Velez, 2011, p. 18).Women centred care improves communication, enhancing a sense of control enabling informed decision making (Harper et al. , & McCourt et al. , cited in Correa-Velez, 2011, p. 14). Relationships built around these midwifery models develop trust for women of immigrant ba ckgrounds, aiding communication where it can be a barrier and interpreters may be needed. handiness of interpreters through community based practitioners was found to be limited or obtained through clumsy instrument (Correa-Velez, 2011, p. 16). Maternity services accessed in Australia come from a diverse range of women with specific needs (Phiri, Dietsch & Bonner, 2010, p. 05). The egis of cultural groups depends on cultural safe midwifery practice. Midwifery models identify women of all cultures as the main focus of care (Phiri, et al. , 2010, p. 109). Cultural safety essentially concerns a large understanding of individual respect, support, say-so and upholding of human rights (Duffy, et al. , as cited in Phiri, et al. , 2010). Open and respectful communication clear and value free is rudimentary in recognizing womens requirements when planning individualized care, this is then incorporated into how cultural safe care is Page 4 of 6 instituted (De, et al. , as cited in Phiri, et al. 2010, p. 109). The uniqueness of midwives and womens relationships aids cultural safety, the relationship being enhanced by continuity of care (Eckermann, as cited in Phiri, et al. , 2010, p. 108). Deery & Kirkham (as cited in Phiri, et al. , 2010, p. 108) acknowledge how Australian midwifery models engage women individually, then respond appropriately to each womans cultural needs. turn up shows midwifery driven models of care based on the midwife woman relationship leads to lower use of medical interventions, safer outcomes for mothers and babies and overall satisfaction, all at low maternity costs (Hatem, et al. as cited in Gould, 2011). Yet in the UK, where midwifery based care in maternity services are envied world wide, the pecuniary recession threatens to be the largest risk (Gould, 2011). This highlights the need for midwifery models to be implemented and supported by all medical avenues, otherwise maternity services risk being pushed into large hospitals, where pr oduction line maternity care will be prevalent at costly effects (Gould, 2011) explains.This change would see an amalgamation of midwifery, medical and management structures, having potential to require long lasting impacts on the future of midwifery lead care where it becomes lost amongst medical models (Gould, 2011). The Australian College of Midwives, (ACM, 2008) outline how pregnant women and midwives suffer through the lack of professional pension insurance offered to midwives practicing privately. Sadly registered midwives frustrated at being unable to work to their full scope safely in private practices are choosing to stop practicing.Midwifery lead care is only available to a abject number of women, as only few midwives work this way (ACM, 2011, p. 3). Research suggests midwives find there models exceedingly rewarding and those Page 5 of 6 who have left the midwifery profession would return if they were able to work under such midwifery models safely (Curtis, as cited in ACM, 2011, p. 3). Recent Federal establishment recommendations in Australia recognise the need for midwives to take on primary care bureaus, and are considering changes to funding and indemnity insurance arrangements (Sutherland, et al. 2009, p. 637). Significant midwifery shortages particularly in rural areas combined with rising fertility range could present significant reform challenges keeping maternity services under pressure if it continues unresolved (Australian wellness Workforce Advisory Committee, as cited in Sutherland, et al. , 2009, p. 637). With some state based policy initiatives reinforcement midwifery care in the public sector, it seems women choosing on-going care offering midwifery models through pregnancy, birth and postnatally however remains in discussion (Sutherland, et al. 2009, p. 638). Governments, health care providers and insurance companies limit maternal choice (Hermer, as cited in Chojnacki, 2010, p. 48). Hermer (as cited in Chojnacki, 2010) sug gests as a pregnancy progresses in America, limitations for the womens birth options increase. A womans choice as to where and how she births her baby may greatly be constituted by the governing parties of a particular state (Hermer, as cited in Chojnacki, 2010, p. 59). Midwifery models of care offer women greater choice reflecting their own spiritual, religious, and feminist beliefs.It cannot be assumed how highly such values be ranked, and when in care of physicians, as patients it seems there is much misunderstanding (Cohen, as cited in Chjnacki, 2010, p. 51). This essay shows supporting evidence that midwives should be sole care providers for women experiencing normal pregnancies. Health care providers need to move forth from such medical models of care relating to pregnant women, understanding that it is in fact normal for women to have babies. Evidence shows that women Page 6 of 6 f refugee history acknowledge midwifery models provide continuity of care that is needed for on going support during pregnancy (Correa-Velez, 2011, p. 13). This also applies to cultural safe models offered by midwives, and the ongoing relevance it has on Australias multi cultural nation (Phiri, et al. , 2009, p. 105). It is vital that these midwifery models become supported through governments backing, enabling midwifery care to become a choice all women have the privilege to make through their own individual circumstances.In accordance with my research, harsh reality is lack of insurance coverage may limit womens options towards such significant happenings as birthing their babies, regardless of what is the best interest for them physically, mentally and spiritually (Law, as cited in Chojnacki, 2010, p. 75). Midwifery models of care will continue to play an important role in childbearing women worldwide, when choosing to remain in control of their own bodies capabilities or to simply have a choice. To what extent these models are advocated will greatly depend on individual g overnments, their change in policies, and financial support.Chojnacki (2010) concludes women choose their birthing options based on their spiritual, religious, political and feminist beliefs. Misunderstandings will remain between lawmakers, physicians and women as the importance of such opinions are trivialized (Cohen, as cited in Chojnacki, 2010, p. 51). Quilty_Lisa_MIDW127 References Australian College of Midwives. (2008). Submission to the Maternity Services study 2008. Retrieved from http//www. health. gov. au/internet/main/publishing. nsf/Content/maternityservicesreview-470/$FILE/470_Australian%20College%20of%20Midwives%20Student%20Advisory%20Committee. oc. Chojnacki, B. (2010). Pushing Back Protecting Maternal impropriety From the Living Room to the Delivery Room, Journal of Law and Health, 23 (45), 46- 78. Retrieved from http//develdrupal. law. csuohio. edu/currentstudents/studentorg/jlh/documents/5gChojnacki. pdf Phiri, J. , Dietsch, E. , & Bonner, A. (2009). Cultural safe ty and its importance for Australian midwifery practice. Women and Birth, 17 (3), 105-111. doi 10. 1016/j. colegn. 2009. 11. 001 Correa-Velez, I. , & Ryan, J. (2011).Developing a best practice model of refugee maternity care. Royal College of Nursing, Australia Elsevier, 25 (1), 13-22. doi 10. 1016/j. wombi. 2011. 01. 002 Sutherland, G. , Yelland, J. , Wiebe, J. , Kelly, J. , Marlowe, P. , & Brown, S. (2009). Role of general practitioners in primary maternity care in South Australia and Victoria. Australian and New Zealand Journal of Obstetrics and Gynaecology, 49 (6), 637-641. doi 10. 1111/j. 1479-828X. 2009. 01078x Carlsson, I. , Ziegert, K. , Sahlberg-Blom, E. , & Nissen, E. (2010).Maintaining power Womens experiences from labour onset in front admittance to maternity ward. Quilty_Lisa_MIDW127 School of Social and Health Sciences, Halmstad University Sweden. Elsevier. 28 (1), 86-92. doi 10. 1016/j. midw. 2010. 11. 011 Lubic, R. (2010). The family health and birth centre a nurse -midwife-managed centre in Washington, DC Perspectives on Nursing Practice. Alternative Therapies, 16 (5). 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