Volume 13 (2014)

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Toward Equity in Access to Midwifery in Saskatchewan: Key Informants’ Perspectives

Lori Hanson, MSc, PhD, and Daphne McRae, BA

ABSTRACT
In this article, we report on the second phase of our exploratory research into issues related to equity in access to midwifery in Saskatchewan. This phase of the research project aimed to explore equity in access to midwifery as understood and experienced by key stakeholders involved in the early stages...

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Caring for Women with Newborn Custodial Losses: A Literature Review

Andrea Robertson RM, MHSc, PhD Candidate and Elizabeth Anne Kinsella PhD, OT Reg. (Ont.)

ABSTRACT
Custodial loss at birth, for child protection purposes, is an acutely marginalized birth experience. Literature review demonstrates a significant need for further research, especially in regard to maternal perspectives and needs. Although direct maternal voices are overwhelming absent in the current literature, critical findings...

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Homebirth and the National Health Service in Italy. A qualitative study in the Emilia-Romagna Region

Patrizia Quattrocchi, PhD

ABSTRACT
Introduction: Medicalization of birth has increased all over the world in the past decades. The Italian caesarean birth rate (38%) is among the highest in the world. Could be birth at home as a public model of care a superior alternative to current practices? This paper focuses on the experience of the Emilia-Romagna region, where the...

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Maternal and Newborn Outcomes in a Rural Midwifery-Led Maternity Service in British Columbia: A Retrospective Chart Review

Jude Kornelsen, PhD, and Maggie Ramsey, RN, RM

ABSTRACT
Background: Maternity services in rural British Columbia have undergone significant changes in the past decade, most notably marked by service closures in over 20 rural services. A potential solution to this rural maternity service delivery challenge is a shift towards midwife-led or interprofessional models of maternity care. However, little is...

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Evening Primrose Oil for Cervical Ripening

Crestina L. Beites, PhD, and Lisa Morgan, RM, MAPhD(c)

Clinical Question:
Can evening primrose oil be used as a cervical ripening agent to avoid postdates pregnancy and shorten the length of labour?

BACKGROUND
Evening primrose (Oenothera biennis) is a native North American flower so named because it blooms in the evening. This plant is of special interest to...

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Perinatal Outcomes for Four Toronto Midwifery Practices: Exploring Best Practices for Normal Birth

Vicki Van Wagner RM, PhD; Mary Sharpe RM, PhD; Judy Rogers RM, MA; Elizabeth Brandeis RM, BHSc; Andrea Levy RM, BHSc; Tia Sarkar RM, BHSc; Bridget Lynch RM, MA; Kristen Dennis RM, BHSc; Leah Klein RM, BHSc; Jenna Robertson RM, MA

ABSTRACT
This study explores outcomes from four Toronto midwifery practices from 2003 to 2007, using data from the...

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Vaginal Birth After Cesarean Section: Ethical Considerations for Midwives

Manavi Handa, RM and Andrea Robertson, RM

ABSTRACT
Vaginal birth after cesarean section (VBAC) and decisions regarding the safest mode and place of delivery can be contentious in contemporary obstetrics. The choice of birthplace adds additional layers to ethical concerns, particularly for midwives, who are often the only care providers attending birth outside the hospital setting. Current guidelines and...

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The Experiences of Pregnant Women Accessing Food in Remote Aboriginal Communities on Haida Gwaii

Shannon Greenwood, RM, and Jude Kornelsen, PhD

ABSTRACT
Context: Despite strong evidence supporting the importance of good nutrition in pregnancy for optimal perinatal outcomes, little research exists regarding the experiences of women’s access to food in pregnancy. This is particularly true of research on remote Aboriginal women, who may be constrained by local availability and costs of local food....

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Aboriginal and Immigrant Women’s Food Choices and Practices in Pregnancy: A Scoping Review

Gina M. A. Higginbottom, PhD; Fabiana Mamede, PhD; Rubina Barolia, PhD (candidate); Helen Vallianatos, PhD; and Thane Chambers, MLIS

ABSTRACT
Dietary patterns of pregnant women are closely related to cultural values, beliefs, and various social and economic factors. Knowledge of the food choices and practices among pregnant Aboriginal and immigrant women, who both are vulnerable to poor pregnancy and...

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Pratique sage-femme et gestion active du 3e stade: le temps d’une mise au point, de critiques et de commentaires

Céline Lemay, SF, PhD

Introduction
Lors d’une formation en urgences obstétricales pour sages-femmes au Québec1 des passages du chapitre sur l’hémorragie du postpartum (HPP) m’ont fortement interpellée. Le texte du manuel fait référence à la revue de Prendiville,2 à la position conjointe de la Confédération Internationale des sages-femmes/Fédération Internationale des gynécologues et obstétriciens (ICM/ FIGO).3 On indique que «...

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