Volume 19 (2020)

Volume 19 2020 Cover

Ontario Midwifery Clients' Experiences with the Management of Hyperbilirubinemia

 

Faduma Gure, MSc, Tasha Macdonald, MHSc, RM, Alexa Minichiello, MScPl, and Sophia Kehler, RM

 

ABSTRACT

Hyperbilirubinemia is the most common reason for the hospitalization of a newborn within the first week of life. Very little is known, however, about the impact this diagnosis and subsequent management has on parents, particularly within the midwifery context. The Clinical Knowledge Translation...

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Current Alcohol Screening and Brief Intervention Practices among Canadian Midwives

 

Rose A. Schmidt, MPH, Kyla Kaminsky, MA, Courtney R. Green, PhD, and Jocelynn L. Cook, PhD, MBA

 

ABSTRACT

Alcohol use during pregnancy is associated with multiple adverse health outcomes for the woman and fetus, including stillbirth, miscarriage, low birth weight, and risk of fetal alcohol spectrum disorder (FASD). Midwives are uniquely situated to routinely engage in conversations about...

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The Safety and Feasibility of Contraception Care by Midwives and Other Nonphysician Providers: A Scoping Review of Randomized Control Trials

 

Beth Currie, Olivia Marquez, and Elizabeth Darling, RM

 

ABSTRACT

Background: Although midwives in most Canadian provinces and other high-income countries have contraceptive prescribing ability, it is not within the Ontario midwifery scope of practice.

Aim: To outline the contraceptive-related scope of practice of midwives in Canada and other high-income countries and to review the outcomes of contraceptive provision...

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When Midwives Burn Out: Differences in the Experiences of Midwives in British Columbia and Alberta

 

Luba Butska, RM, PhD, and Kathrin Stoll, PhD

 

ABSTRACT

Background: Internationally, continuity of care has been identified as a possible strategy to prevent burnout. The majority of midwives in British Columbia and Alberta practice within a continuity-based model of care, but British Columbia midwives have significantly higher burnout scores.

Methods: We compared data from midwives from Alberta...

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Making Midwifery Services Accessible to People of Low SES: A Qualitative Descriptive Study of the Barriers Faced by Midwives in Ontario

 

Elizabeth K. Darling, RM, PhD, Tonya MacDonald, RM, MSc, Lisa Nussey, RM, BSc, Beth Murray-Davis RM, PhD, and Meredith Vanstone, PhD

 

ABSTRACT

Midwifery care is associated with health benefits for disadvantaged groups but continues to be accessed less frequently in Ontario by people who are of lower socio-economic status (SES). We conducted a qualitative descriptive study investigating...

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Access to Ontario Midwifery Care by Neighbourhood-Level Material Deprivation Quintile, 2006–2017: A Retrospective Cohort Study

 

Elizabeth K. Darling, RM, PhD, Beth Murray-Davis, RM, PhD, Rashid J. Ahmed, MSc, and Meredith Vanstone, PhD

 

ABSTRACT

Objective: To describe access to Ontario midwifery care based on socio-economic status.
Design: Two retrospective cohort studies.
Setting: Ontario, Canada.
Participants: (1) All Ontario midwifery billable courses of care discharged between April 1, 2006, and March 31, 2017 (N =...

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Community As Client: A Qualitative Descriptive Study of the Work of Midwives to Increase Access to Midwifery Care

 

Lisa Nussey, RM, BSc, Tonya MacDonald, RM, MPH, Beth Murray-Davis, RM, PhD, Meredith Vanstone, PhD, and Elizabeth K. Darling, RM, PhD

 

ABSTRACT

Increasing access to midwifery care for disadvantaged groups was an explicit goal of the regulation of midwifery in Ontario. However, people of low socio-economic status (SES) remain less likely to receive midwifery care. We conducted...

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Maternity Service Delivery in Manitoba, Canada: A Retrospective Analysis of Three Maternity Care Provider Types

 

Kellie Thiessen, RM, RN, PhD, Margaret Haworth-Brockman, BSc, MSc, Nathan Nickel, MPH, PhD, Margaret Morris, MD, FRCSC, MEd, Kristine Robinson BScN, RM, MSc, Ivy Bourgeault, PhD, and Shelley Derksen, BSc, MSc

 

ABSTRACT

Background: Alleviating shortages in health workforce and delivery of efficient maternity care models are unresolved policy issues in Canada. In the province of Manitoba, obstetricians do the...

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