Volume 2 (2003)

CJMRP-Volume 2-2003

Prenatal Screening in Canadian and United States Midwifery Practices: An Exploratory Study

Jude A. Kornelsen, PhD Lee W. Saxell, MA, RM

ABSTRACT
Canada is currently facing a shortage of physicians providing maternity care in both urban centres and rural environments. Although midwives have been regulated in five Canadian provinces, they are currently unable to meet the needs of a diversity of childbearing women. An expanded scope...

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Growing Midwifery in Manitoba

Margaret J. Haworth-Brockman, BSc

PREFACE
This is a personal narrative of the story of midwifery in Manitoba and of some recent events leading to regulation. I have been involved with midwifery in this province for nearly 15 years, first as a consumer advocate, then as a mother who chose midwifery care for the birth of her four children, and later...

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Midwifery Care for Women Planning Vaginal Birth After Caesarean: A Survey of Ontario Midwifery Practices

Christine Sternberg, RM, BA, Patricia McNiven, RM, PhD

ABSTRACT
Due to new evidence, the safety of vaginal birth after Caesarean (VBAC) is again generating controversy in maternity care. A survey of midwifery practices was undertaken to determine midwifery practice patterns and the factors that influence their care of women with a prior Caesarean birth. A two-part questionnaire, pertaining to practice...

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Vaginal Birth After Caesarean and the Issue of Homebirth

Kathi Wilson, RM, BA, BHSc

AUTHOR BIOGRAPHY
Kathi Wilson (KathiW@sjhc.london.on.ca) is a graduate of the Midwifery Education Programme at McMaster University and a practicing midwife with Thames Valley Midwives in London, Ontario. She is also Chief of the city-wide Department of Midwifery for London Health Sciences Centre and St. Joseph's Health Care, London, and Chair of the Hospital Relationships...

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In Praise and Search of Midwifery Well-suited to Rural Women

Dr. Rebecca Sutherns, PhD

ABSTRACT
In order to investigate rural maternity care from the perspective of women, narrative interviews were conducted with 36 mothers and 36 health care workers in three small community case study sites in south central Ontario in 2000. Based on the resulting data, this article suggests numerous ways that living rurally affects maternal health. It...

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Galactagogue Herbs: A Qualitative Study and Review

Rachel Emma Westfall, PhD

ABSTRACT
Women often face challenges in their efforts to breast-feed their infants. One of these challenges may be a real or perceived insufficient milk supply. Presented here are some results from a qualitative study of self-care in pregnancy, birth and lactation among a purposeful sample of childbearing women in British Columbia. Twenty-three women were interviewed...

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Midwifery in British Columbia: Is it Time for an Expanded Scope of Practice? Findings from a Questionnaire on Practice Issues in British Columbia

Jude A. Kornelsen, PhD Lee W. Saxell, MA, RM

ABSTRACT
Canada is currently facing a shortage of physicians providing maternity care in both urban centres and rural environments. Although midwives have been regulated in five Canadian provinces, they are currently unable to meet the needs of a diversity of childbearing women. An expanded scope...

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The Contribution of Breast-feeding to the Depuration of DDE

Bruce C. Wainman, PhD

ABSTRACT
The presence of persistent organic halogens (POHs) in maternal plasma and milk has been recognized since the 1970s. Yet, the presence of these compounds in human milk poses a still undetermined risk to the health of mother and child. The vertical transfer of POHs during either pregnancy or after...

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Collaborative Maternity Care: The South Community Birth Program

Susan J. Harris, MD Lee Saxell, RM, MA

ABSTRACT
The Departments of Family Practice and Midwifery at Children's and Women's Health Centre in Vancouver have received funding for a collaborative, inter- disciplinary primary health care initiative. The South Community Birth Program (SCBP) will meet the needs of South Vancouver's low-risk childbearing women...

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Informed Choice with a Focus on Rural and Northern Midwifery in the Northwest Terrritories

Gisela Becker, RM Lesley Paulette, RM

EVENTS LEADING TO THE PRESENT MATERNITY CARE SITUATION
Traditionally, the women of what is now called the Northwest Territories (NWT) gave birth as they lived, on the land. Babies were born in tents, igloos and cabins in locations that were determined by the seasonal rhythms...

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