Volume 3 (2004)

CJMRP-Volume 3-2004

Should Midwifery Educators be Required to Maintain Clinical Practice?

Rena Porteous, RM, MHSc

ABSTRACT
This paper presents the results of a literature search on the role of clinical practice for midwifery educators. University-based midwifery education in Canada has a short history, with Ontario first admitting students in 1993, Quebec in 1999 and British Columbia in 2002. Although the move to formal, accredited programs has increased the rigour and...

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Predicting Self-Assessed Health Status in Women: What Counts for German Midwives and Medical Office Assistants?

Birgit Reime, ScD, MPH Sandra Tomaselli-Reime, RM

ABSTRACT
Previous studies on women's work and health have tended to summarize women's occupations in broad categories and ignore job-specific workload. We compared occupational characteristics, burnout, health behaviour, and predictors of subjective health status between German midwives and medical office assistants (MOAs). We conducted a crosssectional survey using a standardized questionnaire with...

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Working with Midwives to Improve Maternal Health in Rural Ghana

M. Kay Matthews, MN, SCM Robert L. Walley, FRCOG, MPH

ABSTRACT
This paper describes the implementation and evaluation of a safe motherhood project in rural Ghana. This project included a partograph and emergency skills program for rural midwives, training and monitoring traditional birth attendants (TBAs), a blood bank and an emergency obstetric transport service. The midwives' roles in caring...

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Bacterial Vaginosis in Pregnancy

Susan Van Os, SM

CLIENT SITUATION
DC is a 29 year old G3T2P0A0L2 woman who sought midwifery care for the birth of her third child. During discussions with her midwife regarding routine vaginal swabs, she declined swabs for Chlamydia trachomatis, Neisseria...

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CORE LINK: “Collaborative Obstetrical Resource" Proposal for Low Risk Obstetrical Shared Care Clinics

Jennifer Murdoch, RM, BHSc, MHSc

ABSTRACT
As a growing number of women and their families seek low risk obstetrical care, the number of maternity care providers falls. For family physicians, this is due in large measure to an unsustainable model of practice that includes constraints on lifestyle, prohibitive malpractice insurance and unsatisfactory remuneration. Ontario,...

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Objective Assessment and Communication of the Physiologic Status of the Sick Infant

Andrew J. Macnab, MD

INTRODUCTION
The practice of midwifery involves the initial and ongoing assessment of newborn infants in terms of their maturity, transition to extrauterine life, completeness of resuscitation and ongoing health status. The universally familiar Apgar 1 score is an essential tool for initial neonatal assessment for midwives as for other medical...

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Thinking Through The Debate About Caesarean Section “On Demand”

Vicki Van Wagner, RM, PhD (Candidate)

ABSTRACT
The debate about choosing Caesarean section when there is no medical indication raises many questions for midwives and other maternity care providers about choice, risk, normal birth and our role in a society where attitudes towards technology are changing. Both the popular and professional literature about this...

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