Volume 7 (2008)

CJMRP-Volume7-2008

Mental Illness in Refugee and Immigrant Women: A Midwife's Perspective on Culturally Competent Care

Karline Wilson-Mitchell, CNM, MSN

ABSTRACT
The assessment, diagnosis and referral for mental illness management have been recognized as indispensable roles within midwifery practice both in the United States and in Canada. War, civil unrest and natural disasters, have made mental health assessment crucial for refugee and new immigrant women who present as midwifery clients. Since 1991, National Depression Screening...

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“Here It Is Not Like at Home”: Cross-Cultural Competencies for Midwives

Cathy Ellis, RM, BFA, MSc

ABSTRACT
Cross-cultural competence in midwifery practice is an important skill when caring for childbearing women from different cultural backgrounds. Cross-cultural competence has many definitions and technical, professional, and personal skills vary by profession. In the midwifery profession it can be achieved through improved education curricula, greater faculty and student diversity, and the opportunity for...

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Teaching Skills for Cultural Competence: Are Midwives Prepared for Practice?

Anne M. Malott, RM, DPHN, BScN, MSN

ABSTRACT
Midwives are becoming increasingly available to women of all cultural and socioeconomic groups. Understanding the impact of socioeconomic and cultural issues on women’s health is critically important in providing comprehensive care to women. If prepared, midwives have an opportunity to provide individualized, culturally sensitive care. A pubmed search on cultural competence in...

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Women's Experiences of Consultation: Negotiating Conflicting Models of Birth

Beth Murray Davis, RM, MA

ABSTRACT
The purpose of this study was to understand how midwifery client experiences are affected by interprofessional interactions during consultation between physicians and midwives. Ten midwifery clients from Southern Ontario who had experienced at least one consultation during their midwifery care participated in semi-structured interviews. The findings from the interviews suggest that women experience...

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Who Do We Serve? Role Conflict in Ontario Midwifery

Julie Corey, RM

ABSTRACT
The integration of midwifery into the Ontario health care system has posed challenges to the role of the midwife. The pressure to maintain hospital privileges and the fear of litigation can place midwives in opposition to their role of advocate and support for childbearning women. Additionally, collaborative maternity care models may also create conflicting demands on...

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The Experience of Pregnancy for Women With a History of Anorexia or Bulimia Nervosa

Sara E. Shaffer, RN, MSN Lauren P Hunter, CNM, PhD, FACNM Gwen Anderson, RN, PhD

ABSTRACT
Using descriptive phenomenology, we explored the experiences of women who have an eating disorder prior to, or during pregnancy. Eating disorders often go untreated during pregnancy despite an association with miscarriage, low infant birth weight, hypertension, and postpartum depression. A purposive sample of...

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A Comprehensive Review of the Research Literature on External Cephalic Version (ECV)

Eileen K. Hutton, PhD, RM Angela H. Reitsma, BSc, BHSc, RM

ABSTRACT
External cephalic version (ECV) is an approach to turning a fetus from the breech presentation by external maneuvering of the fetus through the maternal abdominal wall into a cephalic presentation. We conducted a systematic search of the current literature on ECV to...

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The National Midwifery Assessment Strategy: Building Bridges

Rachel Rapaport Beck (MHS; Prairie Women's Health Centre of Excellence) Margaret Haworth-Brockman (BSc; Prairie Women's Health Centre of Excellence) Wendy Martin (BA; Canadian Midwifery Regulators Consortium), Jane Kilthei (BA; College of Midwives of British Columbia) Diane Rach (MN; Alberta Midwifery Health Disciplines Committee) Janice Erickson (BA; College of Midwives of Manitoba) Kelly Klick (BHSc Midwifery; College of Midwives of Manitoba)...

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