Sociological and psychological effects of stillbirth: theory, research, and midwifery

2019 ◽  
Vol 27 (10) ◽  
pp. 616-619
Author(s):  
Poppy Salenius

Stillbirth rates in the UK remain among the highest in Europe despite national efforts to reduce the number of avoidable deaths. The grief experienced by parents following stillbirth is both devastating and complex, and receiving compassionate and effective midwifery care at this vulnerable time is essential. This article uses psychological and sociological theories and perspectives to examine grief following stillbirth, and look at how these findings relate to midwifery practice.

Curationis ◽  
1978 ◽  
Vol 1 (1) ◽  
Author(s):  
S. Venter

Much has been achieved through the advances of medical science and technology and that calls for improved knowledge and skills for today’s midwife. There is hardly a sphere in midwifery practice that can’t be seen as a challenge for the midwife, for instance as a administrator; as a tutor; as a clinician and a researcher. In the performance of her task certain challenges are placed upon the midwife as person, for instance the challenge as counsellor; communicator; as a member of the health team; as a member of the changing community and as a family planner. Inservice training and continuing education are therefore a necessity to ensure a high standard of midwifery care.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Manish Unhale ◽  
André Slowak

Purpose This study aims to inquire about pre-requisites and benefits of collaboration in the UK and India, testing for significance of country context. Design/methodology/approach The survey data set includes 118 UK-based and 175 India-based small and medium enterprises (SMEs). This paper applies a grounded theory research design, given that to date, no sufficient SME sector-specific, quantitative frameworks have been published. Findings India-based SMEs are more inclined towards frequent collaboration. Soft variables such as perceived trustworthiness or past commitment, appear to be significant when explaining whether or not SMEs in India enter into a collaboration. Operations-driven motives play the most significant role for them, whereas for UK-based SMEs, product design-related collaboration motives are of more importance. Research limitations/implications The developed cross-country and country-specific collaboration variables will facilitate SME studies under a consistent and complete framework. Practical implications Business associations and SME owners in the UK can use the research to gain an Indian perspective and vice versa. This study concludes a stylised framework for SME owners and managers to classify collaboration patterns in a country. Originality/value While previous research established concepts and practices of SME collaboration, this is the first paper that quantitatively addresses the attitudes and experiences that SME owners hold when initialising inter-firm collaboration.


BMJ ◽  
2009 ◽  
Vol 338 (jun11 2) ◽  
pp. b2210-b2210 ◽  
Author(s):  
A. Shorten ◽  
B. Shorten
Keyword(s):  

1996 ◽  
Vol 2 (1) ◽  
pp. 74 ◽  
Author(s):  
Clare Carberry ◽  
Ann Carey

In view of the 'sunsetting' of restrictive regulations, which for years have obstructed comprehensive midwifery practice in Victoria, it is timely for the nature of midwifery care in a primary health care setting to be explicated. A best practice framework is employed to examine the pre-conditions and key process factors which facilitate and potentiate quality of midwifery care in the North Richmond Community Health Centre's shared care maternity program. The process of care is considered in detail, while outcomes and client perceptions are outlined. The nature of safe midwifery practice at the individual client/practitioner level�the micro dimension of care�is explored in the context of broader societal issues which directly and indirectly affect health status and outcomes for clients�the macro dimension. This discussion seeks not only to delineate best practice but also to challenge accepted notions of what constitutes safe care.


1997 ◽  
Vol 170 (3) ◽  
pp. 281-284 ◽  
Author(s):  
Paul Griffiths ◽  
Michael Gossop ◽  
Simon Wickenden ◽  
John Dunworth ◽  
Ken Harris ◽  
...  

BackgroundThis study investigates patterns of qat use among 207 Somalis living in London.MethodSubjects were recruited using privileged access interviewing. Somalian interviewers were recruited who shared the same culture as the subjects. Data were collected by means of a structured interview.ResultsOne hundred and sixty-two subjects (78%) had used qat. The majority (76%) used more qat than in Somalia. Some users reported moderate dependence; a minority reported severe problems. Adverse psychological effects included sleep problems, anxiety and depression. Medical problems associated with qat use were rare.ConclusionsQat users who continue to use this drug when it is transplanted from a traditional context may experience difficulties. Qat use can also be seen as playing a positive role in supporting the cultural identity of the Somalian community. Severe problems were rarely reported. Qat consumption should be considered when addressing health-related topics with patients from those communities in which qat use is common.


2021 ◽  
Author(s):  
◽  
Susan Maree Lennox

<p><b>Thirty years of midwifery practice has shown me the beauty of birthing. After spending time working with a homebirth midwife I had an awakening which affected me deeply, both personally and professionally. I looked on birth in a different light and started recognising new possibilities. I learned new skills and understandings working in a variety of settings during a time of major change for New Zealand midwifery.</b></p> <p>This experience has led me to this study the aim of which was to explore the relationship between the woman and myself the midwife as I experienced it and understood it in practice. I use an auto/biographical method: reflecting on my own story and on both factual and fictionalised exemplars from my practice.</p> <p>My research led me to the following conclusions. As women prepare for and reflect on their births they often tell stories about themselves based on a mix of recent events interspersed with their ideas and hopes. Telling stories helps women learn about aspects of themselves that reconstruct their identity, leading to a greater integration of their sense of self. Woman-centred midwifery care takes on new meaning when midwives practice midwifery by engaging with women’s narratives.</p> <p>Each woman and her birthing reinforce the sacredness of childbirth. By combining an awareness of sacred possibilities with scientific understandings, midwives offer a bridge so that through childbirth experiences, women can enhance and reconstruct their inner lives. This study indicates that further research on the familiar but undeveloped aspects of ‘everydayness’ in midwifery practice is necessary. In particular, the emotional and spiritual aspects of midwifery deserve greater attention.</p>


BJPsych Open ◽  
2021 ◽  
Vol 7 (4) ◽  
Author(s):  
Monica Davies ◽  
Luke Hogarth

Background The UK went into nationwide lockdown on 24 March 2020, in response to COVID-19. The direct psychiatric effects of this are relatively unknown. Aims We examined whether the first UK lockdown changed the demographics of patients admitted to psychiatric hospitals (to include gender, legality, route of admission and diagnoses), independent of seasonal variation.. Method We conducted an anonymous review of psychiatric admissions aged ≥18 years in the 6-month period after the announcement of the first UK lockdown (March to August 2020), and in the previous year (March to August 2019), in Kent and Medway NHS and Social Care Partnership Trust in-patient facilities. The number of admissions were compared, along with factors that may help to explain the psychological effects of national lockdown. Results There was no significant increase in total number of admissions or the gender percentage. However, there was a 11.8% increase in formal sectioning under the Mental Health Act 1983. This increase was sustained and statistically significant across all 6 months. A sustained decrease in admissions via the crisis team was also observed as being statistically significant. Separate diagnoses saw changes in percentage of admissions between March and May. The most statistically significant was schizophrenia admissions for men in April (18.7%), and women in March (18.4%). Conclusions Our findings highlight the effect of COVID-19 on the legal status of psychiatric admissions, and emphasise the importance of having a robust, adaptable and open psychiatric service that caters to the ongoing needs of patients, regardless of government restrictions.


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