Art Of Midwifery Research Articles

Казанская и Петербургская школы врачей акушеров-гинекологов: связь, преемственность, развитие (к 100-летию со дня образования Общества акушеров-гинекологов Казани)

In Kazan, training in the «art of midwifery» has been carried out for more than 200 years. Available publications contain information about the influence of St. Petersburg school of obstetricians and gynecologists on the formation of Kazan school of obstetricians and gynecologists. The purpose is to establish the connection, continuity and development of Kazan and St. Petersburg schools of obstetricians and gynecologists. Results. The long-term relationship between St. Petersburg and Kazan obstetricians and gynecologists culminated in Prof. V.S. Gruzdev creating the scientific and practical school of Kazan obstetricians and gynecologists.

Satire in Eighteenth-Century Medical Discourse: Elizabeth Nihell, Tobias Smollett and the Advent of Man-Midwifery

ABSTRACT This paper examines Tobias Smollett’s scathing assessment in the Critical Review of Elizabeth Nihell’s midwifery treatise, Treatise on the Art of Midwifery (1760), a polemic against the use of instruments in childbirth and the increasing popularity of man-midwifery. This continues with Nihell publishing a response to Smollett’s review, and then Smollett responding to Nihell’s response. The Nihell-Smollett exchange brings discourses surrounding two concomitant medical controversies – the use of instruments in childbirth and the presence of men in the birthing chamber – to the fore, and it is particularly remarkable due to the satirical tone adopted in this exchange, particularly by Smollett. Using Simpson’s model of satirical discourse, this paper explores the textual-linguistic practices adopted by both Smollett and Nihell and elucidates how satire both construes and is construed by rival medical ideologies in mid-eighteenth-century England.

The Dual Function of Socratic Irony in Philosophical Interactions: Kierkegaard’s Concept of Irony versus Alcibiades’ Speech

This paper explores Socratic irony as reflected in the famous passages of Alcibiades’ speech in Plato’s Symposium, focusing on the relationship between ironic utterance and the philosophic guidance process. Reviewing the diverse meanings of the term eirôneia in Greek comedy and philosophy, it examines the way in which Plato employs irony in fashioning Socrates’ figure and depicting the ideal of philosophic guidance as the “art of midwifery.” It then analyzes Kierkegaard’s most positive perception of Socratic irony as a necessary methodical element in the Socratic maieutic process of “deceiving into the truth.” Contrasting Kierkegaard with Alcibiades’ scathing critique, it reads the latter in a combined dramatic-philosophical perspective, as presenting irony as an anti-philosophic phenomenon, leading to cognitive puzzlement and Dionysian irrationality. Alcibiades’ negative stance will be manifested via analyzing his use of four literary rhetorical devices: comparing Socrates with the Silenoi, drawing an analogy between ironic speech and Marysas’ satyric flute playing, symbolizing philosophy as snake venom, and presenting the scene of Socrates’ seduction as dramatic irony. The discussion shows, then, that there are two distinct manifestations of Socratic irony drawn from Plato’s writings, destructive and constructive, derived from the character of his philosophical pupils.

Nestor Maksimovich-Ambodik»s contribution to the art of healing

Nestor Maksimovich Maksimovich-Ambodik is considered one of the founders of obstetrics, it was he who came up with the idea of using obstetric forceps. Maksimovich-Ambodik was the first to prepare and publish the well-known treatise "The Art of Midwifery, or the Science of Women's Business". More than one generation of students studied according to his textbooks. It is noteworthy that he was the first to start teaching at a medical university in Russian; before that, all lectures were given in Latin. However, few people know that this scientist was also seriously involved in the issues of herbal medicine. In 1784, the scientist published the book "Encyclopedia of Nutrition and Healing, compiled by the personal physician of Her Imperial Majesty Catherine II in 1784, professor N. Ambodik", which is the richest collection of descriptions of medicinal plants. In his medical practice, this scientist and doctor gave preference to medicinal herbs, believing that the more complete the unity of an individual with nature is, the faster s/he will be able to achieve harmony and defeat the disease. Thus, Nestor Maksimovich-Ambodik can rightfully be considered the founder of not only obstetrics, but also herbal medicine.

The enlightenment of Socrates’ “art of midwifery” to college education

“Art of midwifery” was a teaching method originally developed by Socrates, who believed that there was truth in every soul, but it could not be revealed because the body was obstructed. Therefore, by talking with the interlocutor during the question-and-answer process, he constantly reveals the contradictions in the conversation of the other party, so that the interlocutor gradually rises from individual perceptual knowledge to universal rational knowledge, and goes further step by step until helping the other party to get the truth. “Art of midwifery” is not only an educational thought, but also a teaching method. It not only has an enlightening influence on the study and growth of contemporary college students, but also has an important enlightening significance on contemporary college education.

Evaluation of the clinical self-efficacy of postgraduate midwifery students who took courses related to biochemistry: a cross-sectional study

Abstract Objectives Postgraduate midwifery students learn the science and art of midwifery in clinical settings through the integration of evidence-based knowledge, practical skills, quality of care, and personal attitudes. These personal attitudes are confidence, intuition, problem solving, critical thinking, and self-efficacy. This study’s goal was to evaluate the clinical self-efficacy of midwifery students who took courses related to biochemistry in the postgraduate education program. Methods A cross-sectional design was used in the study. In the study, data collection was performed using surveys from students in the postgraduate midwifery education program. The study data were collected by employing the “Introductory Information Form” and the “Self-efficacy for Clinical Evaluation Scale.” Data evaluation was performed by number, percentage, mean, and correlation test. Results It was revealed that 67.7% of midwifery students who took the courses were postgraduate students in the thesis stage, 41% of them worked in secondary health services, and 51.6% of them had a clinical experience of 5 years and more. The total score of the self-efficacy perception subscale was 4.22 ± 0.49 (1–5), whereas the total score of the perceived confidence subscale was 4.57 ± 0.45 (1–5). There was a statistically significant correlation between the self-efficacy subscale and the importance subscale. Conclusions The results indicated that postgraduate midwifery students had high clinical self-efficacy scores. We think that the elective courses related to biochemistry in the postgraduate midwifery education program may have positively affected their clinical skills. We anticipate that it will be appropriate to conduct research with a larger sample size to examine the effect of postgraduate midwifery education on students’ clinical self-efficacy.

The practice reality of ward based midwifery care: An exploration of aspirations and restrictions

BackgroundThis paper reports on research that explores the experience of the ward based midwife, as research suggests workplace balance is problematic. AimTo explore the processes and practices around ward based clinical engagement and its impact in an Australian public tertiary obstetric unit. MethodsA qualitative descriptive study was undertaken. Focus groups were used to gather data. Groups were audio recorded and transcribed verbatim. Thematic analysis was continued until data saturation was achieved. FindingsSeven focus groups involving 40 midwives were conducted. Midwives’ voices suggested tensions arose when their aspirations around core professional values and camaraderie were compromised by the practice realism of the ward. Furthermore, they described frustration with imposed restrictions which governed their working environment. These occurred outside the ward, had a direct impact on how it functioned, and were perceived to be out of the midwives’ control. Midwives experiencing emotional distress revealed they were carrying a burden. Two burdens were described: disengagement and what have I missed? ConclusionThought must be given to how the art of midwifery is practiced on the ward. Ignoring the growing body of literature on this subject will be problematic for both midwives and women, as midwives will be disempowered to foster women’s capabilities through tailored, supportive and respectful care.

Caesarean sections: risks and benefits

British Journal of Healthcare ManagementVol. 24, No. 8 Risk ManagementCaesarean sections: risks and benefitsKate Harmond AllanKate Harmond AllanSearch for more papers by this authorKate Harmond AllanPublished Online:13 Aug 2018https://doi.org/10.12968/bjhc.2018.24.8.376AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article References Caesarean (2013) Caesarean Birth and VBAC Information. www.caesarean.org.uk (accessed 29 June 2018) Google ScholarMarland, H (1993) The Art of Midwifery – Early Modern Midwives in Europe, Routledge, London NHS Choices (2016) Caesarean Section – Risks. www.nhs.uk (accessed 29 June 2018) Google ScholarNICE (2012) Caesarean Section. www.nice.org.uk (accessed 29 June 2018) Google ScholarThe National Childbirth Trust (2018) Giving Birth by Caesarean Section: elective and emergency c-sections. www.nct.org.uk (accessed 29 June 2018) Google ScholarThe Royal College of Midwives (2016) Baby Friendly Caesarean Section. www.betterbirths.rcm.org.uk (accessed 29 June 2018) Google ScholarThe RCOG (2015) Choosing to Have a Caesarean Section. https://www.rcog.org.uk/globalassets/documents/patients/patient-information-leaflets/pregnancy/pi-choosing-to-have-a-c-section.pdf (accessed 29 June 2018) Google ScholarThe RCOG (2016) Birth options after previous caesarean section. https://www.rcog.org.uk/globalassets/documents/patients/patient-information-leaflets/pregnancy/pi-birth-options-after-previous-caesarean-section.pdf (accessed 29 June 2018) Google ScholarWHO (2009) Patient Safety, WHO Surgical Checklist. http://www.who.int/patientsafety/safesurgery/checklist/en/ (accessed 29 June 2018) Google ScholarWorden J (2016) Too Posh to Push: Why are as many as one in ten opting for a C-section? www.netdoctor.co.uk (accessed 29 June 2018) Google Scholar FiguresReferencesRelatedDetails 2 August 2018Volume 24Issue 8ISSN (print): 1358-0574ISSN (online): 1759-7382 Metrics History Published online 13 August 2018 Published in print 2 August 2018 Information© MA Healthcare LimitedPDF download

Abdominal Palpation-An art in the Heart of Midwifery Practice to Determine Persistent Oblique Lie-A Rare Condition at Term Pregnancy

Persistent oblique lie is extremely rare and is frequently missed during antenatal care, despite the routine antenatal examination and obstetrics ultrasonography. An oblique lie is usually only transitory, however for either a longitudinal or transverse lie commonly result when labor supervenes. The main risk of an oblique lie is in association with preterm rupture of membranes and cord prolapsed. Abnormal lie of the fetus present the midwife with a challenge of recognition and diagnosis both in the antenatal period and during labour. The past obstetrical history and abdominal palpation may be of help. The assessment of fetal lie, position and presentation by abdominal palpation is a fundamental antenatal care skill, by which the midwife uses her hands to gently feel the position and presentation of the baby through the mother's abdomen, in order to assess which way the baby is lying in the uterus. The clinical purpose of this activity is to enable appropriate interventions to be offered and care to be planned. Here we report a rare case of persistent oblique breech with oligohydramnios and non progress of labour. This case report looks at how the art of midwifery is used as a cost effective method in screening the antenatal women at labour along with the use of sophisticated technology. Overdependence and abuse of ultrasound remains a problem and it should be emphasized that ultrasound is to complement and not a substitute to clinical judgment. The effects of ultrasound on the low-risk pregnancy need to be evaluated. The overuse of such technology can have detrimental effects, not only for the midwife but also for the woman in labour. While this technology has made a great impact in obstetric nursing.

Contemporary midwifery practice: Art, science or both?

Current midwifery practice is regulated by the Nursing and Midwifery Council (NMC), whose primary role is to safeguard the public through setting standards for education and practice and regulating fitness to practise, conduct and performance through rules and codes ( NMC, 2012 ; 2015a ). Practice is informed by evidence-based guidelines developed and implemented by the National Institute for Health and Care Excellence based on hierarchies of evidence, with meta-analyses and systematic reviews being identified as the ‘gold standard’. This positivist epistemological approach as developed by Auguste Comte (1798–1857), with scientific evidence at the top of a knowledge hierarchy, fails to acknowledge the ‘art of midwifery’, where a constructivist paradigm of experiential, intuitive and tacit knowledge is used by reflective practitioners to provide high-quality care. As midwifery pre-registration education is now degree-level, is the essence of midwifery practice being ‘with woman’ providing holistic care under threat, as the drive for a systematic and analytical approach to decision-making gathers momentum?

Midwives' experiences of labour care in midwifery units. A qualitative interview study in a Norwegian setting

ObjectiveIn some economically developed countries, women's choice of birth care and birth place is encouraged. The aim of this study was to explore and describe the experiences of midwives who started working in alongside/free-standing midwifery units (AMU/FMU) and their experiences with labour care in this setting. MethodsA qualitative explorative design using a phenomenographic approach was used. Semi-structured interviews were conducted with ten strategically sampled midwives working in midwifery units. ResultsThe analysis revealed the following five categories of experiences noted by the midwives: mixed emotions and de-learning obstetric unit habits, revitalising midwifery philosophy, alertness and preparedness, presence and patience, and coping with time. ConclusionsStarting to work in an AMU/FMU can be a distressing period for a midwife. First, it may require de-learning the medical approach to birth, and, second, it may entail a revitalisation (and re-learning) of birth care that promotes physiological birth. Midwifery, particularly in FMUs, requires an especially careful assessment of the labouring process, the ability to be foresighted, and capability in emergencies. The autonomy of midwives may be constrained also in AMUs/FMUs. However, working in these settings is also viewed as experiencing “the art of midwifery” and enables revitalisation of the midwifery philosophy.

The art of midwifery: Can creative images of birth enhance holistic care?

Art related to birth stimulates debate, particularly if it is perceived to be taboo and challenging popular images of mother and child. Birth traditionally has been in a woman's sphere of experience, thus it has been left unexplored on a wider level. The Birth Rites Collection was originally developed to enable partnerships with artists and childbirth professionals. The other important reason for the Birth Rites project was to begin to make contemporary cutting edge art around childbirth because there has been a real lack of work which explores this subject. Student midwives have been able to engage with these and other artworks related to childbirth and now produce their own original art which is attracting acclaim. The Art of Midwifery student midwife project aims to promote more aesthetic and creative ways of learning to enhance midwifery students' self-awareness and thus promote holistic, woman-centred and sensitive care. Students have visited art exhibitions to interact with artworks related to curriculum themes and explore models and philosophies of birth. This paper reports some of their activities, summarises their responses and evaluates the collaboration.

The art of midwifery in a hospital labour ward: Barriers and negotiations

The art of midwifery in a hospital labour ward: Barriers and negotiations

Innovation practice ‘The art of midwifery, the science of special care and the beginning for babies’

Innovation practice ‘The art of midwifery, the science of special care and the beginning for babies’

Can intuitive knowledge be taught in midwifery practice?

This paper critically analyses the notion of midwifery epistemology and the ontological view that intuitive knowledge, while in built, develops into tacit knowledge. through pre-registration midwifery programmes learning strategies are identified that enable students to develop tacit knowledge. the art of midwifery education, both pre-registrationand lifelong, is to learn to believe in an individual's intuition. intuitive knowledge is a type of knowing, the art of midwifery that is difficult to articulate but fundamental for best practice. Midwives rely on the model that childbirth is a normal phenomenon. the learner has to travel a complex and exciting journey, meeting academic requirements, fulfil Women's expectations and learn to listen to her/his inner self. through this process of learning, theoretical knowledge, developing clinical acumen and awareness of self, the sum of the parts is more than the whole.

The art and science of prescribing

This Bank holiday weekend has been an exciting one for our family, with the arrival of our first grandson. I was privileged to be with my daughter through most of her labour, and to experience a whole range of emotions. Throughout it all, we were supported by a fantastic midwife who cared for us all with great skill and compassion. The NHS is the object of such bad press at times that I am pleased to report that the art of midwifery is still very much alive here in Leicester.

Pregnancy and Labour in the Dutch Maternity Care System: What Is Normal? The Role Division Between Midwives and Obstetricians

In the Dutch maternity care system, the role division between independently practising midwives (who take care of normal pregnancy and childbirth) and obstetricians (who care for pathologic pregnancy and childbirth) has been established in the so-called "List of Obstetric Indications"(LOI). The LOI designates the most appropriate care provider for women with defined medical or obstetric conditions. This descriptive study analysed the evolution of the concept of "normality" by comparing the development and the contents of the consecutive versions of the LOI from 1958 onwards. The results were related to data from available Dutch national databases concerning maternity care. The number of conditions defined in the successive lists increased from 39 in 1958 to 143 in 2003. In the course of time, the nature and the content of many indications changed, as did the assignment to the most appropriate care provider. The basic assumptions of the Dutch maternity care system remained stable: the conviction that pregnancy and childbirth fundamentally are physiologic processes, the strong position of the independently practising midwife, and the choice between home or hospital birth for low-risk women. Nevertheless, the odds of the obstetrician being involved in the birth process increased from 24.7% in 1964 to 59.4% in 2002, whereas the role of the primary care provider decreased correspondingly. Multidisciplinary research is urgently needed to better determine the risk status and the optimal type of care and care provider for each individual woman in her specific situation, taking into account the risk of both under- and over-treatment. Safely keeping women in primary care could be considered one of a midwife's interventions, just as a referral to secondary care may be. The art of midwifery and risk selection is to balance both interventions, in order to end up with the optimal result for mother and child.

Justina Siegemund and the Art of Midwifery

The article profiles German midwife Justina Siegemund. Published in 1960, Siegemund's book was the first German medical text written by a woman. She decided to study and practice midwifery in 1959 after suffering from the care of midwives who assumed she was pregnant. In 1701 she was appointed Court Midwife of Berlin, Germany by Elector of Brandenburg Frederick William.

Rhetorical Evaluation of Seventeenth Century Prefaces to English Treatises on Midwifery

Rhetorical Evaluation of Seventeenth Century Prefaces to English Treatises on Midwifery This study tries to offer a rhetorical account of the main arguments and figures encountered in 17th c. English prefaces, dealing with the art of midwifery and the delivery of children. I foreground a main causal argument wherein the author states the necessity for a treatise of this delicate nature and proposes the motives for its requirement. In doing so, some other reasonings support the causation and provide the reader with more evidence for a good performance at childbirth. In addition, the arguments are enhanced by the presence of some figures of communion that contribute to the rhetorical organisation, and help to portray the prologue as an expository discourse. The insistence on complying with the author's directions, and the urge not to follow some predecessors' work also suggests the new authority that the early modern English preface writer is acquiring.

Cosmopolitan bodies and dissected sexualities: Anatomical mis‐stories in Ann Radcliffe's Mysteries of Udolpho

This article recontextualizes Ann Radcliffe's Mysteries of Udolpho within larger discourses of Enlightenment science by demonstrating the author's resistance to the masculine appropriation of female sexuality—especially through the obstetric takeover of the art of midwifery. By showing how Radcliffe takes issue with the eighteenth‐century fetishization of the dead female body, this article reinterprets the male wax figure at the conclusion of the novel as a refusal to reproduce images of lifeless female sexuality. Radcliffe thus evokes anatomy's deeply ingrained connections to criminality, necrophilia, sadism, voyeurism, and pornography to slice through the seizure of maternity and female eroticism, and questions the violence of a pornographic gaze implicit in dissection and anatomical wax casting.