How do we provide the right level of interventions such that they are available when needed but not overused?
Women perceived doctors as being the most knowledgeable profession in regards to expertise on childbirth and as such, accepted without question their recommendations Jomeen, Acceptability Qualitative evidence synthesized from a wide variety of settings and contexts indicates that women welcome the opportunity to build supportive, caring relationships with a midwife or a small number of midwives during the maternity phase high confidence in the evidence and appreciate a consistent, unhurried, woman-centred approach during ANC visits high confidence in the evidence 9.
However, there remains a paucity of longer-term population data on the social, emotional, developmental and mental health clinical outcomes. When the first author worked as a research and development midwife in a large hospital, it was common knowledge that the caseload midwives were among the most competent and skillful staff, particularly around low-technology birth.
Other areas of national and international interest, which impact on population health both women and familiesinclude rising caesarean section rates and other interventions during childbirth [ 5 - 7 ], the importance of positive parenting in the early postnatal period [ 8 ] and perinatal mental health [ 9 ].
There are interventions that could be implemented by midwives, which potentially would have a public health impact but it is important such interventions are evidence based. The other component of their apprenticeship-style course was caseload work, this is being incorporated into some curricula already.
British Journal of Midwifery Vol 16 7. A contributing factor to clinical and psychological morbidity is the inappropriate use of interventions in childbirth, such as routine episiotomy a surgical incision of the perineumunnecessary caesarean sections together with the necessary anesthetic procedures, and routine use of supplementary fluids for breastfed infants.
Abstract Background Maternity care providers, particularly midwives, have a window of opportunity to influence pregnant women about positive health choices. Evidence on other ANC guideline outcomes was not available in the review.
Around million women and million infants survive childbirth.