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Measuring the quality of documented care given by Swedish midwives during birth
Lunds universitet.
Lunds universitet.
Lunds universitet.
Karlstad University, Faculty of Social and Life Sciences, Department of Nursing. (Omvårdnad)ORCID iD: 0000-0003-1382-4386
2011 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Midwifery, ISSN 1532-3099, Vol. 27, no 6, e188-e194 p.Article in journal (Refereed) Published
Abstract [en]

Objective: The aims of the study were to measure the extent documented Swedish midwifery care for low risk labour and birth followed WHO's recommendations for care in normal birth and to compare midwifery care given to women whos labours were classified as low and high risk.Study design: A retrospective examination of midwifery and medical records, 144 from women with low risk births and 54 from women with high risk births, for aspects of pregnancy, labour and birth using a validated instrument based on WHOs recommendations.Setting: Southern Sweden.Outcome measurements: Care given in accordance with WHOs four categories of practiceand changes in risk group during the birth process.Findings: Care interventions not recommended by WHO, such as routine establishment of anintravenous route, routine amniotomy during the first stage, continuous electronic fetalmonitoring and pharmacological methods of pain relief were widespread in the records.Documented care differed little between the labours of women at low risk and high risk. The midwives at the unit under study did not routinely carry out risk assessment.Key conclusions and implications for practice: The mode of care was one of readiness formedical intervention. The act of carrying out risk assessments at the time of the womansadmission may affect awareness of the level of care offered to birthing women and thus helpto reduce the number and variety of practices not recommended by WHO.Keywords: birth process, high risk birth, instrument low risk birth, midwifery care, WHO

Place, publisher, year, edition, pages
2011. Vol. 27, no 6, e188-e194 p.
Keyword [en]
Birth process, high risk birth, instrument low risk birth, midwifery care, WHO
National Category
Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:kau:diva-12630ISI: 000297153000002OAI: oai:DiVA.org:kau-12630DiVA: diva2:512656
Available from: 2012-03-28 Created: 2012-03-28 Last updated: 2014-09-10Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
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  • vancouver
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