Index. Page numbers appearing in bold refer to figures and page numbers appearing in italic refer to tables.

Transcription

1 Index Page numbers appearing in bold refer to figures and page numbers appearing in italic refer to tables. Active birth Amniotomy, see Membranes, artificial rupture Analgesia in delivery chair trial 301-2,302 psychological 91-2 Antenatal care, responsibility for 209 Antenatal class, attendance 114 Antenatal perceptions 18-19,20-21, 22,23-5 Antenatal stress, methodological weak research 65 Antepartum Hospital Stressors Inventory (AHSI) 67-8,70-71 data collection 69,70 Anxiety about family 73, 74 Association of Radical Midwives (ARM) 260,270-71,275,278 Baby feelings about 75 newborn, demands 127 Blood loss assessment in delivery chair 303, 305 estimations 314,315 Bolam Report 264 Boredom 81, 84 Brandt-Andrews technique Breast feeding 143 Breast feeding counsellors 122 Breathing exercises 92 Breathing techniques 109 Briggs Report ,269 Caesarian delivery birth perception data collection methods 317 emergency experimental groups 316 women's reactions Cardiff integrated antenatal care system 85 Central Midwives Board (CMB) 177-8,185 training regulation 262-4,268-9 Central Midwives Board for Scotland 121,181,241 Guidelines for the Extension of Training 234 Child care arrangements 73-4 Childcare facilities 183 Choice, right of Clinical Grading Review 186, 190 views on College of Midwives 177 Communication 65,67,78-81,79, 80 Communication with health professionals, stress 77

2 326 Index Community midwives advice daily visits women's reports of care 132-3, 133 see also Midwife Confidence and employment practice Consciousness-raising 43-4 Consultant decision Consultant - midwife interactions Contact, problems making 42-3 Control in labour 92-3, Controlled cord traction (CCT) method 314 Cord traction Cortisol, and dysphoria 170 Crying in maternity blues 154, 158, Delivery chair Hillan's controlled trial midwives' and doctors' opinions 306 rapidity of birth 304 Romney's trial women's view 307 Delivery outcome in Romney's study 306,308-9,308 Derby midwifery school 277 Distraction from labour pain 107 District hospitals, staffing structures 6-11 Domino schemes 124 Double Identifiers EEC Midwifery Directives Electronic fetal monitoring 308 Emotions, stress 76-7 Employment decision changes in training 251-2,252 factors influencing ,251 Endorphins English National Board 185,260-61, 268,278 Continuing education and training 181 Careers Advisory Centre (ENBCAC) 275 Teaching and Assessing in Clinical Practice 287 Entonox 102,104, 105, Environment and postnatal care 126 Environment stress 78 Epidural analgesia and delivery mode in delivery chair 304 Episiotomy decision 211 Ethos of unit 12,27 Family, hospitalization effect 73,82 Family status stress 77 Feeding method 135-6, /36 Flexible hours 183 Food provision in hospital 85 General Health Questionnaire 150 GP trainees 9 Health status stress 78 Health visiting 250 Health Visitors Association 188 High risk pregnancy 64 outpatient care 85 Hospital, discharge time and midwives' care 133-5,134 Hospital confinement rise 123 Hospital life, experience of 71-2 Hospital Stress Rating Scale 67 Hospitalization effect on children 74 effect on partner 74 potential problem rating 72 sample characteristics 71 study design and methods 66 House of Commons Health Committee on the Maternity Services 83,322 Social Services Committee 5 Idiosyncratic strategies Imagery in labour pain In-service education opportunities satisfaction 214

3 Index 327 Information giving 65,78-81,79,80, 84 Institute of Manpower Studies 187, 278 Intra-uterine growth retardation (IUGR) 71 Job sharing 183 Kings College, Nursing Research Unit 175 Know Your Midwife scheme 60 Labour active management 180 third stage, CCT ,313,314 Labour and delivery care, responsibility Labour induction, in delivery chair 302 Labour pain analgesic effects assessment by midwives 101 assessment comparison 102 coping strategies and levels 110,115 use and levels J08 data analysis 99 factors affecting 91-3 intensity level comparison 101 multidimensional nature 94 underestimation see also Pain Lamaze-type breathing techniques 92,109 Legalliability Likert scale 67, 78 Locus of control (LOC) 111 Low birthweight (LBW) 31 McGill Pain Questionnaire (MPQ) Maternal mortality 124 Maternity blues study aims and methods assessment 154 data analysis data collection 152-3,153 experience of 'blues' homesickness and crying incidence 155,157 manifestation 154, 158 participant recruitment 150, 152 patterns of symptoms physical causes study population 155,156 symptoms and crying 164 timing 155 tiredness and crying 165, 169 Maternity Care Plans 18 Maternity services, satisfaction with 65 Maternity Services Advisory Committee 125 Medical control, postnatal 126 Membrane rupture decision Membranes artificial rupture advantages 294 controlled trial explanation and consent 295-9,295,297 methods policy 298-9,298 reasons 296,297 MIDIRS 182 Midwife/woman relationship 116 Midwifery confidence 253-5,254 confidence in practice of 253 moving in and out of 204,207-8 practice implications 83-6 practising factors reasons forleaving service conditions 183,215-18, 216 skills underuse 181 staff retention Midwifery education direct entry questionnaire survey potential applicants response rates 274 resources 287-8

4 328 Index Midwifery education contd non-nurse, historical perspectives post-registration 175,181-2,233 extension evaluation findings respondents profile 244-5, 246,247,248 response rates 241-2,242, 243 pre-registration 261 Midwifery Registration and Higher Certificate 269 Midwifery Research Database 182 Midwifery schools, entry intention interviews 276-8,277 Midwifery training aggregate level analysis 185 cross-sectional surveys employment intention changes 251-2,252 individual level analysis 185 longitudinal panel design advantages 185 reasons for 247-8,248 Midwives Acts 121, 124,266 care continuity erosion 122 career intentions at qualification 195-6,196,204,205 career path summaries career patterns structure 176 careers after qualification , /97, 198-9,202-3,204 Careers project aims and methods 187-8,190 career summary after qualification 206 data handling and analysis data representativeness future research directions longitudinal panel design 200 main findings 221,222-5,226 questionnaire response rates 189 units of analysis clinical skills development 178 differences between 51-3 educational programme requirements future requirements home visits 121 Information and Resource Service 278 job satisfaction versus overload 53-9 life aspects 179,208 new event response 186 postnatal relationship break 46-8 professional development. continuing 2l3-15 recall inaccuracy recruitment and selection registration educational routes relationship with consultants relationship with SH remuneration 257 responsibility division with clinicians , 208-l3, 210, 211 and satisfaction 213 role 257 rules 127, 142,265 support and feedback 215 tasks and decisions 8 training working with family responsibilities 183-4, see also Community midwives; Student midwives Minimum support package 32 Mood liability 148 Motherhood, meaning of 125 National Maternity Service 264 Negotiating access 68 Newcastle Community Midwifery Care Project 41 Notification of Intention to Practise Nurses Midwives and Health Visitors Act

5 Index training 177 Nursing records 128 OPCS surveys 143 Pain affective components 94-5 assessment 93-6 time in relation to delivery 97 coping strategies 91, 93 use 98, evaluative components 94-5 experimental 92 normalization 109 sensory components 94-5 stress 94 see also Labour pain Pain Ranking Index (PRI) 95-6, 100, 105 Parentcraft information 78, 84 Peel Report 123 Perineal damage in delivery chair 303 Perrin Report Personal control 111 Pethidine 101-2, 103, Physical factors in labour 105 Physical requirements 283 Placenta separation ,313 Postnatal care assessment by doctors 212 cohort characteristics exploratory phase interviews 128, 130 midwife's role questionnaires 128, 130 responsibility sample recruitment depression 148 Postoperative patients in 'blues' study 152 Postpartum haemorrhage (PPH) Pregnancy feelings about 74-5 intervention effectiveness 46 Present Pain Intensity ~PPI) scale 95 Primiparae, postnatal care 125 Primiparae and analgesia in Romney's study 305 Programme evaluation 235 Project , Psychological factors in labour 105 Purposive samples for extension evaluation Relaxation techniques 84, 107 Relaxation training 92 Replicability/reliability Report of the Maternity Services Committee Research Ethics Committee 128 Research midwives experiences job satisfaction 54-5 SSPO study as test 60 Reversal of affect 109 Royal College of Midwives (RCM) 188,260,269 Scottish National Board for Nursing, Midwifery and Health Visiting 241 Separation stress 76 Services available, information on SHO-midwife interactions 9-10 Short Report 7, 124 Sleep, postnatal 126 Smoking behaviour 81 hospitalization effect 73 Social Readjustment Rating Scale 67 Social support, sticking to 44-6 Social Support and Pregnancy Outcome (SSPO) characteristics by centre 33 characteristics of women 33 nature of intervention 52 randomization 37-8 recruitment 34-7 study design 32 timing and number of contacts 51 Social support provision description 39

6 330 Index Special care baby unit (SCBU) 78,82, 131 Staff attitudes to direct entry students control 112 trust in , II3, 114 Staffing levels, adequacy 215,217 Staffing structures methods 6-7 relationships 9-11 roles and responsibilities 7-8 Statistical Package for the Social Sciences (SPSS) 70 Stein's Daily Scoring System (SDSS) 150,151,152-5,158 response rates 153,154 Stocks Report 264,268 Stress in hospitalization 64-5,76 intensities 77 pain 94 Stress factors 67-8 Structured interview schedule 66-7 Student midwives employment intentions , 249 see also Midwives Surgery and dysphoria Syntocinon infusion decision Team midwifery schemes 123 Telemetry, home 85 Temperamental requirements 283 Total Pain Ranking Index 99 Training and Employment of Midwives Two-tier structure 28-9 UK Central Council: Post-registration education and practice project 181 Vaginal examination, explanation and consent 295 Validity assessment 239 Visual Analogue Scale (VAS) 96, 97-8,100-1 Winterton Report 83 Women characteristics comparison 100 childbirth experiences 26-7 labour pain assessment , 101 midwife's help assessment , 139 postnatal emotional needs 125 self-esteem 75-6,82 Women and Employment Study 183 Working Party on Midwives