Problem-based Learning in Midwifery
In the early 1990’s, in response to the Winterton report (House of Commons Health Committee 1992), the Department of Health (DoH) set up an Expert Maternity Group, chaired by Baroness Cumberlege, Parliamentary Under Secretary of State for Health, to investigate the then current provision of maternity care within the NHS. In 1993, the findings were collated and a report, called Changing Childbirth, was produced (DoH, 1993). This report made a number of key recommendations that were intended to act as a catalyst to radically reform the maternity services provided in England. From a fragmented style of care provision that favoured organisations and staff, it was proposed that care should become woman centred and incorporate what subsequently became known as the 3 C’s: Choice, Control and Continuity of Care for women. For effective service provision, it was identified in the report that midwives needed to utilise the full range of skills that they possessed on qualification. In this way, organisational systems, such as ‘caseload holding’, that would facilitate continuity of care by midwifes could be set up.
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