Advertisement

The organisation of maternity care

  • Rosemary Currell
Chapter
Part of the Midwifery Practice book series (MIPRA)

Abstract

The past 10 years have seen a proliferation of different patterns of maternity care, all aiming to provide women and their babies with safe, efficient care that is emotionally pleasing to them and that meets their social and domestic needs. All those responsible for bringing about a change in the maternity services do so in the belief that this particular change will bring some measure of benefit to women and their families. It should be recognised, however, that the circumstances that have brought each pattern of care into being, and the driving forces that take it forward and bring about its evolution, are all very different and very complex. The driving forces for change in the maternity services include social change, national politics, professional interests, advances in health care and the personal experiences of families and health care professionals. Academic research has its place but may more usually be found as a tool used within one of these arenas rather than as a pressure in its own right. We therefore need to look very carefully at the evidence used to support any particular development or change in the provision of maternity care. We need to consider not only the validity and reliability of the research itself, but also how it is being used, whose arguments and theories it is being used to support, and for what ends.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Brain M 1992 The Maternity Services Report. Midwives Chronicle 105 (1257): 314–16PubMedGoogle Scholar
  2. Brocklehurst P, Macfarlane A, Dudley L, Garcia J, Elbourne D 1995 Conclusions are not supported by results. British Medical Journal 310: 805–7 (letter)CrossRefGoogle Scholar
  3. Brown S, Lumley J 1994 Satisfaction with care in labor and birth: a survey of 790 Australian women. Birth 21: 4–13PubMedCrossRefGoogle Scholar
  4. Campbell R, Macfarlane A 1994 Where to be born? The debate and the evidence, 2nd edn. National Perinatal Epidemiology Unit, Radcliffe Infirmary, Oxford Cartwright A 1987 Who are maternity services kind to? What is kindness? Midwife, Health Visitor and Community Nurse 23(1): 21–4Google Scholar
  5. Chalmers I, Enkin M, Keirse M (eds) 1989 Effective care in pregnancy and childbirth. Oxford University Press, OxfordGoogle Scholar
  6. Currell R 1990 The organisation of maternity care. In: Alexander J, Levy V, Roch S (eds) Antenatal care: a research-based approach. Macmillan, Basingstoke, Ch 2, p20–41CrossRefGoogle Scholar
  7. Department of Health 1993 Changing childbirth. Report of the Expert Maternity Group. HMSO, LondonGoogle Scholar
  8. Donnison J 1977 Midwives and medical men: a history of inter-professional rivalries and women’s rights. Heinemann, LondonGoogle Scholar
  9. Flint C, Poulgeneris P, Grant A 1989 The ‘Know Your Midwife’ scheme — a randomised trial of continuity of care by a team of midwives. Midwifery 5: 11–16PubMedCrossRefGoogle Scholar
  10. Frohlich J, Edwards S 1989 Team midwifery for everyone — building on the ‘Know Your Midwife’ scheme. Midwives Chronicle 102 (1214): 66–70PubMedGoogle Scholar
  11. Green J, Coupland V, Kitzinger J 1990 Expectations, experiences and psychological outcomes of childbirth: a prospective study of 825 women. Birth 17: 15–23PubMedCrossRefGoogle Scholar
  12. Hall M, Chng P, MacGillivray I 1980 Is routine antenatal care worthwhile? Lancet i: 78–80Google Scholar
  13. Hodnett E 1993 Continuity of caregivers during pregnancy and childbirth. In Enkin M, Keirse M, Renfrew M, Neilson J (eds) Pregnancy and Childbirth Module, Cochrane Database of Systematic Reviews. Update Software, OxfordGoogle Scholar
  14. House of Commons Social Services Committee 1980 Report on Perinatal and Neonatal Mortality (the Short Report). HMSO, LondonGoogle Scholar
  15. House of Commons Health Committee 1992 Second Report, Maternity Services (the Winterton Committee Report). HMSO, LondonGoogle Scholar
  16. Hundley V, Cruickshank FM, Lang GD, Glazener CMA, Milne JM, Turner M, Blyth D, Mollison J, Donaldson C 1994 Midwife managed delivery unit: a randomised controlled comparison with consultant led care. British Medical Journal 309: 1400–4PubMedPubMedCentralCrossRefGoogle Scholar
  17. Klein M, Lloyd I, Redman C, Bull M, Turnbull A 1983 A comparison of low-risk women booked for delivery in two different systems of care — shared care and GPU. British Journal of Obstetrics and Gynaecology 90 (2): 118–28PubMedCrossRefGoogle Scholar
  18. Klein M, Elbourne D, Lloyd I 1985 A prospective study comparing the experience of low risk women booked for delivery in two systems of maternity care. Royal College of General Practitioners, LondonGoogle Scholar
  19. Kwast B 1991 Safe motherhood: a challenge to midwifery practice. World Health Forum 12: 1–24PubMedGoogle Scholar
  20. Lester C, Farrow S 1989 An evaluation of the Rhondda ‘Know Your Midwives’ scheme. The first year’s deliveries. Institute of Health Care Evaluation, University of Wales College of Medicine, CardiffGoogle Scholar
  21. Lilford R 1989 Evaluating new treatments and diagnostic technologies in obstetrics. International Journal of Technology Assessment in Health Care 5: 459–72PubMedCrossRefGoogle Scholar
  22. Lumley J 1985 Assessing satisfaction with childbirth. Birth 12 (3): 141–5PubMedCrossRefGoogle Scholar
  23. Mascarenhas L, Eliot B W, MacKenzie IZ 1992 A comparison of perinatal outcome, antenatal and intrapartum care between England and Wales, and France. British Journal of Obstetrics and Gynaecology 99: 955–8PubMedCrossRefGoogle Scholar
  24. Mason V 1990 Assessing women’s views of maternity services. HMSO, London NHS Management Executive 1993 A study of midwife and GP led maternity units. HMSO, LondonGoogle Scholar
  25. Page L, Wilkins R, Bridges A, Garcia J, Hewison J, Lathlean J, Lilford R, Newburn M, Piercey J, Stevens T 1994 Evaluating innovations in the organisation of midwifery practice. In Page L (ed.) Effective group practice in midwifery. Blackwell Scientific, Oxford, p174–88Google Scholar
  26. President of the Royal College of Obstetricians and Gynaecologists, President of the Royal College of Midwives, Chairman of the Council of the Royal College of General Practitioners 1992 Maternity care in the new NHS: a joint approach. RCOG, RCM, RCGP, LondonGoogle Scholar
  27. Robinson S, Golden J, Bradley S 1983 A study of the role and responsibilities of the midwife. NERU Report No. 1, Nursing Research Unit, King’s College, University of LondonGoogle Scholar
  28. Royal College of Obstetricians and Gynaecologists 1982 Report of the RCOG Working Party on antenatal and intrapartum care. RCOG, LondonGoogle Scholar
  29. Royal College of Obstetricians and Gynaecologists 1993 Press Release, 6.8. 1993, Changing childbirth, Report of the Expert Group on the Maternity Services, RCOG, LondonGoogle Scholar
  30. Seguin L, Therrien R, Champagne F, Larouche D 1989 The components of women’s satisfaction with maternity care. Birth 16: 109–13PubMedCrossRefGoogle Scholar
  31. Steer P 1992 The House of Commons Committee Report on the Maternity Services. A personal view. British Journal of Obstetrics and Gynaecology 99: 445–6PubMedCrossRefGoogle Scholar
  32. Tucker J, Florey C, Howie P, Mclllwaine G, Hall M 1994 Is antenatal care apportioned according to obstetric risk? The Scottish antenatal care study. Journal of Public Health Medicine 16 (1): 60–70PubMedGoogle Scholar
  33. Twaddle S, Harper V 1992 An economic evaluation of daycare in the anagement of hypertension in pregnancy. British Journal of Obstetrics and Gynaecology 99: 459–63PubMedCrossRefGoogle Scholar
  34. Ward P, Frohlich J 1994 Team midwifery in Bristol. MIDIRS Digest 4 (2): 149–51Google Scholar
  35. Watson P 1990 Report on the Kidlington Team Midwifery Scheme. National Institute for Nursing, Radcliffe Infirmary, OxfordGoogle Scholar
  36. Wraight A, Ball J, Seccombe I, Stock J 1993 Mapping team midwifery. Institute of Manpower Studies, BrightonGoogle Scholar

Copyright information

© Rosemary Currell 1996

Authors and Affiliations

  • Rosemary Currell

There are no affiliations available

Personalised recommendations