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Midwifery models of care monitor the physical, psychological and social aspects of women throughout childbearing years. Technological advances reflect differing opinions of physicians where intervening measures take choices out of women’s hands during birth, often neglecting needs turning a natural process into a medical procedure. This essay looks at choices offered to women in westernized countries choosing midwifery models, in stark contrast to an experience within hospital settings. It inspects beneficial impacts midwifery models have on refugee women and the importance of cultural safe midwifery models practiced in midwifery care in Australia. Financial recession threatens to impact on maternity services. This essay discusses this socio-political concern, and birthing women choosing midwifery lead care, its cost effectiveness and needs for change in indemnity insurance arrangements in Australia and abroad.
With technological advancements, women are offered many choices medically to birth their babies without real reason to opt for such invasive procedures (Block, as cited in Chjnacki, 2010, pp.53-54). Physician’s philosophy to pregnancy is commonly disease oriented focusing on diagnosis and treatment of problematic pregnancies and birth, managing affecting woman and foetus (Rooks, as cited in Chjnacki, 2010, p.48). In contrast, midwives have a wellness approach to birth applying holistic care, trusting pregnant women and their ability to safely birth their babies where medical interventions are avoided (Hermer, as cited in Chjnacki, 2010, p.48). Although midwifery may be recognized as acceptable, focus seems to surround the thought mother and baby won’t have appropriate attention if something went wrong under their care. Lubic (2010) writes, in Washington USA it has been noted that midwife managed birthing centres demonstrated how midwifery models impact lives of
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women attending for the better. Women report coming out of care feeling respected and able to take charge of their own pregnancies, supported to birth their babies naturally without interventions. Woman centred care established through continuity of care, gains trust and recognises the mother’s spiritual connection with her body and mind enhancing her natural birthing experience (Lubic, 2010). In Sweden pregnant women are encouraged to remain home until labour progresses to late stage avoiding unnecessary obstetric interventions. Women report fewer complications than those who are admitted to hospital for this phase (Carlsson, Ziegert, Sahlberg-Blom & Nissen, 2010, p.86). It is not understood why women go to hospital while in early labour, other than through anxiety and to hand over control (Beebe et al., as cited in Carlsson, 2010, p.87). This becomes problematic for women and causes doubts about their body’s ability to progress through labour, if monitoring establishes it is not progressing (Eri, Blystad, Gjengedal & Blaaka, as cited in Carlsson, 2010, p.87). Although labouring at home women felt they shared their uncertainties with midwives who were able to reassure them when in doubt, enabling them to then progress with their labour at home feeling confident with their own bodies progression (Carlsson, et al., 2010). Carlsson (2010) states women reported to feel relaxed yet strengthened in their home environments, letting labour progress naturally.
Despite health issues prevalent amongst refugee backgrounds, access to the appropriate health care can lead to significant improvements in reproductive health in women (Hymes, Sheik, Wilson & Speigel, as cited in Correa-Velez, 2011, p.14). Refugee women settling in industrialised English speaking countries benefit significantly from midwifery models of care. It seems differences were evident in obstetric outcomes between these
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women and women born in these countries (Small et al., as cited in...
References: Australian College of Midwives. (2008). Submission to the Maternity Services Review
Chojnacki, B. (2010). Pushing Back: Protecting Maternal Autonomy From the
Living Room to the Delivery Room, Journal of Law and Health, 23 (45), 46-
Phiri, J., Dietsch, E., & Bonner, A. (2009). Cultural safety and its importance for
Australian midwifery practice
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