Research Article| Volume 13, ISSUE 2, P26-30, July 2000

Does evidenced-based practice medicalise midwifery care?

Part 2
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      In this paper evidence-based care is defined. The evidence to support the provision of care by midwives is presented, as is the evidence to support home birth for those women at low obstetric risk. In conclusion midwives are challenged to be political and use this evidence to support changes to improve the quality of care provided to women and their families.

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        • Baird D.
        Environment and reproduction.
        British Journal of Obstetrics and Gynaecology. 1980; 87: 1057-1067
        • Brotherstone J.
        Research-mindedness and the health professionals.
        in: Report of an international seminar on research in nursing. International Council of Nurses, Geneva1961
        • Chalmers I.
        • Enkin M.
        • Keirse M.J.N.C.
        Effective care in pregnancy and childbirth.
        Oxford University Press, Oxford1989
        • Chamberlain G.
        • Wraight A.
        • Crowley P.
        Home births: the report of the Confidential enquiry by the National Birthday Trust.
        Parthenon Publishing Group, New York1996
        • Chin M.K.
        The positive impact of midwifery care in an inner city population: NCB experience.
        in: Proceedings of 22nd international congress of International Confederation of Midwives, Kobe, Japan1990
        • Cochrane A.
        Effectiveness and efficiency: random reflections on health services.
        Nuffield Provincial Hospitals Trust, London1972
        • Colyer H.
        • Kamath P.
        Evidence-based practice. A philosophical and political analysis: some matters for consideration by professional practitioners.
        Journal of Advanced Nursing. 1999; 29: 188-193
      1. Crookes P.A. Davies S. Research into practice — essential skills for reading and applying research in nursing and health care. Balliere Tindall, London1998
        • Davies J.
        The Newcastle community midwifery care project — the project in action.
        in: Robinson S. Thomson A.M. Midwives, research and childbirth. Vol 2. Chapman and Hall, London1991
        • Department of Health
        Changing Childbirth, report of the expert maternity group.
        HMSO, London1993
        • Department of Health and Social Security
        Domiciliary midwifery and maternity bed needs (Peel Report).
        HMSO, London1970
        • Evans F.
        The Newcastle community midwifery care project — the evaluation of the project.
        in: Robinson S. Thomson A.M. Midwives, research and childbirth. Vol 2. Chapman and Hall, London1991
        • Fleissig A.
        • Kroll D.
        • McCarthy M.
        Is community led maternity care a feasible option for women assessed at low risk and those with complicated pregnancies? Results of a population based study in South Camden, London.
        Midwifery. 1996; 12: 191-197
        • Flint C.
        • Poulengeris P.
        • Grant A.
        The Know Your Midwife scheme — a Randomised controlled trial of continuity of care by a team of midwives.
        Midwifery. 1989; 5: 11-16
        • Gray J.A.M.
        Evidence-based healthcare: how to make health policy and management decisions.
        Churchill Livingstone, Edinburgh1997
        • Harvey S.
        • Jarrell S.
        • Brant R.
        • et al.
        A randomized controlled trial of Nurse-Midwifery care.
        Birth. 1996; 23: 128-135
        • Henderson J.
        • Mugford M.
        An economic evaluation of home births.
        in: Chamberlain G. Wraight A. Crowley P. Home births the report of the confidential enquiry by the National Birth day Trust. Parthenon Publishing Group, New York1996
        • Hicks C.
        • Hennessy D.
        Mixed messages in nursing research: their contribution to the persisting hiatus between evidence and practice.
        Journal of Advanced Nursing. 1997; 25: 595-601
      2. Hills P. Publish or perish. 2nd edition. Peter Francis Publishers, Dereham, Norfolk1999
        • House of Commons Health Select Committee
        Report on the Maternity Services.
        HMSO, London1992
        • Jabaaij L.
        • Wouter M.
        Home births in the Netherlands: midwifery related factors of influence.
        Midwifery. 1996; 12: 129-135
        • Kenny P.
        • Brodie P.
        • Eckerman S.
        • et al.
        Westmead Hospital team midwfery project evaluation.
        Centre for Health Economics Research and Evaluation, Westmead Hospital, NSW1994
        • Levy B.S.
        • Wilkinson F.S.
        • Marine W.M.
        Reducing neonatal mortality with nurse-midwives.
        American Journal of Obstetrics and Gynecology. 1971; 109: 50-58
        • Loudon I.
        Death in childbirth.
        Clarendon Press, Oxford1992
        • MacArthur C.
        • et al.
        Health after childbirth.
        HMSO, London1991
        • MacDorman M.E.
        • Singh G.P.
        Midwifery care, social and medical risk factors, and birth outcomes in the USA.
        Journal of Epidemiology and Community Health. 1998; 52: 310-317
        • MacVicar J.
        • Dobbie G.
        • Owen Johnston L.
        • et al.
        Simulated home delivery in hospital: a randomised controlled trial.
        British Journal of Obstetrics and Gynaecology. 1993; 100: 316-323
        • McCourt C.
        • Page L.
        Report of the evaluation of one-to-one midwifery.
        Centre for Midwifery Practice, Thames Valley University, London1996
        • Meah S.
        • Luker K.A.
        • Cullum N.A.
        An exploration of midwives' attitudes to research and perceived barriers to research utilisation.
        Midwifery. 1996; 12: 73-84
      3. (Subject No 25, Maternal mortality)
        • Ministry of Health
        Reports on public health.
        HMSO, London1924
        • Niesen K.M.
        • Quirk A.G.
        The process for initiating nursing practice changes in The intrapartum: findings from a multisite research utilization project.
        Journal of Obstetric, Gynecologic and Neonatal Nursing. 1997; 26: 709-717
        • Oakley A.
        The follow-up survey.
        in: Chamberlain G. Wraight A. Crowley P. Home births: the report of the confidential enquiry by the National Birtbday Trust. Parthenon Publishing Group, New York1996
        • Oakley A.
        • Rajan L.
        • Grant A.
        Social support and pregnancy outcome.
        British Journal of Obstetrics and Gynaecology. 1990; 97: 155-162
        • Renfrew M.
        Midwifery and evidence-based care (editorial).
        Midwifery. 1996; 12: 157-158
        • Rowley M.J.
        • Hensley M.J.
        • Brimstead M.W.
        • et al.
        Continuity of care by a midwife team versus routine care during pregnancy and birth: a randomized trial.
        Medical Journal of Australia. 1995; 163: 289-293
        • Sackett D.L.
        • Richardson W.S.
        • Rosenburg W.
        • et al.
        Evidence-based medicine: how to practice and teach EBM.
        Churchill Livingstone, Edinburgh1997
        • Tew M.
        • Damstra-Wijmenga
        Safest birth attendants: recent Dutch evidence.
        Midwifery. 1990; 7: 55-63
        • Thomson A.M.
        If midwives are going to contribute to the reduction of maternal mortality they have to be political as well as practice midwifery.
        Midwifery. 1996; 12: 107-108
        • Thomson A.M.
        • Hillier V.
        A re-evaluation of the effect of pethidine on the length of labour.
        Journal of Advanced Nursing. 1994; 19: 448-456
        • Turnbull D.
        • Holmes A.
        • Shields N.
        • et al.
        Randomized controlled trial of midwife-managed care.
        Lancet. 1996; 348: 213-218
        • Waldenstrom U.
        • Turnbull D.
        A systematic review comparing continuity of midwifery care with standard maternity services.
        British Journal of Obstetrics and Gynaecology. 1998; 105: 1160-1170
        • Waldenstrom U.
        • Nilsson C.A.
        • Windblah B.
        The Stockholm birth centre trial — maternal and infant outcome.
        British Journal of Obstetrics and Gynaecology. 1997; 104: 410-418
        • White G.
        Midwifery practice, always a political art.
        Journal of the Australian College of Midwives Inc. 1999; 12: 6-13