Context: Pregnant women in rural areas may give birth in either rural or urban hospitals. Differences in outcomes between rural and urban hospitals may influence patient decision making. Purpose: Trends in rural and urban obstetric deliveries and neonatal and maternal mortality in California were compared to inform policy development and patient…

Background: The present study was performed to evaluate the effectiveness of a training course designed to improve the knowledge, skills, and attitudes of healthcare personnel to allow them to provide a comprehensive community-based antenatal care (ANC) program in rural Paraguay. Methods: Sixty-eight of 110 healthcare personnel in the Caazapa…

The author compares and analyzes American and Taiwanese maternity care systems, discussing the history of midwifery in Taiwan; the process by which a midwife establishes her practice; and her role in childbirth, abortion, adoption, and other services. (Author/DS)

Responses from 45% of 696 British midwives and interviews with 17 indicated that they identify their continuing education needs most frequently through interaction with colleagues. Their greatest needs were for professional issues and management topics; there is a demand for part-time and distance learning. (SK)

Critical incident analysis, combining actual experiences with structured reflection, can facilitate learning from clinical practice and develop interpersonal skills and self-awareness. (SK)

Nursing education should play an important role in developing culturally sensitive health care. Nurses and midwives should be trained in assessing health needs of different cultural groups and developing appropriate care. (SK)

At the University of Dundee (Scotland), distance learning is used to provide inservice opportunities for nurses and midwives. The modular courses feature problem-based and work-based learning, text-based study guides, and strategies to provide continuous learner support. (SK)

Midwifery students collected data during clinical preceptorships. Faculty review of data sheets highlighted errors in process, data entry, and mission, identifying areas for further learning. The data also provided more information about clinical practice sites. (SK)

Reports on a faculty exchange program between Seton Hall University and the Hangzhou School of Nursing in Zhejiang, China. Discusses the differences in medical treatment and learning strategies between the two countries. (JOW)

Responses from 83 of 120 British midwives showed that motivation for continuing education was strongest in regard to professional competence and innate desire for knowledge, less in regard to legal requirements for practice. Strongest motivators were internal and learning related. Social integration was the least important aspect of continuing…

An arts and humanities course for students in a midwifery diploma program explored images and concepts of childbirth, caring, and parenthood. Evaluation showed the 20 students gained insights into human experiences that will enhance practice. (SK)

Because "Roe v. Wade" left ill-defined or derivative just who could be a medical caregiver for pregnant women, courts struggled in the post-Roe medico-legal environment to decide just who could be a medical advisor in this newly recognized zone of privacy. The courts also were challenged to balance individual privacy rights, state…

The aim of this article is to develop the foundations of a socio-cultural approach and to determine how this shapes our perception of a newcomer's construction of identity in two different workplaces: a high-technology delivery ward with newly employed midwives and a real estate agency with newly employed real estate agents. We explore how…

Case studies are an important vehicle for student learning in problem-based learning curricula and higher education. "WebCaseStudy.com" was designed to support student learning through case studies in a simulated community of practice. This paper reports on the process of capturing community of practice knowledge for case studies to…

Obstetric patients rated the skills and assessed the roles of students caring for them during a clinical clerkship. They rated skills and attitudes high, generally, with lower ratings for their ability to answer questions and preparation to participate in care. Most felt students improved their care, primarily in supportive ways. (Author/MSE)