Each year in the U.S., hundreds of individuals die from complications related to pregnancy or childbirth, and tens of thousands experience unexpected outcomes such as heart failure. In 2022, the US Government Accountability Office (GAO) reported that research showed more than half of rural counties lacked hospital-based services for pregnant…

To developed an educational tool for an online OSCE to evaluate the practice readiness of the fourth-year nursing students. Online professional proficiency evaluation of nursing students can be a valid alternative to traditional methods. We designed a one group pre-posttest study. The 51 nursing students were recruited. We implemented a 3-stage of…

Objective: To examine how student midwives in higher education learn to become competent and confident woman-centred practitioners. Design: Participant observation study using a 'buddy' approach. Setting: Bachelor of Midwifery students in one higher education institution in the Netherlands Methods: First-year student midwives followed one woman…

Objective: To assess the knowledge of nurse-midwife educators on the major causes of maternal mortality in Nigeria. Setting: Schools of nursing and midwifery in Nigeria. Method: A total of 292 educators from 171 schools of nursing and midwifery in Nigeria were surveyed for their knowledge of the major causes of maternal mortality as a prelude to…

Birth Preparedness and Complication Readiness (BP/CR) program has been promoted in Nepal to equip pregnant women with obstetric knowledge so as to motivate them to seek professional care. Using a prospective design of 701 pregnant women of more than 5 months gestation in a central hills district of Nepal, we evaluated if having obstetric knowledge…

Background: Adverse birth outcomes are more common among adolescent versus adult mothers, but little is known about school-based services that may improve birth outcomes in this group. Methods: Data from Waves I and IV of the National Longitudinal Study of Adolescent Health were analyzed. Girls and women who gave birth to singleton live infants…

In this study we analyze whether immigrant mothers in Norway can influence their mode of delivery. Patient preferences were measured as the rate of Caesarean section from their home country, and by a survey question measuring the extent to which people believe they have freedom of choice and control over their lives in their home country.…

Maternity care in Ireland has been described as a "testament to the strength and influence of the medical profession" (Mc Kee 1986: 192). A review of maternity and gynaecology services in the Dublin area in 2004 revealed that "no participant...thought that the maternity services were women centred at the time" (Women's Health…

The nature of maternity services has changed in the past 20 years, with a movement away from traditional (physician delivery in a hospital) towards other alternative services. This study examined alternative maternity services in Washington State, which ranks eighth in the country in the use of such services. Data were collected from birth and…

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…

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)

Recognizing the importance of health care during the perinatal period, the topic for this issue of "Children in the Tropics" is prenatal development; this issue is intended for health educators for use in educating their clients about prenatal development, health care during pregnancy, labor and delivery, and the needs of the mother and…

Provides cultural background relevant for the delivery of health services to expectant Navajo women and their offspring including morbidity/mortality rates and trends and prevalent health problems. Reports results of a questionnaire administered to 479 expectant Navajo women and used to identify cultural practices distinguishing among traditional,…