Integrative Review Of The Article: What Makes A Good Midwife

Nicholls, L., & Webb, C. (2006). What makes a good midwife? An integrative review of methodologically-diverse research. Journal Of Advanced Nursing, 56(4), 414-429. doi:10.1111/j.1365-2648.2006.04026.x The article “What makes a good midwife? An integrative review of methodologically-diverse research” went over various pieces of evidence that determines what makes a good midwife. I found this article hard to follow, the information was confusing and seemed to be all over the place. The authors Nicholls, Lynn and Webb, Christine did not do a good job at entertaining the reader and did not focus on delivering the main idea the the article in a clear picture. Most of the article went over the way that the did their research: “A four-stage systematic

At home births are planned during the prenatal course when I women has met the criteria for low risk pregnancy. In the Netherlands, midwifery is a standard for of care, approximately 35% of all babies are born at home with midwives. In the United states less than 1% of births are done at home, researchers suggest that practitioners’ attitudes, resource availability, and community standards may influence the birth site options offered to women in the United states. In 1995 Floyd published a assessment of options and experiences with home births in the United Kingdom, discovered that home birth improved the experience and well-being of women, babies, and midwives. 226 midwives were asked their opinion on at home birth, 70% of them were favorable towards home birth, however “financial security, liability concerns, and lack of support from other maternity care providers (physicians and nurse-midwife peers) were barriers that affected the choice of practicing in an at home setting.” Home birth nurse-midwives are “looked” down on by hospital personnel, because of the higher risk of lawsuits than those who deliver in a hospital setting. The article finished off with stating “out-of-hospital maternity care

There has been a long standing turf war Between obstetricians and midwives, but this article explains for that might be coming to an end. Britian’s National Institute for Health and Care Excellence discovered that it is safer for healthy women with uncomplicated pregnancies to give birth at home with the supervision of midwives. Studies have shown that doctors are much more like to use interventions such as forceps, spinal anesthesia and cesarean section, when unnecessary and those procedure carry risks of inaction and surgical accidents. Many studies have shown that midwives provide care just as well or even better than obstetricians, when mothers are expected to deliver a single baby at full term and the babies head is presenting first in the birth canal. “The professional society for obstetricians, however, cites evidence that planned home birth carries an increased risk of neonatal death, compared with planned hospital birth.” Some medical center are trying to have the best of both worlds by allowing midwives to have more a independence within the