INDEPENDENT MIDWIFERY PRACTICE IN POLAND – LEGAL CONSIDERATIONS VERSUS REALITY
DOI:
https://doi.org/10.12775/4094Keywords
midwife, independent practice, legal aspectsAbstract
Objective. To assess the readiness of midwives in regards to carrying out complex independent care for expecting families during physiological pregnancy, delivery and puerperium; to evaluate the role of midwifery practice during individual preparation of a woman (and her spouse) for childbirth; to define the elements of health education included in preparation for childbirth.
Material and method. Design - questionnaire survey. Setting - eight types of hospitals located in and outside of Warsaw. Participants - 291 practicing midwives with current or past practice in the delivery room.
Findings. The majority of midwives (232; 80%) declared their readiness to provide complex care to expecting families and offered individual preparation of women (and their spouses) for delivery. Most state obstacle is the lack of practice, the need to improve skills and prevent system. The majority of midwives practice individual preparation of women for childbirth (172; 59%).
Midwives complementary education for masters, much less frequently (72; 47%) operate this type of care than the other (76; 71%) - p = 0.001. This form of practice is implemented by the midwives hot properties (25; 83%) - p = 0.017. The most frequent components of prenatal health education included: biological aspects of pregnancy, delivery and puerperium, followed by psychological aspects, hygiene, diet, physical activity and prenatal communication with the child.
Conclusions and implications for practice. Independent midwifery practice is not limited by Polish law. The obstacles faced by independent midwives are associated rather with the healthcare system and the mentality of its workers. The profession of midwifery should be strengthened by extensive media campaigns promoting the competency of this professional group, along with the completion of graduate and postgraduate education curricula in aspects useful for running independent practice.
References
Confederation of Midwives Council Meeting. 19 July 2005, Brisbane, Australia. http://www.internationalmidwives.org
Council Directive of 21 January 1980 concerning the coordination of provisions laid down by law, regulation or administrative action relating to the taking up and pursuit of the activities of midwives (80/155/EEC).
The law on nurse and midwife profession, 1996 (Dz. U. Nr 91, poz. 410) http://www.portalmed.pl/xml/prawo/medycyna/medycyna/r2005/051461u,18.04.2009
Green J. M., Renfrew M. J., Curtis P. A.,. Continuity of career: what matters to women? A review of the evidence. Midwifery 2000,16, 186-196. DOI: http://dx.doi.org/10.1054/midw.1999.0208
Pollard K. C., How midwives' discursive practices contribute to the maintenance of the status quo in English maternity care. Midwifery 2010, 6 [Epub ahead of print] http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=000295690300014&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3
Schmied V., Mills A., Kruske S., at all.,. The nature and impact of collaboration and integrated service delivery for pregnant women, children and families. Journal of Clinical Nursing 2010, 19, 3516-3526. DOI: http://dx.doi.org/10.1111/j.1365-2702.2010.03321.x, http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=000284369800028&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3
Johnson M., Stewart H., Langdon R. at all. Women-centred care and caseload models of midwifery. Collegian 2003, 10, 30-34. DOI: http://dx.doi.org/10.1016/S1322-7696(08)60618-6, http://www.ncbi.nlm.nih.gov/pubmed/15481509
Agampodi, S. B., Agampodi T. C., Effect of low cost public health staff training on exclusive breastfeeding. Indian Journal of Pediatrics 2008, 75, 1115-1119. DOI: http://dx.doi.org/10.1007/s12098-008-0185-4, http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=000263098900001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3
Tillett J., Ames D., The uses of aromatherapy in women's health. Journal of Perinatal & Neonatal Nursing 2010, 24, 238-245. DOI: http://dx.doi.org/10.1097/JPN.0b013e3181ece75d
van der Hulst L. A., van Teijlingen E. R., Bonsel G. J. at all. Dutch women's decision-making in pregnancy and labour as seen through the eyes of their midwives. Midwifery 2007, 23, 279-286. http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=000249716000007&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3
Murphy P. A., Fullerton J. T., Measuring outcomes of midwifery care: development of an instrument to assess optimality. Journal of Midwifery & Women's Health 2001, 46, 274-284.
Cragin L., Kennedy H. P., Linking obstetric and midwifery practice with optimal outcomes. Journal of Obstetric, Gynecologic, and Neonatal Nursing 2006, 35,779-785.
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