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Essay / Integrative article review: what makes a good...
Nicholls, L. and 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” reviewed various lines of evidence that determine what makes a good midwife. I found this article difficult to follow, the information was confusing and seemed all over the place. The authors Nicholls, Lynn and Webb, Christine did not do a good job of entertaining the reader and did not focus on clearly presenting the main idea of the article. The bulk of the article goes back to how they conducted their research: “A systematic four-stage home birth is planned during the prenatal course when the woman meets the criteria for a low-risk pregnancy. In the Netherlands, midwifery is a standard of care: around 35% of all babies are born at home with midwives. In the United States, less than 1% of births take place at home. Researchers suggest that practitioner attitudes, resource availability, and community norms may influence the delivery location options available to women in the United States. In 1995, Floyd published an assessment of options and experiences with home births in the UK and found that home birth improved the experience and wellbeing of women, babies and birth attendants -women. 226 midwives were asked their opinions on home birth, 70% of them favored home birth, but "financial security, liability issues and lack of support from Other maternity care providers (physicians and peer nurses-midwives) were barriers that affected home birth. the choice to practice at home. Nurse-midwives who give birth at home are “looked down upon” by hospital staff, due to the higher risk of legal action than those who give birth in a hospital setting. The article ended by stating “out-of-hospital maternity care.” There is a long-running turf war between obstetricians and midwives, but this article explains that it may be coming to an end. The UK's National Institute for Health and Care Excellence has found that it is safer for healthy women with uncomplicated pregnancies to give birth at home under the supervision of midwives. Studies have shown that doctors are much more likely to use interventions such as forceps, spinal anesthesia and cesarean sections when they are not necessary and that these procedures carry risks of inaction and surgical accidents. Many studies have shown that midwives provide care as well or better than obstetricians when mothers are expected to deliver a single full-term baby and the baby's head is first in the birth canal . “The Professional Society of Obstetricians, however, cites evidence that planned home birth carries an increased risk of neonatal death, compared to planned hospital birth.” Some medical centers try to have the best of both worlds by allowing midwives to have more independence within the