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AIMS to report the clinical outcomes of the first six months of operation of an innovative midwife-led normal birth unit (MNBU) in China in 2008, aiming to facilitate normal birth and enhance midwifery practice. SETTING an urban hospital with 2000-3000 deliveries per year. METHOD this study was part of a major action research project that led to(More)
The accuracy of clinical diagnosis for pelvic inflammatory disease was determined in 95 women who presented with pelvic pain to primary care physicians and then were referred to gynecologists. Laparoscopy or laparotomy with endometrial biopsy and fimbrial minibiopsy revealed that prevalence of pelvic inflammatory was 46% (44/95) and positive and negative(More)
BACKGROUND Chinese midwifery is under threat and has been denigrated, with virtually all midwives practising in the labour wards. AIMS The present study aims to inform the development of a proposed continuing professional education programme. METHOD Questionnaire surveys and semi-structured interviews were used to investigate the views of new mothers(More)
The concept of choice has featured prominently in both the recent United Kingdom (UK) health care reforms and in the debate relating to the care of childbearing women. An invitation to the USA facilitated contemplation of the health care system on which the recent UK reforms have been modelled. The impact of the health system on mother's choices was a(More)
AIMS To explore Chinese women's and health professionals' views of the first midwife-led normal birth unit in China to facilitate normal birth and enhance midwifery practice. METHOD Data collection involved semi-structured interviews, questionnaires and cross-comparison with hospital data. The data were analysed thematically. SETTING A university(More)
While studying caesarean decision-making in China, the increasing popularity of 'zuoyuezi' emerged. This paper addresses this development, the reasons and implications. We tape-recorded semi-structured interviews in three industrial cities in China. The three groups of informants comprised women in the first-week after caesarean, women eight months after(More)
AIMS OF THE PAPER This paper aims to analyse critically a selective review of the literature on tiredness and fatigue in health and illness. This analysis is then applied to the experience of the new mother in the postnatal period. BACKGROUND AND RATIONALE Although the twin concepts of tiredness and fatigue are well known in both sickness and health, our(More)
OBJECTIVE to inform the organisation of the maternity services in Scotland, a phenomenological study was planned to examine maternity decision making in two similarly small countries. The aim was to examine the experience of contributing to decisions at clinical, organisational and policy-making levels. When examples were needed the informants were asked to(More)
OBJECTIVE to explore midwives' perceptions of intrapartum uncertainty when caring for women in low risk labour. DESIGN a grounded theory approach was used to capture the experiences of midwives practising in Scotland. Data were generated through unstructured in-depth one-to-one interviews and focus groups. SETTING four Health Boards in Scotland. (More)