By Jo Alexander, Valerie Levy, Sarah Roch (eds.)
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Extra info for Aspects of Midwifery Practice: A research-based approach
She concludes, 'Care that is ineffective, inappropriate, unacceptable, or simply wrong, can be of no value even if it is given under the umbrella of "continuity"' (Currell 1990). The beneficial findings of the KYM scheme have encouraged many providers of midwifery care to review their organisation of care and several initiatives have been developed which are more woman-centred. These initiatives were mainly based on the team approach to midwifery care, which according to the evidence of Wraight and colleagues (1993) has had variable success.
In Chalmers I, Enkin M, Keirse MJNC (eds) Effective care in pregnancy and childbirth: Oxford University Press, Oxford Grant J 1990 Nutrition and hydration in labour. In Alexander J, Levy V, Roch S (eds) Intrapartum care: a research-based approach (Midwifery Practice Vol 2). Macmillan, Basingstoke Green JM, Coupland VA, Kitzinger JV 1990 Expectations,experiences and psychological outcomes of childbirth: a prospective study of 825 women. Birth 17: 15-24 Hall J 1993 Power games in midwifery. Midwives Chronicle 106(1269): 375 Hauxwell B, Tanner S 1994 Developing an integrated midwifery service.
When a woman is admitted to hospital in labour, regardless of how homely the room is made to look, she may still feel alienated by the environment. For example, the simple act of 32 · Aspects of Midwifery Practice placing a name band on her wrist reduces her autonomy (Hall 1993). Other activities, such as asking the woman to undress on admission, or performing a vaginal examination when there is a lack of privacy (Flint 1984; Garforth & Garcia 1989) would further give the feeling of loss of control.