Choice in intrapartum care

Article Abstract:

Midwives in the United Kingdom do not always offer pregnant women the required range of options for intrapartum care because of their own lack of self-confidence. Women must receive sufficient information in order to make a choice on where to give birth, with 99% of women still opting to have their babies in hospitals even though hospital births are apparently not as safe as widely believed. Some midwives fail to provide adequate information because their employers' policies contradict the wishes of the pregnant woman, but some observers claim the clients' needs should be considered paramount.

Evaluation, Practice, Midwives, Maternal health services

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Do visitors cause a problem in the labour suite?

Article Abstract:

Women in labour want to have friends and relatives with them, but nursing staff are occasionally subjected to uncooperative and abusive behaviour by the visitors. Most women questioned believed the number of visitors should be restricted to two or three to reduce the risk of conflict. Nursing staff are not always consistent in enforcing this requirement, however, and they must treat abusive visitors more assertively. Fifty one incidents were recorded at one hospital during March 1993-August 1994 of threats to security by visitors, invasion of the mother-to-be's privacy and abusive behaviour.

Management, Statistics, Hospitals, Gynecologic and obstetric, Gynecologic and obstetric hospitals, Violence in hospitals, Hospital violence

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Sexual abuse and motherhood

Article Abstract:

It is believed that up to 36% of British women could have been sexually abused in childhood and pregnancy often prompts a reawakening of painful memories. Some women react by denying the existence of a foetus and may neglect the health of their unborn child. Pregnant women who have experienced sexual abuse in childhood need a special kind of care from health professionals.

Psychological aspects, Health aspects, Pregnancy, Child sexual abuse

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