Volume 14 (2015)

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Facilitating the Implementation of Midwifery Services: The Case of Montérégie, Quebec

Nathalie Clavel, MSc, PhD(c); Caroline Paquet, MSc, PhD(c); and Régis Blais, PhD

ABSTRACT
Objectives: This study analyzed midwifery services implementation in one region (Montérégie) of Quebec. The objectives were to determine whether services were implemented as planned and to identify factors that facilitated or impeded implementation. The aspects studied included organizational components; types of midwifery services provided; levels of...

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Deconstructing Dissonance: Ontario Midwifery Clients Speak about Their Experiences of Testing Group B Streptococcus–Positive

Mary Sharpe, RM, PhD; Kristen Dennis, RM; Elizabeth C. Cates, RM, PhD; Sophia Kehler, BA; and Kory McGrath

ABSTRACT
Group B streptococcus (GBS) is a bacterium commonly found in the vaginal flora and is usually of no consequence to women. However, vertical transmission of GBS to the baby during pregnancy and/or birth can lead to GBS-associated disease, a leading...

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Chronic Pain Management in Pregnancy: A Review of the Literature

April Jankiewicz, RN, BHSc(Hon), Andrea Fielder BSc, PhD, and Jane Warland, RN, RM, PhD

ABSTRACT
Objective: This review summarizes current literature and explores issues involved in the management of pregnant women with chronic pain conditions. Methods: Articles in this review were selected through searches of Scopus, Cumulative Index of Nursing and Allied Health Literature (CINAHL), Cochrane Library, and MEDLINE...

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Assessing “Breaking Bad News” Communication Competency in Midwifery Students

Kathi Wilson, BA, BHSc, MSc (c)

ABSTRACT
The communication task of conveying difficult news to patients by health care providers, described in the literature as “breaking bad news,” is one that is often performed poorly. There is, at the same time, a relatively small amount of research in the health sciences education literature devoted to the assessment of this...

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Conceptualizing Woman-Centred Care in Midwifery

Lisa Morgan, RM, BSc, BHSc, MA, PhD(c)

ABSTRACT
Feminist values conceptualize health care service as a social relationship, and they approach the sharing of information as a self-help activity rather than one between experts and naïve recipients. Woman-centred care embraces these ideas and is a fundamental concept in midwifery, straddling both the biomedical model and feminist health care aspirations....

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