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Quality Education for a Healthier Scotland ‘Measuring the quantity and quality of intrapartum midwifery support: the development and testing of a new systematic.

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Presentation on theme: "Quality Education for a Healthier Scotland ‘Measuring the quantity and quality of intrapartum midwifery support: the development and testing of a new systematic."— Presentation transcript:

1 Quality Education for a Healthier Scotland ‘Measuring the quantity and quality of intrapartum midwifery support: the development and testing of a new systematic observation instrument’ Dr Mary Ross-Davie Educational Project Manager NHS Education for Scotland Nursing, Midwifery and Allied Health Professions Research Unit

2 Quality Education for a Healthier Scotland What women say they want The Ingredients Presence of nurse/midwife Helped to feel in control Feeling cared for as an individual Praise and encouragement Help with breathing and relaxation Being treated with respect Being kept informed Being involved in decisions Being treated with respect Smiling, building of rapport Listening, positive regard Soft tone, calm voice Friendly, open and gentle Lesser and Keane 1956, Shields 1978, Tarkka and Paunonen 1996, Bowers 2002, Tumblin 2001, Miltner 2000, Matthew and Callister 2003, Watkins 1998, Goodman et al 2004, Lundgren 2005, Newburn and Singh 2005, Larkin and Begley 2009

3 Quality Education for a Healthier Scotland

4 What kind of support is provided? Did the SMILI measure it?

5 Quality Education for a Healthier Scotland Quantitative descriptive results: Proportion midwife out of room

6 Quality Education for a Healthier Scotland Quantitative descriptive results: Quantity of emotional support behaviours

7 Quality Education for a Healthier Scotland

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10 Relationship between women’s views and SMILI data VariableLow scoring midwives (n=7) % Overall study mean (n=49) % High scoring midwives (n=32) % Proportion midwife of room Neutral professional demeanour Lack of attentiveness Negative behaviours Emotional Support Rapport building Informational support Physical support Partner support Non-support direct care Assessment

11 Quality Education for a Healthier Scotland Does the midwife make a difference? The ‘SMILI’ study Statistically significant correlations: The proportion of time the midwife was out of the room and the type of birth The longer the midwife was out of the room the more likely the woman was to have an operative delivery

12 Quality Education for a Healthier Scotland Does the midwife make a difference? The ‘SMILI’ study Statistically significant correlations: The more emotional support given by the midwife the more likely the woman was to have a vaginal birth Where emotional support was recorded less than the study average, women 2x as likely to have a forceps or ventouse


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