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ARTICLE OF THE MONTH Guideline-centred care or woman-centred care? A debate and discussion
Midwifery practice, care giving and women’s subsequent experiences of birth are often implicitly or explicitly governed by the guidelines, which can be a source of tension for both midwives and women. This article will discuss key issues, such as the conflation of policies, protocols and guidelines, the impact on midwifery practice and the historical and cultural context of the development of guidelines to generate a discussion in which midwifery practice can move beyond a ‘guideline-centred’ approach.
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Immediate care of the healthy term neonate
All neonates have significant adaptations to make during labour, birth and in the immediate postnatal period as they respond to extra-uterine life. Healthy, term babies are well equipped to respond to the normal processes and stresses of labour, birth and life outside the womb (RCM 2012). Optimal adaptation is influenced by the care-giver as babies are unable to sustain themselves independently. As such, understanding the immediate care needs of the healthy newborn is an important part of the midwifery role.Read more
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