The aim of the study is to determine the needs of pregnant women of midwifery care and the level of confidence in independent midwifery practices. Midwives have competence to monitor normal pregnancy. The need to improve the access of pregnant women to health care is underlined in the National Health Strategy (2014-2020). In addition, some practical advice is given for heath professionals to use when monitoring the weight gain of pregnant women in their care. This paper will review recent evidence relating gestational weight gain and maternal outcomes such as the burden of postpartum obesity and the risk of caesarean section. at the antenatal booking appointment, which is primarily undertaken for the interpretation of screening tests. Health professionals such as GPs, midwives and obstetricians have a responsibility to monitor normal pregnancy, yet typically in the UK, women are weighed only once i.e. Unlike the USA, the UK does not have clinical. Many women retrospectively attribute the onset of their obesity to pregnancy, yet research in this area has yielded conflicting evidence. By 1998, the prevalence of obesity had increased to 21 per cent and there is no sign that this upward trend is moderating. In 1980, 8 per cent of women in the UK were classified as obese (body mass index over 30). In addition, midwives should inform families and pregnant women about the use of emergency medical services and the relevant procedures. Pregnant women should be informed about the causes of antenatal bleeding, what to do in the case of bleeding, and the need to seek health care as soon as possible. Access to health services and health institutions themselves do not cause any delay in terms of provision of emergency obstetric care to pregnant women with antenatal bleeding. high level of education, lack of health insurance, receiving antenatal care, nuclear family structure and knowledge of the danger signs during pregnancy were found to affect the use of emergency obstetric care services among pregnant women with antenatal bleeding.ĭelays in seeking emergency obstetric care among pregnant women with antenatal bleeding are due to the difficulties faced by women when deciding whether or not to seek health care. Mersin Maternity and Child Hospital, Mersin, Turkey.ġ25 pregnant women who had been admitted to the emergency department for antenatal bleeding.Īdvanced age. To investigate the factors that affect the use of emergency obstetric care services among pregnant women in Turkey with antenatal bleeding. The participants also reported receiving more approval from spouse/significant other and friends, were more likely to use “gut instinct” and previous experience or habit to make pregnancy decisions, and were more ready to make these decisions than were women who had not selected a midwife as their primary birth attendant. more in control over the birth attendant decision, more satisfied about their delivery decisions, more in control of and satisfied with pain medication decisions, more autonomous in their pregnancy decision making, and more in agreement with “alternative birth” philosophies and less in agreement with “conventional birth” philosophies. Women who selected a midwife reported feeling more knowledgeable about birth attendants. There were few differences between those women who did and did not consider a midwife. In this article, the focus is on the choice of birth attendant. Eighty-eight women from diverse educational backgrounds were interviewed as they made several important and related life decisions during their pregnancies.
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