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Labor and birth care by nurse with midwifery skills in Brazil

When I first began to search for scholarly articles this article sounded interesting since it

was not about the nursing care and nurse-midwife care that we give in the united states. The whole

purpose of the research that was done for this scholarly article was to see if nurse/ nurse-midwives

helped with good practices in labor and birth and if the nurse/nurse-midwives decreased the

amount of unnecessary interventions such as cesarean sections. The study consisted of 23,894

postpartum women and the study was from February 2011 to October 2012, in 266 healthcare

settings. The first sampling stage consisted of hospitals with 500 or more births per year and was

mainly based on location and type of hospital. In the second sampling, they interviewed 90

postnatal Women in the hospital. In the third sampling, there was postpartum women themselves.

In the first phase they have one-on-one interviews with postpartum women then they extracted

data from those women’s charts and also their newborns. They assessed everything that had to do

with with the obstetric care for the patients to see if there was a correlation. The study showed that

16.2 percent of births had the assistance of a nurse/nurse-midwife. Of the 16.2 percent of births

that used a nurse/nurse-midwife those births seemed to be the most successful ones, with the least

amount of interventions. The results were that when assisted by nurse/ nurse-midwives the

procedure went more smoothly and less interventions were needed. I learned a lot from this article

and it showed me that in some countries nurse/nurse-midwives in labor and birth are still

developing growing more popular due to the proven fact that they help to make labor and delivery

run much more smoothly. Nurse/ nurse-midwives in the future will be very helpful in the labor

and delivery process for physicians.

Space, place and the midwife: Exploring the relationship between the birth environment,

neurobiology and midwifery practice


In this article they begin by explaining the background which says that midwives are

influenced by the place and space that they work in. The article also states that oxytocin release is

one of the neurobiological responses that is based on the environment. In today’s world they use

imaging technology to understand the responses from space and place that cause the change in

hormonal and chemical signals sent by the brain and other body systems. The article then goes on

to explain space and place based on what famous philosophers say. The article states that the two

concepts are the socio-spatial and geometric views of space. Sociologist Thomas Gieryn identified

three features that signify place: geographic location, material form and investment with meaning

and value. Soja said that space is always filled with social, political and ideological meaning. The

article says that Christine Jonas-Simpson did some research on the theories of these philosophers

and agreed with them and then begun to tie it in with midwifery care. Birth and midwifery practice

happen, like all other human activity, in a particular place located in space, which we refer to as

the birth environment. The role of a midwife can be challenging because environments differ.

When the physical environment does not support the professional, psychological and social needs

of staff there may be negative feedback from midwife and hospital staff. A good midwife is very

knowledgeable, able to work through anything and a warm, loving person. Oxytocin plays a big

part in the midwife's job. It may affect the patient's brain, heart, uterus and gastrointestinal tract.

The article goes on to state that good midwifery care is based on trusting social relationships and

providing emotionally sensitive care. The article concludes that birth environment may play a

direct role in providing quality midwifery care since it helps to trigger the release of oxytocin. The

article states that oxytocin and a good relationship along with a good environment are the keys to

successful midwife’s.
Works Cited

Gama, S. d., Viellas, E. F., Torres, J. A., Bastos, M. H., Brüggemann, O. M., Filha, M. T., & ...

Leal, M. C. (2016). Labor and birth care by nurse with midwifery skills in Brazil. Reproductive

Health, 13226-233. doi:10.1186/s12978-016-0236-7


Elsevier. (2013). Space, place, and the midwife: Exploring the relationship between the birth

environment, neurobiology and midwifery practice. Women and Birth. Pages 277-281.

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