The Experts below are selected from a list of 327 Experts worldwide ranked by ideXlab platform
Caroline S.e. Homer - One of the best experts on this subject based on the ideXlab platform.
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Media Representations of Breech Birth: A Prospective Analysis of Web-Based News Reports
Journal of midwifery & women's health, 2017Co-Authors: Karolina Petrovska, Athena Sheehan, Caroline S.e. HomerAbstract:Introduction Recent research has demonstrated that the media presentation of childBirth is highly medicalized, often portraying Birth as risky and dramatic. Media representation of Breech presentation and Birth is unexplored in this context. This study aimed to explore the content and tone of news media reports relating to Breech presentation and Breech Birth. Methods Google alerts were created using the terms Breech and Breech Birth in online English-language news sites over a 3-year period from January 1, 2013, to December 31, 2015. Alerts were received daily and filed for analysis, and data were analyzed to generate themes. Results A total of 138 web-based news reports were gathered from 9 countries. Five themes that arose from the data included the problem of Breech presentation, the high drama of vaginal Breech Birth, the safe option of cesarean Birth versus dangers of vaginal Breech Birth, the defiant mother versus the saintly mother, and vaginal Breech Birth and medical misadventure. Discussion Media reports in this study predominantly demonstrated negative views toward Breech presentation and vaginal Breech Birth. Cesarean Birth was portrayed as the safe option for Breech Birth, while vaginal Breech Birth was associated with poor outcomes. Media presentations may impact decision making about mode of Birth for pregnant women with a Breech fetus. Health care providers can play an important role in balancing the media depiction of planned vaginal Breech Birth by providing nonjudgmental, evidence-based information to such women to facilitate informed decision making for Birth.
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how do social discourses of risk impact on women s choices for vaginal Breech Birth a qualitative study of women s experiences
Health Risk & Society, 2017Co-Authors: Karolina Petrovska, Nicole Watts, Andrew Bisits, Athena Sheehan, Caroline S.e. HomerAbstract:In this article, we aim to explore the impact of social discourses of risk around childBirth on the decisions made for Birth by women who planned to have a Breech baby late in pregnancy. This article uses data from a qualitative descriptive study in New South Wales, Australia in 2013. In the study, we talked to 22 women about their decision-making process for planned a vaginal Breech Birth and the impact of social discourses of risk on this decision. In total, 12 of these women had a vaginal Birth and the other 10 had a Caesarean section. In this article, we note that the mothers talked about their option for Birth in a social setting in which the dominant discourse focused on the riskiness of Breech Birth and the vulnerability of female bodies that required medical surveillance, supervision and intervention to ensure a safe Birth. Thus, for these mothers their pregnancy was seen through the societal lens of risk and medicalisation, with surgical intervention through a Caesarean section seen by society as...
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‘Stress, anger, fear and injustice’: An international qualitative survey of women's experiences planning a vaginal Breech Birth
Midwifery, 2016Co-Authors: Karolina Petrovska, Nicole Watts, Christine Catling, Andrew Bisits, Caroline S.e. HomerAbstract:Abstract Objective the outcomes of the Term Breech Trial had a profound impact on women's options for Breech Birth, with caesarean section now seen as the default method for managing Breech Birth by many clinicians. Despite this, the demand for planned vaginal Breech Birth from women does exist. This study aimed to examine the experiences of women who sought a vaginal Breech Birth to increase understanding as to how to care for women seeking this Birth option. Design an electronic survey was distributed to women online via social media. The survey consisted of qualitative and quantitative questions, with the qualitative data being the focus of this paper. Open ended questions sought information on the ways in which woman sourced a clinician skilled in vaginal Breech Birth and the level of support and quality of information provided from clinicians regarding vaginal Breech Birth. Thematic analysis was used to analyse and code the qualitative data into major themes. Findings in total, 204 women from over seven countries responded to the survey. Written responses to the open ended questions were categorised into seven themes: Seeking the chance to try for a VBB; Encountering coercion and fear; Putting the Birth before the baby?; Dealing with emotional wounds; Searching for information and support; Traveling across boundaries; Overcoming obstacles in the system. Key conclusions for women seeking vaginal Breech Birth, limited system and clinical support can impede access to balanced information and options for care. Recognition of existing evidence on the safety of vaginal Breech Birth, as well as the presence of clinical guidelines that support it, may assist in promoting vaginal Breech Birth as a legitimate option that should be available to women.
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How do social discourses of risk impact on women’s choices for vaginal Breech Birth? A qualitative study of women’s experiences
Health Risk & Society, 2016Co-Authors: Karolina Petrovska, Nicole Watts, Andrew Bisits, Athena Sheehan, Caroline S.e. HomerAbstract:In this article, we aim to explore the impact of social discourses of risk around childBirth on the decisions made for Birth by women who planned to have a Breech baby late in pregnancy. This article uses data from a qualitative descriptive study in New South Wales, Australia in 2013. In the study, we talked to 22 women about their decision-making process for planned a vaginal Breech Birth and the impact of social discourses of risk on this decision. In total, 12 of these women had a vaginal Birth and the other 10 had a Caesarean section. In this article, we note that the mothers talked about their option for Birth in a social setting in which the dominant discourse focused on the riskiness of Breech Birth and the vulnerability of female bodies that required medical surveillance, supervision and intervention to ensure a safe Birth. Thus, for these mothers their pregnancy was seen through the societal lens of risk and medicalisation, with surgical intervention through a Caesarean section seen by society as...
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The fact and the fiction: A prospective study of internet forum discussions on vaginal Breech Birth.
Women and birth : journal of the Australian College of Midwives, 2016Co-Authors: Karolina Petrovska, Athena Sheehan, Caroline S.e. HomerAbstract:Abstract Background Women with a Breech baby late in pregnancy may use the internet to gather information to assist in decision-making for Birth. The aim of this study was to examine how women use English language internet discussion forums to find out information about vaginal Breech Birth and to increase understanding of how vaginal Breech Birth is perceived among women. Method A descriptive qualitative study of internet discussion forums was undertaken. Google alerts were created with the search terms “Breech Birth” and “Breech”. Alerts were collected for a one-year period (January 2013–December 2013). The content of forum discussions was analysed using thematic analysis. Results A total of 50 forum discussions containing 382 comments were collected. Themes that arose from the data were: Testing the waters — which way should I go ?; Losing hope for the chance of a normal Birth ; Seeking support for options — who will listen to me ?; Considering vaginal Breech Birth — a risky choice ?; Staying on the ‘ safe side ’— caesarean section as a guarantee ; Exploring the positive potential for vaginal Breech Birth . Conclusion Women search online for information about vaginal Breech Birth in an attempt to come to a place in their decision-making where they feel comfortable with their Birth plan. This study highlights the need for clinicians to provide comprehensive, unbiased information on the risks and benefits of all options for Breech Birth to facilitate informed decision-making for the woman. This will contribute to improving the woman’s confidence in distinguishing between “the fact and the fiction” of Breech Birth discussions online.
Karolina Petrovska - One of the best experts on this subject based on the ideXlab platform.
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Media Representations of Breech Birth: A Prospective Analysis of Web-Based News Reports
Journal of midwifery & women's health, 2017Co-Authors: Karolina Petrovska, Athena Sheehan, Caroline S.e. HomerAbstract:Introduction Recent research has demonstrated that the media presentation of childBirth is highly medicalized, often portraying Birth as risky and dramatic. Media representation of Breech presentation and Birth is unexplored in this context. This study aimed to explore the content and tone of news media reports relating to Breech presentation and Breech Birth. Methods Google alerts were created using the terms Breech and Breech Birth in online English-language news sites over a 3-year period from January 1, 2013, to December 31, 2015. Alerts were received daily and filed for analysis, and data were analyzed to generate themes. Results A total of 138 web-based news reports were gathered from 9 countries. Five themes that arose from the data included the problem of Breech presentation, the high drama of vaginal Breech Birth, the safe option of cesarean Birth versus dangers of vaginal Breech Birth, the defiant mother versus the saintly mother, and vaginal Breech Birth and medical misadventure. Discussion Media reports in this study predominantly demonstrated negative views toward Breech presentation and vaginal Breech Birth. Cesarean Birth was portrayed as the safe option for Breech Birth, while vaginal Breech Birth was associated with poor outcomes. Media presentations may impact decision making about mode of Birth for pregnant women with a Breech fetus. Health care providers can play an important role in balancing the media depiction of planned vaginal Breech Birth by providing nonjudgmental, evidence-based information to such women to facilitate informed decision making for Birth.
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how do social discourses of risk impact on women s choices for vaginal Breech Birth a qualitative study of women s experiences
Health Risk & Society, 2017Co-Authors: Karolina Petrovska, Nicole Watts, Andrew Bisits, Athena Sheehan, Caroline S.e. HomerAbstract:In this article, we aim to explore the impact of social discourses of risk around childBirth on the decisions made for Birth by women who planned to have a Breech baby late in pregnancy. This article uses data from a qualitative descriptive study in New South Wales, Australia in 2013. In the study, we talked to 22 women about their decision-making process for planned a vaginal Breech Birth and the impact of social discourses of risk on this decision. In total, 12 of these women had a vaginal Birth and the other 10 had a Caesarean section. In this article, we note that the mothers talked about their option for Birth in a social setting in which the dominant discourse focused on the riskiness of Breech Birth and the vulnerability of female bodies that required medical surveillance, supervision and intervention to ensure a safe Birth. Thus, for these mothers their pregnancy was seen through the societal lens of risk and medicalisation, with surgical intervention through a Caesarean section seen by society as...
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‘Stress, anger, fear and injustice’: An international qualitative survey of women's experiences planning a vaginal Breech Birth
Midwifery, 2016Co-Authors: Karolina Petrovska, Nicole Watts, Christine Catling, Andrew Bisits, Caroline S.e. HomerAbstract:Abstract Objective the outcomes of the Term Breech Trial had a profound impact on women's options for Breech Birth, with caesarean section now seen as the default method for managing Breech Birth by many clinicians. Despite this, the demand for planned vaginal Breech Birth from women does exist. This study aimed to examine the experiences of women who sought a vaginal Breech Birth to increase understanding as to how to care for women seeking this Birth option. Design an electronic survey was distributed to women online via social media. The survey consisted of qualitative and quantitative questions, with the qualitative data being the focus of this paper. Open ended questions sought information on the ways in which woman sourced a clinician skilled in vaginal Breech Birth and the level of support and quality of information provided from clinicians regarding vaginal Breech Birth. Thematic analysis was used to analyse and code the qualitative data into major themes. Findings in total, 204 women from over seven countries responded to the survey. Written responses to the open ended questions were categorised into seven themes: Seeking the chance to try for a VBB; Encountering coercion and fear; Putting the Birth before the baby?; Dealing with emotional wounds; Searching for information and support; Traveling across boundaries; Overcoming obstacles in the system. Key conclusions for women seeking vaginal Breech Birth, limited system and clinical support can impede access to balanced information and options for care. Recognition of existing evidence on the safety of vaginal Breech Birth, as well as the presence of clinical guidelines that support it, may assist in promoting vaginal Breech Birth as a legitimate option that should be available to women.
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How do social discourses of risk impact on women’s choices for vaginal Breech Birth? A qualitative study of women’s experiences
Health Risk & Society, 2016Co-Authors: Karolina Petrovska, Nicole Watts, Andrew Bisits, Athena Sheehan, Caroline S.e. HomerAbstract:In this article, we aim to explore the impact of social discourses of risk around childBirth on the decisions made for Birth by women who planned to have a Breech baby late in pregnancy. This article uses data from a qualitative descriptive study in New South Wales, Australia in 2013. In the study, we talked to 22 women about their decision-making process for planned a vaginal Breech Birth and the impact of social discourses of risk on this decision. In total, 12 of these women had a vaginal Birth and the other 10 had a Caesarean section. In this article, we note that the mothers talked about their option for Birth in a social setting in which the dominant discourse focused on the riskiness of Breech Birth and the vulnerability of female bodies that required medical surveillance, supervision and intervention to ensure a safe Birth. Thus, for these mothers their pregnancy was seen through the societal lens of risk and medicalisation, with surgical intervention through a Caesarean section seen by society as...
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The fact and the fiction: A prospective study of internet forum discussions on vaginal Breech Birth.
Women and birth : journal of the Australian College of Midwives, 2016Co-Authors: Karolina Petrovska, Athena Sheehan, Caroline S.e. HomerAbstract:Abstract Background Women with a Breech baby late in pregnancy may use the internet to gather information to assist in decision-making for Birth. The aim of this study was to examine how women use English language internet discussion forums to find out information about vaginal Breech Birth and to increase understanding of how vaginal Breech Birth is perceived among women. Method A descriptive qualitative study of internet discussion forums was undertaken. Google alerts were created with the search terms “Breech Birth” and “Breech”. Alerts were collected for a one-year period (January 2013–December 2013). The content of forum discussions was analysed using thematic analysis. Results A total of 50 forum discussions containing 382 comments were collected. Themes that arose from the data were: Testing the waters — which way should I go ?; Losing hope for the chance of a normal Birth ; Seeking support for options — who will listen to me ?; Considering vaginal Breech Birth — a risky choice ?; Staying on the ‘ safe side ’— caesarean section as a guarantee ; Exploring the positive potential for vaginal Breech Birth . Conclusion Women search online for information about vaginal Breech Birth in an attempt to come to a place in their decision-making where they feel comfortable with their Birth plan. This study highlights the need for clinicians to provide comprehensive, unbiased information on the risks and benefits of all options for Breech Birth to facilitate informed decision-making for the woman. This will contribute to improving the woman’s confidence in distinguishing between “the fact and the fiction” of Breech Birth discussions online.
Andrew Bisits - One of the best experts on this subject based on the ideXlab platform.
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how do social discourses of risk impact on women s choices for vaginal Breech Birth a qualitative study of women s experiences
Health Risk & Society, 2017Co-Authors: Karolina Petrovska, Nicole Watts, Andrew Bisits, Athena Sheehan, Caroline S.e. HomerAbstract:In this article, we aim to explore the impact of social discourses of risk around childBirth on the decisions made for Birth by women who planned to have a Breech baby late in pregnancy. This article uses data from a qualitative descriptive study in New South Wales, Australia in 2013. In the study, we talked to 22 women about their decision-making process for planned a vaginal Breech Birth and the impact of social discourses of risk on this decision. In total, 12 of these women had a vaginal Birth and the other 10 had a Caesarean section. In this article, we note that the mothers talked about their option for Birth in a social setting in which the dominant discourse focused on the riskiness of Breech Birth and the vulnerability of female bodies that required medical surveillance, supervision and intervention to ensure a safe Birth. Thus, for these mothers their pregnancy was seen through the societal lens of risk and medicalisation, with surgical intervention through a Caesarean section seen by society as...
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‘Stress, anger, fear and injustice’: An international qualitative survey of women's experiences planning a vaginal Breech Birth
Midwifery, 2016Co-Authors: Karolina Petrovska, Nicole Watts, Christine Catling, Andrew Bisits, Caroline S.e. HomerAbstract:Abstract Objective the outcomes of the Term Breech Trial had a profound impact on women's options for Breech Birth, with caesarean section now seen as the default method for managing Breech Birth by many clinicians. Despite this, the demand for planned vaginal Breech Birth from women does exist. This study aimed to examine the experiences of women who sought a vaginal Breech Birth to increase understanding as to how to care for women seeking this Birth option. Design an electronic survey was distributed to women online via social media. The survey consisted of qualitative and quantitative questions, with the qualitative data being the focus of this paper. Open ended questions sought information on the ways in which woman sourced a clinician skilled in vaginal Breech Birth and the level of support and quality of information provided from clinicians regarding vaginal Breech Birth. Thematic analysis was used to analyse and code the qualitative data into major themes. Findings in total, 204 women from over seven countries responded to the survey. Written responses to the open ended questions were categorised into seven themes: Seeking the chance to try for a VBB; Encountering coercion and fear; Putting the Birth before the baby?; Dealing with emotional wounds; Searching for information and support; Traveling across boundaries; Overcoming obstacles in the system. Key conclusions for women seeking vaginal Breech Birth, limited system and clinical support can impede access to balanced information and options for care. Recognition of existing evidence on the safety of vaginal Breech Birth, as well as the presence of clinical guidelines that support it, may assist in promoting vaginal Breech Birth as a legitimate option that should be available to women.
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How do social discourses of risk impact on women’s choices for vaginal Breech Birth? A qualitative study of women’s experiences
Health Risk & Society, 2016Co-Authors: Karolina Petrovska, Nicole Watts, Andrew Bisits, Athena Sheehan, Caroline S.e. HomerAbstract:In this article, we aim to explore the impact of social discourses of risk around childBirth on the decisions made for Birth by women who planned to have a Breech baby late in pregnancy. This article uses data from a qualitative descriptive study in New South Wales, Australia in 2013. In the study, we talked to 22 women about their decision-making process for planned a vaginal Breech Birth and the impact of social discourses of risk on this decision. In total, 12 of these women had a vaginal Birth and the other 10 had a Caesarean section. In this article, we note that the mothers talked about their option for Birth in a social setting in which the dominant discourse focused on the riskiness of Breech Birth and the vulnerability of female bodies that required medical surveillance, supervision and intervention to ensure a safe Birth. Thus, for these mothers their pregnancy was seen through the societal lens of risk and medicalisation, with surgical intervention through a Caesarean section seen by society as...
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This baby is not for turning: Women’s experiences of attempted external cephalic version
BMC pregnancy and childbirth, 2016Co-Authors: Nicole Watts, Karolina Petrovska, Christine Catling, Andrew Bisits, Caroline S.e. HomerAbstract:Background Existing studies regarding women’s experiences surrounding an External Cephalic Version (ECV) report on women who have a persistent Breech post ECV and give Birth by caesarean section, or on women who had successful ECVs and plan for a vaginal Birth. There is a paucity of understanding about the experience of women who attempt an ECV then plan a vaginal Breech Birth when their baby remains Breech. The aim of this study was to examine women’s experience of an ECV which resulted in a persistent Breech presentation.
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Supporting Women Planning a Vaginal Breech Birth: An International Survey.
Birth (Berkeley Calif.), 2016Co-Authors: Karolina Petrovska, Nicole Watts, Christine Catling, Andrew Bisits, Caroline S.e. HomerAbstract:Objective The aim of this study was to explore the experiences of women who planned a vaginal Breech Birth. Method An online survey was developed consisting of questions regarding women's experiences surrounding planned vaginal Breech Birth. The survey was distributed between April 2014 and January 2015 to closed membership Facebook groups that had a consumer focus on vaginal Breech Birth. Results In total, 204 unique responses to the survey were obtained from women who had sought the option of a vaginal Breech Birth in a previous pregnancy. Most women (80.8%) stated that they were happy with the Birth choices they made, and a significant proportion (89.4%) would attempt a vaginal Breech Birth in subsequent pregnancies. Less than half of women were formally referred to a clinician skilled in vaginal Breech Birth when their baby was diagnosed Breech (41.8%), while the remainder sourced a clinician themselves. Half of the women felt supported by their care provider (56.7%) and less than half (42.3%) felt supported by family and friends. Conclusion The women who responded to this international survey sought the option of a vaginal Breech Birth, were subsequently happy with this decision, and would attempt a vaginal Breech Birth in their next pregnancy. Access to vaginal Breech Birth is important for some women; however, this choice may be challenging to achieve. Consistent information and support from clinicians is important to assist decision-making.
Shawn Walker - One of the best experts on this subject based on the ideXlab platform.
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Face-to-pubes rotational maneuver for bilateral nuchal arms in a vaginal Breech Birth, resolved in an upright maternal position: A case report
Birth (Berkeley Calif.), 2020Co-Authors: Shawn Walker, Emma SpillaneAbstract:Background A physiological Breech Birth is one in which the woman is encouraged to remain active throughout her labor and able to assume the position of her choice for the Birth. Use of this strategy within the United Kingdom National Health Service has led to the use of innovative maneuvers to relieve obstruction when women give Birth in upright positions, for example, kneeling or standing. This includes use of the face-to-pubes rotational maneuver to relieve extended nuchal arm(s). In this paper, we report a case where the face-to-pubes rotational maneuver was used to relieve bilateral nuchal arm entrapment in a Breech Birth. Methods Single-case study. We aimed to generate an in-depth understanding of how this maneuver works and how professionals decide to use it by exploring its use in a real-life context. Results The face-to-pubes rotational maneuver appears to be an effective method of relieving nuchal arm entrapment when used by experienced hands. In cases of bilateral nuchal arm entrapment, elevation to a higher station may be necessary to dis-impact the arms above the pelvic inlet before the fetus can be rotated. After face-to-pubes rotation and release of arms, the head should be realigned in an occiput anterior position for delivery. Conclusion The face-to-pubes rotational maneuver can be taught for resolution of nuchal arms in an upright position. Parents should be informed of the availability or not of a specialist midwife trained in physiological Breech Birth, as this may be important to their decision-making.
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Practical insight into upright Breech Birth from Birth videos: A structured analysis.
Birth (Berkeley Calif.), 2020Co-Authors: Anke Reitter, Alexandra Halliday, Shawn WalkerAbstract:Background We aimed to identify common features of upright vaginal Breech Births with good outcomes to refine a physiological approach to teaching Breech Birth. Methods We performed a structured analysis of 42 videos of successful upright Breech Births (eg, kneeling, hand/knees), facilitated by obstetricians (n = 34) and midwives (n = 8) in nine different countries. Precise timings and relevant clinical details were recorded on an Excel spreadsheet. Each video was analyzed twice by at least two members of the research team. Time-to-event intervals, frequencies of interventions, and descriptive statistics were calculated using SPSS. Results A completely spontaneous (labor mechanisms and maternal effort only) Birth occurred in 14/42 (33%) cases. The median time between the Birth of the fetal pelvis and the head in all Births was 1:52 (IQR 1:05,2:46; min:sec). Lack of spontaneous rotation to a sacro-anterior position by the time the fetus had emerged to the nipple line was strongly associated with fetal arm entrapment. The following maneuvers were used: shoulder press to flex the aftercoming head in midpelvis or outlet (n = 24), sweeping down arm/s (n = 12), buttock lift to assist shoulder press (n = 6), modified Mauriceau (n = 6), rotational maneuvers to release an entrapped arm (n = 6), elevate and rotate fetal head to assist engagement (n = 2), and conversion into supine maternal position (n = 2). Conclusions Most upright Breech Births occur within 3 minutes of the Birth of the fetal pelvis. Upright Breech Birth attendants use variations of traditional maneuvers. We introduce a physiological Breech algorithm as an initial timekeeping framework for teaching, research, and practice.
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response to vaginal Birth in Breech presentation in morbidly obese woman
Journal of Obstetrics and Gynaecology, 2019Co-Authors: Shawn WalkerAbstract:Sir,Stefanovic et al.’s 2018 report of their common sense, obstetrically-skilled management of a Breech Birth is helpful. The authors describe the risks associated with a caesarean section in labou...
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expertise in physiological Breech Birth a mixed methods study
Birth-issues in Perinatal Care, 2018Co-Authors: Shawn Walker, Pam Parker, Mandie ScamellAbstract:Background The safety of vaginal Breech Birth depends on the expertise of Birth attendants, yet the meaning of “expertise” remains unclear and subjectively defined. The objective of this study was to define expertise and the roles experts may play in expanding access to this service. Methods We performed an integrative analysis of two strands of data concerning expertise in physiological Breech Birth, including the following: survey data from a Delphi study involving 26 very experienced clinicians (mean experience = 135 Breech Births) and 2 service user representatives, and interviews from a grounded theory study of 14 clinicians more moderately experienced with physiological methods (5-30 upright Breech Births). Data were pooled and analyzed using constant comparative methods. Results Expertise is defined by its ongoing function, the generation of comparatively good outcomes, and confidence and competence among colleagues. Although clinical experience is important, expertise is developed and expressed in social clinical roles, which expand as experience grows: clinician, mentor, specialist, and expert. To develop expertise within a service, clinicians who have an interest in Breech Birth should be supported to perform these roles within specialist teams. Conclusions Specialist Breech teams may facilitate the development of expertise within maternity care settings. Evaluation of expertise based on enablement of women and colleagues, as well as outcomes, will potentially avoid the pitfalls of alienation produced by some forms of specialist authority.
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Expertise in physiological Breech Birth: A mixed‐methods study
Birth (Berkeley Calif.), 2017Co-Authors: Shawn Walker, Pam Parker, Mandie ScamellAbstract:Background The safety of vaginal Breech Birth depends on the expertise of Birth attendants, yet the meaning of “expertise” remains unclear and subjectively defined. The objective of this study was to define expertise and the roles experts may play in expanding access to this service. Methods We performed an integrative analysis of two strands of data concerning expertise in physiological Breech Birth, including the following: survey data from a Delphi study involving 26 very experienced clinicians (mean experience = 135 Breech Births) and 2 service user representatives, and interviews from a grounded theory study of 14 clinicians more moderately experienced with physiological methods (5-30 upright Breech Births). Data were pooled and analyzed using constant comparative methods. Results Expertise is defined by its ongoing function, the generation of comparatively good outcomes, and confidence and competence among colleagues. Although clinical experience is important, expertise is developed and expressed in social clinical roles, which expand as experience grows: clinician, mentor, specialist, and expert. To develop expertise within a service, clinicians who have an interest in Breech Birth should be supported to perform these roles within specialist teams. Conclusions Specialist Breech teams may facilitate the development of expertise within maternity care settings. Evaluation of expertise based on enablement of women and colleagues, as well as outcomes, will potentially avoid the pitfalls of alienation produced by some forms of specialist authority.
Nicole Watts - One of the best experts on this subject based on the ideXlab platform.
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how do social discourses of risk impact on women s choices for vaginal Breech Birth a qualitative study of women s experiences
Health Risk & Society, 2017Co-Authors: Karolina Petrovska, Nicole Watts, Andrew Bisits, Athena Sheehan, Caroline S.e. HomerAbstract:In this article, we aim to explore the impact of social discourses of risk around childBirth on the decisions made for Birth by women who planned to have a Breech baby late in pregnancy. This article uses data from a qualitative descriptive study in New South Wales, Australia in 2013. In the study, we talked to 22 women about their decision-making process for planned a vaginal Breech Birth and the impact of social discourses of risk on this decision. In total, 12 of these women had a vaginal Birth and the other 10 had a Caesarean section. In this article, we note that the mothers talked about their option for Birth in a social setting in which the dominant discourse focused on the riskiness of Breech Birth and the vulnerability of female bodies that required medical surveillance, supervision and intervention to ensure a safe Birth. Thus, for these mothers their pregnancy was seen through the societal lens of risk and medicalisation, with surgical intervention through a Caesarean section seen by society as...
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‘Stress, anger, fear and injustice’: An international qualitative survey of women's experiences planning a vaginal Breech Birth
Midwifery, 2016Co-Authors: Karolina Petrovska, Nicole Watts, Christine Catling, Andrew Bisits, Caroline S.e. HomerAbstract:Abstract Objective the outcomes of the Term Breech Trial had a profound impact on women's options for Breech Birth, with caesarean section now seen as the default method for managing Breech Birth by many clinicians. Despite this, the demand for planned vaginal Breech Birth from women does exist. This study aimed to examine the experiences of women who sought a vaginal Breech Birth to increase understanding as to how to care for women seeking this Birth option. Design an electronic survey was distributed to women online via social media. The survey consisted of qualitative and quantitative questions, with the qualitative data being the focus of this paper. Open ended questions sought information on the ways in which woman sourced a clinician skilled in vaginal Breech Birth and the level of support and quality of information provided from clinicians regarding vaginal Breech Birth. Thematic analysis was used to analyse and code the qualitative data into major themes. Findings in total, 204 women from over seven countries responded to the survey. Written responses to the open ended questions were categorised into seven themes: Seeking the chance to try for a VBB; Encountering coercion and fear; Putting the Birth before the baby?; Dealing with emotional wounds; Searching for information and support; Traveling across boundaries; Overcoming obstacles in the system. Key conclusions for women seeking vaginal Breech Birth, limited system and clinical support can impede access to balanced information and options for care. Recognition of existing evidence on the safety of vaginal Breech Birth, as well as the presence of clinical guidelines that support it, may assist in promoting vaginal Breech Birth as a legitimate option that should be available to women.
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How do social discourses of risk impact on women’s choices for vaginal Breech Birth? A qualitative study of women’s experiences
Health Risk & Society, 2016Co-Authors: Karolina Petrovska, Nicole Watts, Andrew Bisits, Athena Sheehan, Caroline S.e. HomerAbstract:In this article, we aim to explore the impact of social discourses of risk around childBirth on the decisions made for Birth by women who planned to have a Breech baby late in pregnancy. This article uses data from a qualitative descriptive study in New South Wales, Australia in 2013. In the study, we talked to 22 women about their decision-making process for planned a vaginal Breech Birth and the impact of social discourses of risk on this decision. In total, 12 of these women had a vaginal Birth and the other 10 had a Caesarean section. In this article, we note that the mothers talked about their option for Birth in a social setting in which the dominant discourse focused on the riskiness of Breech Birth and the vulnerability of female bodies that required medical surveillance, supervision and intervention to ensure a safe Birth. Thus, for these mothers their pregnancy was seen through the societal lens of risk and medicalisation, with surgical intervention through a Caesarean section seen by society as...
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This baby is not for turning: Women’s experiences of attempted external cephalic version
BMC pregnancy and childbirth, 2016Co-Authors: Nicole Watts, Karolina Petrovska, Christine Catling, Andrew Bisits, Caroline S.e. HomerAbstract:Background Existing studies regarding women’s experiences surrounding an External Cephalic Version (ECV) report on women who have a persistent Breech post ECV and give Birth by caesarean section, or on women who had successful ECVs and plan for a vaginal Birth. There is a paucity of understanding about the experience of women who attempt an ECV then plan a vaginal Breech Birth when their baby remains Breech. The aim of this study was to examine women’s experience of an ECV which resulted in a persistent Breech presentation.
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Supporting Women Planning a Vaginal Breech Birth: An International Survey.
Birth (Berkeley Calif.), 2016Co-Authors: Karolina Petrovska, Nicole Watts, Christine Catling, Andrew Bisits, Caroline S.e. HomerAbstract:Objective The aim of this study was to explore the experiences of women who planned a vaginal Breech Birth. Method An online survey was developed consisting of questions regarding women's experiences surrounding planned vaginal Breech Birth. The survey was distributed between April 2014 and January 2015 to closed membership Facebook groups that had a consumer focus on vaginal Breech Birth. Results In total, 204 unique responses to the survey were obtained from women who had sought the option of a vaginal Breech Birth in a previous pregnancy. Most women (80.8%) stated that they were happy with the Birth choices they made, and a significant proportion (89.4%) would attempt a vaginal Breech Birth in subsequent pregnancies. Less than half of women were formally referred to a clinician skilled in vaginal Breech Birth when their baby was diagnosed Breech (41.8%), while the remainder sourced a clinician themselves. Half of the women felt supported by their care provider (56.7%) and less than half (42.3%) felt supported by family and friends. Conclusion The women who responded to this international survey sought the option of a vaginal Breech Birth, were subsequently happy with this decision, and would attempt a vaginal Breech Birth in their next pregnancy. Access to vaginal Breech Birth is important for some women; however, this choice may be challenging to achieve. Consistent information and support from clinicians is important to assist decision-making.