Marsden Wagner and Murrey Enkin et al
'Logically, the abnormal cannot be identified without a clear scientific definition of the variations of normal. Obstetrics lacks this because the risk concept implies that all pregnancy and birth is risky and therefore no pregnancy or birth can be considered normal until it is over. In other words one cannot claim both the ability to separate normal and abnormal during pregnancy and the inability to determine normality until after birth. The wide variation which occurs in the healthy experience of childbirth is too large for a single, uniform definition of "normality", which can be used to define "abnormality"'
Marsden Wagner (1994)
Pursuing the Birth Machine:
The search for appropriate birth technology,
On Achieving Normality
'...many hospitals have allocated scarce resources towards renovating their labor wards, to provide more attractive, home-like settings for birth. Such settings are undoubtedly attractive, and also provide more pleasant work environments for caregivers. It is quite possible that happier caregivers may provide better care. Nevertheless, hospitals that are considering renovations of their labor wards should be aware that there is much stronger evidence to support the need for changes in caregivers' behavior than there is to support the need for cosmetic or structural changes to labor wards. If renovations are desired, they should be geared towards factors that would encourage changes in behavior, such as removing lithotomy poles and replacing uncomfortable delivery beds with comfortable furniture and cushions.
'Efforts to change caregivers' behavior to help them to provide appropriate support to laboring women should also be introduced. Such changes do not come easily. A multicentered trial of a marketing strategy using opinion leaders to encourage nurses to provide labor support did not have the hoped for outcome. A follow-up study in those hospitals where the hypothesized improvements did occur showed that a highly involved nurse manager was critical to its success.'
Murray Enkin et al (2000)
A guide to effective care in pregnancy and childbirth,
Oxford University Press
AIMS Journal, 2020, Vol 32, No 3 By Shane Ridley AIMS Trustee I decided to read through the 1970s , starting with the Quarterly Newsletter for September 1970 which was ty…Read more
AIMS Journal, 2020, Vol 32, No 3 by Dorothy Brassington AIMS Trustee and Treasurer It has been fascinating to read the early newsletters and discover exactly what AIMS wa…Read more
AIMS Journal, 2020, Vol 32, No 3 by Verina Henchy AIMS Trustee I was delighted to hear that the theme for this Journal is to look back over a 60 year history of maternity…Read more
POSTPONED FROM JUNE 2020 Making a difference past and future The purpose of the day is to celebrate what Birth Activists in general and AIMS in particular have achieved,…Read more
Chair: Professor Soo Downe, University of Central Lancashire Dr Gloria Esegbona, OBGYN and Winston Churchill Fellow 2015 Kings College Learning Institute Dr Gloria Esegbo…Read more
Registration for the NICE Annual Conference 2020 will open on 22 January 2020. For more details and to register your interest, please visit http://www.niceconference.org.…Read more
AIMS' evidence to the Health and Social Care Select Committee - Safety of Maternitys Services in England In July 2020, the UK Parliament's Health and Social Care Select C…Read more
A prioritisation framework for care in response to COVID-19 Version 2.1: Published Friday 26 June 2020 AIMS has welcomed the RCOG document Restoration and Recovery: prior…Read more
AIMS' evidence to the Health and Social Care Select Committee On April 22, the UK Parliament's Health and Social Care Select Committee opened an inquiry into the plannin…Read more