Evidence Course

28-03-2008

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Evidence Course Details

Evidence-Based Care for Normal Labour & Birth

The Course

The course runs from 9.30 am - 4.30 pm on both days.  The course fee includes a comprehensive handbook, including all sides, references and notes, refreshments and certificate of attendance. Please bring your own lunch or be prepared to buy lunch nearby. Group numbers will be limited to 40 participants

Reasons Why to Attend

  • Bang up-to-date evidence covering selected aspects of normal labour & birth.
  • Re-establishes the importance of normal birth physiology within an increasingly medicalised birthing culture.
  • Proven strategies to assist change in practice are provided.
  • Opportunity to reflect on your birthing practice & share ideas with fellow midwives.
  • NZ Midwifery Council Approved Educational Provider.

Feedback from Midwives

  • 'the best study days I’ve been on’
  • 'course leader is a gifted communicator'
  • ‘excellent for getting you up-to-date’
  • ‘I believe in normal birth again’
  • ‘challenges conventional practice on several fronts’
  • ‘should be compulsory for all midwives & doctors’
  • ‘great opportunity to appraise my practice’
  • ‘thought provoking’
  • ‘Denis is a practising midwife and it shows’
  • ‘Evidence book is brilliant’
  • ‘inspirational’
Aims & Objectives
  • Broaden understanding of ‘Evidence-Based Practice’ away from just quantitative research.
  • Obtain up-to-date evidence in key clinical areas of care during normal labour and birth
  • Convert evidence into ‘Practice Recommendations’ that can be applied to clinical practice.
  • Examine notion of midwifery-led care, autonomous decision-making and partnership.
  • Explore the idea of ‘reclaiming normality’.
The Programme - Day One
9.30 Introduction to the Course
- learning outcomes - types of evidence
- beliefs & values - models of care
10.00 Environment for Birth
- place of birth, (home, birth centres)
- significance of birth ambience
- important of birth philosophy
- relational aspects of care
10.50 Group Work & Feedback
- environment for birth
11.35 Coffee
11.50 Rhythms in Labour (1st Stage)
- history and context of ‘progress mindset’
- new understanding of birth hormones
- variations as physiology not pathology
- skills for labour support
- subverting assembly-line birth
12.35 Group Work & Feedback
- rhythms in labour (1st stage)
13.15 Lunch (please bring packed lunch)
14.00 New Perspectives on Pain & Labour
- ‘working with pain’ model
- ‘natural’ approaches
- complementary therapies
- sensory methods
- parmacological agents
15.00 Group Work & Feedback
- pain & labour
15.30 Coffee
15.45 Posture & Movement
- evidence from anthropology & archaeology
- evidence from common sense & physiology
- evidence from research
16.15 Close
The Programme - Day Two
9.30 Rhythms in Labour (2nd Stage)
- medicalisation of 2nd stage
- physiology and pushing
- physiology and time
- psychology and 2nd stage
- empowering care
10.10 Group Work & Feedback
- posture & movement
- rhythms in labour (2nd stage)
11.00 Coffee
11.15 Care of the Perineum & Pelvic Floor
- skills supporting the perineum
- vaginal birth and effects on the pelvic floor
- to suture or not to suture
- suture material and method
12.00 Group Work & Feedback
- care of perineum and pelvic floor
12.30 Lunch (please bring packed lunch)
13.10 Rhythms in Labour (3rd Stage)
- medicalisation of 3rd stage
- research evidence and context
- rehabilitating physiology of 3rd stage
- the significance of the 1st hour after birth
13.50 Helping Clinicians to Change Practice
- what works and doesn’t work
- identifying barriers to change
- strategies to overcome barriers
- example of midwifery-led audit
14.50 Group Work & Feedback
- rhythms 3rd stage
- personal and unit review of practice
15.20 Video
15.50 Evaluation
16.10 Certificates and Close

 

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This site was last updated 27/3/2008