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Midwifery Today Issue Number 82 (Summer 2007) Trends vs. Traditions
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Theme: Trends vs. Traditions

Both trends and traditions can be important in birth; yet they may conflict with each other. Some may even be harmful. This issue of Midwifery Today focuses on some of those trends and traditions, and sorting the good from the bad or unnecessary.

Articles in this issue include:

  • Midwifery Model of Care: Childbirth Education—Shifting the Paradigm, by Jodilyn Owen. The author encourages midwives, doulas and childbirth educators to reconsider how they are educating women and families about birth. She poses a model that encourages them to question and think, and become their own experts.
  • Marion’s Message: Too Many/Not Enough Cesareans. The US cesarean rate is now at almost 1/3 of births and increasing. Other countries are showing the same trend. Marion discusses what to consider when determining what the rate should be.
  • Enduring Qualities of Midwifery, by Elizabeth Davis. “Respect for nature, for the physiology of birth, is the cornerstone of our midwifery tradition.” Educator and midwife Elizabeth Davis discusses the differences between midwives and obstetricians, current trends and ages-old traditions, remarking on how much midwives have to contribute to the future of birth.
  • Bullying: The Target, by Marinah Valenzuela Farrell. Part III of a four part series, this article focuses on the target of the bully and the effects on her, including PTSD.
  • Management or Care? by Judy Slome Cohain. Midwives, with their focus on the caring rather than management, can help to prevent an overly-medicalized birth outcome. Frequent contributor Judy Slome Cohain contrasts the story of birth that was published in a popular magazine with how it might have been had the mother been cared for by a midwife.
  • Save Time and Effort and Make More Money—with Electronic Communication, by Sheri Menelli. In this continuing series, Sheri Menelli tells readers how to use electronic newsletters to build a clientele and inform current customers.
  • Trends vs. Traditions, by Jill Cohen. Associate Editor Jill Cohen talks about the need to balance trends and traditions.
  • Challenges and Rewards of Life as an Apprentice, by Christa Bartley. What can a midwifery apprentice expect from this experience? Christa Bartley captures the range of experiences and emotions that occur during this time.
  • Healing Honey, by Cheryl K. Smith. Did you know that honey was used for healing wounds before penicillin was discovered? Read about how and why this traditional medicine has become a trend in certain parts of the world.
  • Trends versus Tradition in Cesarean Surgery: Effects on Midwifery Practice and Cesarean Mothers’ Future Pregnancies, by Ina May Gaskin. This well-known midwife revisits the data on single-layer suturing after c-section.
  • Story of a VBAC Rupture, Carey Collins. The author describes her attempt at a VBAC after single-layer suturing.
  • Chlorhexidine as an Alternative Treatment for Prevention of Group B Streptococcal Disease, by Shelie Ross. We know that giving neonates antibiotics can lead to later health problems, but on balance we may have to do so anyway. This article proposes an alternative to antibiotics for preventing GBS in these babies.
  • Go Tell It: Using Media to Educate about Birth, by Sharon Craig. Proponents of medicalized birth have made their case, in part, through use of the mainstream media. Freelance writer and midwife Sharon Craig discusses various ways that midwifery proponents can do the same, using a variety of examples.
  • Mobilizing Global Midwives: The Story of Baby Elisha, by Kristen Benoit. Midwifery skills are needed the world around. This birth story, which takes place in the Philippines, describes how midwives can help with high-risk births and obtain positive outcomes.
  • Insurance and British Midwifery: The End of Independent Midwifery in the UK? by Tricia Anderson. Midwifery in the UK is in a crisis. Tricia Anderson, and independent midwife, discusses the current situation and offers some solutions.

View complete Table of Contents here.


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