Midwives Exclusive Guideline Development Project
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Christél Jordaan, M Cur, RN, RM, R Ed, R Adm; Joanita de Kock, M Cur, RN, R Adv Midw, R Ed, R Adm
- Sigma Affiliation
- Tau Lambda at-Large
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Anecdotal evidence suggests that private midwifery is becoming more popular in South Africa. Midwives Exclusive is a midwifery practice in Pretoria with the philosophy of offering women-centered maternity care. Women-centered, holistic care can only be carried out if there is good collaboration between midwives and medical specialists when needed (Heatly & Kruske, 2011:54).
In the interest of evidence based practice and to improve doctor-midwife collaboration the team from Midwives Exclusive chose to appraise and update the practice’s clinical guidelines. ‘Prelabour rupture of membranes at term’ was chosen as the first topic. The midwives identified mutual concern in the correct management thereof.
The team reviewed current evidence and discussed how to implement it within the practice’s scope and circumstances. The AGREE instrument (The AGREE collaboration, 2001) was used to review the practice’s existing guideline. The Ontario Midwives’ (2010) guideline on pre-labour rupture of membranes at term was the main source for the updated guideline.
A draft of the updated guideline was reviewed by referral obstetricians in the private and public sectors as well as by a pediatrician. Through this process midwife-doctor relationships were strengthened.
The new guideline was appraised by the team using the AGREE instrument. Where the previous guideline scored 60%, the new guideline scored 96%. An audit form was developed to assess each pre-labour rupture of membranes case against the guideline requirements and criteria. Any deviation from the guideline requirements, if applicable, would be explained and outcomes for mothers and infants would be assessed.
Type | Poster |
Acquisition | Proxy-submission |
Review Type | Faculty/Mentor Approved: Sigma Academy Participant Presentation |
Format | Text-based Document |
Evidence Level | Clinical Practice Guideline(s) |
Research Approach | Translational Research/Evidence-based Practice |
Keywords | Maternal-child Health; Nurse Leadership; Africa; Rupture of Membranes |
Name | Chi Xi at-Large Chapter First Biennial Conference Swaziland |
Host | Chi Xi at-Large Chapter |
Location | Royal Swazi Convention Center, Exulwini Valley, Lobamba, Swaziland |
Date | 2017 |
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