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Lay midwives and obstetricians: Alte...

Jungblom, Rita M. H.

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Lay midwives and obstetricians: Alternative models of care and postpartum psychological adjustment.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Lay midwives and obstetricians: Alternative models of care and postpartum psychological adjustment./
Author:	Jungblom, Rita M. H.
Description:	82 p.
Notes:	Adviser: Brenda Nash.
Contained By:	Dissertation Abstracts International64-01B.
Subject:	Health Sciences, Obstetrics and Gynecology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3078807
ISBN:	0493999132

Lay midwives and obstetricians: Alternative models of care and postpartum psychological adjustment.
Jungblom, Rita M. H.

Lay midwives and obstetricians: Alternative models of care and postpartum psychological adjustment. - 82 p.

Adviser: Brenda Nash.

Thesis (Psy.D.)--Spalding University, 2003.

Barriers to prenatal and postpartum healthcare in the United States include the escalating cost of healthcare, the inability of the working poor to afford insurance, and the restricted ability of women to choose alternative types of healthcare providers. Historically, women received prenatal and postpartum care from midwives; however, midwifery is now illegal or effectively restricted in a number of states. Most women today receive these types of services from obstetricians, who have been trained in the medical model as opposed to lay midwives, who have been trained in the midwifery model. Obstetricians and midwives tend to differ in ideology and practice. The purpose of this study was to examine how these differences effect postpartum psychological adjustment. The sample consisted of 25 women receiving care from midwives and 27 women receiving care from obstetricians. The Edinburgh Postnatal Depression Scale was administered before and after childbirth to measure depression. It was hypothesized that the midwife group would report fewer depressive symptoms than the obstetrician group because midwives tend to advocate more for social support, provide more education, and develop closer relationships with the mothers-to-be. Contrary to expectation, the midwife group did not significantly differ from the obstetrician group with regard to postpartum depression. However, qualitative and quantitative data indicated that the midwife group experienced better relationships with their healthcare providers and received significantly more education and social support. Possible explanations and limitations of this study are discussed.

ISBN: 0493999132Subjects--Topical Terms:

1020690
Health Sciences, Obstetrics and Gynecology.

Lay midwives and obstetricians: Alternative models of care and postpartum psychological adjustment.
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100 1 $a Jungblom, Rita M. H. $3 1261692
245 1 0 $a Lay midwives and obstetricians: Alternative models of care and postpartum psychological adjustment.
300 $a 82 p.
500 $a Adviser: Brenda Nash.
500 $a Source: Dissertation Abstracts International, Volume: 64-01, Section: B, page: 0423.
502 $a Thesis (Psy.D.)--Spalding University, 2003.
520 $a Barriers to prenatal and postpartum healthcare in the United States include the escalating cost of healthcare, the inability of the working poor to afford insurance, and the restricted ability of women to choose alternative types of healthcare providers. Historically, women received prenatal and postpartum care from midwives; however, midwifery is now illegal or effectively restricted in a number of states. Most women today receive these types of services from obstetricians, who have been trained in the medical model as opposed to lay midwives, who have been trained in the midwifery model. Obstetricians and midwives tend to differ in ideology and practice. The purpose of this study was to examine how these differences effect postpartum psychological adjustment. The sample consisted of 25 women receiving care from midwives and 27 women receiving care from obstetricians. The Edinburgh Postnatal Depression Scale was administered before and after childbirth to measure depression. It was hypothesized that the midwife group would report fewer depressive symptoms than the obstetrician group because midwives tend to advocate more for social support, provide more education, and develop closer relationships with the mothers-to-be. Contrary to expectation, the midwife group did not significantly differ from the obstetrician group with regard to postpartum depression. However, qualitative and quantitative data indicated that the midwife group experienced better relationships with their healthcare providers and received significantly more education and social support. Possible explanations and limitations of this study are discussed.
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650 4 $a Psychology, Clinical. $3 524864
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773 0 $t Dissertation Abstracts International $g 64-01B.
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856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3078807