Guilty until proven innocent? – The Assumption of Care of a baby at birth

BackgroundThis paper provides an overview of the history of child protection, the associated law and the 2008 amendments to the Child and Young Persons (Care and Protection) Act 1998 in relation to the Assumption of Care at birth Practice.ObjectiveTo explore the current practice of an Assumption of Care (AOC) where a newborn baby is removed from his/her mother at the time of birth, particularly focussing on the impact of the AOC on midwives.DiscussionAssumption of Care practices in NSW raise significant issues for midwives in relation to the midwifery codes of ethics and conduct and importantly, to their ability to work in ways that honour a “woman-centred care” philosophy. When midwives are exposed to conflict between workplace and personal or professional values such as the practice of AOC cognitive dissonance can occur.ConclusionsFurther research is required to understand the impact of current Assumption of Care. Broader research to not only look at effect on the midwife but also on other health professionals involved and the women who personally experience the removal of their baby at the time of birth. Consideration must also be given to ways of working with vulnerable families to enhance the acceptability and efficacy of maternity services and with associated agencies will decrease the need for Assumption of Care at birth.     

Refusal of recommended maternity care: Time to make a pact with women?

Background

The right to refuse medical treatment can be contentious in maternity care. Professional guidance for midwives and obstetricians emphasises informed consent and respect for patient autonomy, but there is little guidance available to clinicians about the appropriate clinical responses when women decline recommended care.

Demographic transition in sub-Saharan Africa: How big will the economic dividend be?

In mid-demographic-transition, many Asian countries enjoyed a large demographic ‘dividend’: extra economic growth owing to falling dependant/workforce ratios, or slower natural increase, or both. We estimate the dividend, 1985–2025, in sub-Saharan Africa and its populous countries. Dependency and natural increase peaked around 1985, 20 years after Asia. The UN projects an acceleration of the subsequent slow falls but disregards slowish declines in young-age mortality and thus, we argue, overestimates future fertility decline. Even if one accepts their projection, arithmetical and econometric evidence suggests an annual, if not total, dividend well below Asia's. The dividend arises more from falling dependency than reduced natural increase, and could be increased by accelerating the fertility decline (e.g., by reducing young-age mortality) or by employing a larger workforce productively. Any dividend from transition apart, low saving in much of Africa (unlike Asia) means that, given likely natural increase, current consumption per person is unsustainable because it depletes capital per person.     

What do you say to a lifer?

Right-to-life groups are highly organized, sophisticated, well financed, and have the will to make abortion the sole issue in many future elections. They have an advantage in emotional appeal and numbers of active supporters in the conflict with prochoice groups. Most Americans believe abortion is a private matter between a woman and her doctor, but few base their entire moral code on the belief as the right-to-lifers do. Examples of possible responses to lifer rhetoric are given.     

Has a discipline come of age when it can boast several competing dictionaries?

The authors review three recently published reference works in demography: the International Encyclopedia of Population, edited by John A. Ross; the Dictionary of Demography, by Roland Pressat, edited by Christopher Wilson; and the Dictionary of Demography: Terms, Concepts, and Institutions, by William and Renee Petersen. They also consider what the publication of such works tells us about the development of demography as a discipline.     

Population Measures of Subjective Wellbeing: How Useful are they?

This article focuses on the contributions and, importantly, the limitations of subjective wellbeing (happiness/satisfaction) measures as indicators of broad population wellbeing and societal functioning. The popular practice of comparing happiness among countries gives a skewed view of how well their people are faring. Charting trends over time in happiness and mental health gives contradictory pictures of population wellbeing; even the responses to different questions within the same survey can yield very different findings. Asking people about their own lives and about social conditions produces contrasting results. These issues challenge the orthodox model of human development, which places Western liberal democracies at its leading edge. According to an alternative, psychosocial-dynamics, model, some, at least, may be societies in decline. Reconciling these views is no simple matter.     

How well can we track cohabitation using the SIPP? A consideration of direct and inferred measures

Cohabitation is an alternative to marriage and to living independently for an increasing number of Americans. Still, research that explores links between living arrangements and economic behavior is limited by a lack of data that explicitly identify cohabiting couples. To aid researchers in using the Survey of Income and Program Participation's (SIPP) rich data to explore cohabitation issues, we consider direct and inferred measures of cohabitation. We find, first, that the use of inferred definitions (relative to direct measures) in the SIPP is likely to yield higher cohabitation rates in the United States by incorrectly coding roommates as cohabitors. Second, the SIPP (whether by direct or inferred measures) counts a significantly larger number of cohabiting couples than the widely used Current Population Survey (CPS). Third, spells of cohabitation occur less frequently and last longer when a direct measure of cohabitation is used than when either of the two inferred measures of cohabitation is used; ours is the first article to reveal this result.     

Will you be at the Southern Demographic Association Conference in 2005?

Call for Submissions

Will you be at the Southern Demographic Association Conference in 2005?     

Maternal mortality: What can we learn from stories of postpartum haemorrhage?

Death from pregnancy is rare in developed countries such as Australia but is still common in third world and developing countries. The investigation of each maternal death yields valuable information and lessons that all health care providers involved with the care of women can learn from. The aim of these investigations is to prevent future maternal morbidity and mortality.Obstetric haemorrhage remains a leading cause of maternal death internationally. It is the most common cause of death in developing countries. In Australia and the United Kingdom, obstetric haemorrhage is ranked as the 4th and 3rd most common cause of direct maternal death respectively. In a number of cases there are readily identifiable factors associated with the care that the women received that may have contributed to their death. It is from these identifiable factors that both midwives and doctors can learn to help prevent similar episodes from occurring.This article will identify some of the lessons that can be learnt from the recent Australian and UK maternal death reports. This paper presents an overview of the process and systems for the reporting of maternal death in Australia. It will then specifically focus on obstetric haemorrhage, with a focus on postpartum haemorrhage, for the 12-year period, 1994–2005. Vignettes from the maternal mortality reports in Australia and the United Kingdom are used to highlight the important lessons for providers of maternity care.