A Critical Review of Case Loading in Midwifery Practice and Leadership

This report provides a critical review of case loading as a model of midwifery practice. It begins with an introduction to midwifery and its core values, emphasizing the importance of providing effective and high-quality care to women during pregnancy, labor, and the postnatal period. The report then delves into the evidence supporting and challenging the case loading model, highlighting the benefits of continuity of care and the role of midwives in providing comprehensive services. The discussion includes challenges such as the need for effective communication between midwives and physicians, and the importance of considering the needs of women. Furthermore, the report explores the qualities of a midwife as a leader of a case loading holding team, emphasizing the importance of communication skills, delegation, integrity, learning agility, and self-awareness. It also underscores the significance of leadership qualities like social justice, passion, vision, values, and courage. The report concludes by reiterating the essential leadership qualities for midwives, including care, competence, compassion, commitment, communication, and courage, all of which are vital for facilitating changes and providing woman-centered maternity care.

A critical review of case loading as a model
of midwifery practice, exploring the
evidence base and leadership role of the
midwife
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INTRODUCTION...........................................................................................................................3
Critique of the evidence...................................................................................................................4
Qualities of the midwife as a leader of a caseload holding team.....................................................4
CONCLUSION................................................................................................................................6
REFERENCES................................................................................................................................7
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INTRODUCTION
Midwifery practice is mainly associated with a value that only mainly guides the manner in
which midwife provide significant care. They are most appropriate care providers in which they
attend women during the period of birth, pregnancy, labour and the post natal period. It has been
evaluated that a good job is basically accomplished when patient was provided with an effective
care. Main goal of midwifery care is to provide better professional services and high quality of
care (McKellar and et. al., 2020). It has been determined that midwife and nurses are one of the
most important and largest health workforce those who are closely providing their services to
patients and contribute their effort in delivering healthcare priorities. Nurses and midwife plays
most important role in public health care and effectively contributes their contribution in the
division of health system. Main motive of this practice involve practices in which effective care
as well as services is being provided. In United Kingdom midwifery status is higher compared to
other countries, they deliver excellent services with individualized care, safe and high quality in
every time and every woman. This country welcomes diversity without making any variation in
midwifery outcomes and standards. In terms with case loading it is termed as practice in which
every midwifery is being allocated with some certain number of case loads (women) to arrange
their working life around the need of case loading. This report is conducted to critically discuss
evidences that supports and challenges case loading as a model of midwifery care. In addition to
this detailed evaluation of evidence provided is also being included in this report. Lastly qualities
of midwife as leader of a case loading holding team and qualities of good leader discussion is
being done in this present reports in which key qualities which is essential to a midwife as a
leader is discussed.
Critique of the evidence
Challenges caseloading as a model of midwifery led care.
It has been identified that pregnant women is required to be interfere with number of
professionals during pregnancy and childbirth (The midwifery-led care model: a continuity of
care model in the birth path. 2019). However it has been underlined that from past many years
there was significant increase in pregnancy care which is basically conducted by the midwife as
they are considered as one of the best service operators those who are having right competencies
and skills and provide excellent service to every women. With the help of their contribution they
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effectively enhance hands outcome of maternal health. This analysis is conducted on the aim of
verifying effectiveness that supports the caseload midwifery care model, with the application of
this model in the birth path in Italy (Daniels, Gillen and Casson, 2020). In order to conduct this
analysis revision of literature is being done with the help of specific databases and search engine.
In addition to this it also involves W.H.O recommendation, the national guidelines and the
Italian regulation. It has been identified that midwife is reliable as well as effective caring
method through which high quality and Secure services is being provided to pregnant women not
only during the time of pregnancy but after period of pregnancy also. It has been identified that
there are number of improvement being made by Healthcare Organisation in order to enhance
quality of life of a child and the mother. midwife is the most prominent role in health care system
as in this midwife are associated with the role of providing high quality and safety services to the
women’s during pregnancy by assisting them with best professional skills. In addition to this it
has been identified that midwife professional also effectively contribute in providing
professional services related to improving both internal and nonmetal health. Thus, it is essential
to establish a good interaction or communication among midwife and physician in order to get
you an effective assistance plan (Greig, 2020). In addition to this that has been identified that the
recent popularity of the care model is basically conducted on therapeutic continuity that has been
raised from certain form of question related to the reliability of midwife caseload care model. It
has been underlined that one of the excellent examples is being provided by the Emilia Romagna
Region that effectively identifies the autonomy of midwife for taking charge of pregnant woman
at low risk and post birth. Midwife professionally conduct and organise the risk at prior stages
and take charge of childbirth pregnancy and child with efficient and professional skills.
According to this, the research summarise the continuity report in the literature in three different
levels. It has been identified that with the help of midwife effective care and support are being
provided to women that further lead towards significant reduction in medical procedure like
neonatal resuscitation, epidural, episiotomy and induction / acceleration of labor,. It has been
identified in welfare and organisational model in which childbirth under take place in low risk
level with the help of the services that are being offered by midwife through which women can
have efficient treatment during their pregnancy time. With the help and support of caseloading
safe services is being offered by midwife during pregnancy and childbirth enhances the
satisfaction level of consumers that allows midwife to maintain good balance between
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professional and personal life. However it still remains unclear if better to organise the patient
care offered by midwife in team care model. Thus, for this formative comparison among these
models can be useful it has been identified that Health Care managers are les tend towards
midwifery-led care model.
Present research analysis is being conducted on the objective of using midwife care
characteristics model in the world as well as in Iran and make investigation of its challenges
within country (Lewis, 2020). In order to conduct this research online data bases materials,
several websites, interpretation and search of every care model is being done. However the main
challenges faced at the time of application and designing of this care models in Iran. It has been
identified that boundary between midwife breaker models and care models in which is mainly
present in a significantly clear manner (Models for Providing Midwifery Care and its Challenges
in the Context of Iran. 2018). It has been identified that care model have been gone so certain
redefinition and transformation process that effectively change response to for women needs. It
has been identified that it Midwifery-led care models have certain set of advantages for both
babies and mothers who are served with high quality. Services provided to pregnant women are
of high quality. In addition to this according to the analysis it has been identified that large
number of women are highly satisfied with the services that are being provided by midwife.
Furthermore according to the analysis it has been identified that a significant reduction an
undesirable outcome for babies and mother that significantly provide empowerment of women.
Thus, in context with the analysis it has been identified that midwife care more is acting as one
of the most efficient way through which high quality services is being provided to women with
the choice of childbirth and delivery method. This is enhancing quality care system and
satisfaction of women in a well defined and effective manner. They are number of application of
midwifery care model is being done that enhance knowledge culture and believe of each region.
This model is becoming one of the most effective measures for constant protection and safety is
being provided to mother during childbirth.
According to the definition of international confederation of midwife it has been identified that
midwife is mainly defined as an individual who is authorised with this responsibility of midwife
free training up in the residential country divided services with the help of midwife free
profession under Global standards. It has been identified that responsibility is like postpartum
care, pregnancy, labour, and care of baby and woman is being performed by midwife. In addition
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to this it has been underlined that midwifes are not only having responsibility towards women
but they are also support society and family. According to the W. H. O midwifes are one of the
most efficient and suitable Healthcare service providers to women in natural labour. According
to the analysis it has been identified that with the efficient care and support of a midwife women
enjoyed companionship that helps them to have natural birth. Midwife free care model defined as
dealing with labour natural process, emotional, experience and provide care to for women in an
effective manner. In order to accomplish this research English and Persian paper about models
for midwifery care is actually examine, the entire international information database of the US,
National Library of medicine and other relevant websites. Thus, according to the analysis of this
research report have been identified that a midwifery care model must include efficient
characteristics like professional contribution for the role of midwife in order to provide
consistent care, skills, attitude special knowledge in order to conduct a device roles and
responsibility in an effective manner. The bounce back to maternity care benefits, a craving for
birthing assistant focused consideration model, and presentation of direct section into maternity
care programs [29] are all in accordance with thinking about the common limit of ladies for an
effective and mediation free work and adapting to medicalization of work [8].
Qualities of the midwife as a leader of a caseload holding team
Midwifery as a leader of a case holding team is significantly required to have some certain
form of characteristics that are efficient communication skills, ability to delegate, integrity and
aptitude, learning agility, influence and self-awareness. With the help of these qualities they can
effectively lead other individual and can provide them formative direction to accomplish
underlined goals and objectives with more effectiveness. It is essential for a midwife as a leader
to posses certain leadership qualities like a sense of social justice, passion, vision, values, and
courage and have integrity. These skills plays most important role for midwifery leadership, as it
effectively lead them to facilitate changes in order to provide women centred and high quality
maternity care (Macdonald and Etowa, 2020). In addition to this it has been identified that all
midwife it is required to possess a potential ability to support the woman in order to provide
effective care. Along with this, it is essential for a midwifery to have emotional as well as mental
strength which allow them to have a willingness to take responsibility and offer effective care. In
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order to be a good leader in midwifery it has been identified that midwifery is also required
having understanding attitude in order to provide high-quality services and care. It is essential for
a midwife leader to have certain values that are care, competence, compassion, commitment,
communication and courage (Lazzaro-Salazar, 2020). All these elements act as one of the most
important factors of their vision through which they can conduct their roles and responsibility in
a well defines and effective manner. Leadership is one of the most important elements for any
organisation and health care services are no different. It is essential for every individual who are
offering their services in Healthcare segment to have efficient leadership and as well as styles in
order to drive their services in an effective manner and reach towards end goals. It has been
identified that midwife practice requires proper examination and monitoring of pregnant woman,
exercising their requirements, write care plans, carry screen testing and provide emotional
support to women during their pregnancy period. Thus with the help of having leadership
qualities midwife practices can be conducted in a well defined and effective manner. It is
essential to be a good midwifery leader to communicate the vision with others while encouraging
them in an effective manner. With the help of skills, knowledge and expertise midwifery leader
can lead a team in an effective manner. In order to provide efficient care to women and babies it
is essential to have certain competencies in order to conduct clinical leadership role.
Thus, as per according to the above mentioned it has been identified that it is essential for
midwifery leader to effectively manage team. This can be done with the help of certain qualities
like having mission, impulsion, intelligence, trust, passion, charisma, passion and a deep
commitment to their belief. It is essential for a good midwifery leader to be trustworthy in order
to effectively encourage and inspire other midwife team members in order to effectively
accomplish midwife roles and responsibilities with full potential. With the help of these
leadership qualities efficient care can be provided to women’s in more efficient manner.
Leadership quality will effectively facilitate to conduct roles and responsibilities in a formative
manner with high competencies. It has been identified that with the help of transformational
leadership styles midwifery leaders can effectively encourage and influence other individual and
team. Midwife is one of the most important clinical role in which it is essential to have great
supervision of leaders (Darling, McCourt and Cartwright, 2020). Thus with the help of these
qualities midwifery leader can effectively accomplish their objectives at great extent and can
undertake necessary leadership potential in order to strengthen their roles and responsibilities
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effectiveness. With the help of these leadership qualities midwifery leaders can overcome
challenges that are arising from modernization of maternity service and can inspire and motivate
team in an effective manner. Different type of leadership skill will allow midwifery leaders to
cope up with change and enhance the effectiveness of their responsibilities by providing high
motivation within team. Thus, strong team working and effective communication skill allow
midwifery leaders to effectively maintain a vision to empower women and encourage their
knowledge on continuous basis in order to protect the safety of women and babies in their care.
CONCLUSION
As per the above mentioned report it has been identified that Midwifery involves services
and practices of delivering high quality maternity services with effective standards and strong
values of Health Service reforms. It has been identified that there are a number of reforms take
place in health service sector with an aim to enhance efficiency and improve quality, safety and
women experience that has been felt by them in every maternity service. Midwife involves
vision of providing individualized care and offer services to women. On addition to this it has
been underlined that Midwifery involves practices like providing necessary advice, support in
care to women during postpartum period, pregnancy and Labour time. They are also responsible
for the role of providing efficient care for the infant or new born by detecting early complications
in child and mother. With the help of efficient knowledge, skills of medical care midwife provide
number of high-quality services. Furthermore it has been identified that midwife act is being
enforced by UK legislations with an aim to protect the public and promote efficient high-quality
and standard practices to support this profession. Along with this it is essential for a good
advisory leader to conduct roles and responsibilities and guidance to other individual with value
in order to have high quality emphasize upon providing services to mother and baby. Midwife is
one of the most important roles that have been played by nurses and midwives in which they
provide high quality eternity care for women in a well-defined an effective manner. In addition
to this with help of different skills and efficiency midwife provide high quality care in which
they play most essential role in ensuring health of mother as well as baby.
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With the help of effective and qualitative midwife care along with high standards, values
and experience qualitative care and compassion towards providing efficient services to patient is
being offered through midwife role. However it has been underlined that there are certain
challenges case loading as a model of midwife Medicare that can be effectively overcome with
the help of improvement, proper training, efficient scale mix, strong standards and guidelines.
Midwife is most essential or crucial member of public health forces, as they effectively promote
and improve maternity outcomes and provide best quality care to patients. It enhances the
importance of this role as they effectively contribute in public health services that promote strong
work practices in a well defined and effective manner.
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REFERENCES
Books and Journals
McKellar, L and et. al., 2020. Midwifery-led care in South Australia: Looking back to move
forward. Women and Birth.
Darling, F., McCourt, C. and Cartwright, M., 2020. Facilitators and barriers to the
implementation of a physiological approach during labour and birth: A systematic review
and thematic synthesis. Midwifery, p.102861.
Macdonald, D. and Etowa, J., 2020. Experiences of and visions for collaboration between
midwives and nurses in Nova Scotia. Women and Birth.
Safari, K., McKenna, L. and Davis, J., 2020. Midwifery in Middle Eastern and North African
countries: A scoping review. Women and Birth.
Garti, I., Gray, M., Tan, J.Y. and Bromley, A., 2020. Midwives’ knowledge of pre-eclampsia
management: A scoping review. Women and Birth.
Higgins, A., Murphy, R., Downes, C., Varley, J., Begley, C. and Elliott, N., 2020. Factors
influencing the implementation of epilepsy specialist nurse role: using the consolidation
framework for implementation research. Journal of Clinical Nursing, 29(7-8), pp.1352-
1364.
Greig, Y., 2020. An exploration of midwifery practice viewed through a social constructionism
lens in order to gain an understanding of how midwives provide care to pregnant women
who are obese (Doctoral dissertation, Queen Margaret University, Edinburgh).
Lewis, M., 2020. Midwives' Experience of Providing Continuity of Care in a Pilot Project:
Findings of a Prospective Qualitative Research Study. International Journal of
Childbirth, 10(3), pp.151-161.
Lewis, M., 2020. Midwives’ Experience of Providing Continuity of Care in a Pilot Project.
Findings of a Prospective Qualitative Research Study. International Journal of
Childbirth.
Lazzaro-Salazar, M., 2020. Clinicians’ narratives in the era of evidence-based practice: A
sociolinguistic exploration of the role of narratives in staff meetings. Narrative Inquiry.
Mortensen, B., 2020. Making Midwifery Matter-The introduction of a Midwife-led Continuity
Model of care in occupied Palestine.
Daniels, N., Gillen, P. and Casson, K., 2020. Practitioner Engagement by Academic Researchers:
A Scoping Review of Nursing, Midwifery, and Therapy Professions Literature. Research
and Theory for Nursing Practice, 34(2), pp.85-128.
Samuel, A., 2020. Lead maternity care midwives' perspectives on the effect of severe perineal
trauma on their relationship with women.
Kilroy, S., Bosak, J., Flood, P.C. and Peccei, R., 2020. Time to recover: The moderating role of
psychological detachment in the link between perceptions of high-involvement work
practices and burnout. Journal of Business Research, 108, pp.52-61.
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The midwifery-led care model: a continuity of care model in the birth path. 2019. [Online].
Available through<https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6776178/>
Models for Providing Midwifery Care and its Challenges in the Context of Iran. 2018. [Online].
Availablethrough<http://hnmj.gums.ac.ir/browse.php?
a_id=940&slc_lang=en&sid=en&ftxt=1&html=1>
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