The Role of the Midwife in supporting women with Breech presentation Essay

The Role of the Midwife in supporting women with Breech presentation to have a safe vaginal delivery and the implications for practice - Essay Example As a result, without sufficient training and experience for obstetricians and midwives in managing vaginal breech births, the skills of these practitioners have been reduced. Based on this critical assessment of studies on vaginal breech births, it has been established that there are various factors affecting the incidence of vaginal breech births, lack of experience among birth attendants at the top of the list. Also, the fear of litigation is impacting on the conduct of vaginal breech births. These practitioners are also unwilling to risk the life of the infant by attempting to deliver these infants vaginally. However, as was mentioned, studies have not definitively indicated that caesarean deliveries are actually improving survival rates for breech infants. More studies in line with this research are needed in order to provide specific and definitive results which can be applied in the practice. This dissertation examines the decreasing use of vaginal breech deliveries, in the context of choice available to women, the experience and expertise of the responsible midwives and the trends toward preferential delivery by caesarean section. This dissertation will be based on the author’s perspective, available evidence and current practice and will further evaluate if the women’s choices with regards to delivery of the breech are significantly impacted by the deskilllling of midwives or by the actual risks of the procedure itself. Current practice, as supported by the NICE and RCOG Guidelines recommends the counselling of women on their possible options for delivery, emphasizing the risks involved in vaginal and caesarean births (Royal College of Obstetricians and Gynaecologists, 2006). Many obstetricians and midwives however have only ever experienced vaginal breech deliveries in a simulated environment, often making vaginal breech births riskier options for women (ROCG, 2006). Since practice is now

Organizational Misbehavior Essay Example | Topics and Well Written Essays - 2500 words

Organizational Misbehavior - Essay Example Nowadays organizations are clearly conscious that, "organizational ethical behavior will necessitate serious thought, at the board and executive level." (Armbrste 5) Prevalent organizational misbehavior and illegal activity have made the formation of an official ethics strategy an elevated priority for all enterprises, regardless of their size or structure. Many larger organizations have established a position for an Ethics Officer, and smaller organizations turn to consultants that specialize in ethical consultation. Such individuals provide the frontline of defense against moral decay in corporate America. Organisations are made up of individuals: This is because collectively a group can achieve far more than the equivalent number of individuals. Misbehaviour in organizations can be tricky for management to spot and correct, and as an end result, the cost to organizations can be high. ... The current research examines the causes of different types of misbehaviour, and makes suggestions for remedies and managerial practices that can help to reduce its occurrence and impact. The members of an organisation have their zones of comfort and agendas. The organisation has a specific mission; the management task is to ensure that these individual endeavors are aligned towards their organisation's purpose. Therefore an understanding of how individuals fit in to organisations, and the way in which organisations work is fundamental to the ability to manage. "Provided the recent misbehaviors in organizations that are all over the headlines, - - ImClone, Enron, WorldCom, and Tyco." (Aronwitz 13) The misbehaviour debate refuses to lie down or quietly fade into obscurity. It raises fundamental questions about the nature of social reality, the manner in which it is conceptualized and the theoretical means most appropriate in explaining the relationship between its constituent elements. In raising unavoidable, and difficult, questions about the nature of and link between "human activity and its social contexts" (Bacon & Story 2) , the misbehaviour debate forces students and members of organisation alike to confront a set of issues that defines irrevocably the constitution of the subject matter and the analytical and methodological terms. In general, this paper is rather optimistic about the nature of men and the possibilities to organize conforming and dutiful behaviour of employees. This undoubtedly is a reflection of our prosperous times and business successes, which marked the beginning of the new millennium. "Perhaps conforming to a certain political correctness" (Ball & Wilson 5), academics in organization studies, in addition, like to