Michaela Michel-Schuldt, Ph.D. | Hochschule Ludwigshafen am Rhein (original) (raw)

Papers by Michaela Michel-Schuldt, Ph.D.

Women and Birth, Aug 1, 2018

Table of key data. (XLSX 12 kb)

Hintergrund: In Deutschland soll jeder Schwangeren, Gebärenden und Wöchnerin die Hilfe einer Heba... more Hintergrund: In Deutschland soll jeder Schwangeren, Gebärenden und Wöchnerin die Hilfe einer Hebamme zugänglich gemacht werden. Dieser Versorgungsanspruch ist flächendeckend – wegen des Hebammenmangels - nicht mehr möglich. Verlässliche Zahlen gibt es bisher jedoch[zum vollständigen Text gelangen Sie über die oben angegebene URL]

Frontiers in Public Health, 2020

This paper discusses strategies to transfer research findings to professionals in maternity servi... more This paper discusses strategies to transfer research findings to professionals in maternity services.

European Journal of Public Health, 2018

BMC pregnancy and childbirth, Feb 20, 2018

In a post-2015 development agenda, achieving Universal Health Coverage (UHC) for women and newbor... more In a post-2015 development agenda, achieving Universal Health Coverage (UHC) for women and newborns will require a fit-for-purpose and fit-to-practice sexual, reproductive, maternal, adolescent and newborn health (SRMNAH) workforce. The aim of this paper is to explore barriers, challenges and solutions to the availability, accessibility, acceptability and quality (AAAQ) of SRMNAH services and workforce. The State of the World's Midwifery report 2014 used a broad definition of midwifery ("the health services and health workforce needed to support and care for women and newborns") and provided information about a wide range of SRMNAH workers, including doctors, midwives, nurses and auxiliaries. As part of the data collection, 36 out of the 73 participating low- and middle-income countries conducted a one-day workshop, involving a range of different stakeholders. Participants were asked to discuss barriers to the AAAQ of SRMNAH workers, and to suggest strategies for overc...

Midwifery, 2018

Maternal and newborn mortality remains high in Liberia. There is a severe rural-urban gap in acce... more Maternal and newborn mortality remains high in Liberia. There is a severe rural-urban gap in accessibility to health care services. A competent midwifery workforce is able to meet the needs of mothers and newborns. Evidence shows that competence can be assured through initial education along with continuous professional development (CPD). In the past, CPD was not regulated and coordinated in Liberia which is cpommon in the African region. To Support a competent regulated midwifery workforce through continuous professional development. A new CPD model was developed by the Liberian Board for Nursing and Midwifery. With its establishment, all midwives and nurses are required to undertake CPD programmes consisting of certified training and mentoring in order to renew their practicing license. The new model is being piloted in one county in which regular mentoring visits that include skills training are being conducted combined with the use of mobile learning applications addressing mate...

Birth, 2018

Despite decades of considerable economic investment in improving the health of families and newbo... more Despite decades of considerable economic investment in improving the health of families and newborns world‐wide, aspirations for maternal and newborn health have yet to be attained in many regions. The global turn toward recognizing the importance of positive experiences of pregnancy, intrapartum and postnatal care, and care in the first weeks of life, while continuing to work to minimize adverse outcomes, signals a critical change in the maternal and newborn health care conversation and research prioritization. This paper presents “different research questions” drawing on evidence presented in the 2014 Lancet Series on Midwifery and a research prioritization study conducted with the World Health Organization. The results indicated that future research investment in maternal and newborn health should be on “right care,” which is quality care that is tailored to individuals, weighs benefits and harms, is person‐centered, works across the whole continuum of care, advances equity, and ...

International journal for equity in health, May 3, 2017

The WHO African region, covering the majority of Sub-Saharan Africa, faces the highest rates of m... more The WHO African region, covering the majority of Sub-Saharan Africa, faces the highest rates of maternal and neonatal mortality in the world. This study uses data from the State of the World's Midwifery 2014 survey to cast a spotlight on the WHO African region, highlight the specific characteristics of its sexual, reproductive, maternal and newborn health (SRMNH) workforce and describe and compare countries' different trajectories in terms of meeting the population need for services. Using data from 41 African countries, this study used a mathematical model to estimate potential met need for SRMNH services, defined as "the percentage of a universal SRMNH package that could potentially be obtained by women and newborns given the composition, competencies and available working time of the SRMNH workforce." The model defined the 46 key interventions included in this universal SRMNH package and allocated them to the available health worker time and skill set in each co...

The Lancet Global Health, 2016

Asking diff erent questions: research priorities to improve the quality of care for every woman, ... more Asking diff erent questions: research priorities to improve the quality of care for every woman, every child Unacceptably high rates of adverse outcomes persist for childbearing women and infants, including maternal and newborn mortality, stillbirth, and short-term and long-term morbidity. 1 In light of the challenges to achieve the UN Sustainable Development Goals, it is timely to reconsider priorities for research in maternal and newborn health. Are we asking the right questions? 2 Recent evidence indicates the importance of seeking knowledge beyond the treatment of complications, to inform better ways of providing sustainable, high quality care, including preventing problems before they occur. 3 The 2014 publication of The Lancet's Series on Midwifery presented a unique opportunity to generate future areas of inquiry by drawing on the most extensive examination to date of evidence on the care that all women and newborn infants need across the continuum from pre-pregnancy, birth, post partum, and the early weeks of life. 4-6 The Series summarised the evidence base for quality maternal and newborn care in a new framework that focuses on the needs of women, infants, and families and diff erentiates between what care is provided, how it is provided, and Research priorities Research priority score

Hintergrund und Fragestellung: Es gibt Hinweise darauf, dass durch eine Geburtseinleitung bei ges... more Hintergrund und Fragestellung: Es gibt Hinweise darauf, dass durch eine Geburtseinleitung bei gesunden Schwangeren ab der 41+0 Schwangerschaftswoche (SSW) ein Rückgang der perinatalen Mortalität zu erreichen ist. Diese Vermutung führt in den Leitlinien mehrerer Fachgesellschaften zur Empfehlung, das allen Schwangeren zu diesem Zeitpunkt anzubieten oder nahe zu legen. Die Beratung schwangerer Frauen und ihre Unterstützung im Entscheidungsprozess wird dabei möglicherweise unsystematisch durchgeführt; Zeitpunkt und Methoden der Geburtseinleitung sowie alternative Vorgehensweisen werden nicht immer ausführlich dargestellt. Material/Methoden: Eine Arbeitsgruppe der UWH erstellt eine evidenzbasierte Entscheidungshilfe für schwangere Frauen mit Hilfe des Leitfadens für das Vorgehen bei komplexen Interventionen in mehreren Arbeitsschritten. Hier wird eine systematische Literaturrecherche und anschließende Bewertung durch zwei Peers durchgeführt. Wir recherchieren gemäß dem Vorgehen eines ra...

Background: In high income countries, midwife-led continuity of care has been shown to provide se... more Background: In high income countries, midwife-led continuity of care has been shown to provide several benefits for women and their babies with no adverse outcomes [ref:3]. It is recommended that this model of care should be offered to most women in countries where midwifery services are [for full text, please go to the a.m. URL]

Global health action, 2018

Many countries are responding to the global shortage of midwives by increasing the student intake... more Many countries are responding to the global shortage of midwives by increasing the student intake to their midwifery schools. At the same time, attention must be paid to the quality of education being provided, so that quality of midwifery care can be assured. Methods of assuring quality of education include accreditation schemes, but capacity to implement such schemes is weak in many countries. This paper describes the process of developing and pilot testing the International Confederation of Midwives' Midwifery Education Accreditation Programme (ICM MEAP), based on global standards for midwifery education, and discusses the potential contribution it can make to building capacity and improving quality of care for mothers and their newborns. A review of relevant global, regional and national standards and tools informed the development of a set of assessment criteria (which was validated during an international consultation exercise) and a process for applying these criteria to ...

Public Health Forum, 2021

Zusammenfassung In Deutschland leben schätzungsweise 60,000 Menschen ohne Krankenversicherung, da... more Zusammenfassung In Deutschland leben schätzungsweise 60,000 Menschen ohne Krankenversicherung, darunter auch Frauen im reproduktiven Alter. Diese schwangeren Frauen, Gebärende und deren Kinder sind einem erhöhten gesundheitlichen Risiko ausgesetzt. Um deren Versorgung sicherzustellen, bieten Hebammen und Gynäkolog*innen als Teil eines interdisziplinären Teams ehrenamtlich und unentgeltlich Dienste an. Auch wenn solche regionalen Lösungen existieren, müssen bundesweite Regelungen entwickelt und umgesetzt werden.

Midwifery, 2015

The 2014 State of the World&amp;amp;amp;amp;amp;amp;amp;#39;s Midwifery report included a... more The 2014 State of the World&amp;amp;amp;amp;amp;amp;amp;#39;s Midwifery report included a new framework for the provision of woman-centred sexual, reproductive, maternal, newborn and adolescent health care, known as the Midwifery2030 Pathway. The Pathway was designed to apply in all settings (high-, middle- and low-income countries, and in any type of health system). In this paper, we describe the process of developing the Midwifery2030 Pathway and explain the meaning of its different components, with a view to assisting countries with its implementation. The Pathway was developed by a process of consultation with an international group of midwifery experts. It considers four stages of a woman&amp;amp;amp;amp;amp;amp;amp;#39;s reproductive life: (1) pre-pregnancy, (2) pregnancy, (3) labour and birth, and (4) postnatal, and describes the care that women and adolescents need at each stage. Underpinning these four stages are ten foundations, which describe the systems, services, workforce and information that need to be in place in order to turn the Pathway from a vision into a reality. These foundations include: the policy and working environment in which the midwifery workforce operates, the effective coverage of sexual, reproductive, maternal, newborn and adolescent services (i.e. going beyond availability and ensuring accessibility, acceptability and high quality), financing mechanisms, collaboration between different sectors and different levels of the health system, a focus on primary care nested within a functional referral system when needed, pre- and in-service education for the workforce, effective regulation of midwifery and strengthened leadership from professional associations. Strengthening of all of these foundations will enable countries to turn the Pathway from a vision into reality.

Reproductive health, 2014

The State of the World's Midwifery Report 2014: A universal pathway, a women's right to h... more The State of the World's Midwifery Report 2014: A universal pathway, a women's right to health (SoWMy2014) was published in June 2014 and joins the ranks of a number of publications which contribute to the growing body of evidence about a global midwifery workforce that can improve maternal and child health.This editorial provides an overview of these publications that have been supported by global movements in the area of sexual, reproductive, maternal, and newborn and child health over the last four years. Background information is given on the methodology and data collection of SoWMy2014, the main findings cover the area of the availability, accessibility, acceptability and quality of midwifery services and a 2 page country brief shows the SRMNH data and workforce projections for each of the 73 "Countdown countries" that participated.SoWMy 2014 report shows that midwives can provide 87% of the needed essential care for women and newborns, when educated and train...