Page's Five-Step Model for Midwifery Practice

Question 0

1. Finding out what is Important to the Woman and her Family

Answer 0

• Understanding the personal values, beliefs, fears, hopes of the woman and family
• Safety is paramount - should not be used as an excuse to restrict choices
• Use active listening

Question 1

Page’s Five-Step Model for Midwifery Practice

Answer 1

1. Finding our what is important to the woman and her family
2. Using information from the clinical examination
3. Seeking and assessing evidence to inform decisions
4. Talking it through
5. Reflecting on feelings, outcomes and consequences

Question 2

2. Using Information from the Clinical Examination

Answer 2

• To be considered when deciding on the course of care
• Includes clinical history
• Allows the carer to plan care based on findings
• Allows carer to predict probable outcomes and to anticipate potential adverse outcomes through the identification of risk factors

Question 3

3. Seeking and Assessing Evidence to Inform Decisions

Answer 3

• Requires research skills
• Requires interpretation skills
• Need to be aware of facility processes
• Need to advocate as necessary
• Will depend on the issues important to the the woman
• Preceptors will determine appropriateness of evidence

Question 4

4. Talking it through

Answer 4

• All women are different
• Use appropriate communication techniques
• Allow time for questions
• Allow the woman time
• Provide literature when possible
• No bias

Question 5

5. Reflecting on Feelings, Outcomes & Consequences

Answer 5

• Midwifery and obstetric care attracts attention and scrutiny
• Document actions, discussion, treatments and rationales
• Work within your scope of practice
• Seek help when necessary
• Allow the woman time to reflect and ask questions\s