For many years there has been growing concern about the culture of
fear that is penetrating maternity services throughout the world,
and that the fear felt by maternity care workers is directly and
indirectly being transferred to the women and families they serve.
The consequences of fear includes increased risk of defensive
practice, where the woman and her family become potential enemies
to those providing her care. In addition, the prevailing risk
management and 'tick box' culture in maternity services encourages
maternity workers to give priority to the records instead of the
childbearing woman. These factors contribute to the dissatisfaction
felt by those using and providing maternity services, and the
apparent lack of kindness and respect. There is however increasing
evidence that kindness, compassion and mutual respect improves
efficiency, effectiveness, experience and staff morale within
healthcare settings. The Roar Behind the Silence provides
information, inspiration and practical suggestions to support
maternity care workers, policy makers, and maternity care funders
across the world in their quest to deliver sensitive, compassionate
and high quality maternity services. The book highlights examples
of good practice, and practical tools for making change happen,
using evidence and stories where appropriate. Edited by Sheena
Byrom & Soo Downe, with contributions by Hana Ruth Abel, Maria
Helena Bastos, Dean Beaumont, Dianne Bowser, Anna Byrom, Sheena
Byrom, Penny Campling, Michael Clift, Hannah Dahlen, Raymond de
Vries, Soo Downe, Ngai Fen Cheung, Julie Frohlich, Kathryn
Guttridge, Jennifer Hall, Shelagh Heneghan, Milli Hill, Billie
Hunter, Mavis Kirkham, Mande Limbu, Amali Lokugamage, Kerstin Uvnas
Moberg, Mercedes Perez-Botella, Gill Phillips, Elizabeth Prochaska,
Progress Theatre Group, Rineke Schram, Anna Ternovszky, Lucie
Warren and Robin Youngson.
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