The Knight of Malta

BACKGROUND: For most women, participation in decision-making during maternity care has a positive impact on their childbirth experiences. Shared decision-making (SDM) is widely advocated as a way to support people in their healthcare choices. The aim of this study was to identify quality criteria and professional competencies for applying shared decision-making in maternity care. We focused on decision-making in everyday maternity care practice for healthy women. METHODS: An international three-round web-based Delphi study was conducted. The Delphi panel included international experts in SDM and in maternity care: mostly midwives, and additionally obstetricians, educators, researchers, policy makers and representatives of care users. Round 1 contained open-ended questions to explore relevant ingredients for SDM in maternity care and to identify the competencies needed for this. In rounds 2 and 3, experts rated statements on quality criteria and competencies on a 1 to 7 Likert-scale. A priori, positive consensus was defined as 70% or more of the experts scoring >/=6 (70% panel agreement). RESULTS: Consensus was reached on 45 quality criteria statements and 4 competency statements. SDM in maternity care is a dynamic process that starts in antenatal care and ends after birth. Experts agreed that the regular visits during pregnancy offer opportunities to build a relationship, anticipate situations and revisit complex decisions. Professionals need to prepare women antenatally for unexpected, urgent decisions in birth and revisit these decisions postnatally. Open and respectful communication between women and care professionals is essential; information needs to be accurate, evidence-based and understandable to women. Experts were divided about the contribution of professional advice in shared decision-making and about the partner's role. CONCLUSIONS: SDM in maternity care is a dynamic process that takes into consideration women's individual needs and the context of the pregnancy or birth. The identified ingredients for good quality SDM will help practitioners to apply SDM in practice and educators to prepare (future) professionals for SDM, contributing to women's positive birth experience and satisfaction with care

The International magazine of literature, art, and science.

Mode of access: Internet.Title varies: July-Aug. 1850, International weekly miscellany of literature, art, and science; Oct.-Nov. 1850, The International miscellany of literature, art, and science; Dec. 1850-Apr. 1852, The International magazine of literature, art, and science.Electronic serial mode of access: World Wide Web via the Cornell Making of America site

Harper's magazine.

Mode of access: Internet

House beautiful.

Title varies slightly.Issue for Jan. 1933 not published.Issues for Jan.-Mar. 1934 continue the volume numbering of Home & field; Apr.-Dec. 1934 continue the volume numbering of both publications. Beginning with v. 77, 1935, the numbering of House beautiful only is continued.Electronic text and image data.Mode of access: Internet.Electronic serial mode of access: World Wide Web.Absorbed: Domestic science monthly in 1902; Indoors and out in Jan. 1908; Modern homes in 1910; American suburbs in Mar. 1912; Home and field in Jan. 1934.Microfilm copy: Microfilm. Ann Arbor, Mich., University Microfilms. reels. 35 mm

The New England magazine; an illustrated monthly.

Subtitle varies.Vol. numbers irregular: Mar. 1912 called vol. 46 no. 1; Apr.-Aug. 1912, vol. 47 no. 2-6; vol. 48 begins with Sept. 1912.New ser. vols. 1-19 called also old ser. vols. 7-25; vol. 4 of old ser. also called new ser. vol. 1.No numbers were issued for the months of July-Sept. 1884; June, July, Dec. 1885; July-Oct. 1886; Aug.-Dec. 1887; Jan., April-July, Nov.-Dec. 1888; Jan.-Aug. 1889; Feb. 1913; Jan.-Feb. 1915.Some issues combined.Mode of access: Internet.Electronic serial mode of access: World Wide Web via the Cornell Making of America site.The Apr. and May 1884 issues of the Bay State monthly were republished to form the double numbers of the Granite monthly, July/Aug. and Sept./Oct. 1884

Irrigation for the farm, garden, and orchard

(1877

The United States democratic review.

Imprint varies. Published 1857-59 by C. Swackhamer.Volumes 1-3, 5-8 contain the political and literary portions; vol. 4 the historical register department, of the numbers published from Oct. 1837-Dec. 1840.Publication suspended Nov.-Dec. 1837, Aug. 1938, Jan.-June 1841, and Jan.-Mar., May-Sept. 1859.Mode of access: Internet.Electronic serial mode of access: World Wide Web via the Cornell Making of America site

Beet-root sugar and cultivation of the beet

(1867