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Table 3 Participants reported confidence to provide acute care < 20 weeks gestation

From: Exploring midwifery role and scope in acute early pregnancy care: a survey of midwives and midwifery students in Australia

Clinical example

Strongly or

fairly confident^

n (%#)

Limited or

no confidence^

n (%#)

Physical care provision

  

Assess and organise analgesia for a woman experiencing acute pain

213 (65.1)

114 (34.9)

Recognise and respond to clinical deterioration in a woman with heavy vaginal bleeding

210 (64.2)

117 (35.8)

Manage the third stage of labour for a woman who has miscarried

166 (50.9)

160 (49.1)

Perform a speculum examination on a woman with vaginal bleeding

160 (48.9)

167 (51.1)

Identify an acceptable upward trend in beta-hCG+ levels

154 (47.1)

173 (52.9)

Administer methotrexate for ectopic pregnancy

81 (24.8)

245 (75.2)

Psychosocial care provision

  

Identify when a woman with an acute early pregnancy complication should be offered referral to psychosocial services

248 (75.8)

79 (24.2)

Provide support and education for a woman with early pregnancy loss

209 (63.9)

118 (36.1)

Provide information regarding community resources available for support and information following early pregnancy loss

185 (56.6)

142 (43.4)

Explain to a junior doctor the treatment options for a missed miscarriage

155 (47.4)

172 (52.6)

Explain to a woman the treatment options and post

operative support for a tubal ectopic pregnancy

107 (32.7)

220 (67.3)

  1. ^Condensed response options; #Valid percentages; +Human chorionic gonadotrophin