"Nobody knows, or seems to know how rheumatology and breastfeeding works": Women's experiences of breastfeeding whilst managing a long-term limiting condition - A qualitative visual methods study.
CONCLUSIONS: Women with autoimmune rheumatic diseases found it difficult to access the information they needed about medications to make informed decisions about breastfeeding. They often also felt pressurised into breastfeeding and experienced feelings of guilt if they were unable, or did not wish to breastfeed. Tailored interventions are required that adopt a non-judgmental and person-centred approach to support decision-making in regard to infant feeding, providing women with information that can best enable them to make infant feeding choices. PMID: 31404778 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - August 6, 2019 Category: Midwifery Authors: Williams D, Webber J, Pell B, Grant A, Sanders J, Choy E, Edwards A, Taylor A, Wu MC, Phillips R Tags: Midwifery Source Type: research

Effect of health education on birth preparedness and complication readiness on the use of maternal health services: A propensity score-matched analysis.
CONCLUSIONS: Health education on BPCR improves SBA but not EPNC use among mothers in Mundri East County, South Sudan. IMPLICATION FOR PRACTICE: South Sudan's health systems should design new strategies to enhance EPNC use in order to significantly reduce maternal and newborn deaths in the earlier days of the postpartum period. In addition, a qualitative study is needed to identify barriers to EPNC use. PMID: 31400596 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - August 5, 2019 Category: Midwifery Authors: Izudi J, Akwang DG, McCoy SI, Bajunirwe F, Kadengye DT Tags: Midwifery Source Type: research

Perineal pain the first year after childbirth and uptake of post-partum check-up- A Swedish cohort study.
CONCLUSION: Many primiparas suffer from pain related to perineal injuries during the first year after birth. One out of ten women has problems with perineal pain one year postpartum. It is essential to investigate and recognize the impact of perineal pain on women's daily life and psychological and emotional wellbeing at the postpartum checkup. PMID: 31400597 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - August 5, 2019 Category: Midwifery Authors: Åhlund S, Rådestad I, Zwedberg S, Lindgren H Tags: Midwifery Source Type: research

A qualitative exploration of breastfeeding support groups in Ireland from the women's perspectives.
CONCLUSIONS: Mothers attend breastfeeding support groups in order to meet other mothers and continue to attend for this reason to get mothering and breastfeeding support, as well as passing on their knowledge and experiences to other mothers, while meeting their social needs. IMPLICATIONS FOR PRACTICE: More resources, acknowledgement and funding are needed to provide breastfeeding support groups in local communities. Breastfeeding support groups and health professionals need to emphasise the social aspects of the interactions at these group rather than attending for a breastfeeding problem. PMID: 31398596 [PubMed...
Source: Midwifery - August 1, 2019 Category: Midwifery Authors: Quinn EM, Gallagher L, de Vries J Tags: Midwifery Source Type: research

Monounsaturated fat intake is associated with improved sleep quality in pregnancy.
CONCLUSIONS: Higher monounsaturated fat intake, at the expense of carbohydrate intake, may prove protective against poor sleep quality in pregnancy. IMPLICATIONS FOR PRACTICE: Antenatal support provided by health professionals should consider the important relationship between dietary intake and sleeping behaviour. Encouraging pregnant women to improve their sleep quality may prove an important strategy to optimise dietary intake during pregnancy and consequently improve the health outcomes for both mother and child. PMID: 31376641 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - July 25, 2019 Category: Midwifery Authors: Bennett CJ, Cain SW, Blumfield ML Tags: Midwifery Source Type: research

A Romanian experience of syphilis in pregnancy and childbirth.
CONCLUSIONS: in certain population groups, syphilis is still an important health care problem, especially in vulnerable individuals, such as childbearing women and newborns babies. More attention needs to be paid to primary prevention; the number of cases of congenital syphilis could be reduced by more involvement of midwifes and family doctors in antenatal care. PMID: 31374436 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - July 25, 2019 Category: Midwifery Authors: Manolescu LSC, Boeru C, Căruntu C, Dragomirescu CC, Goldis M, Jugulete G, Marin M, Popa GL, Preda M, Radu MC, Popa MI Tags: Midwifery Source Type: research

Comparing the effectiveness of a blended learning approach with a conventional learning approach for basic emergency obstetric and newborn care training in Ethiopia.
Abstract BACKGROUND: Lack of trained personnel is a major obstacle to providing the full package of emergency obstetric and newborn care (EmONC) services in Ethiopia and other low-income countries. The aim of this study was to evaluate whether a blended learning approach to in-service EmONC training could be as effective as a conventional learning approach while reducing costs. METHODS: A quasi-experimental study design assigned providers in need of EmONC training to blended learning (12 days of offsite training followed by daily SMS and weekly phone calls) or conventional learning (18 days of offsite trainin...
Source: Midwifery - July 16, 2019 Category: Midwifery Authors: Yigzaw M, Tebekaw Y, Kim YM, Kols A, Ayalew F, Eyassu G Tags: Midwifery Source Type: research

Handover of care and of information by community midwives, maternity care assistants and Preventive Child Healthcare professionals, a qualitative study.
CONCLUSION: This study shows that the handover of care and of information between professionals in the fields of antenatal, postnatal and child healthcare is gaining awareness, but a more rigorous chain of care and collaboration between these disciplines is desired. Digitizing seems important to improve the handover of information. PMID: 31349181 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - July 15, 2019 Category: Midwifery Authors: van Minde MRC, van Veen-Belle DW, Ernst-Smelt HE, Rosman AN, Raat H, Steegers EAP, de Kroon MLA Tags: Midwifery Source Type: research

Women's empowerment in pregnancy and childbirth: A concept analysis.
CONCLUSION: Attributes, external and internal to the woman, were identified. Both types of attributes need to be considered within the broader socio-cultural-economic-political landscape of the individual woman, in conjunction with a woman's belief in herself and her meaningful interconnectedness with carers. RELEVANCE: This study resulted in an understanding of empowerment in the context of pregnancy and childbirth that can be used in research and for the development of interventions preparing women for childbirth and their subsequent transition to motherhood. PMID: 31325736 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - July 15, 2019 Category: Midwifery Authors: Nieuwenhuijze M, Leahy-Warren P Tags: Midwifery Source Type: research

Parents' experiences when students are present during labour and childbirth: A cross-sectional survey of parents in Sweden.
CONCLUSIONS: Parents, clinical supervisors, and students can benefit from clinical learning situations, but women's needs must be prioritised and student involvement balanced with women's right to choose who is with them during labour and childbirth. PMID: 31325743 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - July 15, 2019 Category: Midwifery Authors: Barimani M, Jonas W, Zwedberg S Tags: Midwifery Source Type: research

Exploring maternal postnatal newborn care postnatal discharge education in Dar es Salaam, Tanzania: Barriers, facilitators and opportunities.
CONCLUSION: While mothers received some education prior to discharge and nurses expressed a desire to teach, challenges remained in receiving sufficient education on all recommended postnatal education topics. Opportunity to improve postnatal education can be addressed through the development of standardized education and engaging mothers through preferred learning methods. PMID: 31325744 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - July 15, 2019 Category: Midwifery Authors: Dol J, Kohi T, Campbell-Yeo M, Tomblin Murphy G, Aston M, Mselle L Tags: Midwifery Source Type: research

Management of the second stage of labour in women with epidural analgesia: A qualitative study exploring Midwives' experiences in Northern Italy.
CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: To our knowledge, this was the first study on this topic conducted in an Italian setting. Despite the consistent body of evidence on the effects of epidural analgesia in the second stage on birth outcomes, the lack of clear guidelines, the presence of different hospital protocols and Obstetricians' opinion, introduce uncertainty in midwifery practice and lead midwives with feelings of 'uselessness'. Across the four themes, midwives frequently had to negotiate a space for their professional autonomy with other healthcare professionals, whilst adhering to the Obstetric Units' protoc...
Source: Midwifery - July 15, 2019 Category: Midwifery Authors: Colciago E, Fumagalli S, Inzis I, Borrelli SE, Nespoli A Tags: Midwifery Source Type: research

Relative effectiveness and cost-effectiveness of the midwifery-led care in Nova Scotia, Canada: A retrospective, cohort study.
CONCLUSIONS: The midwifery program is both effective and cost-effective for low-risk pregnancies IMPLICATIONS FOR PRACTICE: Increasing the number of midwives will increase access and represents value for money. PMID: 31330402 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - July 9, 2019 Category: Midwifery Authors: Koto PS, Fahey J, Meier D, LeDrew M, Loring S Tags: Midwifery Source Type: research

Able to choose? Women's thoughts and experiences regarding informed choices during birth.
CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Instead of using the term "informed choice", women in this study discussed involvement, participation and being heard and seen as individuals. How receptive women are to information during birth varies, and midwives play an important role during pregnancy in informing and encouraging them. The relationship between women and midwives influences women's abilities to make informed choices during birth. Women need individual care and should be encouraged to have realistic expectations and to gain knowledge and confidence in their ability to give birth. A model of care in whi...
Source: Midwifery - July 9, 2019 Category: Midwifery Authors: Bringedal H, Aune I Tags: Midwifery Source Type: research

Maternal confidence for physiologic birth: Associated prenatal characteristics and outcomes.
This study was completed as part of a multi-phased instrument development study, the Preparation for Labor and Birth (P-LAB) instrument. P-LAB confidence scores were examined for their relationship with variables including labor type, provider type, source of labor support, pain medication use, and birth mode. SETTING AND PARTICIPANTS: Women (N = 192) from five prenatal clinics in the Midwestern United States who had completed the P-LAB instrument participated in postpartum telephone interviews. FINDINGS: Women with previous birth experience had higher confidence than nulliparous women. Prenatal care provider...
Source: Midwifery - July 9, 2019 Category: Midwifery Authors: Neerland CE, Avery MD, Saftner MA Tags: Midwifery Source Type: research

Volunteer doulas' experiences supporting cesarean births: A qualitative analysis for preliminary program evaluation.
CONCLUSION: Doulas volunteering within this program highly valued their perceived role in the care of women experiencing cesarean birth, including reports of increasing evidence-based practices such as SSC and early breastfeeding initiation in the OR. These doulas reported successfully working around the physically challenging OR environment and alongside the cesarean interprofessional team. PMID: 31319366 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - July 9, 2019 Category: Midwifery Authors: Richards E, Lanning RK Tags: Midwifery Source Type: research

Midwives' responsibility with normal birth in interprofessional teams: A Swedish interview study.
d B PMID: 31302363 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - July 9, 2019 Category: Midwifery Authors: Lundborg L, Andersson IM, Höglund B Tags: Midwifery Source Type: research

Fear of birth-A prospective cohort study of primigravida in the UK.
CONCLUSION: The FOBS is a potentially effective way of measuring FOB in clinical practice and research, but it requires refining. Scores are not related to salivary cortisol levels but are correlated with validated scores for anxiety and depression. An enhanced version of the FOBS could be used in clinical practice to measure FOB. PMID: 31306998 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - June 26, 2019 Category: Midwifery Authors: Richens Y, Campbell M, Lavender T Tags: Midwifery Source Type: research

Knowledge and attitudes about postpartum depression in the Portuguese general population.
This study aimed to characterize the Portuguese general population's knowledge and attitudes about postpartum depression, and analyze its sociodemographic and clinical correlates. DESIGN: A cross-sectional internet survey. SETTING: Participants were recruited through advertisements on social media websites, in thematic forums and by email. PARTICIPANTS: A total of 621 people in the general population (88.1% women) participated in the study. MEASUREMENTS: Participants were questioned about sociodemographic and clinical data, personal contact with postpartum depression, awareness of public education campa...
Source: Midwifery - June 26, 2019 Category: Midwifery Authors: Branquinho M, Canavarro MC, Fonseca A Tags: Midwifery Source Type: research

Barriers to women's access to alongside midwifery units in England.
CONCLUSIONS: Key barriers to AMUs arise through inequitable information and challenges with admission in early labour. Most women still give birth in obstetric units and despite increases in the numbers of women birthing on AMUs since 2010, addressing these barriers will be essential to future scale-up. PMID: 31271963 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - June 22, 2019 Category: Midwifery Authors: Rayment J, Rance S, McCourt C, Sandall Cbe Rm J Tags: Midwifery Source Type: research

Hair cortisol levels, psychological stress and psychopathological symptoms prior to instrumental deliveries.
Abstract OBJECTIVE: To determine whether psychological variables (perceived stress, pregnancy-specific stress and psychopathology symptoms) and physiological variables (hair cortisol levels) are related to type of delivery (eutocic or instrumental delivery; spontaneous or induced labor). DESIGN: This was a longitudinal study. SETTING: Spain. PARTICIPANTS: A total sample of 88 pregnant women. MEASUREMENT AND FINDINGS: Perceived stress, pregnancy-specific stress, psychopathology symptoms and hair cortisol level were assessed in pregnant women throughout the third trimester of pregnancy until they...
Source: Midwifery - June 22, 2019 Category: Midwifery Authors: Romero-Gonzalez B, Caparros-Gonzalez RA, Gonzalez-Perez R, Coca-Arco S, Peralta-Ramirez MI Tags: Midwifery Source Type: research

The experience of mothers and fathers in cases of stillbirth in Spain. A qualitative study.
CONCLUSION: Findings highlight the importance of tailoring support systems according to mothers' and fathers' needs. Promoting social and institutional recognition of this kind of loss and training healthcare professionals in the accompaniment of this type of mourning is useful to plan comprehensive care to facilitate the initiation and subsequent evolution of healthy mourning. PMID: 31254962 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - June 21, 2019 Category: Midwifery Authors: Martínez-Serrano P, Pedraz-Marcos A, Solís-Muñoz M, Palmar-Santos AM Tags: Midwifery Source Type: research

Outcomes of uninsured midwifery clients in Ontario, Canada: A retrospective cohort study.
CONCLUSIONS: Overall, uninsured clients used less services compared to insured clients and had good clinical outcomes under midwifery care in Ontario. Findings of this study support the policy decision in Ontario to fund midwifery care for uninsured clients and suggest that uninsured clients are well suited for midwifery care. IMPLICATIONS FOR PRACTICE: Funding midwives to serve uninsured clients is appropriate and may improve uninsured clients access to care. PMID: 31247482 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - June 19, 2019 Category: Midwifery Authors: Darling EK, Bennett N, Burton N, Marquez O Tags: Midwifery Source Type: research

Impact of sense of coherence and work values perception on stress and self-reported health of midwives.
váry A, Takács P, Zrínyi M Abstract OBJECTIVE: The aim of the research was to explore how sense of coherence (SOC) and work values (WVs) impact on stress and perceived health of midwives. Sense of coherence, by definition, reflects a person's view of life and capacity to respond to stressful situations. A further goal was to evaluate the mediating effect of WVs between stress and health. DESIGN: A cross sectional, correlational design was used. SETTING: Participants were randomly selected from 13 hospitals across Hungary. PARTICIPANTS: The final sample included 228 midwives. ...
Source: Midwifery - June 17, 2019 Category: Midwifery Authors: Gebriné KÉ, Lampek K, Sárváry A, Sárváry A, Takács P, Zrínyi M Tags: Midwifery Source Type: research

Good birth narratives: Diverse South African women's perspectives.
CONCLUSION: The bodily and corporeal aspects of the birth experience were found to be central to women's 'good birth' narratives. A key conclusion is that maternal healthcare provision needs to be reimagined in ways which acknowledge, centre and respect the unique and vulnerable corporeality of birthing women, regardless of type of birth. PMID: 31233989 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - June 16, 2019 Category: Midwifery Authors: Chadwick RJ Tags: Midwifery Source Type: research

A systematic review of asylum-seeking women's views and experiences of UK maternity care.
CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Mandatory provision of interpreter services, together with training for health care professionals could address urgent issues faced by pregnant asylum seekers. Further research and population-specific guidelines are needed to improve care for these women. PMID: 31233990 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - June 15, 2019 Category: Midwifery Authors: McKnight P, Goodwin L, Kenyon S Tags: Midwifery Source Type: research

Women's experiences of disrespectful and abusive maternal health care in a low resource rural setting in eastern Zimbabwe.
CONCLUSION AND IMPLICATIONS FOR PRACTICE: Women's social status, level of education and age, were perceived to influence the quality of care or treatment they received. Improving women's experience of maternal care requires targeted interventions at the interpersonal level between a woman and her health care providers, as well as at the level of the health care facility and the health system. The results of this study challenge all tiers of health personnel including policy makers, in low resource settings to reappraise the present situation thereby challenging these established behaviours, to ensure that the continuum of ...
Source: Midwifery - June 6, 2019 Category: Midwifery Authors: Kanengoni B, Andajani-Sutjahjo S, Holroyd E Tags: Midwifery Source Type: research

Mothers of a child with Down syndrome: A qualitative analysis of the perspectives on non-invasive prenatal testing.
CONCLUSION: Mothers of a child with DS viewed informed decision-making as crucial both prior to undertaking NIPT and following a positive test result. This study adds a unique Australian perspective to the necessary ongoing social and ethical debate. PMID: 31202107 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - June 4, 2019 Category: Midwifery Authors: Valentin C, Smidt A, Barton R, Wilson NJ, How B Tags: Midwifery Source Type: research

Pregnant women's intention to breastfeed; their estimated extent and duration of the forthcoming breastfeeding in relation to the actual breastfeeding in the first year postpartum-A Swedish cohort study.
rg M Abstract OBJECTIVES: To investigate the prenatal intention to breastfeed and the estimated extent and duration of the forthcoming breastfeeding among nulliparous and multiparous women in different Body Mass Index (BMI) classes. Furthermore, in a sub-group we study the actual breastfeeding in relation to the prenatal intended extent and duration. DESIGN: A prospective cohort study. METHODS: A total of 775 pregnant women answered a questionnaire concerning their intention to breastfeed and how they estimated the extent and duration of the forthcoming breastfeeding. In a sub-group of 174 women, data fr...
Source: Midwifery - May 30, 2019 Category: Midwifery Authors: Claesson IM, Myrgård M, Wallberg M, Blomberg M Tags: Midwifery Source Type: research

Anxiety in fathers in the perinatal period: A systematic review.
CONCLUSION: Fathers experience increased anxiety from the antenatal period to the time of birth, with a decrease in anxiety from the time of birth to the later postnatal period. Anxiety during the perinatal period that can impact negatively on fathers physical and mental health, and social relationships. PMID: 31176080 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - May 28, 2019 Category: Midwifery Authors: Philpott LF, Savage E, FitzGerald S, Leahy-Warren P Tags: Midwifery Source Type: research

Attitudes toward substance misusing pregnant women following a specialist education programme: An exploratory case study.
CONCLUSIONS: The study has provided new insights into, the position of student midwives in the UK in terms of their attitudes toward pregnant drug users. It has also provided insight into the required nature of education aimed at altering attitude toward drug use; demonstrating the importance of critical reflection, offering e-learning as an effective model for education design. It has furthermore, confirmed the work of others regarding stigmatisation of drug users in practice and the importance of service user input to education. IMPLICATIONS FOR PRACTICE: This research demonstrates the positive potential of educatio...
Source: Midwifery - May 27, 2019 Category: Midwifery Authors: Hooks C Tags: Midwifery Source Type: research

Exploring maternal and health professional beliefs about the factors that affect whether women in Saudi Arabia attend antenatal care clinic appointments.
CONCLUSIONS: Barriers to antenatal care exist at the personal, social, socioeconomic and health services level. Some health professionals may be unaware of the importance of their communication style. Interventions to improve attendance must be multifaceted rather than focussing on individual women alone. IMPLICATIONS FOR PRACTICE: Barriers for women attending antenatal healthcare must be addressed in order to increase attendance rates. Specific practice-based interventions may involve changing the time or location of services and exploring changes to staff communication with women. PMID: 31154158 [PubMed - as su...
Source: Midwifery - May 27, 2019 Category: Midwifery Authors: Alanazy W, Rance J, Brown A Tags: Midwifery Source Type: research

Disempowered midwives and traumatised women: Exploring the parallel processes of care provider interaction that contribute to women developing Post Traumatic Stress Disorder (PTSD) post childbirth.
CONCLUSION: Failure to recognise and meet the human and relationship needs of both childbearing women and midwives contributes to poor care provider interactions offered by midwives and negative perceptions of care provider interactions by women. In response, NHS maternity services need to highlight the importance of the quality of care provider interaction alongside perinatal psychological wellbeing. This requires improved working environments for midwives, so they can optimise their quality of interaction with childbearing women. This will in turn impact upon the incidence and levels of trauma and PTSD-PC experienced by ...
Source: Midwifery - May 25, 2019 Category: Midwifery Authors: Patterson J, Hollins Martin CJ, Karatzias T Tags: Midwifery Source Type: research

Informing the development midwifery standards for practice: A literature review for policy development.
CONCLUSIONS: Midwifery practice is not restricted to the provision of direct clinical care and extends to any role where the midwife uses midwifery skills and knowledge. This practice includes working in clinical and non-clinical relationships with the woman and other clients as well as working in management, administration, education, research, advisory, regulatory, and policy development roles. IMPLICATIONS FOR PRACTICE: This review articulates the definition, role and scope of midwifery practice to inform the development of contemporary standards for practice for the Australian midwife. PMID: 31150936 [PubMed ...
Source: Midwifery - May 23, 2019 Category: Midwifery Authors: Nagle C, McDonald S, Morrow J, Kruger G, Cramer R, Couch S, Hartney N, Bryce J, Birks M, Heartfield M Tags: Midwifery Source Type: research

Myles Textbooks for Midwives 1953 and 2014, a feminist critical discourse analysis.
PMID: 31128388 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - May 10, 2019 Category: Midwifery Authors: Harkness M, Cheyne H Tags: Midwifery Source Type: research

Resilience as a protective factor in pregnancy and puerperium: Its relationship with the psychological state, and with Hair Cortisol Concentrations.
CONCLUSIONS: These results highlight the protective role of resilience when pregnant women are confronted by the negative effects of stress, and therefore the potential utility of resilience to improve the health of pregnant women and their neonates. PMID: 31102974 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - May 9, 2019 Category: Midwifery Authors: García-León MÁ, Caparrós-González RA, Romero-González B, González-Perez R, Peralta-Ramírez I Tags: Midwifery Source Type: research

An exploratory cost-effectiveness analysis: Comparison between a midwife-led birth unit and a standard obstetric unit within the same hospital in Belgium.
CONCLUSIONS: Due to the small size of the samples, no statistical differences were found. More analysis is needed to evaluate the cost-effectiveness regarding the use of epidural analgesia, caesarean and instrumental birth rates in the midwife-led unit. IMPLICATIONS FOR PRACTICE: Given the economical findings, this could contribute to reduce health expenditures for both women (out of pocket) and state (public payer via health care insurers). PMID: 31100483 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - May 7, 2019 Category: Midwifery Authors: Isaline G, Marie-Christine C, Rudy VT, Caroline D, Yvon E Tags: Midwifery Source Type: research

Midwives' perspectives of continuity based working in the UK: A cross-sectional survey.
CONCLUSIONS: Findings suggest that many midwives are not currently able or willing to work in continuity models, which includes care across antenatal, intrapartum and postnatal periods as recommended by UK policy. IMPLICATIONS FOR PRACTICE: A range of approaches to providing continuity models should be explored as the implementation of 'Better Births' takes place across England. This should include studies of the impact of the different models on women, babies and midwives, along with their practical scalability and cost. PMID: 31100484 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - May 7, 2019 Category: Midwifery Authors: Taylor B, Cross-Sudworth F, Goodwin L, Kenyon S, MacArthur C Tags: Midwifery Source Type: research

Third stage of labour management practices: A secondary analysis of a prospective cohort study of Australian women and their associated outcomes.
CONCLUSIONS: Modified active management was not associated with an increased risk of PPH consistent with contemporary evidence. However, a considerable proportion of providers may not be following evidence-based guidelines supporting modified active management which may be attributed to uncertainty around third stage practice definitions which has implications for education, practice, and policy. IMPLICATIONS FOR PRACTICE: Despite evidence-based guidelines, differences exist within modified active management including cord clamp timing, uterotonic administration and use of controlled cord traction. Modified active man...
Source: Midwifery - May 3, 2019 Category: Midwifery Authors: Kearney L, Reed R, Kynn M, Young J, Davenport L Tags: Midwifery Source Type: research

Management of the passive phase of the second stage of labour in nulliparous women-Focus group discussions with Swedish midwives.
PMID: 31071586 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - April 30, 2019 Category: Midwifery Authors: Bjelke M, Lendahls L, Oscarsson M Tags: Midwifery Source Type: research

Transcultural adaptation and validation of the Tilburg Pregnancy Distress Scale (TPDS) in the Brazilian cultural context.
Abstract Objective The purpose of this study was to perform the translation, cross-cultural adaptation and validation of the Tilburg Pregnancy Distress Scale (TPDS) in the Brazilian cultural context and to verify its psychometric properties. Design Cross-cultural adaptation and validation of a distress scale. Setting The study was carried out in a prenatal clinic of a reference maternity hospital in southern Brazil. Participants 160 childbearing women. Methods The adaptation of the TPDS to the Portuguese language in its Brazilian version met the methodological criteria proposed by the International Society for Pha...
Source: Midwifery - April 30, 2019 Category: Midwifery Authors: Volpato LK, Siqueira DC, Nunes RD, Ghizzo Filho J, Traebert J Tags: Midwifery Source Type: research

Postpartum complications in women attended by midwives instead of obstetricians.
CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Care by midwives of low risk postpartum women did not lead to a worsening of puerperal complications requiring emergency department care. Furthermore, care by midwives was more effective than obstetrician care with lower emergency department attendance rates. Their qualification and capacity to provide health education were determinant factors. PMID: 31051412 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - April 25, 2019 Category: Midwifery Authors: Pérez-Martínez E, Sebastián-Viana T, Velasco-Vázquez D, Del Gallego-Lastra R Tags: Midwifery Source Type: research

Comparison of bio-sociodemographic, obstetric and perinatal characteristics among immigrant and native women in the Metropolitan Region in Chile.
Abstract BACKGROUND: International migration is an increasing public health concern, particularly regard to maternal and neonatal health. OBJECTIVE: To compare obstetric and neonatal variables among native and immigrant childbearing women in a clinical hospital in Santiago, Chile. METHOD: A cross-sectional, analytic study with 2598 childbearing women and their newborn examined between January and July 2015. Data were collected from clinical records by students who had previously been trained. Ethical approval was obtained from the local Ethics Committee at the hospital. All participants signed an informe...
Source: Midwifery - April 18, 2019 Category: Midwifery Authors: Ortiz J, Diaz M, Araya B M, Quiroz J, Carroza B, Pavez J, Gutierrez L, Binfa L Tags: Midwifery Source Type: research

Association between child marriage and utilization of maternal health care services in India: Evidence from a nationally representative cross-sectional survey.
In this study, we aimed to examine the association between child marriage and utilization of maternal health care services using nationally representative sample survey of India. DESIGN: Cross-sectional observational study. SETTING: India. PARTICIPANTS: A total number of 190,898 ever-married women who had at least one live birth during the last five years preceding the survey from the 2015 to 2016 National Family Health Survey (NFHS) were utilized. MEASUREMENTS: Outcome measures: At least four antenatal visits (ANC), ANC visit within first trimester, institutional delivery, delivery by skilled health pe...
Source: Midwifery - April 18, 2019 Category: Midwifery Authors: Paul P, Chouhan P Tags: Midwifery Source Type: research

Indigenous Doulas: A literature review exploring their role and practice in western maternity care.
CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: The role and practice of Indigenous doulas offers a promising approach to redressing the colonisation of Indigenous childbirth while contributing to improving Indigenous maternal and infant outcomes. Indigenous doula practice shares many best-practice characteristics with Indigenous Healing Programs and as such is also likely to also promote inter-generational healing. Most of the resources located were descriptive, but this emergent topic is worthy of further applied research. PMID: 31003022 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - April 16, 2019 Category: Midwifery Authors: Ireland S, Montgomery-Andersen R, Geraghty S Tags: Midwifery Source Type: research

"There is no time for knowing each other": Quality of care during childbirth in a low resource setting.
CONCLUSIONS: Women as well as healthcare providers want good quality, professional care at birth and are disappointed if this is not in place. IMPLICATION FOR PRACTICE: There is a need to incorporate women as well as healthcare provider's views when designing, implementing, monitoring and evaluating maternal health programmes. For a positive birth experience, a healthcare facility needs to have an enabling environment and good communication between healthcare providers and women should be actively promoted. PMID: 30986692 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - April 12, 2019 Category: Midwifery Authors: Mgawadere F, Smith H, Asfaw A, Lambert J, Broek NVD Tags: Midwifery Source Type: research

Using the repertory grid technique to explore the experience of compassion by mothers in a mother and baby unit.
Abstract Despite differences between Mother and Baby Units (MBUs) and other inpatient psychiatric settings, research has not yet explored the nature and value of compassionate care offered by MBU staff despite the increasing importance of compassion in healthcare. This novel study investigated the experience of compassionate care by fifteen mothers admitted to a MBU in England using the Repertory Grid Technique. Our findings indicated that these women perceived their MBU care as compassionate. Compassion was central to nursing care and clearly implicated in women's recovery from mental illness. Additionally, other...
Source: Midwifery - April 8, 2019 Category: Midwifery Authors: Wittkowski A, Hare DJ, Gillham R Tags: Midwifery Source Type: research

'Scrutinised, judged and sabotaged': A qualitative video diary study of first-time breastfeeding mothers.
CONCLUSIONS: Collecting audio-visual data in real-time adds fresh insights into how support impacts mothers' experiences of breastfeeding. The biomedical approach to support for breastfeeding is not effective. Scrutinising, judging and/or sabotaging mothers' attempts to breastfeed can have long-lasting effects on maternal emotional wellbeing. IMPLICATIONS FOR PRACTICE: Breastfeeding support might be improved by adopting a more social model of care. Future research needs to explore how relationship-based support can be provided by the health service. PMID: 30981161 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - April 8, 2019 Category: Midwifery Authors: Taylor AM, Teijlingen EV, Ryan KM, Alexander J Tags: Midwifery Source Type: research

Is it possible to become a midwife in a refugee camp?
Entrambasaguas OM Abstract The historical backdrop of Western Sahara has meant that, for the last 43 years, part of its indigenous population has survived in refugee camps located in the Algerian desert. International aid from abroad has become the main source of sustenance for all people living in this hostile environment. Since the beginning of this type of settlement, the Sahrawi Arab Democratic Republic has been concerned with creating the necessary infrastructures to meet the health needs of the people living in these conditions. As a result, the Ahmed Abdel-Fatah School of Nursing was created in the Sahrawi ...
Source: Midwifery - April 6, 2019 Category: Midwifery Authors: Martínez-Linares JM, Linares-Abad M, Calero-García MJ, López-Entrambasaguas OM Tags: Midwifery Source Type: research

Effects of education and support groups organized by IBCLCs in early postpartum on breastfeeding.
Abstract OBJECTIVE: To examine the effectiveness of breastfeeding education and peer support groups organized by International Board Certified Lactation Consultants (IBCLCs) during the first week (T1) and the fifth to sixth week postpartum (T2), in terms of breastfeeding self-efficacy and exclusive breastfeeding rate. DESIGN: A quasi-experimental design. SETTING: A maternity ward of a medical center in northern Taiwan. PARTICIPANTS: 214 postpartum women. INTERVENTION: The control group (n = 122) received standard care, while the intervention group (n = 92) received standard care and att...
Source: Midwifery - March 30, 2019 Category: Midwifery Authors: Lee YH, Chang GL, Chang HY Tags: Midwifery Source Type: research