Trauma-informed care education for midwives: Does education improve attitudes towards trauma-informed care?
CONCLUSION: To minimise perinatal trauma for mothers and babies, midwives require specific trauma-informed care education. This study proposes that trauma-informed care education is a foundational pathway for implementing a trauma-informed care framework across a maternity service.PMID:38359645 | DOI:10.1016/j.midw.2024.103950 (Source: Midwifery)
Source: Midwifery - February 15, 2024 Category: Midwifery Authors: Trish Long Christina Aggar Sandra Grace Source Type: research

Patient perception of labor support behaviors provided by Finnish midwives
CONCLUSIONS: This short on-the-job intervention did not increase labor support provided by Finnish midwives in its entirety, and the effect on birth outcomes was minimal. However, support for breastfeeding increased, and some types of support were targeted at those who needed it most. To improve midwifery care, both training and sufficient resources are needed.PMID:38350363 | DOI:10.1016/j.midw.2024.103936 (Source: Midwifery)
Source: Midwifery - February 13, 2024 Category: Midwifery Authors: Pirjo Koski Eija Raussi-Lehto P äivi Leskinen Reija Klemetti Source Type: research

An exploration of the contraceptive counselling practices of midwives who provide postpartum care in Australia
CONCLUSIONS: Most midwives (82%) wanted to provide postpartum contraception counselling as part of their role. They cited barriers from within the health system, ambiguity about roles and responsibilities and offered solutions to improve the provision of postnatal contraception counselling.IMPLICATIONS FOR PRACTICE: Recommendations include the development of education programs for midwives. Continuity of care models provided the time, autonomy and opportunity for midwives to undertake contraceptive counselling and fulfil this part of their professional scope. Consideration should be given to expanding access and provision ...
Source: Midwifery - February 9, 2024 Category: Midwifery Authors: Kate Cheney Emily Mignacca Kirsten I Black Caroline Homer Zoe Bradfield Source Type: research

Bonding with bump: Interoceptive sensibility moderates the relationship between pregnancy body satisfaction and antenatal attachment
CONCLUSION: The results suggest that focusing on internal sensations may be a protective strategy against pregnancy body dissatisfaction to strengthen maternal bonds.PMID:38335693 | DOI:10.1016/j.midw.2024.103940 (Source: Midwifery)
Source: Midwifery - February 9, 2024 Category: Midwifery Authors: Lucy Stafford Lydia Munns Anna E Crossland Elizabeth Kirk Catherine E J Preston Source Type: research

Receiving gestational weight gain recommendations and associated risks: A qualitative study among low-income women
This study sought to describe the experiences of pregnant women when given GWG recommendations. The research proceeded using a phenomenological approach. With Institutional Review Board approval, primigravida women with a healthy singleton pregnancy at 8-20 weeks gestation were recruited from the community and purposively from a low-income obstetrics clinic. Within 60-minutes, trained interviewers 1) presented GWG recommendations and associated risks; and 2) interviewed participants using a semi-structured guide. Participants received a $40 gift card. Interviews were recorded and transcribed. Two trained coders used Braun ...
Source: Midwifery - February 8, 2024 Category: Midwifery Authors: Tracey Ledoux Basant Gamal Alejandra Duque Pamela D Berens Source Type: research

Obstetric and medical factors rather than psychosocial characteristics explain why eligible women do not complete the enhanced recovery after elective caesarean (EREC) pathway: A prospective cohort study
CONCLUSION: This study indicated that a large percentage of women assessed as eligible did not complete EREC and that obstetric and medical factors, rather than psychosocial characteristics, largely explained this. This provides reassurance to clinicians and women that discharge home is working as intended and is useful for planning similar models of care. Higher stress levels in the antenatal period were demonstrated for women who did not complete EREC suggesting the need for further research into how to support these women.PMID:38330744 | DOI:10.1016/j.midw.2024.103931 (Source: Midwifery)
Source: Midwifery - February 8, 2024 Category: Midwifery Authors: Christianna Digenis Amy Salter Lynette Cusack Deborah Turnbull Source Type: research

The severity of second-degree perineal tears and perineal pain during three months postpartum: A prospective cohort study
CONCLUSION: Women with 2C-tears reported higher perineal pain scores and more use of pain medication compared to those with less severe tears during three months postpartum.PMID:38320359 | DOI:10.1016/j.midw.2024.103930 (Source: Midwifery)
Source: Midwifery - February 6, 2024 Category: Midwifery Authors: Jeanette Risl økken Marthe Dalevoll Macedo Kari B ø Marie Ellstr öm Engh Franziska Siafarikas Source Type: research

Navigating a maze: Midwives' identity response to the enactment of an abortion law in Chile
CONCLUSION: Midwives' identity response to the enactment of the Chilean abortion law is an example of how professional identity must navigate regulation and practice to make sense of its purpose. In light of this study's findings, the current tension experienced in midwives' identity should be carefully attended to prevent adverse outcomes for midwives and the Chilean population.PMID:38309123 | DOI:10.1016/j.midw.2024.103938 (Source: Midwifery)
Source: Midwifery - February 3, 2024 Category: Midwifery Authors: Bielka Carvajal Helen White Jane Brooks Ann M Thomson Alison Cooke Source Type: research

Breastfeeding self-efficacy, body image, body acceptance, and partner support: Associations in Israeli postpartum women
CONCLUSION: Overall, these findings suggest that positive body image may be associated with breastfeeding self-efficacy in women from Israel, though more research is needed.PMID:38306735 | DOI:10.1016/j.midw.2024.103937 (Source: Midwifery)
Source: Midwifery - February 2, 2024 Category: Midwifery Authors: Shulamit Geller Sigal Levy Ti Baruch Yarden Rinot Viren Swami Source Type: research

"I always felt like I wasn't supposed to be there". An international qualitative study of fathers' engagement in family healthcare during transition to fatherhood
CONCLUSIONS: Multiple barriers restrict the participation of fathers in healthcare for childbearing and early parenting. Knowledge of these barriers can inform healthcare redesign to include more successful engagement strategies for fathers, to benefit fathers, mothers, and infants alike.IMPLICATIONS FOR PRACTICE: Health professionals consulting with the mother, father and infant triad are ideally placed to address the healthcare needs of both parents. Early engagement of fathers in family health care by use of inclusive interpersonal skills and the development of a trusted relationship has potential to improve paternal me...
Source: Midwifery - January 30, 2024 Category: Midwifery Authors: Vanessa Watkins Shane A Kavanagh Jacqui A Macdonald Bodil Rasmussen Helle Terkildsen Maindal Sarah Hosking Karen Wynter Source Type: research

The role of self-criticism and self-compassion in the development of PTSD among midwives
CONCLUSIONS: The findings can help to refine the understanding regarding the involvement of midwives' personality characteristics in the process of PTSD onset. Vulnerable midwives have been identified as those at risk to develop PTSD symptoms.IMPLICATIONS FOR PRACTICE: The clinical significance of these insights is to promote the ability to identify midwives who are at risk to develop PTSD. Furthermore, this information might help to produce training programs and a support network to empower self-compassion and mental resilience, and to minimize self-criticism in order establish a support network, which would help to deal ...
Source: Midwifery - January 25, 2024 Category: Midwifery Authors: Irina Linetsky Keren Grinberg Michal Granot Source Type: research

Gestational weight gain and its association with maternal and neonatal outcomes among pregnant women with normal pre-pregnancy body mass index from a Middle Eastern country
CONCLUSION AND IMPLICATIONS FOR PRACTICE: Our study found that inappropriate gestational weight gain (GWG) contributes to several adverse maternal and neonatal outcomes. We recommend that Ministries of Health in Middle East and North Africa area includes GWG as a risk factor for pregnancy-related adverse outcomes. Midwives should closely monitor and manage GWG to ensure optimal pregnancy outcomes. In addition, midwives should encourage mothers to maintain GWG within the recommended range using various strategies such as continuous counselling and motivational health promotion interventions.PMID:38262216 | DOI:10.1016/j.mid...
Source: Midwifery - January 23, 2024 Category: Midwifery Authors: Hakima Aziz Al Shekaili Iman Al Hashmi Omar Al Omari Source Type: research

Knowledge and attitudes of midwives towards collaboration with traditional birth attendants for maternal and neonatal healthcare services in rural communities in South Africa
CONCLUSIONS: Midwives demonstrated positive attitude towards collaborating with traditional birth attendants at the antenatal care level only. Midwives were not amenable to collaboration at the level of intrapartum and postpartum care.IMPLICATIONS FOR PRACTICE: Based on our results, collaboration should be at antenatal care level to allow for early detection, treatment, and prevention of antenatal complications thus reducing maternal mortality and morbidity.PMID:38244241 | DOI:10.1016/j.midw.2024.103925 (Source: Midwifery)
Source: Midwifery - January 20, 2024 Category: Midwifery Authors: Maurine Rofhiwa Musie Fhumulani Mavis Mulaudzi Source Type: research

Student midwives' lived experiences of caring for bereaved parents following perinatal loss using actor-based simulation: A phenomenological study
CONCLUSION: The study highlights the vital role of simulation as a defined model of bereavement education that equips students with the necessary knowledge, skills, and confidence to provide compassionate care to bereaved parents experiencing perinatal loss.IMPLICATIONS FOR PRACTICE: The emotional toll of caring for bereaved parents is significant, and higher education institutions should adopt experiential forms of learning using actor-based simulation scenarios to emotionally prepare students to care holistically for parents affected by perinatal loss.PMID:38241799 | DOI:10.1016/j.midw.2023.103913 (Source: Midwifery)
Source: Midwifery - January 19, 2024 Category: Midwifery Authors: Anne Leyland Lesley Choucri Source Type: research

Consensus-based recommendations for the care of women with a breech presenting fetus
CONCLUSIONS: A cultural shift is beginning to occur through the provision of physiological breech workshops offered by various organisations and may result in greater access to skilled and experienced clinicians for women desiring a vaginal breech birth, ultimately improving the safety of breech birth.IMPLICATIONS FOR PRACTICES: The care pathway and skills development framework can be used by services wishing to make changes to their current practices related to breech presentation and increase the level of skill in their workforce.PMID:38241800 | DOI:10.1016/j.midw.2024.103916 (Source: Midwifery)
Source: Midwifery - January 19, 2024 Category: Midwifery Authors: Sara Morris Sadie Geraghty Deborah Sundin Source Type: research