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Survey of midwives' perinatal mental health knowledge, confidence, attitudes and learning needs.
CONCLUSION: Midwives require further education on perinatal mental health across cultures with a skill focus and which explores attitudes delivered in a study day format. PMID: 29454664 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - February 14, 2018 Category: Midwifery Authors: Noonan M, Jomeen J, Galvin R, Doody O Tags: Women Birth Source Type: research

Women's choice of maternal healthcare in Parung, West Java, Indonesia: Midwife versus traditional birth attendant.
CONCLUSION: Indonesian women's choice of a midwife instead of a TBA for their maternal healthcare resulted in a higher satisfaction of care and more ANC visits. PMID: 29454665 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - February 14, 2018 Category: Midwifery Authors: Agus Y, Horiuchi S, Iida M Tags: Women Birth Source Type: research

Risk of unplanned caesarean birth in Vietnamese-born women in Victoria, Australia: A cross-sectional study.
CONCLUSION: Factors other than clinical risk appear to predispose Vietnamese-born women to unplanned caesarean birth. These may include intrapartum communication, length of residence and familiarity with care systems, and variations in care practices for Vietnamese women. PMID: 29449157 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - February 12, 2018 Category: Midwifery Authors: Agius PA, Davey MA, Small R Tags: Women Birth Source Type: research

Less or more? Maternal requests that go against medical advice.
This study explores the experiences of Dutch midwives and gynaecologists with pregnant women who request more, less or no care during pregnancy and/or childbirth. METHODS: All Dutch midwives and (trainee) gynaecologists were invited to fill out a questionnaire specifically designed for the purposes of this study. Holistic midwives were analysed separately from regular community midwives. FINDINGS: Most maternity care providers in the Netherlands receive requests for less care than recommended at least once a year. The most frequently maternal requests were declining testing for gestational diabetes (66.3%), optin...
Source: Women Birth - February 10, 2018 Category: Midwifery Authors: Hollander M, Holten L, Leusink A, van Dillen J, de Miranda E Tags: Women Birth Source Type: research

Canada's evacuation policy for pregnant First Nations women: Resignation, resilience, and resistance.
CONCLUSION: There is a pressing need to improve the maternity care services that First Nations women receive when they are evacuated out of their communities, particularly when understood from the specific legal and constitutional position of First Nations women in Manitoba. PMID: 29439924 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - February 10, 2018 Category: Midwifery Authors: Lawford KM, Giles AR, Bourgeault IL Tags: Women Birth Source Type: research

The importance of involving midwives before and during the implementation of an antenatal pertussis vaccination program in New South Wales, Australia.
CONCLUSION: Consulting with the midwives in advance of a new vaccination program was a new initiative and highly recommended as it was time well spent gaining essential information on program resourcing and operational needs. Conducting a post-implementation audit is also strongly recommended as a check-point for issues and recommendations, to empower frontline staff and support consistent program implementation. Frontline staff engagement before and during implementation of a new vaccination program is a powerful mechanism for effective, efficient and consistent program delivery. PMID: 29398459 [PubMed - as supplied ...
Source: Women Birth - February 1, 2018 Category: Midwifery Authors: Nicholl S, Seale H, Saul N, Campbell-Lloyd S Tags: Women Birth Source Type: research

Client experiences with perinatal healthcare for high-risk and low-risk women.
CONCLUSION: Given the potential negative impact of adverse client experiences, this study highlights the need for healthcare professionals to be aware of what women are susceptible for having had negative experiences. It is advised that healthcare provision be altered to tailor to the needs of these women. PMID: 29395696 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - January 26, 2018 Category: Midwifery Authors: van Stenus CMV, Boere-Boonekamp MM, Kerkhof EFGM, Need A Tags: Women Birth Source Type: research

Sexual dysfunction predicts depressive symptoms during the first 2 years postpartum.
CONCLUSIONS: Our study provides robust evidence that sexual dysfunction and poor satisfaction, together with severe perineal laceration, greater pain, and a medical condition, predict depressive symptoms during the 24-month postpartum period. PMID: 29395697 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - January 25, 2018 Category: Midwifery Authors: Chang SR, Lin WA, Lin HH, Shyu MK, Lin MI Tags: Women Birth Source Type: research

Screening for recommended antenatal risk factors: How long does it take?
CONCLUSION: Women are willing to be asked about risk factors; however this process is time-consuming. Strategies to streamline visits and prioritise recommendations so time-efficient yet comprehensive care can be delivered are needed, particularly when factors require monitoring over time and for those who may be 'at-risk' for multiple factors. PMID: 29366711 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - January 20, 2018 Category: Midwifery Authors: Waller A, Bryant J, Cameron E, Galal M, Symonds I, Sanson-Fisher R Tags: Women Birth Source Type: research

Longitudinal evaluation of a training program to promote routine antenatal enquiry for domestic violence by midwives.
Abstract BACKGROUND: Routine enquiry about domestic violence during pregnancy is accepted best practice. Training is essential to improve knowledge and practice. Few studies have undertaken a comprehensive evaluation of training impact over time. AIM: To evaluate the longitudinal impact of a domestic violence training and support program to promote midwives' routine antenatal enquiry for domestic violence using a mixed methods design. METHOD: Data sources included (1) surveys of midwives at 6 months post-training, (2) interviews with key stakeholders at 12 months, (3) chart audit data of screening, risk,...
Source: Women Birth - January 15, 2018 Category: Midwifery Authors: Baird K, Creedy DK, Saito AS, Eustace J Tags: Women Birth Source Type: research

Postnatal post-traumatic stress: An integrative review.
CONCLUSIONS: Postnatal post-traumatic stress symptoms and disorder have been shown to negatively impact the lives of childbearing women. Further investigation into methods and models for identifying women at risk of developing postnatal post-traumatic stress following childbirth is required in order to improve outcomes for this population of women. PMID: 29337007 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - January 11, 2018 Category: Midwifery Authors: Simpson M, Schmied V, Dickson C, Dahlen HG Tags: Women Birth Source Type: research

Ice pack induced perineal analgesia after spontaneous vaginal birth: Randomized controlled trial.
CONCLUSION: By applying an ice-pack for 10min to the perineum, effective pain relief is achieved, that is maintained for between 1h 45min and 2h. PMID: 29337008 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - January 11, 2018 Category: Midwifery Authors: Francisco AA, De Oliveira SMJV, Steen M, Nobre MRC, De Souza EV Tags: Women Birth Source Type: research

The Waterbirth Project: S ão Bernardo Hospital experience.
CONCLUSION: These safety outcomes, based on sound scientific evidence, should increasingly support and inform clinical decisions and increase the number of waterbirths in health facilities. The results of this study align with growing evidence that suggests waterbirth is a safe delivery option and therefore should be offered to women. PMID: 29305115 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - January 2, 2018 Category: Midwifery Authors: Camargo JCS, Varela V, Ferreira FM, Pougy L, Ochiai AM, Santos ME, Grande MCLR Tags: Women Birth Source Type: research

Midwifery management of second-degree perineal tears in New Zealand: A cross-sectional survey of practice.
Abstract BACKGROUND: Second-degree tears are the most common form of perineal trauma occurring after vaginal birth managed by New Zealand midwives, although little is known about midwives' perineal practice. AIM: The aim of this study was to identify how midwives managed the last second-degree perineal tear they treated and the level to which their practice reflects National Institute for Health and Care Excellence guidelines. METHODS: An (anonymous) online survey was conducted over a six-week period in 2013. New Zealand midwives who self-identified as currently practising perineal management and could r...
Source: Women Birth - December 27, 2017 Category: Midwifery Authors: Cronin RS, Li M, Culliney K, Maude R, Nelson K Tags: Women Birth Source Type: research

Maternal perception of fetal movements in the third trimester: A qualitative description.
CONCLUSION: Pregnant women observe a complex range of fetal movement patterns, actions and responses that are likely to be consistent with normal development. Maternal perception of a qualitative change in fetal movements may be clinically important and should take precedence over any numeric definition of decreased fetal movement. Midwives may inform women that it is normal to perceive more fetal movement in the evening and increasingly strong movements as pregnancy advances. PMID: 29287635 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - December 26, 2017 Category: Midwifery Authors: Bradford B, Maude R Tags: Women Birth Source Type: research

Why does the need for medication become a barrier to breastfeeding? A narrative review.
CONCLUSION: Poor quality of information about medicine safety during lactation can contribute to confusion in giving recommendations. This confusion can result in early cessation of breastfeeding or insufficient health care for the breastfeeding woman. PMID: 29258800 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - December 16, 2017 Category: Midwifery Authors: McClatchey AK, Shield A, Cheong LH, Ferguson SL, Cooper GM, Kyle GJ Tags: Women Birth Source Type: research

Herbal medicines use during pregnancy in Sierra Leone: An exploratory cross-sectional study.
CONCLUSION: Herbal medicine use among pregnant women in this study was widespread. Maternal health providers should be aware of this relatively common practice and routinely discuss and educate pregnant women on the potential risks and benefits associated with the use of herbs. PMID: 29254852 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - December 15, 2017 Category: Midwifery Authors: James PB, Bah AJ, Tommy MS, Wardle J, Steel A Tags: Women Birth Source Type: research

Exploring the Fear of Birth Scale in a mixed population of women of childbearing age-A Swedish pilot study.
CONCLUSION: The Fear of Birth Scale seems to be a useful instrument for different subgroups of women. The construct of fear of childbirth may be universally understood and experienced by women of childbearing age irrespective of whether they are currently pregnant, have recently given birth or do not have children. Identifying fear of birth is important in clinical practice in order to support women's reproductive needs. PMID: 29249331 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - December 14, 2017 Category: Midwifery Authors: Hildingsson I, Rubertsson C, Karlström A, Haines H Tags: Women Birth Source Type: research

Telephone triage and midwifery: A scoping review.
CONCLUSION: Further research to explore midwives' perceptions of their role, investigate processes and tools midwives use, evaluate training programs, and examine outcomes of women triaged is needed. PMID: 29241698 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - December 11, 2017 Category: Midwifery Authors: Bailey CM, Newton JM, Hall HG Tags: Women Birth Source Type: research

Sterile water injections for childbirth pain: An evidenced based guide to practice.
CONCLUSION: The recommendation at present, based on the current state of knowledge, is to give four injections. Notwithstanding the differences in injection technique and number of injections the method appears to provide significant levels of pain relief and can be repeated as often as required with no adverse effect (apart from the administration pain) on the woman or her foetus. PMID: 29241699 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - December 11, 2017 Category: Midwifery Authors: Mårtensson LB, Hutton EK, Lee N, Kildea S, Gao Y, Bergh I Tags: Women Birth Source Type: research

How obstetricians and pregnant women decide mode of birth in light of a recent regulation in Brazil.
CONCLUSIONS: Improved enforcement of Resolução Normativa 368, accompanied by structural changes like an on-call schedule and higher compensation for vaginal births in the private sector, could better inform patients about modes of birth and incentivise physicians to encourage vaginal birth. PMID: 29229514 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - December 8, 2017 Category: Midwifery Authors: Galvao R, Hawley NL, da Silva CS, Silveira MF Tags: Women Birth Source Type: research

Relationship between duration of second stage of labour and postpartum anaemia.
CONCLUSION: The duration of the second stage of labour beyond 4h is safe for postpartum anaemia in nulliparous women. However in multiparous women, monitoring should increase if the second stage of labour exceeds 3h given the increased risk of postpartum anaemia. PMID: 29221635 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - December 5, 2017 Category: Midwifery Authors: Infante-Torres N, Molina-Alarcón M, Rubio-Álvarez A, Rodríguez-Almagro J, Hernández-Martínez A Tags: Women Birth Source Type: research

The stories of women who are transferred due to threat of preterm birth.
CONCLUSIONS: All women perceived their midwifery, obstetric and neonatal care to be exceptional and their neonatal outcomes were positive. Improvements may be made by facilitating family contact allowing flexible visiting, assisting with partner/family accommodation, providing women with their basic needs during transport and providing assistance to relieve financial strain. PMID: 29217168 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - December 4, 2017 Category: Midwifery Authors: Woodhart L, Goldstone J, Hartz D Tags: Women Birth Source Type: research

Enabling new graduate midwives to work in midwifery continuity of care models: A conceptual model for implementation.
CONCLUSION: The conceptual model is useful to show maternity services how to enable new graduate midwives to work in midwifery continuity of care models. PMID: 29217169 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - December 4, 2017 Category: Midwifery Authors: Cummins AM, Catling C, Homer CSE Tags: Women Birth Source Type: research

Social resources and Arab women's perinatal mental health: A systematic review.
CONCLUSION: This review demonstrates an association between social resources and perinatal mental health, but there is a dearth of research in this area. We call for additional research on Arab women in the perinatal period using context-specific but standardized tools to assess social resources and mental health. Evidence on positive mental health, resilience, and the influence of social resources can guide the improvement of prenatal and postpartum care services. PMID: 29198501 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - November 29, 2017 Category: Midwifery Authors: Qutteina Y, Nasrallah C, James-Hawkins L, Nur AA, Yount KM, Hennink M, Abdul Rahim HF Tags: Women Birth Source Type: research

Pregnant women's choice of birthing hospital: A qualitative study on individuals' preferences.
CONCLUSIONS: The choice of hospital provider appears to be strongly influenced by experience, whether personal experience or the experience of peers. However, there appears to be room for more information to be provided on safety and service attributes as an instrument for making an informed decision. PMID: 29198502 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - November 29, 2017 Category: Midwifery Authors: Tayyari Dehbarez N, Lou S, Uldbjerg N, Møller A, Gyrd-Hansen D, Søgaard R Tags: Women Birth Source Type: research

Bonding in neonatal intensive care units: Experiences of extremely preterm infants' mothers.
CONCLUSIONS: The bonding with extremely preterm infants is interrupted after giving birth. The maternal emotional state and the environment of the neonatal intensive care unit limit its development. Nursing care can facilitate mother-infant bonding by encouraging communication, participation in care, massaging or breastfeeding. PMID: 29191725 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - November 27, 2017 Category: Midwifery Authors: Fernández Medina IM, Granero-Molina J, Fernández-Sola C, Hernández-Padilla JM, Camacho Ávila M, López Rodríguez MDM Tags: Women Birth Source Type: research

Placentophagy's effects on mood, bonding, and fatigue: A pilot trial, part 2.
CONCLUSIONS: No robust differences in postpartum maternal mood, bonding, or fatigue were detected between the placenta and placebo groups. This finding may be especially important for women considering maternal placentophagy as a 'natural' (i.e., non-pharmacological) means of preventing or treating blues/depression. Given the study limitations, these findings should be interpreted as preliminary. Small, time-related improvements in maternal mood and lower fatigue post-supplementation among placenta group participants may warrant further research. PMID: 29174273 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - November 23, 2017 Category: Midwifery Authors: Young SM, Gryder LK, Cross C, Zava D, Kimball DW, Benyshek DC Tags: Women Birth Source Type: research

Effects of placentophagy on maternal salivary hormones: A pilot trial, part 1.
CONCLUSIONS: Some hormones in encapsulated placenta lead to small but significant differences in hormonal profiles of women taking placenta capsules compared to those taking a placebo, although these dose-response changes were not sufficient to result in significant hormonal differences between groups. Whether modest hormonal changes due to placenta supplementation are associated with therapeutic postpartum effects, however, awaits further investigation. PMID: 29174274 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - November 23, 2017 Category: Midwifery Authors: Young SM, Gryder LK, Cross C, Zava D, Kimball DW, Benyshek DC Tags: Women Birth Source Type: research

Women's experiences of having depression during pregnancy and receiving acupuncture treatment-A qualitative study.
CONCLUSIONS: The women in this study described gaining benefits from acupuncture that they felt enabled them to better manage their lives and the changes that pregnancy brings. These findings provide new understanding regarding the possible role acupuncture could provide as a supportive treatment for antenatal depression. PMID: 29153273 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - November 15, 2017 Category: Midwifery Authors: Ormsby SM, Dahlen HG, Smith CA Tags: Women Birth Source Type: research

Vitamin D supplementation for women during pregnancy.
PMID: 29150350 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - November 14, 2017 Category: Midwifery Authors: Antonakou A Tags: Women Birth Source Type: research

Investigating antenatal nutrition education preferences in South-East Queensland, including Maori and Pasifika women.
Abstract BACKGROUND: Little is reported about the nutrition-related needs and preferences of women seeking maternity services, particularly Maori and Pasifika (M&P) women who have higher chronic disease rates in Queensland. AIM: Nutrition-related knowledge, needs, behaviours and education preferences were compared between women of M&P ancestry and non-Maori and Pasifika women (NMP). METHOD: Women (≥18 years) admitted to the postnatal ward were surveyed. Anthropometry, dietary quality, nutrition education preferences, country of birth and ancestry were collected. Analysis included chi-squared a...
Source: Women Birth - November 11, 2017 Category: Midwifery Authors: Cruickshank A, Porteous HE, Palmer MA Tags: Women Birth Source Type: research

Effectiveness of intrapartum antibiotic prophylaxis for early-onset group B Streptococcal infection: An integrative review.
CONCLUSION: Our review found high quality evidence of the effectiveness of intrapartum antibiotic prophylaxis was limited. Lack of consideration of potential risks of the intervention was evident. Women should be enabled to make informed decisions about GBS management. More research needs to be done in this area. PMID: 29129472 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - November 9, 2017 Category: Midwifery Authors: Braye K, Ferguson J, Davis D, Catling C, Monk A, Foureur M Tags: Women Birth Source Type: research

Participatory action research opens doors: Mentoring Indigenous researchers to improve midwifery in urban Australia.
DISCUSSION: We encourage others to use Participatory Action Research to enable capacity building in the Aboriginal and Torres Strait Islander midwifery workforce and in health research more broadly. PMID: 29128437 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - November 8, 2017 Category: Midwifery Authors: Hickey SD, Maidment SJ, Heinemann KM, Roe YL, Kildea SV Tags: Women Birth Source Type: research

Interventions for reducing fear of childbirth: A systematic review and meta-analysis of clinical trials.
CONCLUSIONS: Both types of interventions were effective in reducing fear of childbirth; however our pooled results revealed that educational interventions may reduce fear with double the effect of hypnosis. Further large scale randomized clinical trials and individual patient data meta-analysis are warranted for assessing the association. PMID: 29126794 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - November 7, 2017 Category: Midwifery Authors: MoghaddamHosseini V, Nazarzadeh M, Jahanfar S Tags: Women Birth Source Type: research

Providers' perspectives of barriers experienced in maternal health care among Marshallese women.
DISCUSSION: Solutions to these barriers, such as increased cultural competency training for maternal health care providers and the incorporation of community health workers are discussed. PMID: 29126795 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - November 7, 2017 Category: Midwifery Authors: Ayers BL, Hawley NL, Purvis RS, Moore SJ, McElfish PA Tags: Women Birth Source Type: research

Pregnancy nutrition knowledge and experiences of pregnant women and antenatal care clinicians: A mixed methods approach.
CONCLUSION: A key challenge for women adhering to dietary recommendations was having inadequate knowledge of the dietary recommendations and receiving limited information from their care providers. Similarly, as well as time constraints, limited nutrition knowledge and a lack of nutrition training impacted on the capacity of clinicians to provide adequate nutrition education. PMID: 29126796 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - November 7, 2017 Category: Midwifery Authors: Lee A, Newton M, Radcliffe J, Belski R Tags: Women Birth Source Type: research

Best practices for online Canadian prenatal health promotion: A public health approach.
CONCLUSION: Canadian online prenatal health promotion is broadly comprehensive and evidence-based, but fails to address the needs of non-Anglophones and represent the diverse population of Canadian pregnant women. It is recommended that agencies enhance the organisation of website pregnancy portals/pages and collaborate with other jurisdictions and community groups to ensure linguistically accessible, culturally-competent and inclusive prenatal online resources. PMID: 29113753 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - November 4, 2017 Category: Midwifery Authors: Chedid RA, Terrell RM, Phillips KP Tags: Women Birth Source Type: research

Predictors of breastfeeding exclusivity and duration in a hospital without Baby Friendly Hospital Initiative accreditation: A prospective cohort study.
Abstract AIM: The aim of this study was to investigate the maternity care factors associated with exclusive breastfeeding duration at three months and six months postpartum in a setting without BFHI accrediation. METHODS: A prospective cohort design. Participants from one tertiary maternity hospital were eligible if they intended to exclusively breastfeed, had birthed a live, term baby; were breastfeeding at recruitment; were rooming-in with their baby; were healthy and well; and understood English. Participants completed an infant feeding survey using 24-h recall questions at three time-points. Data were ana...
Source: Women Birth - November 2, 2017 Category: Midwifery Authors: O'Connor M, Allen J, Kelly J, Gao Y, Kildea S Tags: Women Birth Source Type: research

Effectiveness of training to promote routine enquiry for domestic violence by midwives and nurses: A pre-post evaluation study.
Abstract BACKGROUND: Asking women about experiences of domestic violence in the perinatal period is accepted best practice. However, midwives and nurses may be reluctant to engage with, or effectively respond to disclosures of domestic violence due a lack of knowledge and skills. AIM: To evaluate the impact of training on knowledge and preparedness of midwives and nurses to conduct routine enquiry about domestic violence with women during the perinatal period. METHOD: A pre-post intervention design was used. Midwives and nurses (n=154) attended a full day workshop. Of these, 149 completed pre-post worksh...
Source: Women Birth - November 1, 2017 Category: Midwifery Authors: Baird KM, Saito AS, Eustace J, Creedy DK Tags: Women Birth Source Type: research

Gaining hope and self-confidence-An interview study of women's experience of treatment by art therapy for severe fear of childbirth.
CONCLUSION: The results may contribute to knowledge about the feasibility of treating fear of childbirth by art therapy. PMID: 29100948 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - October 31, 2017 Category: Midwifery Authors: Wahlbeck H, Kvist LJ, Landgren K Tags: Women Birth Source Type: research

Hemorrhoids during pregnancy: Sitz bath vs. ano-rectal cream: A comparative prospective study of two conservative treatment protocols.
Abstract BACKGROUND: Hemorrhoids are a very common ano-rectal condition affecting pregnant females worldwide and representing a major medical and socioeconomic problem. In this paper, we aim to compare the effectiveness of the Sitz bath method with an ano-rectal cream as part of a conservative management protocol to treat hemorrhoids among pregnant Saudi Arabian females. METHODS: A prospective comparative study of the results of two conservative treatment protocols of 495 pregnant females diagnosed to have hemorrhoids during pregnancy between January 2010 and December 2014 was done. The first conservative pro...
Source: Women Birth - October 18, 2017 Category: Midwifery Authors: Shirah BH, Shirah HA, Fallata AH, Alobidy SN, Hawsawi MMA Tags: Women Birth Source Type: research

Combination of a structured aerobic and resistance exercise improves glycaemic control in pregnant women diagnosed with gestational diabetes mellitus. A randomised controlled trial.
Abstract PROBLEM: Gestational diabetes mellitus, defined as any carbohydrate intolerance first diagnosed during pregnancy, is associated with a variety of adverse outcomes, both for the mother and her child. AIM: To investigate the impact of a structured exercise programme which consisted of aerobic and resistance exercises on the parameters of glycaemic control and other health-related outcomes in pregnant women diagnosed with gestational diabetes mellitus. METHODS: Thirty-eight pregnant women diagnosed with gestational diabetes mellitus were randomised to two groups. Experimental group was treated with...
Source: Women Birth - October 18, 2017 Category: Midwifery Authors: Sklempe Kokic I, Ivanisevic M, Biolo G, Simunic B, Kokic T, Pisot R Tags: Women Birth Source Type: research

Timing of hospital admission in labour: latent versus active phase, mode of birth and intrapartum interventions. A correlational study.
CONCLUSIONS: Women admitted in the latent phase were more likely to experience intrapartum interventions, which increase the probability of caesarean section. Maternity services should be organized around women and families needs, providing early labour support, to enable women to feel reassured facilitating their admission in labour to avoid the cascade of intrapartum interventions which increases the risk of caesarean section. PMID: 29054342 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - October 17, 2017 Category: Midwifery Authors: Rota A, Antolini L, Colciago E, Nespoli A, Borrelli SE, Fumagalli S Tags: Women Birth Source Type: research

Australian midwives views and experiences of practice and politics related to water immersion for labour and birth: A web based survey.
CONCLUSION: Midwives who participated in this study supported the practice of water immersion reiterating the benefits documented in the literature and minimal risk to the woman and baby. ETHICAL CONSIDERATIONS: The Human Research Ethics Committee of the University of South Australia approved the research. PMID: 29037484 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - October 13, 2017 Category: Midwifery Authors: Cooper M, Warland J, McCutcheon H Tags: Women Birth Source Type: research

A tale of two pregnancies: A Critical Interpretive Synthesis of women's perceptions about delayed initiation of antenatal care.
CONCLUSION: Critical Interpretive Synthesis offers a systematic yet creative approach to the synthesis of diverse evidence. The findings offer new perspectives on women's perceptions of early pregnancy and attendance for care, which may be used to facilitate timely antenatal provision for all pregnant women. PMID: 29037485 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - October 13, 2017 Category: Midwifery Authors: Haddrill R Tags: Women Birth Source Type: research

A research method to explore midwives' views of national maternity service reforms.
CONCLUSION: This paper demonstrates that Case Study methodology is a valid research approach to exploring the views of midwives employed in standard care settings during a period of national reform. The rigorous processes and versatility of Case Study methodology ensured a systematic, critical enquiry was undertaken to gain understanding of the views of participants in implementing the NMSP. This understanding is reflective of the real life contexts of midwives to promote understanding and provide a body of knowledge where there is ambiguity and uncertainty. PMID: 29037486 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - October 13, 2017 Category: Midwifery Authors: Roache B, Kelly J Tags: Women Birth Source Type: research

Barriers to antenatal psychosocial assessment and depression screening in private hospital settings.
CONCLUSION: Once identified, barriers can be systematically addressed to enhance the success of implementing psychosocial and depression screening in the private sector. Screening is likely to be influenced by the business models and operating systems of private service providers. Health professionals working within this environment need more support to conduct perinatal assessment within this context. PMID: 29031647 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - October 11, 2017 Category: Midwifery Authors: Connell T, Barnett B, Waters D Tags: Women Birth Source Type: research

A historical account of the governance of midwifery education in Australia and the evolution of the Continuity of Care Experience.
CONCLUSION: Research concerned with the intended learning objectives and outcomes for the Continuity of Care Experience will support the learning model and ensure it continues into the future as an educationally sound learning experience for midwifery students. PMID: 29031648 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - October 11, 2017 Category: Midwifery Authors: Tierney O, Sweet L, Houston D, Ebert L Tags: Women Birth Source Type: research

Impact of support networks for breastfeeding: A multicentre study.
e;a C, Orenes-Piñero E Abstract BACKGROUND: The rates of breastfeeding worldwide are slowly improving since 1996. Europe is still trailing behind the global breastfeeding incidence and prevalence rates. Thus, breastfeeding promotion, protection, prolongation and support have become an important challenge as breastfeeding sharply decreases in the first six months of life. OBJECTIVES: The aim of this project is to determine, assess and identify the real impact of breastfeeding support networks in Murcia (Spain). METHODS: After searching unsuccessfully for a validated questionnaire, a specific one wa...
Source: Women Birth - October 10, 2017 Category: Midwifery Authors: Baño-Piñero I, Martínez-Roche ME, Canteras-Jordana M, Carrillo-García C, Orenes-Piñero E Tags: Women Birth Source Type: research