Tertiary education regarding stillbirth for student midwives: The tears 4 SMS project.
CONCLUSION: There is room to improve and standardise appropriate stillbirth curriculum nationally. It is imperative that midwives are able to provide sensitive and knowledgeable care to all women and their families. PMID: 30097322 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - August 7, 2018 Category: Midwifery Authors: Warland J, Glover P Tags: Women Birth Source Type: research

Gestational weight gain and unplanned or emergency cesarean delivery in the United States.
We examined 2107 mothers from the Infant Feeding Practices Study II 2005-2007. The Institute of Medicine's current guidelines were used to define categories of gestational weight gain: inadequate (less than the recommended guideline), adequate (within the recommended guideline) and excessive (above the recommended guideline). FINDINGS: Approximately 49.3% and 13.6% of the participants had excessive weight gain and unplanned or emergency cesarean delivery, respectively. A Greater proportion of women with excessive weight gain had an unplanned or emergency cesarean delivery followed by women with adequate and inadequate...
Source: Women Birth - August 6, 2018 Category: Midwifery Authors: Haile ZT, Chavan B, Teweldeberhan AK, Chertok IRA, Francescon J Tags: Women Birth Source Type: research

Midwives 'with woman' in the private obstetric model: Where divergent philosophies meet.
CONCLUSION: Findings offer insight into midwives' experiences of being 'with woman' within the context of the private obstetric model. New understandings are revealed of a phenomenon central to midwifery professional philosophy that is embedded within midwifery practices which has implications for service mangers, professional leaders and educators. PMID: 30093349 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - August 6, 2018 Category: Midwifery Authors: Bradfield Z, Kelly M, Hauck Y, Duggan R Tags: Women Birth Source Type: research

Oxytocin discontinuation after the active phase of induced labor: A systematic review.
CONCLUSIONS: After the active phase of induced labor, oxytocin continuation increases the risk of cesarean section, uterine hyperstimulation and alterations to the fetal heart rate. PMID: 30087073 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - August 4, 2018 Category: Midwifery Authors: Hernández-Martínez A, Arias-Arias A, Morandeira-Rivas A, Pascual-Pedreño AI, Ortiz-Molina EJ, Rodriguez-Almagro J Tags: Women Birth Source Type: research

Fighting a losing battle: Midwives experiences of workplace stress.
CONCLUSION: This study reveals that as the number and extent of stressors increase, the negative implications and effects for midwives rise as the opportunities to 'do' midwifery in the way they value decrease, and that commitment to and engagement with the work diminishes. Although the midwives said that midwifery itself could be stressful, their responses clearly identify that it is not the actual job but other related, contextual and other environmental factors that make it so. PMID: 30082214 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - August 3, 2018 Category: Midwifery Authors: Geraghty S, Speelman C, Bayes S Tags: Women Birth Source Type: research

A review of midwifery in mainland China: Contemporary developments within historical, economic and sociopolitical contexts.
CONCLUSION: Midwifery in China must continue to develop in parallel with international trends. Investment in midwifery education alone will not suffice; it will have to operate within strong government policy regarding regulation, effective human resources management, visibility of the role of the midwife and development of the service delivery environment in which future midwives will work in China. PMID: 30078668 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - August 2, 2018 Category: Midwifery Authors: Gao LL, Lu H, Leap N, Homer C Tags: Women Birth Source Type: research

Episiotomy practice in the Middle East: A Lebanese teaching tertiary care center experience.
CONCLUSION: Raising awareness among providers appeared to play a significant role in reducing this rate, although more efforts remain warranted. Other strategies - such as raising awareness of women about potential risks of episiotomy - are also worth exploring. PMID: 30057367 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - July 26, 2018 Category: Midwifery Authors: Kaddoura R, DeJong J, Zurayk H, Kabakian T, Abbyad C, Mirza FG Tags: Women Birth Source Type: research

Postnatal breastfeeding education at one week after childbirth: What are the effects?
This study aims to determine the association of postnatal breastfeeding education with knowledge, attitude, and exclusive breastfeeding practice at six months after childbirth among women who delivered at two district hospitals in the northeast part of Peninsular Malaysia. METHODS: This is a quasi-experimental study design. A newly developed and validated questionnaire was used to determine scoring for baseline and six months after childbirth. The intervention consisted of individualized postnatal breastfeeding education delivered by researchers using flipchart one week after childbirth and breastfeeding diary in addi...
Source: Women Birth - July 26, 2018 Category: Midwifery Authors: Muda CMC, Ismail TAT, Jalil RA, Hairon SM, Sulaiman Z, Johar N Tags: Women Birth Source Type: research

The experience of vasa praevia for Australian midwives: A qualitative study.
CONCLUSION: Ruptured vasa praevia was recognised as a traumatic experience that warrants serious considerations from maternity care providers, managers and policy makers. Midwives should be supported and adequately prepared to cope with traumatic events. PMID: 30031692 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - July 18, 2018 Category: Midwifery Authors: Javid N, Hyett JA, Homer CSE Tags: Women Birth Source Type: research

'Being able to bear a child': Insights from Zimbabwean women in Melbourne.
CONCLUSION: The procreative value has not diminished despite having settled in Australia. An increased awareness of procreative needs for Zimbabwean women in a culturally and sensitive manner would enhance the emotional well-being of these women. PMID: 30030020 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - July 17, 2018 Category: Midwifery Authors: Liamputtong P, Benza S Tags: Women Birth Source Type: research

Maternal, prenatal and traditional practice factors associated with perinatal mortality in Yemen.
Abstract BACKGROUND: Perinatal mortality remains a major international problem responsible for nearly six million stillbirths and neonatal deaths. OBJECTIVES: To estimate the perinatal mortality rate in Sana'a, Yemen and to identify risk factors for perinatal deaths. METHODS: A community-based prospective cohort study was carried out between 2015 and 2016. Nine-hundred and eighty pregnant women were identified and followed up to 7 days following birth. A multi-stage cluster sampling was used to select participants from community households', residing in the five districts of the Sana'a City, Yemen. ...
Source: Women Birth - July 17, 2018 Category: Midwifery Authors: Al-Shahethi AH, Zaki RA, Al-Serouri AWA, Bulgiba A Tags: Women Birth Source Type: research

Process evaluation of the midwifery initiated oral health-dental service program: Perceptions of midwives in Greater Western Sydney, Australia.
CONCLUSION: Midwives found the MIOH-DS to be acceptable and feasible which are two important barriers to potential implementation at scale. Misconceptions over the importance of oral health by women and cost of accessing dental services still need resolving. PMID: 30025676 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - July 16, 2018 Category: Midwifery Authors: Dahlen HG, Johnson M, Hoolsema J, Norrie TP, Ajwani S, Blinkhorn A, Bhole S, Ellis S, Srinivas R, Yaacoub A, Milat A, Skinner J, George A Tags: Women Birth Source Type: research

Midwives' personal use of complementary and alternative medicine (CAM) influences their recommendations to women experiencing a post-date pregnancy.
PMID: 30025677 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - July 16, 2018 Category: Midwifery Authors: Mollart L, Skinner V, Adams J, Foureur M Tags: Women Birth Source Type: research

The experiences of breastfeeding mothers returning to work as hospital nurses in Pakistan: A qualitative study.
CONCLUSION: This study highlighted the barriers to breastfeeding experienced by mothers working as hospital nurses in Pakistan. Babies can be put at risk due to the strategies parents adopt to reconcile continued breastfeeding with maternal employment. PMID: 30017892 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - July 13, 2018 Category: Midwifery Authors: Riaz S, Condon L Tags: Women Birth Source Type: research

Effect of the use of a national information brochure about foetal movements on patient delay.
ze MJ Abstract BACKGROUND: Perinatal audits in the Netherlands showed that stillbirth was nearly always preceded by a period of reduced foetal movements. Patient or caregiver delay was identified as a substandard care factor. AIM: To determine whether the use of a new information brochure for pregnant women on foetal movements results in less patient delay in contacting their maternity caregiver. METHODS: A pre- and post-survey cohort study in the Netherlands, including 140 women in maternity care with a singleton pregnancy, expecting their first child. All participating women filled out a baseline quest...
Source: Women Birth - July 11, 2018 Category: Midwifery Authors: Wackers KJWM, Wassen MMLH, Zeegers B, Budé L, Nieuwenhuijze MJ Tags: Women Birth Source Type: research

Differences in meconium stained amniotic fluid in an Australian population: A retrospective study.
Abstract BACKGROUND: Meconium stained amniotic fluid commonly occurs postdates ( >40 weeks gestation) indicating fetal maturity. Previous literature indicates that different ethnicities mature at different rates. AIM: To compare the rate of meconium stained amniotic fluid of Australian-born and non-Australian born women. METHODS: A retrospective correlation study design was implemented, using data collected in the birth outcomes system at one tertiary hospital. Data was collected from all women who gave birth to a term (>/=37 weeks gestation), singleton, liveborn baby between January 1st to ...
Source: Women Birth - June 25, 2018 Category: Midwifery Authors: Carr BL, Copnell B, McIntyre M Tags: Women Birth Source Type: research

Childbirth education in Australia: Have we lost our way?
PMID: 29954688 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - June 25, 2018 Category: Midwifery Authors: Levett K, Dahlen HG Tags: Women Birth Source Type: research

Attitudes and perceptions of pregnant women towards the use of Anti-Retroviral Therapy in Nigeria.
CONCLUSION: The findings provide useful insights to inform Nigeria's health policies on Anti-Retroviral Therapy. There is a need to educate the women on the benefits of the treatment as well as how they can cope with side effects and the daily regimen of the therapy during pregnancy. The findings also indicate the need for training healthcare providers on facilitative patient-provider relationship. PMID: 29954689 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - June 25, 2018 Category: Midwifery Authors: Major PB, Puthussery S, Pappas Y Tags: Women Birth Source Type: research

Asking different questions: A call to action for research to improve the quality of care for every woman, every child.
PMID: 29945773 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - June 23, 2018 Category: Midwifery Authors: Kennedy HP, Cheyney M, Dahlen HG, Downe S, Foureur MJ, Homer CSE, Jefford E, McFadden A, Michel-Schuldt M, Sandall J, Soltani H, Speciale AM, Sevens J, Vedam S, Renfrew MJ Tags: Women Birth Source Type: research

Informational interventions on paternal outcomes during the perinatal period: A systematic review.
CONCLUSION: Informational interventions for fathers were found to be lacking and recommendations for future studies on educational interventions for fathers were discussed. PMID: 29945774 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - June 23, 2018 Category: Midwifery Authors: Shorey S, Ang L, Tam WWS Tags: Women Birth Source Type: research

Postnatal quality of life - A content analysis of qualitative results to the Mother-Generated Index.
CONCLUSION: Our findings suggest that postnatal quality of life is a concept that changes over time and differs between countries. PMID: 29937371 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - June 21, 2018 Category: Midwifery Authors: Grylka-Baeschlin S, Meyer T, Lengler L, van Teijlingen E, Pehlke-Milde J, Gross MM Tags: Women Birth Source Type: research

Influencing factors in midwives' decision-making during childbirth: A qualitative study in the Netherlands.
CONCLUSION: The decision-making process during childbirth is multi-factorial. The women's needs and wishes are recognized as of great influence on the decision-making process during childbirth, which is not included as a factor in the hypothetico-deductive or the intuitive-humanist theory. IMPLICATION FOR PRACTICE: The influence of women's needs and wishes should be part of models about the intra-partum decision-making process. Midwives should find strategies to support women to make well-informed choices that include adequate information on the consequences of medicalisation in obstetric-led care. PMID: 29935989...
Source: Women Birth - June 20, 2018 Category: Midwifery Authors: Weltens M, de Nooijer J, Nieuwenhuijze MJ Tags: Women Birth Source Type: research

Developing reflective capacities in midwifery students: Enhancing learning through reflective writing.
CONCLUSIONS: The introduction of a holistic structured model of reflection resulted in improved scores across all five components of reflective writing; self-awareness, sources of knowledge, reflection and critical reflection, evidence informed practice and critical thinking. While further work is required the results show that the implementation process and use of the Bass Model enables students to demonstrate their capacity to reflect-on-practice through their writing. PMID: 29933909 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - June 19, 2018 Category: Midwifery Authors: Sweet L, Bass J, Sidebotham M, Fenwick J, Graham K Tags: Women Birth Source Type: research

B Butterfly Campaign: A social marketing campaign to promote normal childbirth among first-time pregnant women.
CONCLUSION: The B Butterfly social marketing campaign successfully targeted first-time pregnant women who chose to have unnecessary elective cesarean births. PMID: 29929921 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - June 18, 2018 Category: Midwifery Authors: Darsareh F, Aghamolaei T, Rajaei M, Madani A, Zare S Tags: Women Birth Source Type: research

"I did a lot of Googling": A qualitative study of exclusive breastfeeding support through social media.
CONCLUSION: The influence of social media on breastfeeding points to the relational nature of breastfeeding which is embedded in 'real' world and virtual social networks as well as the cultural, geographic and social contexts of a mother's life. PMID: 29921552 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - June 16, 2018 Category: Midwifery Authors: Alianmoghaddam N, Phibbs S, Benn C Tags: Women Birth Source Type: research

Teaching midwives to poke with needles on non-existing meridians.
PMID: 29914849 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - June 15, 2018 Category: Midwifery Authors: Braillon A, Maclennan A, Marron L, Dervaux A Tags: Women Birth Source Type: research

Maternity experiences of mothers with multiple disadvantages in England: A qualitative study.
CONCLUSION: Mothers with multiple disadvantages value being treated as an individual, making informed choices, and feeling safe, but they may lack the confidence to ask questions or challenge disrespectful treatment. Training and supervision should enable maternity professionals to understand how confusing maternity care can be to very disadvantaged mothers. It should emphasise the need to provide accessible and empowering information and guidance to enable all mothers to make choices and understand the system. Leaders of maternity services need to do more to challenge negative staff attitudes and ensure that that all moth...
Source: Women Birth - June 14, 2018 Category: Midwifery Authors: McLeish J, Redshaw M Tags: Women Birth Source Type: research

How Australian dual registrants identified as midwives to meet national registration-renewal requirements.
CONCLUSION: The theory of categorisation helped explain the dual registrants' behaviour and rationalise their midwifery responses. PMID: 29887506 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - June 7, 2018 Category: Midwifery Authors: Gray M Tags: Women Birth Source Type: research

Remote dwelling Aboriginal Australian women and birthing: A critical review of literature.
CONCLUSION: This critical review of current literature highlights the importance of ongoing critique of maternity services policy and practice discourse necessary to combat western medical hegemony that maintains the disenfranchisement of Aboriginal Australians. PMID: 29887507 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - June 7, 2018 Category: Midwifery Authors: Felton-Busch C, Larkins S Tags: Women Birth Source Type: research

Low socioeconomic status increases effects of negative life events on antenatal anxiety and depression.
CONCLUSION: Interventions for anxiety and depression during pregnancy should be targeted particularly to unemployed, less-educated or low-income women who recently experienced negative life events. PMID: 29887508 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - June 7, 2018 Category: Midwifery Authors: Verbeek T, Bockting CLH, Beijers C, Meijer JL, van Pampus MG, Burger H Tags: Women Birth Source Type: research

Editorial.
Authors: PMID: 29887319 [PubMed - in process] (Source: Women Birth)
Source: Women Birth - June 1, 2018 Category: Midwifery Tags: Women Birth Source Type: research

The initial development of the Pregnancy-related Anxiety Scale.
CONCLUSIONS: The Pregnancy-related Anxiety Scale is easy to administer with higher scores indicative of greater pregnancy-related anxiety. The inclusion of reverse-scored items is a potential limitation with poorer reliability evident for these factors. Although still in its development stage, the Pregnancy-related Anxiety Scale will eventually be useful both clinically (affording early intervention) and in research settings. PMID: 29859678 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - May 30, 2018 Category: Midwifery Authors: Brunton RJ, Dryer R, Saliba A, Kohlhoff J Tags: Women Birth Source Type: research

The role, practice and training of unregulated birth workers in Australia: A mixed methods study.
CONCLUSION: Unregulated birthworkers believe they provide women with the homebirth service they want but cannot access. Mainstream service providers need to listen to consumer criticisms, as women seek answers outside the system. Change is needed to improve and align services with women's expectations of homebirth. PMID: 29803611 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - May 23, 2018 Category: Midwifery Authors: Rigg EC, Schmied V, Peters K, Dahlen HG Tags: Women Birth Source Type: research

Review of educational interventions to increase traditional birth attendants' neonatal resuscitation self-efficacy.
CONCLUSION: Culturally appropriate methods, such as role-play, demonstration, and pictorial charts, can contribute to increased knowledge and self-efficacy related to neonatal resuscitation. A team approach to training traditional birth attendants, assisted by village health workers during home-based childbirths may reduce neonatal mortality rates. PMID: 29793845 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - May 21, 2018 Category: Midwifery Authors: Mendhi MM, Cartmell KB, Newman SD, Premji S, Pope C Tags: Women Birth Source Type: research

Does previous cesarean section influence neonatal birth weight? A path analysis in China.
CONCLUSION: This study showed that previous cesarean section had negative effects on neonatal birth weight with increasing incidence of placenta previa and preterm birth. But these effects were suppressed by other positive factors, such as maternal body mass index, just after the child policy updated in China. PMID: 29778438 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - May 16, 2018 Category: Midwifery Authors: Qin C, Deng Y, Chen WT, Mi C, Wang W, Sun M, Chen J, Liu W, Tang S Tags: Women Birth Source Type: research

Women with fear of childbirth might benefit from having a known midwife during labour.
CONCLUSIONS: Although the women in the present study had limited access to a known midwife, the results indicate that having a known midwife whom the women met on several occasions made them more satisfied with the counseling and had a positive effect on their fear. Building a trustful midwife-woman relationship rather than counseling per se could be the key issue when it comes to fear of birth. PMID: 29773474 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - May 14, 2018 Category: Midwifery Authors: Hildingsson I, Karlström A, Rubertsson C, Haines H Tags: Women Birth Source Type: research

Trauma and fear in Australian midwives.
Abstract BACKGROUND: Relatively little is known about the extent of trauma and birth-related fear in midwives and how this might affect practice. AIM: (1) Determine prevalence of birth related trauma and fear in midwives and associations with midwives' confidence to advise women during pregnancy of their birth options and to provide care in labour. (2) Describe midwives' experiences of birth related trauma and/or fear. METHOD: A mixed methods design. A convenience sample of midwives (n=249) completed an anonymous online survey. Descriptive and inferential statistics were used to analyse the quantitative ...
Source: Women Birth - May 11, 2018 Category: Midwifery Authors: Toohill J, Fenwick J, Sidebotham M, Gamble J, Creedy DK Tags: Women Birth Source Type: research

Cessation of breastfeeding in association with oxytocin administration and type of birth. A prospective cohort study.
CONCLUSION: Planned cesarean birth without oxytocin is associated with the cessation of exclusive breastfeeding at 1, 3 and 6months of life. It would be desirable to limit elective cesarean births to essentials as well as to give maximum support to encourage breastfeeding in this group of women. The dose of oxytocin given during birth and puerperium period is not associated with cessation of exclusive breastfeeding. PMID: 29754970 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - May 10, 2018 Category: Midwifery Authors: Fernández-Cañadas Morillo A, Durán Duque M, Hernández López AB, Muriel Miguel C, Pérez Riveiro P, Salcedo Mariña A, Royuela Vicente A, Casillas Santana ML, Marín Gabriel MA Tags: Women Birth Source Type: research

First-time mothers' birth beliefs, preferences, and actual birth: A longitudinal observational study.
CONCLUSION: Women's beliefs should be recognized and birth preferences respected. PMID: 29753684 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - May 9, 2018 Category: Midwifery Authors: Preis H, Eisner M, Chen R, Benyamini Y Tags: Women Birth Source Type: research

Mindfulness-based programme on the psychological health of pregnant women.
CONCLUSIONS: Perinatal mental health problems affect mothers, their infants, and society. The eight-week mindfulness programme effectively reduced self-perceived stress and depression and increased childbirth self-efficacy and mindfulness. Future research is needed to explore the potential benefits, mechanisms, and effects on maternal and infant birth outcomes of mindfulness. PMID: 29752225 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - May 8, 2018 Category: Midwifery Authors: Pan WL, Gau ML, Lee TY, Jou HJ, Liu CY, Wen TK Tags: Women Birth Source Type: research

Re-examining pregnancy-related anxiety: A replication study.
CONCLUSIONS: The methodology and more detailed analyses employed addressed noted limitations of the Huizink study. Findings that the contribution of general anxiety and depression to the variance in pregnancy-related anxiety scores was low, supports previous conclusions that pregnancy-related anxiety is a discrete anxiety type. Recognition of this unique anxiety (associated with many deleterious outcomes) may provide opportunity for prenatal screening/early intervention, potentially resulting in improved pregnancy outcomes. Limitations include no exclusion of women deemed as high-risk pregnancy and the pregnancy-related an...
Source: Women Birth - May 7, 2018 Category: Midwifery Authors: Brunton R, Dryer R, Saliba A, Kohlhoff J Tags: Women Birth Source Type: research

Postnatal gestational diabetes mellitus follow-up: Perspectives of Australian hospital clinicians and general practitioners.
CONCLUSION: Gestational diabetes mellitus follow-up is characterised by communication where general practitioners appear to be information seekers whose communication needs are not met by hospital clinicians. Midwives are ideally placed to assist in improving communication and postnatal gestational diabetes mellitus follow-up. PMID: 29735392 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - May 4, 2018 Category: Midwifery Authors: Kilgour C, Bogossian FE, Callaway L, Gallois C Tags: Women Birth Source Type: research

"Trying to give birth naturally was out of the question": Accounting for intervention in childbirth.
CONCLUSION: The experience of medical intervention in childbirth is routinely oriented to as a matter that requires explanation or account in online birth narratives. Women repeatedly referred to their preference to avoid intervention, but described being unable to do so in hospital. PMID: 29731383 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - May 3, 2018 Category: Midwifery Authors: Cole L, LeCouteur A, Feo R, Dahlen H Tags: Women Birth Source Type: research

A qualitative exploration of techniques used by expert midwives to preserve the perineum intact.
Abstract BACKGROUND: The perineum stretches during birth to allow passage of the baby, but 85% of women sustain some degree of perineal trauma during childbirth, which is painful post-partum. Episiotomy rates vary significantly, with some countries having rates of>60%. Recent Irish and New Zealand studies showed lower severe perineal trauma and episiotomy rates than other countries. AIM: To explore expert Irish and New Zealand midwives' views of the skills that they employ in preserving the perineum intact during spontaneous vaginal birth. METHODS: Following ethical approval a qualitative, descriptive...
Source: Women Birth - May 2, 2018 Category: Midwifery Authors: Begley C, Guilliland K, Dixon L, Reilly M, Keegan C, McCann C, Smith V Tags: Women Birth Source Type: research

Making the hidden seen: A narrative analysis of the experiences of Assumption of Care at birth.
CONCLUSION: To address the tensions raised in this study, we suggest a two-fold change to maternity care for women at risk of an Assumption of Care: a therapeutic justice model of maternity care and continuity of midwifery care with a dedicated midwife. Introducing these changes could increase women's and children's safety and wellbeing. PMID: 29716826 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - April 28, 2018 Category: Midwifery Authors: Marsh CA, Browne J, Taylor J, Davis D Tags: Women Birth Source Type: research

Women's experience of midwife-led counselling and its influence on childbirth fear: A qualitative study.
CONCLUSIONS: In this qualitative study, women reported that midwife-led counselling improved their confidence for birth through information and knowledge. The women experienced a greater sense of calm and preparedness, which increased the tolerance for the uncertainty related to the birthing process. This, in turn, positively affected the birth experience. Combined with a feeling of safety, which was linked to the professional support during birth, the women felt empowered. The positive birth experience strengthened the self-confidence for a future birth and the childbirth fear was described as reduced or manageable. ...
Source: Women Birth - April 27, 2018 Category: Midwifery Authors: Larsson B, Hildingsson I, Ternström E, Rubertsson C, Karlström A Tags: Women Birth Source Type: research

Veiled midwifery in the baby factory - A grounded theory study.
CONCLUSIONS: Findings provide a theoretical conceptualisation of a 'veiled midwifery 'that causes problems for the surrounding team. This generates a desire to streamline and control midwifery in order to increase interprofessional collaboration. PMID: 29709432 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - April 27, 2018 Category: Midwifery Authors: Hansson M, Lundgren I, Hensing G, Carlsson IM Tags: Women Birth Source Type: research

Community engagement in the Aboriginal Families Study: Strategies to promote participation.
Abstract BACKGROUND: Aboriginal women and families are under-represented in Australian research on pregnancy and childbirth. The Aboriginal Families Study aimed to investigate the views and experiences of a representative sample of women giving birth to an Aboriginal baby in South Australia between July 2011 and June 2013, using methods designed to respect Aboriginal culture and communities. METHODS: A team of 12 Aboriginal researchers facilitated community engagement and recruitment of Aboriginal and non-Aboriginal mothers of Aboriginal infants in urban, regional and remote areas of South Australia over a tw...
Source: Women Birth - April 23, 2018 Category: Midwifery Authors: Weetra D, Glover K, Miller R, Wilson R, Leane C, Stuart-Butler D, Mitchell A, Gartland D, Brown S Tags: Women Birth Source Type: research

Joys and challenges of relationships in Scotland and New Zealand rural midwifery: A multicentre study.
CONCLUSIONS: To meet the challenges of rural practice the importance of relationship needs acknowledging. Relationships are created, built and sustained at a distance with others who have little appreciation of the rural context. Social capital for rural midwives is thus characterised by social trust, community solidarity, shared values and working together for mutual benefit. Rural communities generally exhibit high levels of social capital and this is key to sustainable rural midwifery practice. IMPLICATIONS: Midwives, educationalists and researchers need to address the skills required for building social capital in...
Source: Women Birth - April 21, 2018 Category: Midwifery Authors: Crowther S, Deery R, Daellenbach R, Davies L, Gilkison A, Kensington M, Rankin J Tags: Women Birth Source Type: research

Self-management of gestational diabetes among Chinese migrants: A qualitative study.
CONCLUSION: To assist Chinese women with Gestational diabetes to better self-manage their condition, there is a need for clinicians to: (1) provide more effective diabetes education to ensure clear understanding of self-management principles; (2) actively elicit and respond to women's confusion and concerns; (3) provide women with adequate practical support; and (4) develop greater cultural awareness. PMID: 29693546 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - April 21, 2018 Category: Midwifery Authors: Wah YYE, McGill M, Wong J, Ross GP, Harding AJ, Krass I Tags: Women Birth Source Type: research