Midwifery最新文献

{"title":"International News May 2025","authors":"Elizabeth Duff (International News Editor)","doi":"10.1016/j.midw.2025.104368","DOIUrl":"10.1016/j.midw.2025.104368","url":null,"abstract":"","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"144 ","pages":"Article 104368"},"PeriodicalIF":2.6,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing antenatal education resources for CALD women: First steps, exploring what women from CALD backgrounds want and need","authors":"Delnia Palani ,&nbsp;Julie Tucker ,&nbsp;Annette Briley","doi":"10.1016/j.midw.2025.104367","DOIUrl":"10.1016/j.midw.2025.104367","url":null,"abstract":"<div><h3>Problem</h3><div>There are significant health risks for women from culturally and linguistically diverse backgrounds accessing perinatal care.</div></div><div><h3>Background</h3><div>Disparity exists for accessing perinatal care. In Australia, women from culturally and linguistically diverse (CALD) backgrounds have higher rates of obstetric complications compared to others. Reasons are often complex and multifactorial. Low health literacy is commonly reported amongst CALD communities as a contributor to reduced antenatal care participation and utilisation, compromising recognition of pregnancy complications, and understanding of educational resources. Typically, antenatal education follows generic formats. The usefulness and appropriateness may not be suitable or understood amongst CALD women.</div></div><div><h3>Aim</h3><div>This project aims to derive deeper understanding of the needs and barriers of CALD women accessing antenatal resources.</div></div><div><h3>Method</h3><div>Qualitative study utilising in-depth semi-structured interviews in two focus groups (<em>n</em> = 10) with CALD pregnant women. Antenatal education resources were reviewed. Thematic analysis was used to uncover themes and subthemes.</div></div><div><h3>Findings</h3><div>Three themes were identified 1) Health Literacy, 2) Navigating service and 3) Identity.</div></div><div><h3>Discussion</h3><div>Improved health literacy was cited the main finding, with participants stating accessing information should be simplified and meet the cultural needs throughout a woman's perinatal journey. Women wanted information in multiple formats and variations to accommodate cultural sensitivities on taboo topics.</div></div><div><h3>Conclusion</h3><div>Improvements in current prenatal information are required for CALD women accessing care. Changes in content and format reflecting cultural needs would aid understanding and potentially improve pregnancy outcomes for this group. Further research is required understanding of the diverse cultural needs of maternity care for CALD women.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"145 ","pages":"Article 104367"},"PeriodicalIF":2.6,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143637586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The psychological impact of working as a midwife in Australia: Findings from a scoping review.","authors":"Kirsten Small, Chanelle Warton, Jennifer Fenwick, Kathleen Baird, Zoe Bradfield, Caroline Homer","doi":"10.1016/j.midw.2025.104377","DOIUrl":"https://doi.org/10.1016/j.midw.2025.104377","url":null,"abstract":"<p><strong>Background: </strong>Burnout, stress, trauma and other psychological health issues are major drivers of attrition, absenteeism, and reduced workplace engagement for midwives. Given the central roles midwives play in providing quality maternity care, it is important to monitor the mental and emotional health of midwives and to understand factors that are associated with a higher or lower incidence of problems. The aim of this review was to report on empirical literature pertaining to the psychological impact of midwifery work for midwives working in Australia.</p><p><strong>Methods: </strong>The Joanna Briggs scoping review methodology was used. MEDLINE, Embase, Emcare, Maternity & Infant Care Datacare, CINAHL and SCOPUS were searched to identify research pertaining to the psychological impact of midwifery work for Australian midwives.</p><p><strong>Results: </strong>A total of 26 papers met inclusion criteria. Midwifery work in Australia carried a significant psychological burden, with high rates of burnout, emotional exhaustion, depression, anxiety, and stress. Most midwives had witnessed traumatic events. Working in continuity of midwifery carer models was associated with lower rates of mental health concerns, while younger midwives and those with fewer years in the workforce were negatively impacted.</p><p><strong>Discussion: </strong>Midwives in Australia are impacted significantly by their work; especially by burnout, the impact of witnessing traumatic events, depression, stress and anxiety, and moral distress. Midwifery continuity of carer models were protective for psychological impacts.</p><p><strong>Conclusions: </strong>Effective workplace interventions to better support the midwifery workforce, including access to continuity models, are required to sustain Australia's high quality maternity care system.</p>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"145 ","pages":"104377"},"PeriodicalIF":2.6,"publicationDate":"2025-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on 'Outcome of induction of labour at 41 weeks with foley catheter in midwifery-led care' of Velthuijs et al.","authors":"Renate Simmelink, Anna Seijmonsbergen-Schermers, Ank de Jonge","doi":"10.1016/j.midw.2025.104369","DOIUrl":"https://doi.org/10.1016/j.midw.2025.104369","url":null,"abstract":"","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":" ","pages":"104369"},"PeriodicalIF":2.6,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The PRIMROSE Project: What is 'physiological birth'? A quantitative approach to the perceptions of the Australian population.","authors":"Brooke I Henshall, Heather A Grimes, Jennifer Davis, Christine E East","doi":"10.1016/j.midw.2025.104375","DOIUrl":"https://doi.org/10.1016/j.midw.2025.104375","url":null,"abstract":"<p><strong>Background: </strong>The definition of 'physiological birth' by the World Health Organization in 1997 may need to be revisited to better align with current practices in labour and birth in the Australian context, and to better understand the perspectives of women and their care providers. This study explored if obstetric doctors, midwives, doulas, women, and support people (with experience in labour and birth in the last 12 months) recognise physiological birth differently, which interventions they consider congruent with physiological birth, and terms that should be included in a consensus statement of 'physiological birth'.</p><p><strong>Methods: </strong>A self-administered, anonymous, 68-field questionnaire was developed and shared online via social media platforms (Facebook, X, and LinkedIn). The questionnaire included Visual Analogue Scales, multi-choice, Likert scale, and open-text items. Data were collected between August - November 2023.</p><p><strong>Results: </strong>733 participants interacted with the survey. Medical intervention such as vaginal examination to assess labour progress, was considered congruent with physiological birth, whereas continuous cardiotocography and artificial rupture of membranes were considered to be 'non-physiological'. Doulas associated physiological birth with being 'intervention-free' more strongly than any other group. Obstetrics doctors viewed birth as inherently risky. Respondents indicated that the psychological experience of birth, and terms such as 'spontaneous onset', 'no/minimal intervention' and 'spontaneous delivery/birth' should be included in a consensus statement of 'physiological birth'.</p><p><strong>Conclusion: </strong>There are multiple understandings of the term 'physiological birth', implying that the term lacks clarity. There are disparities in how care providers and women view intervention in birth; suggesting a consensus statement of 'physiological birth' is appropriate for the Australian context.</p>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"145 ","pages":"104375"},"PeriodicalIF":2.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the perspectives of healthcare professionals on the most significant health disparities observed in perinatal settings: A qualitative study","authors":"Kayleigh A. Gregory ,&nbsp;Madelyn J. Hill ,&nbsp;Mastano Dzimbiri ,&nbsp;Ashley L. Merianos","doi":"10.1016/j.midw.2025.104366","DOIUrl":"10.1016/j.midw.2025.104366","url":null,"abstract":"<div><h3>Background</h3><div>Perinatal mood disorders impact an estimated 15–21% of pregnant and postpartum women and are the leading cause of maternal mortality. Research indicates that social and economic factors, racism, and persistent stress contribute to maternal and infant health outcomes. Healthcare professionals can play a key role in assisting perinatal mothers with their mental health and addressing systemic disparities that may impact access to care. Understanding healthcare professionals’ perceptions is the first step in tailoring existing evidence-based interventions, implementing training in perinatal settings, and providing patient-centered care during this period.</div></div><div><h3>Methods</h3><div>We used a purposive sampling technique to recruit 19 providers comprising of</div><div>OBGYN providers, nurse practitioners, and certified nurse midwives who work in the United States; specifically, Ohio, Kentucky, and Indiana. Semi-structured interviews with open-ended interview questions were conducted. Qualitative data were analyzed using thematic analysis, and main themes emerged from the transcripts.</div></div><div><h3>Results</h3><div>Five major themes were identified regarding the most significant health disparities observed in OBGYN practice in the Midwest area: (1) location-based disparities in access and support for perinatal care; (2) barriers to accessing perinatal care; (3) intersecting health risks; (4) racial disparities; (5) navigating isolation.</div></div><div><h3>Conclusions</h3><div>Study findings provide a comprehensive view of the health disparities perceived by these healthcare professionals during the perinatal period. These findings offer insight into the systemic inequities that affect maternal and infant outcomes. Overall, results may offer evidence for improving cultural competency in the medical setting and providing a greater understanding of the complex interplay of factors that influence outcomes for mothers and infants.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"145 ","pages":"Article 104366"},"PeriodicalIF":2.6,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143644094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Women's perspectives on communication following the diagnosis of gestational or postpartum cancer: A qualitative study","authors":"Sultana Farhana ,&nbsp;Jane Frawley ,&nbsp;Antoinette Anazodo ,&nbsp;Elizabeth A. Sullivan","doi":"10.1016/j.midw.2025.104374","DOIUrl":"10.1016/j.midw.2025.104374","url":null,"abstract":"<div><h3>Background</h3><div>Cancer during pregnancy or the postpartum period is rare, and the clinical management of cancer during this period is complex due to a lack of evidence-based approaches and logistical challenges. Effective communication between women and healthcare providers (HCPs) is critical in navigating these challenges, and communication gaps may contribute to unmet informational and emotional needs, affecting decision-making and overall care experiences.</div></div><div><h3>Aim</h3><div>This study aimed to understand women's perspectives on communication with their healthcare providers (HCPs) following a gestational cancer diagnosis.</div></div><div><h3>Methods</h3><div>We conducted semi-structured interviews with women who experienced cancer during pregnancy or the postpartum period (12 months after giving birth). Data were analysed thematically.</div></div><div><h3>Results</h3><div>17 women participated in this study. Participants varied in age, timing, and cancer diagnosis. Seven women were diagnosed with breast cancer, while the remaining were diagnosed with a variety of cancers, including melanoma, lymphoma, thyroid, ovarian, uterine, bowel, and oropharyngeal cancer. Notably, 10 participants were diagnosed with cancer in the postpartum period, whereas seven were diagnosed during pregnancy. Three overarching themes emerged from the thematic analysis: 1) \"Scarcity of information,\" 2) \"Not involved in treatment decisions,\" and 3) \"Centralised resources and advocacy.\"</div></div><div><h3>Conclusions</h3><div>This study provides crucial insights into the challenges faced by women diagnosed with cancer during pregnancy and the postpartum period, particularly regarding communication with HCPs. This highlights the urgent need for enhanced communication, education, and support for HCPs along with tailored resources for women with gestational cancer. Coordinated multidisciplinary care and dedicated advocacy by nurses or midwives are essential to address these challenges and improve health care outcomes for women and their families.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"145 ","pages":"Article 104374"},"PeriodicalIF":2.6,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143629383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A qualitative exploration of perceptions of the aetiology of preterm birth among pregnant Black women","authors":"Emily Dove-Medows ,&nbsp;Jenna M. Wheeler ,&nbsp;Lindsey Esparza ,&nbsp;Dawn P. Misra ,&nbsp;Carmen Giurgescu","doi":"10.1016/j.midw.2025.104365","DOIUrl":"10.1016/j.midw.2025.104365","url":null,"abstract":"<div><h3>Background</h3><div>Preterm birth (PTB; &lt;37 weeks completed gestation) is a significant public health problem with both acute and long-term ramifications for individuals and families. Despite decades of research, inequities in health outcomes persist in the United States such that Black women are nearly 1.6 times more likely to experience PTB compared to white women. In order to adequately address persistent inequities in PTB, more must be understood from the nuanced experiences of Black women. The purpose of this qualitative study was to explore how pregnant Black women perceive the aetiology of PTB.</div></div><div><h3>Methods</h3><div>Data were collected as part of the Biosocial Impact on Black Birth (BIBB) study which prospectively explored the structural and maternal factors on birth outcomes among self-identified Black women between the ages of 18 and 45 who had singleton pregnancies and were between 8- and 30-weeks’ gestation. Semi-structured interviews were conducted remotely using telephone, were anonymized and transcribed, and analysed using thematic analysis.</div></div><div><h3>Results</h3><div>A total of 61 participants completed interviews. Three main themes developed: (1) Doing Too Much; (2) Black Women Have it Harder; and (3) Patriarchy and Privilege.</div></div><div><h3>Conclusion</h3><div>There is a complex and layered structure in place for Black women which reinforces that the responsibility for PTB belongs to those who experience it the most. Although study participants alluded to the structural vulnerabilities and intersectional stigma, participants turned inward to themselves and to their group identity to explain PTB.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"145 ","pages":"Article 104365"},"PeriodicalIF":2.6,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143620477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Best practice guidelines and service provision for supporting women with birth-related trauma: A scoping review of international literature","authors":"Harriet Donegan ,&nbsp;Lin Zhao ,&nbsp;Suzi Mansu","doi":"10.1016/j.midw.2025.104364","DOIUrl":"10.1016/j.midw.2025.104364","url":null,"abstract":"<div><h3>Problem</h3><div>Birth trauma (BT) is a significant public health concern affecting approximately one-third of the 140 million annual births worldwide, yet it lacks a unified approach for effective intervention. This study investigates the global landscape of BT management, focusing on the current best practice guidelines and service provisions for supporting women with birth-related trauma and the practicable actionable gaps that needs to be addressed.</div></div><div><h3>Methods</h3><div>This scoping review followed the PRISMA Extension for Scoping Reviews guidelines, and systematically searched 13 electronic databases and websites for clinical guidelines, policy documents, care standards, practice recommendations and service provisions related to BT. The search yielded eight guidelines, of which were assessed using the AGREE II appraisal tool. Additionally, eight peer-reviewed articles focusing on current practices and service recommendations were analysed alongside the guidelines using a narrative synthesis approach.</div></div><div><h3>Findings</h3><div>There are gaps between guideline recommendations and service experiences, barriers and facilitators at the patient, provider, and system levels as well as between research, policy and clinical practice. Of the guidelines included, only three rated high quality (&gt;70 %).</div></div><div><h3>Discussion</h3><div>There was consistency in recommending trauma-informed care, collaborative care between health professionals, patient and practitioner education and debriefing as an intervention. However, there were inconsistencies in the definition of BT and most lacked details on the steps, structure or practical tools that should be used. Seven key themes were identified regarding gaps between proposed guidelines and actual experiences of women after traumatic birth.</div></div><div><h3>Conclusion</h3><div>There is an urgent need for standardised, evidence-based guidelines that are user-friendly and provide practical advice for implementing trauma-informed care.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"145 ","pages":"Article 104364"},"PeriodicalIF":2.6,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143621224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Choosing for a Homebirth during COVID-19 Lockdown in The Netherlands, who and why: A national prospective questionnaire study","authors":"Benjamin Y. Gravesteijn ,&nbsp;Nienke Boderie ,&nbsp;Roseriet Beijers ,&nbsp;Loes Bertens ,&nbsp;Thomas van den Akker ,&nbsp;Jeroen van Dillen ,&nbsp;Arie Franx ,&nbsp;Marion van den Heuvel ,&nbsp;Ank de Jonge ,&nbsp;Brenda Kazemier ,&nbsp;Igna Kwint-Reijnders ,&nbsp;Ben Willem Mol ,&nbsp;Sylvia A. Obermann-Borst ,&nbsp;Lilian Peters ,&nbsp;Stefania Vacaru ,&nbsp;Carolina de Weerth ,&nbsp;Sam Schoenmakers ,&nbsp;Christianne de Groot ,&nbsp;Jasper V. Been ,&nbsp;PREPARE consortium","doi":"10.1016/j.midw.2025.104361","DOIUrl":"10.1016/j.midw.2025.104361","url":null,"abstract":"<div><h3>Objective</h3><div>During the first COVID-19 lockdown in the Netherlands (9 March–1 June 2020), the homebirth rate increased from 27 % to 37 % among women with low-risk pregnancies starting labour in primary midwife-led care (overall population: 15 % in 2020). We explored characteristics and motivations of women who change their preference from a hospital birth to a home birth.</div></div><div><h3>Design</h3><div>A nationwide prospective online questionnaire.</div></div><div><h3>Setting</h3><div>Questionnaires were distributed during the first COVID-19 wave (4 April-11 May 2020), as well as at follow-up (infant ±6 months old).</div></div><div><h3>Population</h3><div>Women who were pregnant during the first COVID-19 wave (N = 778), who either changed their preferred birth location from a hospital to a home birth or who maintained their original preference.</div></div><div><h3>Methods and main outcome measures</h3><div>We compared characteristics, anticipatory worries, and mental health between these groups, using descriptive statistics.</div></div><div><h3>Results</h3><div>The most frequently reported change in preferred birth location among included women was from a hospital to a homebirth (15 %). This was primarily experienced as a choice rather than out of necessity (84 %). Women preferring homebirths had fewer risk factors (-11 %, 95 % CI: -5 % to -16 %) and had higher COVID-19 related worry scores (+0.09, 95 % CI: 0.01 to 0.18; for scale: IQR 0.45–1.09) compared to women who maintained their original preference. Main concerns were the absence of the support of friends or family during or after birth, and exposure to COVID-19.</div></div><div><h3>Conclusion</h3><div>During the first COVID-19 lockdown in the Netherlands, women changing their preferred location of birth to a homebirth had fewer risk factors and more COVID-19 related worries pertaining to a hospital birth.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"144 ","pages":"Article 104361"},"PeriodicalIF":2.6,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143593216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}