Midwifery最新文献

{"title":"Shaping midwifery sustainability: A commentary","authors":"Martina Barbieri , Gianluca Catania , Milko Zanini , Giuseppe Aleo , Loredana Sasso , Annamaria Bagnasco","doi":"10.1016/j.midw.2025.104409","DOIUrl":"10.1016/j.midw.2025.104409","url":null,"abstract":"","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"146 ","pages":"Article 104409"},"PeriodicalIF":2.6,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821281","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":"A content analysis of women's experiences of debriefing following childbirth: The birth experience study (BESt)","authors":"Lucy Bannister ,&nbsp;Athena Hammond ,&nbsp;Hannah G Dahlen ,&nbsp;Hazel Keedle","doi":"10.1016/j.midw.2025.104421","DOIUrl":"10.1016/j.midw.2025.104421","url":null,"abstract":"<div><h3>Background</h3><div>The early postpartum period is highly vulnerable, with the World Health Organization estimating that 13 % of women globally experience postnatal mental health disorders. Postnatal care often lacks the resources allocated to antenatal and intrapartum care, leading to maternal psychological needs being overlooked. Understanding women's lived experiences of debriefing is crucial as it provides insights into the practical and emotional aspects of debriefing that effectiveness studies alone cannot capture. Debriefing, a psychological intervention, can help prevent postnatal mental health issues, though the most effective approaches are still debated.</div></div><div><h3>Aim</h3><div>To explore Australian women's views on the role of debriefing in postnatal care, including its benefits and suggestions for implementation.</div></div><div><h3>Methods</h3><div>The Birth Experience Study (BESt) was a national online survey conducted in 2021 which focused on the experiences of Australian women who had given birth at any time in the preceding five years. The survey included questions about their debriefing experiences, who they debriefed with, and their suggestions for optimal timing of debriefing. Qualitative content analysis was applied to 2154 open-ended responses discussing postnatal debriefing experiences.</div></div><div><h3>Findings</h3><div>Of 2514 responses, two main categories were found that focused on the debriefing experience and suggestions for optimal timing for debriefing following birth. Women highlighted the importance of being heard compared to being dismissed and not being able to validate their feelings.</div></div><div><h3>Conclusion</h3><div>Women value debriefing, and its effective implementation depends on individual experiences and needs. The findings suggest that debriefing should become standard practice, with maternity clinicians trained to provide this crucial aspect of postnatal care.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"146 ","pages":"Article 104421"},"PeriodicalIF":2.6,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143823552","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":"Migrant women with cultural doula support during pregnancy and after childbirth as a complement to midwifery care in Sweden – An interview study","authors":"Johansson Margareta ,&nbsp;Kaminsky Elenor ,&nbsp;Ström Ingrid ,&nbsp;Volgsten Helena","doi":"10.1016/j.midw.2025.104420","DOIUrl":"10.1016/j.midw.2025.104420","url":null,"abstract":"<div><h3>Background</h3><div>For migrant women, it may feel unsafe to give birth in a new, unfamiliar country. This group of women has an increased risk for adverse outcomes for mothers and children. Migrant women may experience stress and they have a higher likelihood of childbirth fear, childbirth complications, and maternal death.</div></div><div><h3>Aim</h3><div>To explore migrant women's experiences of cultural doula support during pregnancy and after childbirth as a complement to midwifery care.</div></div><div><h3>Methods</h3><div>A qualitative exploratory study design was adopted, using Braun and Clarke's theoretical thematic analysis process. A total of 21 migrant women from non-European countries in Sweden were interviewed via female language interpreters.</div></div><div><h3>Findings</h3><div>The overarching theme ‘Cultural doula support facilitates migrant women's transition into motherhood in a new country’ was explored. The theme was described by: The offer of cultural doula support was initially not always fully understood; The support replaced the lack of family and friends; The support developed women's understanding of maternity care; The support increased women's knowledge of childbirth and parental role; and The support facilitated women's integration into a new country.</div></div><div><h3>Conclusion</h3><div>The migrant women valued being supported by cultural doulas because this facilitated their transition into motherhood in an unfamiliar social context. Therefore, migrant women with limited language knowledge and understanding of becoming mothers in a new country should be offered support from a cultural doula as a complement to midwifery care.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"146 ","pages":"Article 104420"},"PeriodicalIF":2.6,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143827753","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":"A qualitative exploration of Australian women's vaccination experiences and information needs for routine, COVID-19 and respiratory syncytial virus vaccines in pregnancy","authors":"Claire Carew ,&nbsp;Ashleigh Rak ,&nbsp;Jane Tuckerman ,&nbsp;Deborah Pidd ,&nbsp;Sophie Vasiliadis ,&nbsp;Margie Danchin ,&nbsp;Jessica Kaufman","doi":"10.1016/j.midw.2025.104402","DOIUrl":"10.1016/j.midw.2025.104402","url":null,"abstract":"<div><h3>Problem</h3><div>New maternal vaccine introduction may affect pregnant women's information needs and decision-making processes.</div></div><div><h3>Background</h3><div>The number of vaccines available to pregnant women in Australia has doubled with the introduction of the COVID-19 vaccine during the pandemic and recent approval of respiratory syncytial virus (RSV) vaccine.</div></div><div><h3>Aim</h3><div>This study explored the maternal vaccine experiences and evolving information needs of Australian pregnant women during and since the pandemic.</div></div><div><h3>Methods</h3><div>This qualitative study recruited participants through social media and a Melbourne public antenatal clinic. Eligible women were either pregnant mid-pandemic (gave birth May 2021-April 2022) or pregnant post-pandemic during the study period (June 2023-March 2024). Online interviews exploring information-seeking and decision-making practices for influenza, pertussis, COVID-19, and maternal RSV vaccines were inductively thematically analysed.</div></div><div><h3>Findings</h3><div>We interviewed twenty-two women with different levels of vaccine acceptance, identifying four themes: (i) “Full mother mode” to protect the baby - perceived disease risk influenced vaccine decision-making; (ii) “Fear of the unknown and comfort of the familiar” – testing and safety data on known vaccines provided confidence. More information was needed for the new RSV vaccine due to less familiarity; (iii) Whatever the provider says, “she's the professional” - providers’ recommendations and personal vaccine decisions provided reassurance; (iv) “I want time to learn about it\" – women preferred consistent information early in pregnancy for unhurried decision-making.</div></div><div><h3>Conclusion</h3><div>Information about new maternal vaccines like RSV should be provided early in pregnancy, emphasising vaccine testing rigour, effectiveness and safety for the baby. Consistent recommendations across providers are essential.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"146 ","pages":"Article 104402"},"PeriodicalIF":2.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143786063","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":"Chinese postpartum mothers’ perspectives about the usage of donor milk and human milk banks: A qualitative study","authors":"Yan-Qiong Ouyang ,&nbsp;Shi-Yun Wang ,&nbsp;Yi-Yan Huang ,&nbsp;Na Zhang ,&nbsp;Xin Wang ,&nbsp;Jun-Yan Li ,&nbsp;Shu-Wen Yue ,&nbsp;Sharon R. Redding","doi":"10.1016/j.midw.2025.104408","DOIUrl":"10.1016/j.midw.2025.104408","url":null,"abstract":"<div><h3>Introduction</h3><div>Human milk banks (HMBs) were established to provide safe human milk for infants in need. However, the number and volume of donors are insufficient in China. This study aimed to explore Chinese postpartum mothers perspectives on the use of donor milk and the implementation of HMBs.</div></div><div><h3>Method</h3><div>A descriptive phenomenology design with semi-structured interviews was used to collect data involving 18 postpartum mothers from January to June 2021.</div></div><div><h3>Results</h3><div>The study revealed that participants had limited knowledge of donor milk and human milk banks, faced multiple barriers to accessing donor milk, and exhibited diverse motivations for considering its use. Key barriers included misconceptions about the value of donor milk for premature infants, concerns over quality and safety, psychological hesitations, and limited access to human milk banks. However, some participants saw donor milk as a way to support breastfeeding beliefs and alleviate the burdens associated with breastfeeding.</div></div><div><h3>Discussion</h3><div>This study explored challenges in HMBs and donor milk use, emphasizing the necessity for targeted education.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"146 ","pages":"Article 104408"},"PeriodicalIF":2.6,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143808631","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":"Corrigendum to \"Midwife-led quality improvement: Increasing the use of evidence-based birth practices in Uganda\" [Midwifery 139 (2024)104188].","authors":"Johanna Blomgren, Helena Lindgren, Dinah Amongin, Kerstin Erlandsson, Christina Lundberg, Annette E Kanyunyuzi, Sarah Muwanguzi, Victoria M Babyrie, Ketty Ogwang, Dinnah Aineomugasho, Catherine Namutosi, Michael B Wells","doi":"10.1016/j.midw.2025.104401","DOIUrl":"https://doi.org/10.1016/j.midw.2025.104401","url":null,"abstract":"","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":" ","pages":"104401"},"PeriodicalIF":2.6,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795776","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":"Initial and continuing education needs for the professional development of midwifery preceptors","authors":"Josée Lafrance ,&nbsp;Émilie Brunet-Pagé","doi":"10.1016/j.midw.2025.104406","DOIUrl":"10.1016/j.midw.2025.104406","url":null,"abstract":"<div><div>Midwifery education in Québec, Canada, is delivered through a baccalaureate of midwifery. Its content consists of at least 50 % of practical supervised training, which is based on a one-on-one model. Each student is paired with an experienced midwife, called preceptor. Preceptors have been informally requesting some educational activities to improve their preceptorship. However, their professional development needs are not known, neither for their initial education nor their continuing education. In order to respond to their demand, a descriptive exploratory study was conducted with preceptors and preceptors-to-be. Data were collected during two focus groups of midwives.</div><div>This study aims to initiate a systematic approach to describe midwifery preceptors’ needs regarding their professional development. To achieve this, four objectives are pursued regarding the midwife preceptors: (a) Determine their initial education needs. (b) Determine their continuing education needs. (c) Determine the preferred delivery mode for initial and continuing education. (d) Determine the most appropriate timing for initial and continuing education.</div><div>The results indicate that preceptors’ needs are similar regarding the initial education needs and the continuing education needs. Participants emphasized the importance of being prepared in the pedagogy of practicums, the relationship with student midwives and what preceptorship encompasses. The preferred modes of delivery for professional development are in person for the initial education and through remote communication platform for the continuing education. The most appropriate timing for professional development activities is annually and just before starting a practicum with a student.</div><div>The results will be used to develop a professional development program for midwife preceptors.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"146 ","pages":"Article 104406"},"PeriodicalIF":2.6,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143823553","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":"Pregnancy, risk behaviors and adverse reproductive outcomes: Is preconception care working in Italy?","authors":"Renata Bortolus ,&nbsp;Francesca Filippini ,&nbsp;Sonia Cipriani ,&nbsp;Francesca Rech Morassutti ,&nbsp;Luca Marchetto ,&nbsp;Erika Rigotti ,&nbsp;Elena Cesari ,&nbsp;Daniele Trevisanuto ,&nbsp;Fabio Parazzini","doi":"10.1016/j.midw.2025.104404","DOIUrl":"10.1016/j.midw.2025.104404","url":null,"abstract":"<div><h3>Background</h3><div>Preconception care guidelines and recommendations have been developed in many countries but, in Europe, recommendations for healthy couples are fragmented and not yet suitably implemented.</div></div><div><h3>Objectives</h3><div>Our objective was to investigate, in a sample of Italian women who gave birth healthy babies in Northern Italy, the prevalence of performing preconception visit and the rate of risks and protective behaviours on adverse pregnancy outcomes, according to preconception visit.</div></div><div><h3>Materials and Methods</h3><div>The study was a cross-sectional survey conducted in four maternity clinics in Northern Italy. After birth, women were asked to fill in a self-administered questionnaire on general characteristics, preconception visit, protective and risk factors (folic acid, immunization, BMI, smoking, alcohol, chronic diseases) before and during pregnancy.</div></div><div><h3>Results</h3><div>1077 women completed the questionnaire and were included in the analysis; 381 (35.4 %) underwent a preconception visit. Folic acid intake was significantly higher in the Preconception Visit Group (OR = 3.94, 95 % CI 2.7–5.7 and OR = 2.27, 95 % CI 1.7–3.1 - at least six months and one month before the last menstruation until the end of the first trimester - respectively). An increased number of women were vaccinated for rubella and chickenpox, had a BMI between 18.50–24.99 and were not smokers before pregnancy in the Preconception Visit Group.</div></div><div><h3>Conclusions</h3><div>Our survey showed a limited use of the preconception visit among Italian women. It may represent a valid resource to improve the folic acid supplementation and immunization before pregnancy. More evidence is needed regarding the role of preconception visit on the risk factors requiring an integrated and long-term approach.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"146 ","pages":"Article 104404"},"PeriodicalIF":2.6,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143786064","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":"Effects of pregnancy intention on completing the maternity continuum of care in Ethiopia: Inverse probability of treatment weighting analysis using propensity score","authors":"Birye Dessalegn Mekonnen ,&nbsp;Vidanka Vasilevski ,&nbsp;Ayele Geleto Bali ,&nbsp;Linda Sweet","doi":"10.1016/j.midw.2025.104405","DOIUrl":"10.1016/j.midw.2025.104405","url":null,"abstract":"<div><h3>Background</h3><div>High rates of unintended pregnancy and low completion of the maternity continuum of care remain major health concerns in Ethiopia. The association between pregnancy intention and the completion of the maternity continuum of care has been assessed in some cross-sectional studies. However, the effect of pregnancy intention on the completion of the maternity continuum of care in Ethiopia has not yet been investigated.</div></div><div><h3>Aim</h3><div>To determine the effect of pregnancy intention on the completion of the maternity continuum of care in Ethiopia.</div></div><div><h3>Methods</h3><div>A nationally representative data set was used from the Performance Monitoring for Action Ethiopia longitudinal survey, which was conducted from 2019 to 2021. A propensity score method was conducted to assess the effect of pregnancy intention on the completion of the maternity continuum of care. Pregnancy intention was considered as the exposure variable, while the completion of the maternity continuum of care was the outcome variable. The analysis included a total weighted sample of 2553 postpartum women. A logistic regression model was used based on inverse probability of treatment weights to determine the effects of exposure, adjusting for potential covariates.</div></div><div><h3>Findings</h3><div>Women with intended pregnancies had 50 % higher odds of completing the maternity continuum of care (AOR=1.50, 95 % CI: 1.10 to 2.06) compared to those with unintended pregnancies.</div></div><div><h3>Conclusion</h3><div>Intended pregnancy is significantly associated with a higher completion rate of the maternity continuum of care. Interventions should focus on preventing unintended pregnancies, and early identification of women with unintended pregnancies and ensuring they have access to maternal healthcare services.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"146 ","pages":"Article 104405"},"PeriodicalIF":2.6,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143808630","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":"Corrigendum to \"Mental health in midwifery students: A French nationwide survey\" [Midwifery 139 (2024) 104165].","authors":"Ariel Frajerman, Romain Colle, Fabrice Jollant, Emmanuelle Corruble","doi":"10.1016/j.midw.2025.104398","DOIUrl":"https://doi.org/10.1016/j.midw.2025.104398","url":null,"abstract":"","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":" ","pages":"104398"},"PeriodicalIF":2.6,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764474","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}