Midwifery最新文献

{"title":"Obstetric violence in Finland: Analyzing the actions of healthcare staff in birthing narratives","authors":"Johanna Westergård ,&nbsp;Jari Kylmä ,&nbsp;Eija Paavilainen","doi":"10.1016/j.midw.2025.104498","DOIUrl":"10.1016/j.midw.2025.104498","url":null,"abstract":"<div><h3>Problem</h3><div>Obstetric violence is a form of gender-based violence rooted in structural inequality and discrimination. It is a globally prevalent phenomenon, affecting up to 59 % of birthing individuals globally and approximately 45 % in high-income countries. Despite its prevalence, research in Finland remains scarce, and little is known about how birthing individuals describe this phenomenon.</div></div><div><h3>Background</h3><div>Most research on obstetric violence has focused on structural and professional perspectives, with less attention to birthing individuals' experiences. Their accounts are essential for understanding how obstetric violence manifests and impacts maternity care. Studies highlight the role of communication, power dynamics, and institutional practices in shaping birthing experiences. However, research on these perceptions in Finland is limited.</div></div><div><h3>Aim</h3><div>This study aims to describe birthing individuals' experiences of healthcare staff actions in situations perceived as obstetric violence, providing insights to support ethical, patient-centered care.</div></div><div><h3>Methods</h3><div>This study employed a qualitative descriptive design with an inductive approach. Written birth narratives (<em>n</em> = 30) were analyzed using inductive content analysis. Background details such as age, number of births, or time elapsed since birth were unavailable. The narratives were coded and categorized to identify how healthcare staff actions were perceived.</div></div><div><h3>Findings</h3><div>Four categories emerged from the data: (1) ignoring, (2) manipulating, (3) showing aggression, and (4) nurturing.</div></div><div><h3>Discussion</h3><div>The findings demonstrate that obstetric violence in Finland is experienced through being ignored, manipulated, or subjected to aggression by healthcare staff. At the same time, nurturing care, characterized by compassion, professionalism, and responsible communication, was seen to protect birthing individuals' sense of dignity and sense of participation in care. These results support international evidence and underscore the importance of consistent, respectful care practices.</div></div><div><h3>Conclusion</h3><div>Preventing obstetric violence requires ethical decision-making and respect for birthing individuals' autonomy. Clinical expertise alone is insufficient; compassionate, respectful care is essential in matemity healthcare.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104498"},"PeriodicalIF":2.6,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144365719","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":"Promoting safe medication use during breastfeeding: uncontrolled interventional before-after study in community pharmacies","authors":"Milena Kovačević ,&nbsp;Ljiljana Stanković ,&nbsp;Branko Petrović ,&nbsp;Aleksandra Catić Đorđević ,&nbsp;Sandra Vezmar Kovačević ,&nbsp;Branislava Miljković","doi":"10.1016/j.midw.2025.104497","DOIUrl":"10.1016/j.midw.2025.104497","url":null,"abstract":"<div><h3>Background</h3><div>Due to a lack of information or unreasonable fear of the effects of medication, breastfeeding mothers either stop taking medication or discontinue/interrupt breastfeeding while taking medication.</div></div><div><h3>Aim</h3><div>The aim of the study was to investigate and evaluate the role of community pharmacists in promoting safe medication use among breastfeeding mothers through evidence-based interventions.</div></div><div><h3>Methods</h3><div>The prospective uncontrolled interventional before- and after- study was conducted in 2022. The first phase involved a one-day comprehensive training session for community pharmacists. The second phase involved the provision and documentation of pharmaceutical care services.</div></div><div><h3>Findings and discussion</h3><div>A total of 1243 breastfeeding mothers participated in the study. Allergy, pain, sore throat, cough and urinary tract infections were the most common complaints. A total of 746 mothers (60.0 %) had been prescribed a medication while breastfeeding. The most commonly used medications were anti-infectives (15.1 %) and medications for respiratory system (10.9 %). Just over half of mothers stated that they had not received specific advice from their doctor about taking medication while breastfeeding (52.8 %). Pharmacists offered various interventions, such as dispensing a prescribed medication accompanied by breastfeeding counselling (41.8 %), recommending a change to a medication or supplement for safety reasons (15.3 %) and tailored recommendations for monitoring the infant (40.1 %). Pharmacist interventions, including the use of alternative medications/supplements, resulted in a decrease in the frequency of high-risk medications (from 1 % to 0.3 %, <em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Community pharmacists play an important role in the care of breastfeeding mothers. In addition to providing breastfeeding counselling and support, community pharmacists significantly improved the safety of medications taken by using relevant sources of information.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104497"},"PeriodicalIF":2.6,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144365720","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":"Factors associated with breastfeeding in women with a history of bariatric surgery: A cross-sectional survey study","authors":"Seyedeh Samira Mokhlesi ,&nbsp;Vidanka Vasilevski ,&nbsp;Linda Sweet","doi":"10.1016/j.midw.2025.104496","DOIUrl":"10.1016/j.midw.2025.104496","url":null,"abstract":"<div><h3>Background</h3><div>As bariatric surgery rates rise among women of reproductive age, more are becoming pregnant post-surgery. These mothers have lower breastfeeding rates than those without bariatric surgery. Evidence on breastfeeding after bariatric surgery is limited, and the factors contributing to early cessation are not fully understood.</div></div><div><h3>Aim</h3><div>Identify the factors associated with exclusive breastfeeding and breastfeeding duration among mothers who have undergone bariatric surgery before pregnancy.</div></div><div><h3>Methods</h3><div>A cross-sectional online survey was conducted among women in Australia who had pre-pregnancy bariatric surgery. Data were collected using a demographic questionnaire and the Breastfeeding after Bariatric Surgery Scale (BBSS). Descriptive statistics and association analysis were conducted.</div></div><div><h3>Findings</h3><div>A total of 221 mothers completed the survey. Most participants (81.4 %) intended to exclusively breastfeed, with 59 % planning to continue for at least six months. However, only 47 % exclusively breastfed during the first three months. Intention to breastfeed was significantly associated with exclusive breastfeeding during the first three months postpartum (OR=5.41, 95 % CI: 1.30–22.41, <em>p</em> = 0.02) and with lower odds of stopping breastfeeding before six months (OR=0.16, 95 % CI: 0.03–0.71, <em>p</em> = 0.01). Mothers with real or perceived milk supply issues were 82 % less likely to exclusively breastfeed (OR = 0.18, 95 % CI: 0.07 – 0.45, <em>p</em> &lt; 0.001), and those with loose breast skin were 75 % less likely to continue breastfeeding beyond 6-month (OR=0.24, 95 % CI: 0.08–0.77, <em>p</em> = 0.01), compared to those without these breastfeeding challenges.</div></div><div><h3>Conclusion</h3><div>A gap exists between breastfeeding intention and practice among post-bariatric surgery mothers. Unique challenges related to bariatric surgery can impact breastfeeding outcomes.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104496"},"PeriodicalIF":2.6,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144330053","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 professional education to support cultural humility in maternal health care: Reflecting on a co-design project with refugee and migrant women","authors":"Delia Rambaldini-Gooding ,&nbsp;Luke Molloy ,&nbsp;Maryann Barrington ,&nbsp;Katarzyna Olcoń ,&nbsp;Leissa Pitts ,&nbsp;Sofia Lema ,&nbsp;Eman Baghdadi ,&nbsp;Irene Njambi Thiru ,&nbsp;Claudia Tait ,&nbsp;Rebecca De Souza ,&nbsp;Associate Professor Chris Degeling","doi":"10.1016/j.midw.2025.104494","DOIUrl":"10.1016/j.midw.2025.104494","url":null,"abstract":"<div><h3>Background</h3><div>Culturally safe care is critical to positive maternal health experiences and outcomes. However, refugee and migrant women often experience inequities in maternal healthcare. To address these challenges, healthcare providers are increasingly using co-design. Much of this research focusses on evaluating outcomes or using traditional methods to obtain lived experience input. Comparatively, there is a paucity of research detailing how to achieve value-based co-design with refugee and migrant women.</div></div><div><h3>Aim</h3><div>The project aimed to co-design an education resource to support the development of cultural humility in a maternal health care service within a local public hospital. This paper reports on the co-design methods used to engage refugee and migrant women and healthcare providers and discusses the principles that should guide co-design.</div></div><div><h3>Method</h3><div>We used a value-based co-design approach to work with refugee and migrant women and maternal health care providers to co-create local solutions including development of education resources for use in maternal health services. Multiple participatory methods were used to work with women and providers.</div></div><div><h3>Findings</h3><div>Key principles identified through the value-based co-design process included collaboration, empowerment, openness and respect. Various techniques were used to ensure these principles were central to how the team functioned.</div></div><div><h3>Discussion and Conclusion</h3><div>Reflecting on key values assisted in the identification of recommendations for successful partnership with refugee and migrant women in future projects. Importantly, recommendations hold relevance across different co-design methods as they outline ways of upholding the values underpinning any co-design project.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104494"},"PeriodicalIF":2.6,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144329993","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":"Transforming fear of childbirth through narrative: Feasibility and efficacy of a community-based online-offline intervention","authors":"Xinchen Chen ,&nbsp;Cuiqin Zheng ,&nbsp;Mian Pan ,&nbsp;Shengbin Guo ,&nbsp;Lu Jing ,&nbsp;Huijing Liu ,&nbsp;Sisi Huang ,&nbsp;Chenyin Liu ,&nbsp;Pingping Qiu","doi":"10.1016/j.midw.2025.104492","DOIUrl":"10.1016/j.midw.2025.104492","url":null,"abstract":"<div><h3>Background</h3><div>Fear of childbirth (FoC) is a prevalent negative emotional experience that affects the psychological health of primiparous women. Psychoeducation offers a promising solution, but high-quality evidence underscores the need to evaluate programme feasibility, appropriateness, and acceptability. Developed based on Story Theory and Narrative Transportation Theory, and adhering to the Medical Research Council guidelines, the Stories-Empowered Education for New Parents (SEEN) program seeks to address these concerns by combining community-based online and offline interventions.</div></div><div><h3>Methods</h3><div>A single-group pre-post study involving 15 primiparous women utilized mixed methods for assessment. Feasibility metrics, including rates of consent, programme completion, and inter-session tasks completion were analysed quantitatively. The perceived appropriateness and acceptability of SEEN were assessed using a visual analogue scale, while the effectiveness of the program was measured through the Fear of Birth Scale (FOBS) and physiological stress indicators. Qualitative data from focus group interviews provided further interpretation of the quantitative findings.</div></div><div><h3>Findings</h3><div>SEEN achieved a 91 % consent rate and a 94 % program-completion rate, with all participants completing inter-session tasks without reminders. Significant satisfaction and improvements in FOBS scores and physiological stress indicators were reported (<em>p</em> &lt; 0.05). Qualitatively, SEEN was found to be understandable, practical, and effective in utilizing community medical resources, overcoming common barriers such as time and transportation.</div></div><div><h3>Conclusion</h3><div>SEEN is a feasible, acceptable, and suitable approach for reducing FoC in primiparous women, combining education with empathy-driven narratives to make a significant impact on maternal well-being.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104492"},"PeriodicalIF":2.6,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144297143","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 impact of midwives’ satisfaction on intention to leave the profession and emigration -a nationwide cross-sectional study","authors":"Alicja Domagała ,&nbsp;Agnieszka Micek ,&nbsp;Barbara Baranowska ,&nbsp;Beata Szlendak ,&nbsp;Maria Węgrzynowska ,&nbsp;Katarzyna Kopeć-Godlewska ,&nbsp;Ilona Nenko","doi":"10.1016/j.midw.2025.104495","DOIUrl":"10.1016/j.midw.2025.104495","url":null,"abstract":"<div><h3>Problem and background</h3><div>Midwives face challenging working conditions, including heavy workloads and high levels of stress, which may contribute to their decision to leave the profession or emigrate.</div></div><div><h3>Aim</h3><div>To explore job satisfaction and salary satisfaction among midwives working in Poland and their impact on intentions to leave the midwifery profession or emigrate.</div></div><div><h3>Methods</h3><div>A nationwide cross-sectional study was conducted from June to December 2023. Data were collected through an online survey among midwives practicing in outpatient clinics and hospitals in Poland. Associations between job and salary satisfaction and intentions to leave the profession or emigrate were analysed by adjusting for socio-demographic factors.</div></div><div><h3>Results</h3><div>We recruited 790 midwives practicing in Poland. All respondents were women and the median age was 30 years (range: 26–41 years). Our respondents' median job and salary satisfaction levels were 69 and 60, respectively, on a scale from 0 to 100. A relatively small proportion of respondents reported intentions to leave the profession (9.5 %) or to emigrate (16 %). A 10-point increase in job satisfaction reduced the likelihood of leaving the profession by 30 % (OR = 0.70, 95 %; CI: 0.62 - 0.79), while a similar increase in salary satisfaction reduced the likelihood by 12 % (OR = 0.88. 95 % CI: 0.79 - 0.98).</div></div><div><h3>Conclusion</h3><div>The results show the need to improve working conditions and ensure fair remuneration, which is crucial to maintaining and increasing the number of active midwives in the healthcare system. Our findings highlight the need for strategies to enhance satisfaction and support early-career midwives to minimize turnover.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104495"},"PeriodicalIF":2.6,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144338716","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":"Prevalence of mistreatment in maternity care: a population-based comprehensive multi-indicator approach","authors":"Z. Reyes-Amargant ,&nbsp;M. Roqueta-Vall-Llosera ,&nbsp;J. Garre-Olmo ,&nbsp;D. Ballester-Ferrando ,&nbsp;C. Rascón-Hernán ,&nbsp;C. Fuentes-Pumarola","doi":"10.1016/j.midw.2025.104493","DOIUrl":"10.1016/j.midw.2025.104493","url":null,"abstract":"<div><h3>Background</h3><div>Obstetric literature lacks clarity on what constitutes Mistreatment in Maternity Care (MMC). This includes dehumanized care, excessive interventions, and medicalization of a natural process.</div></div><div><h3>Aims</h3><div>To estimate the prevalence of MMC by developing multiple-source indicators and to determine their relationship with sociodemographic and childbirth characteristics.</div></div><div><h3>Methods</h3><div>Observational and cross-sectional multicentric study with 978 participants contacted by consecutive recruitment. Obstetric practices were collected from self-administered questionnaires and the available information registered in clinical records.</div></div><div><h3>Findings</h3><div>9 MMC indicators (MMCi) were developed according to evidence-based practice. 847 women accepted to participate (87.9 % participation). The prevalence of MMCi was 4.3 % (95 % CI = 3.1 –6.1) for instrumental delivery or caesarean unregistered in clinical records or performed with non-evidence-based clinical indication (UNREG/N-EB), and 48.1 % (95 % CI = 45.1– 52.2) for perception of inadequate attention. Six indicators were above 40 % (induction without a written consent, amniotomy performed as routine, lithotomy during pushing, suffering mother-baby separation, no maternal position choice during labor and delivery, or to drink freely). Private facilities were associated with the use of UNREG/N-EB practices. Childbirth characteristics showed differential associations with MMCi.</div></div><div><h3>Conclusions</h3><div>This study highlights the gap between recommended standards for respectful childbirth care and actual clinical practices. Addressing MMC requires a comprehensive approach that includes both clinical data and women’s perceptions, along with the enforcement of good clinical practice policies. Future research should focus on intersectional factors and reducing disparities to ensure equitable, high-quality care for all women.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104493"},"PeriodicalIF":2.6,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144312882","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":"Innovative exergaming program for antenatal exercise: Pregnant women’s views and experiences","authors":"Gemechu Kumera Wirtu ,&nbsp;Rob Duffield ,&nbsp;Jaime Garcia ,&nbsp;Justine Salisbury ,&nbsp;Deborah Fox","doi":"10.1016/j.midw.2025.104491","DOIUrl":"10.1016/j.midw.2025.104491","url":null,"abstract":"<div><h3>Background</h3><div>Exergames are an emerging technology that employ interactive exercise-based video gaming with the aim to encourage physical activity. Exergames have been shown to encourage increased exercise participation in the non-pregnant population. However, the acceptability to pregnant women has not previously been explored.</div></div><div><h3>Aims</h3><div>The aim of this study was to explore pregnant women’s views and experiences of using a home-based exergaming intervention designed specifically for pregnancy.</div></div><div><h3>Methods</h3><div>This study was a part of a multidisciplinary feasibility project investigating the feasibility of using an exergaming program to encourage physical activity in pregnancy. A qualitative study design was adopted using semi-structured interviews. Twelve pregnant women who completed a home-based exergaming program designed for pregnancy using the Nintendo Switch™, from 16 to 36 weeks of gestation, participated in interviews that were audio recorded and transcribed verbatim. Data were analysed using the thematic analysis methods.</div></div><div><h3>Findings</h3><div>The women participants found that the exergame programs were enjoyable, convenient, motivating and easy to use during pregnancy. The interactive nature of exergames was particularly appealing and they valued the ability to exercise at home. They suggested that future exergames designed and developed for pregnant women could incorporate more of a variety of exercise options that are specifically tailored for pregnancy.</div></div><div><h3>Conclusion</h3><div>Exergame exercise programs were found to be enjoyable, and convenient for pregnant women participants. Our findings suggest exergames as a promising approach for encouraging regular exercise and addressing barriers to physical activity during pregnancy.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104491"},"PeriodicalIF":2.6,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144306643","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":"Telemidwifery: A scoping review on applications, advantages and obstacles","authors":"Khadijeh Moulaei ,&nbsp;Pershia Davoodi Karsalari ,&nbsp;Atousa Moghadam Fard ,&nbsp;Reihaneh Shahmoradi Pour ,&nbsp;Reza Moulaei ,&nbsp;Babak Sabet ,&nbsp;Mohammad Reza Afrash","doi":"10.1016/j.midw.2025.104477","DOIUrl":"10.1016/j.midw.2025.104477","url":null,"abstract":"<div><h3>Introduction</h3><div>Telemidwifery, the provision of midwifery care through telecommunication technologies, presents a promising approach to enhance maternal healthcare accessibility and quality. However, a comprehensive understanding of its advantages and obstacles is crucial for its effective implementation. This scoping review aims to systematically explore the existing literature on telemidwifery, focusing on elucidating its potential applications, advantages and obstacles.</div></div><div><h3>Method</h3><div>This scoping review follows the PRISMA-ScR guidelines. A systematic search of PubMed, Scopus, and Web of Science databases was conducted using predefined search terms related to telemedicine and midwifery. Articles were screened based on predefined inclusion and exclusion criteria, and data were extracted and synthesized to explore different aspects of telemidwifery.</div></div><div><h3>Result</h3><div>Of the 680 articles retrieved, 65 were included in this review. Three ways Synchronous and asynchronous (n= 24, 39%), Synchronous (n= 23, 38%), and aynchronous (n= 14, 23%) were commonly used for delivering telemidwifery services. Telephone (n=20) and Video conferencing (n=19) were the primary technologies used for service delivery. A total of 346 telemidwifery applications (n=105), advantages (n=182), and obstacles (n=59) were identified. After consolidating similar items, 128 remained: applications (n=61), advantages (n=51), and obstacles (n=16). The most significant applications were \"Virtual visits for offering perinatal care\" (n=7), \"Education on pregnancy complications and risk factors\" (n=6), and “Providing information on breastfeeding and infant issues” (n=6). Key advantages included \"Increasing people's knowledge, awareness and skills\" (n=16), \"Access to telemidvifery services anytime and anywhere\" (n=14). The primary obstacles were \"\"Limited access and slow internet connectivity anytime, anywhere\" (n=13), \" Lack of support for non-English-speaking individuals\" (n=7) and “Lack of sufficient digital skills and literacy “ (n=6).</div></div><div><h3>Conclusion</h3><div>This review is the first study that offers insights into its applications, advantages, and obstacles, stressing the importance of understanding them for effective implementation. Targeted strategies are needed to maximize benefits and overcome challenges.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104477"},"PeriodicalIF":2.6,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144240300","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":"Traumatic breastfeeding experience in women: Scale development, validity and reliability study","authors":"Fatma Nilüfer Topkara ,&nbsp;Elif Dağlı ,&nbsp;Feyza Aktaş Reyhan","doi":"10.1016/j.midw.2025.104490","DOIUrl":"10.1016/j.midw.2025.104490","url":null,"abstract":"<div><h3>Background</h3><div>Women’s experiences of breastfeeding, their perspectives on breastfeeding and the meanings they attach to it can be very different. Breastfeeding, which is considered a healthy, physiological and natural process, can be differentiated and become a traumatic experience. In this context, the aim of the study was to develop the Traumatic Breastfeeding Experience Scale and to conduct a validity and reliability study.</div></div><div><h3>Methods</h3><div>This methodological study was conducted with 480 women admitted to the Obstetrics and Gynecology Clinic of a public hospital. Data were collected face-to-face. Both content (content validity index) and construct validity (exploratory and confirmatory factor analysis) of the draft scale that the researchers created as a result of the literature review were examined. In the reliability analysis, Cronbach’s alpha reliability coefficient, item discrimination, item-total score correlations and test-retest method were used.</div></div><div><h3>Results</h3><div>As a result of the psychometric analysis, it was concluded that the Traumatic Breastfeeding Experience Scale, which was collected under 5 sub-dimensions and 28 items, is a valid and reliable measurement tool. The Cronbach’s alpha value of the scale was 0.72 and the test-retest reliability was 0.99.</div></div><div><h3>Conclusions</h3><div>The Traumatic Breastfeeding Experience Scale was found to be a valid and reliable measurement tool that can be used to assess the prevalence of experience of breastfeeding as traumatic. The scale developed in this direction is recommended to be used in future research and individual clinical evaluations.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104490"},"PeriodicalIF":2.6,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144306421","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}