Midwifery最新文献

{"title":"Midwives’ knowledge, attitude, practices, and experiences toward trauma-informed abortion care in urban district hospitals in Rwanda","authors":"Yvonne Delphine Nsaba Uwera ,&nbsp;Aimable Nkurunziza ,&nbsp;Michael Habtu ,&nbsp;Jean Pierre Ndayisenga ,&nbsp;Madeleine Mukeshimana ,&nbsp;Donatilla Mukamana ,&nbsp;Justine Bagirisano ,&nbsp;Jean Bosco Henri Hitayezu ,&nbsp;Marie Laetitia Ishimwe Bazakare ,&nbsp;Olive Tengera ,&nbsp;Gerard Kaberuka ,&nbsp;Jean Pierre Nganabashaka","doi":"10.1016/j.midw.2024.104228","DOIUrl":"10.1016/j.midw.2024.104228","url":null,"abstract":"<div><div>In Rwanda, many abortion services are not currently providing trauma-informed abortion care (TIAC) due to laws that restrict service provision and the incorporation of potentially traumatizing procedures with little attention to the woman's experience and support needs. Midwives working in abortion services often lack adequate training to effectively support clients with trauma. The authors aim to evaluate midwives’ knowledge, attitudes, practices, and experiences toward TIAC. A mixed-method design was used. In quantitative, all midwives were invited to participate. In qualitative, purposive sampling was applied, and four focus group discussions with eight participants each were conducted. Of the 167 midwives who participated in this study, 86.2% demonstrated sufficient knowledge of TIAC, 83.8% had thorough experience of TIAC, and 62.3% reported a negative attitude toward TIAC. Respondents with an advanced diploma were more likely to have satisfactory knowledge than those with a bachelor's degree, and the workplace institution influenced TIAC practice. Males had a more positive attitude compared to their female counterparts. Moreover, respondents with more knowledge of and positive attitudes toward TIAC were significantly more likely to have good practice. Four themes were identified: a) conceptualization and practice of TIAC; b) TIAC as an essential practice in quality care; c) physical environment as a hindrance of TIAC; and d) dynamics of caring leading to secondary trauma. Providing TIAC training to midwives is essential for shifting negative attitudes. Hospitals need to enhance their infrastructure and offer resources to address the challenges of abortion services, including mitigating secondary trauma among healthcare workers.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142593505","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 mothers' perspectives on the early mother-infant relationship to inform midwifery practice: A qualitative study","authors":"Cathy Stoodley ,&nbsp;Lois McKellar ,&nbsp;Jennifer Fereday ,&nbsp;Tahereh Ziaian ,&nbsp;Mary Steen ,&nbsp;Ian Gwilt","doi":"10.1016/j.midw.2024.104200","DOIUrl":"10.1016/j.midw.2024.104200","url":null,"abstract":"<div><h3>Background</h3><div>The mother-infant relationship plays a crucial role in individual and community health. The nature of the mother-infant relationship can influence the social and emotional development of the infant, impacting their lifelong health. Midwives are key in providing health promotion for women and babies and are ideally placed to support women during the early development of the mother-infant relationship.</div></div><div><h3>Aims</h3><div>This study aimed to explore new mothers' perspectives on developing the early mother-infant relationship to inform midwifery practice.</div></div><div><h3>Methods</h3><div>This study is phase one of a mixed-method, exploratory sequential design project. In this phase, 14 women were interviewed within six weeks of birth to explore experiences that influenced the developing relationship with their baby. To support reflection women were provided with a visual prompt activity. These interviews informed the co-design workshops to develop an intervention to support midwives to promote the early mother infant relationship. A research protocol was published prior to undertaking the study, however as this research did not seek to modify or measure any heath related outcomes it was not registered as a clinical trial.</div></div><div><h3>Results</h3><div>Key themes from the interviews included: making moments that matter; the role of the village; feeling like I'm winning; supportive health professionals, and forming a new family. These themes underpinned strategies to support the mother-infant relationship.</div></div><div><h3>Conclusion</h3><div>The findings from this study offer ways for midwives to support the emerging mother-infant relationship during the early postnatal period. Facilitating mothers to engage with their baby as well as integrating key people is important. Midwives also play a key role in building maternal confidence and competence. Further research is needed to embed and evaluate strategies in midwifery practice.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142503586","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":"Emotional safety in maternity care: An evolutionary concept analysis.","authors":"Elliesha O'Reilly, Kate Buchanan, Sara Bayes","doi":"10.1016/j.midw.2024.104220","DOIUrl":"https://doi.org/10.1016/j.midw.2024.104220","url":null,"abstract":"<p><strong>Background: </strong>Safety in maternity care is a priority, and a broadened view of safety (e.g., emotional, psychological, cultural) is evident in scientific literature and in lay discourse. 'Emotional safety' is being referred to with increasing frequency in this context; however, there is a lack of clarity in its use and meaning.</p><p><strong>Aim: </strong>The aim of this concept analysis was to examine the concept of emotional safety in maternity care.</p><p><strong>Methods: </strong>The evolutionary approach was used for this concept analysis.</p><p><strong>Data sources: </strong>This concept analysis was literature-based, with a systematic search conducted of CINAHL, MIDIRS, and MEDLINE databases. Ten articles published between 2006 and 2024 met our criteria for inclusion.</p><p><strong>Results: </strong>Identified attributes of emotional safety in maternity care included 'feeling secure', 'feeling heard and well taken care of', experiencing 'supportive and respectful care', and being in a 'calm care environment'. Antecedents to emotional safety in maternity care were 'having care needs met', enacting 'personal agency', and engaging in 'trusting relationships'. The consequences of emotional safety for maternity care recipients were 'positive impact on experience', 'feeling empowered', and 'improved outcomes'. A conceptual definition and model resulted that clarify and illustrate the concept of emotional safety in the context of receiving maternity care.</p><p><strong>Conclusion: </strong>This concept analysis contributes to the current body of knowledge of care recipients' views and experiences of safe maternity care and provides a foundation for future concept use in research, education, policy, and clinical practice.</p>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605278","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 forgotten patient. Do we really care what the birthing mother thinks, feels, and needs?","authors":"Shelley O'Connor","doi":"10.1016/j.midw.2024.104217","DOIUrl":"10.1016/j.midw.2024.104217","url":null,"abstract":"","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142525999","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":"Midwifery theories: A scoping review","authors":"Sara D.C. Paz ,&nbsp;Andreia Soares Goncalves ,&nbsp;Conceição Moreira Freitas ,&nbsp;Filipa Sampaio ,&nbsp;Ana Paula Prata","doi":"10.1016/j.midw.2024.104219","DOIUrl":"10.1016/j.midw.2024.104219","url":null,"abstract":"<div><h3>Problem</h3><div>The identification of midwifery theories will contribute to the identification of a midwifery model of care for women experiencing low-risk pregnancies, and to support its implementation in Portugal.</div></div><div><h3>Background</h3><div>Previous research has explored the concept of woman-centredness as the core principle underpinning midwifery practice, mapped existing midwifery models of care, synthesized multiple theories and the scope of midwifery to achieve conceptual integration, and identified the aspects of midwifery care that most significantly contribute to the quality of care for women and their babies. However, to the best of the authors’ knowledge, no other review has mapped the theories that underpin midwifery practice.</div></div><div><h3>Aim</h3><div>This study aims to map and summarise the theories that underpin midwifery practice.</div></div><div><h3>Methods</h3><div>The JBI methodology for scoping reviews was used to conduct this review.</div></div><div><h3>Findings</h3><div>A total of 16 documents were included in this review. Sixteen theories were identified and the differences between them vary in both underpinning philosophical ideas and the methodology used to develop them.</div></div><div><h3>Discussion</h3><div>The four concepts of the nursing-midwifery metaparadigm were identified in all documents and a fifth concept, midwife's self-knowledge, should be included in the characterisation of a midwifery theory, once it has a strong presence in all four concepts, underpinning them.</div></div><div><h3>Conclusion</h3><div>This scoping review identified the theories underpinning midwifery practice. The compilation of these theories can be used to strengthen the scientific area and profession: development of theoretical knowledge as professional autonomy and power, internal control for the profession, guidance to professional practice, practice standardization, inter and intra-professional communication, and outcomes assessment and improvement.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142560521","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":"Like and share: A mixed-methods cross-sectional survey of social media use during monochorionic diamniotic twin pregnancies","authors":"Rebecca Fischbein ,&nbsp;Hannah Welsh ,&nbsp;Stephanie Ernst ,&nbsp;Amy Adik ,&nbsp;Lauren Nicholas","doi":"10.1016/j.midw.2024.104216","DOIUrl":"10.1016/j.midw.2024.104216","url":null,"abstract":"<div><h3>Problem</h3><div>Monochorionic-diamniotic (MCDA) twin pregnancies are high-risk, requiring specialized monitoring and procedures to screen for and treat potential complications.</div></div><div><h3>Aim</h3><div>This study examined decisions to use social media among those who have experienced MCDA pregnancies and how these groups influenced treatment and management decisions for these rare, complicated pregnancies.</div></div><div><h3>Methods</h3><div>An online mixed-methods, retrospective survey, was completed in 2021 by 624 participants who experienced MCDA pregnancies within 5 years of the study; participants were recruited from online MCDA pregnancy groups on Facebook and Twitter. Data was analyzed using descriptive statistics and thematic analysis.</div></div><div><h3>Findings</h3><div>Sixty-nine percent of participants used social media to communicate during their MCDA pregnancies, an 18 increase from before pregnancy, and most (74.2 %) used online support groups during pregnancy. Thematic analysis revealed participants used social media primarily to find others with similar experiences, learn more about MCDA pregnancies, and obtain guidance. Most would also recommend joining social media during a similar pregnancy. Nearly half indicated that social media influenced MCDA pregnancy management and treatment decisions - like decisions regarding birth plans, providers, and MCDA-related complications. Several participants cautioned that support groups can be triggering when negative stories are shared.</div></div><div><h3>Conclusion</h3><div>Social media can provide information, support, and improve advocacy for those experiencing MCDA pregnancies. Providers may consider online groups as another source of support for pregnant people and be prepared to address questions that may arise. This study also reveals opportunities for increased and/or improved patient educational materials and patient-provider communication related to MCDA pregnancies.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142522305","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":"Unveiling the Craving: A systematic review of pregnant women's desires for expert nutrition care in Australia","authors":"Angela Bragg,&nbsp;Sophie Markcrow,&nbsp;Sean Monk,&nbsp;Michelle Minehan,&nbsp;Catherine R. Knight-Agarwal","doi":"10.1016/j.midw.2024.104210","DOIUrl":"10.1016/j.midw.2024.104210","url":null,"abstract":"<div><h3>Problem</h3><div>Poor nutrition during the antenatal period can contribute to adverse health outcomes for both mother and baby.</div></div><div><h3>Background</h3><div>Despite the importance of nutrition during pregnancy, there is limited research exploring the attitudes and experiences pregnant women possess towards nutrition care, particularly within the Australian context. Existing literature has indicated that pregnant women lack knowledge of and are not adhering to pregnancy related nutrition recommendations. Furthermore, although pregnant women rely on many health professionals for nutrition care, there are deficiencies in both the quality and quantity of care provided.</div></div><div><h3>Aim</h3><div>The aim of this meta-aggregative review was to explore the experiences and attitudes pregnant women in Australia have towards nutrition care.</div></div><div><h3>Methods</h3><div>Meta-aggregation was used to synthesise qualitative studies. A search strategy was applied to four electronic databases in May 2023.The findings were extracted and synthesised via the JBI approach.</div></div><div><h3>Findings</h3><div>A total of 719 studies were identified in the initial database search with seven eligible studies included in the meta-aggregation. From 11 categories, three synthesised findings were developed: (i) approaches to nutrition care delivery matters, (ii) quality and quantity of nutrition care is insufficient, and (iii) pregnant women value nutrition care.</div></div><div><h3>Conclusion</h3><div>This review highlights pregnant women's desires for better nutrition care in Australia, with current provision of nutrition care lacking in quality and quantity. Improved antenatal dietetics services and increased health professional nutrition training is necessary to address these concerns.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142586209","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":"Where are we with place of birth? Call for papers for a special issue.","authors":"Kirstie Coxon, Lucia Rocca-Ihenacho","doi":"10.1016/j.midw.2024.104213","DOIUrl":"https://doi.org/10.1016/j.midw.2024.104213","url":null,"abstract":"","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142546264","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":"Development and psychometric testing of the Perception of Childbirth Environment Scale in Taiwan","authors":"Li-Li Chen ,&nbsp;Yu-Ying Lu ,&nbsp;Meei-Ling Gau ,&nbsp;Pei-Chun Chien ,&nbsp;Kok-Min Seow ,&nbsp;Hui-Ling Ku","doi":"10.1016/j.midw.2024.104215","DOIUrl":"10.1016/j.midw.2024.104215","url":null,"abstract":"<div><h3>Background</h3><div>Previous research has shown that women's perceptions of their childbirth environment are critical in ensuring that they feel supported and in facilitating physiological childbirth.</div></div><div><h3>Aim</h3><div>To develop and validate the Perception of Childbirth Environment Scale (PCES) for expectant mothers.</div></div><div><h3>Methods</h3><div>The PCES was developed based on findings from a scoping review and a qualitative study on childbirth environments conducted by the authors. The scale underwent expert review to ensure relevance, clarity, and content validity, followed by face validity testing with five women. A total of 193 participants, recruited from two medical institutions, completed the PCES within 48 h after childbirth. Reliability was assessed using Cronbach's α for internal consistency. Construct validity was evaluated through exploratory and confirmatory factor analyses.</div></div><div><h3>Results</h3><div>The PCES comprised 10 items divided into two dimensions: comfort and control. “Comfort” factors included privacy, homeliness, familiarity, relaxation facilitation, and a sense of continuity in the room, while “Control” factors were reflected in elements like a birth companion, empowerment, and safety. The model demonstrated a good fit following exploratory and confirmatory factor analyses, as well as adjustments based on modification indices.</div></div><div><h3>Conclusions</h3><div>The PCES displayed strong reliability and validity, making it a suitable tool for assessing women's perceptions of their labor and childbirth environment.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142553971","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":"Connecting with fetus: The use of app-based fetal movement counting and experiences during pregnancy and birth","authors":"Hui Huang ,&nbsp;Olivia Ceavers ,&nbsp;María C Pinzón-Iregui ,&nbsp;Melissa M. Howard","doi":"10.1016/j.midw.2024.104214","DOIUrl":"10.1016/j.midw.2024.104214","url":null,"abstract":"<div><h3>Background</h3><div>Pregnant people are often introduced to fetal movement counting to monitor the health of their fetus. This study aims to examine the impacts of app-based fetal movement counting on experiences during pregnancy and birth.</div></div><div><h3>Method</h3><div>This study used two types of secondary data including individual user's app use and their end of pregnancy survey data collected on the Count the Kicks (CTK) app. CTK is a free mobile app providing a virtual platform for pregnant people to conduct their daily kick counting. The study sample includes 1,147 pregnant people. Descriptive analyses were used to examine the number of kick counts using CTK and pregnant women's experiences with the app, their pregnancy, and childbirth. Bivariate analyses were used to examine the relationships between the frequency of kick counts and pregnant people's experience with their pregnancy and birth. Logistic regressions were used to model pregnant people's experiences: anxiety level related to their pregnancy and bonding with their baby.</div></div><div><h3>Findings</h3><div>The study found that there is inadequate compliance with daily fetal movement counting recommendations in third trimester among pregnant people. However, results showed that frequent use of fetal movement counting is associated with lower anxiety level related to their pregnancy, and more bonding with their baby. These positive pregnancy experiences are associated with healthy birth.</div></div><div><h3>Conclusion</h3><div>To benefit from the impacts of fetal movement counting on positive pregnancy and birth experience, the app developers and public health agencies need to develop strategies to increase daily use of fetal movement counting.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142553970","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}