Midwifery最新文献

{"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":"10.1016/j.midw.2024.104213","url":null,"abstract":"","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104213"},"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":"140 ","pages":"Article 104215"},"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":"140 ","pages":"Article 104214"},"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}

{"title":"Using digital technologies and applications in midwifery practice in Belgium: A descriptive cross-sectional study","authors":"Ayse Akalin ,&nbsp;Florence D'haenens ,&nbsp;Joeri Vermeulen ,&nbsp;Sandra Tricas-Sauras ,&nbsp;Dorien Lanssens","doi":"10.1016/j.midw.2024.104218","DOIUrl":"10.1016/j.midw.2024.104218","url":null,"abstract":"<div><h3>Introduction</h3><div>Over the past two decades, there has been a dramatic increase in the use of digital technologies within healthcare and also in midwifery. However, scarce literature exist on the use of digital technologies and applications in midwifery practice particularly in the Belgian setting.</div></div><div><h3>Aim</h3><div>To map the use of digital technologies and applications by midwives in various settings, encompassing hospitals, primary care, and educational institutions in Belgium.</div></div><div><h3>Methods</h3><div>A descriptive cross-sectional design was used to collect data via an online questionnaire targeting at midwives working in the Flemish region, Walloon region, or Brussels-Capital region. Midwives were either Dutch-speaking or French-speaking (<em>n</em> = 212). The semi-structured questionnaire addressed three domains: (1) socio-demographics, (2) employment information (3) the use of digital technology, including the level of comfort with technology. Qualtrics© program was used for managing data and SPSS v28.0© for data analysis using descriptive statistics, Chi² analysis, and independent sample t-test. The study adhered to the Strengthening the Reporting of Observational Studies in Epidemiology reporting guidelines.</div></div><div><h3>Results</h3><div>Among respondents, 58% reported the use of digital technologies and applications, with electronic health records (89.6%), electronic prescriptions (65.6%), and remote patient monitoring (51.2%) commonly utilized. Sensor technology (7.2%), mixed care (3.8%), care robots (2.5%), and wearable devices (1.9%) were very rarely used. The target groups for these digital technologies and applications generally encompass all stages of the perinatal period. Midwives felt overall highly confident with these technologies. Younger participants and those with a Master's or PhD degree exhibited greater comfort scores in digital technology use. No significant relationships were observed between socio-demographic characteristics and the adoption of digital technology.</div></div><div><h3>Conclusion</h3><div>The results highlight the potential for incorporating digital technologies and applications into various midwifery care settings. Addressing barriers and enhancing usability can optimize technology integration, contributing to personalized high-quality care, ultimately improving perinatal health outcomes.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104218"},"PeriodicalIF":2.6,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142564726","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":"Women Friendly: The effectiveness of a woman-centered childbirth intervention in Israel","authors":"Racheli Haim-Dahan ,&nbsp;Rachel Bachner-Melman ,&nbsp;Hila Lev-Ran","doi":"10.1016/j.midw.2024.104212","DOIUrl":"10.1016/j.midw.2024.104212","url":null,"abstract":"<div><div>Women with symptoms of post-trauma are vulnerable during childbirth and often lack trust in the medical staff in the delivery rooms. They are therefore in need of a sensitive intervention to prevent the formation or exacerbation of trauma in the perinatal period. This study evaluated the feasibility and efficacy of a “Woman Friendly” (WF)intervention for women with a history of trauma. During this intervention, the women were informed about childbirth and prepared for the delivery. Fourteen mothers aged 28–41 with symptoms of post-trauma who had participated in the WF intervention were interviewed about their experience within six months after giving birth. Interviews were transcribed and analyzed using thematic analysis. Thematic analysis yielded six themes. One theme was during the pre-delivery period: 1) Preparation of the WF document. Four themes were during the delivery: 1) The WF document as an advocate; 2) security and safety; 3) Controlling the situation; and 4) Respect and kindness from the medical staff. The final theme was limitations of the WF intervention. It seems that a birth preparation intervention adapted to the needs of emotionally vulnerable women can help them to have positive birth experience. Childbirth preparation for these women should focus on their sensitivities rather than trauma-processing. The WF intervention holds promise for women with symptoms of post-trauma and should be further evaluated in future research.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104212"},"PeriodicalIF":2.6,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142503587","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":"Prediction of the ideal gestational weight gain for reducing the risk of macrosomia/large for gestational age in women with gestational diabetes mellitus in northern Taiwan","authors":"Tzu-Ling Chen ,&nbsp;Chia-Hsun Wu ,&nbsp;Meei-Ling Gau ,&nbsp;Su-Fen Cheng","doi":"10.1016/j.midw.2024.104211","DOIUrl":"10.1016/j.midw.2024.104211","url":null,"abstract":"<div><h3>Background</h3><div>Appropriate weight gain reduces the risk of fetal macrosomia and large for gestational age (LGA) in women with gestational diabetes mellitus (GDM), especially in the second and third trimester. This study aims to identify the optimal weight g–ain for such women across several pre-pregnancy body mass index (BMI) categories to lower the risk of macrosomia and LGA.</div></div><div><h3>Methods</h3><div>This retrospective cohort study enrolled women with GDM in north Taiwan who delivered between January 2012 and July 2022. BMI cut-offs were based on Chinese-specific guidelines and used to classify the participants as underweight (&lt;18.5 kg/m²), normal weight (18.5–24.0 kg/m²), overweight (24.0–28.0 kg/m²), or obese (&gt;28 kg/m²). Receiver operator curve analysis was used to determine the optimum GWG cut-off ranges to predict macrosomia / LGA, and uni- and multivariate analyses were used to analyze risk factors. In addition, a multivariable model predicting macrosomia and LGA in infants was developed.</div></div><div><h3>Results</h3><div>A total of 963 participants was included in our analysis. Optimal mean weekly rates of GWG in the second and third trimesters were 0.43 kg/week and 0.61 kg/week, respectively, in the underweight and normal weight group, and 0.33 kg/week and 0.32 kg/week, respectively, in the overweight and obesity group.</div></div><div><h3>Conclusion</h3><div>The 2009 IOM guidelines, offering weight gain recommendations for pregnant women, appear to be applicable to Asian women diagnosed with GDM. This indicates that it is essential for such women to maintain an adequate total GWG throughout pregnancy. Physicians should address GWG using the IOM guidelines and trigger intervention when it is required to reduce macrosomia and LGA occurrence.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104211"},"PeriodicalIF":2.6,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142469724","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":"International News December 2024","authors":"","doi":"10.1016/j.midw.2024.104205","DOIUrl":"10.1016/j.midw.2024.104205","url":null,"abstract":"","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"139 ","pages":"Article 104205"},"PeriodicalIF":2.6,"publicationDate":"2024-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142433206","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":"Women ‘s perception on the quality of maternal and newborn care during the COVID-19 pandemic in German-speaking countries: Findings from the IMAgiNE EURO project comparing data from Germany, Switzerland and Austria","authors":"Susanne Grylka-Baeschlin ,&nbsp;Michael Gemperle ,&nbsp;Ilaria Mariani ,&nbsp;Alessia Abderhalden-Zellweger ,&nbsp;Céline Miani ,&nbsp;Christoph Zenzmaier ,&nbsp;Antonia Nathalie Mueller ,&nbsp;Stephanie Batram-Zantvoort ,&nbsp;Martina Koenig-Bachmann ,&nbsp;Claire De Labrusse ,&nbsp;Maryse Arendt ,&nbsp;Stefano Delle Vedove ,&nbsp;Anouck Pfund ,&nbsp;Imola Simon ,&nbsp;Emanuelle Pessa Valente ,&nbsp;Marzia Lazzerini ,&nbsp;IMAgiNE Euro Study Group","doi":"10.1016/j.midw.2024.104209","DOIUrl":"10.1016/j.midw.2024.104209","url":null,"abstract":"<div><h3>Problem</h3><div>Restrictions during the COVID-19 pandemic compromised maternal and newborn care.</div></div><div><h3>Background</h3><div>Countries in the German speaking area share several clinical care guidelines but differed significantly in the strictness of COVID-19 protective measures.</div></div><div><h3>Aim</h3><div>To investigate the quality of maternal and newborn care (QMNC) during the COVID-19 pandemic in the German-speaking area and explore associations between the reorganisational changes due to COVID-19 and QMNC, as described with WHO Standards-based Quality Measures.</div></div><div><h3>Methods</h3><div>As part of the IMAgiNE EURO study (ClinicalTrials.gov: NCT04847336), we conducted an online survey on the QMNC in the German-speaking area, including women who gave birth in Germany, Switzerland, and Austria. Descriptive statistics, Spearman rank correlation coefficient and multivariable quantile regression were used.</div></div><div><h3>Findings</h3><div>Out of a total of 70,721 women accessing the online questionnaire, 1,875 were included (Germany: <em>n</em> = 1,053, Switzerland: <em>n</em> = 494, Austria: <em>n</em> = 328). Significant differences across countries were found in Quality Measures. In Switzerland, women scored Quality Measures more favourable than in Germany and Austria in all four sub-indexes of QMNC. In Austria, Quality Measures gaps in the sub-index ‘Experience of care’ were higher. The sub-index ‘Reorganisational changes due to COVID-19′ correlated weakly to strongly with the other sub-indexes (between <em>r</em> = 0.33 and <em>r</em> = 0.62, <em>p</em> &lt; 0.001 for all correlations).</div></div><div><h3>Discussion</h3><div>Midwives and other health professional should pay particular attention to the provision of respectful, high-quality care.</div></div><div><h3>Conclusion</h3><div>To effectively improve QMNC, further research is essential to monitor the quality of care and develop targeted interventions beyond the COVID-19 pandemic addressing inherent challenges in the organisation and delivery of care.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104209"},"PeriodicalIF":2.6,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142445959","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":"What are the experiences of pregnancy for women living with Inflammatory Bowel Disease?","authors":"Helen Janiszewski ,&nbsp;Jane Coad ,&nbsp;Joanne Cooper ,&nbsp;Gordon W Moran ,&nbsp;Debra Bick ,&nbsp;Lisa Younge ,&nbsp;Claire Greenaway ,&nbsp;Elizabeth Bailey","doi":"10.1016/j.midw.2024.104204","DOIUrl":"10.1016/j.midw.2024.104204","url":null,"abstract":"<div><h3>Background</h3><div>Inflammatory Bowel Disease (IBD) is a long-term condition affecting the digestive tract and is an umbrella term for two main conditions: ulcerative colitis (UC) and Crohn's Disease (CD), which can cause diarrhoea, anaemia, weight loss, rectal bleeding and abdominal pain. Approximately 500,000 people live with IBD in the UK, with half being diagnosed before the age of 35 years (Ferguson, Mahsud-Dornan, and Patterson 2008). IBD increases the risk of pregnancy complications, with symptoms being unpredictable during pregnancy.</div></div><div><h3>Methods</h3><div>A mixed methods study was undertaken exploring what shaped the experiences of pregnancy for women living with IBD, including an on-line survey and one-to-one interviews. Data from the interviews were analysed using Interpretative Phenomenological Analysis.</div></div><div><h3>Findings</h3><div>Expectations, control and care emerged as key themes which shape the experiences of pregnancy. These included expectations about pregnancy and of those providing care during pregnancy, the positive and negative impact of experienced lack of control and the effects of primary care providers during pregnancy.</div></div><div><h3>Conclusion</h3><div>This novel study enabled women living with IBD to share what shaped their experiences of pregnancy and recommendations about midwifery care to be made. Midwives need to be mindful of the additional risks for women and their babies, and ensure care involves multidisciplinary specialists.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104204"},"PeriodicalIF":2.6,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142445960","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":"Perineal massage and warm compresses–Implementation study of a complex intervention in health","authors":"Silvia Rodrigues ,&nbsp;Paulo Silva ,&nbsp;Margarida Esperança ,&nbsp;Ramon Escuriet","doi":"10.1016/j.midw.2024.104208","DOIUrl":"10.1016/j.midw.2024.104208","url":null,"abstract":"<div><h3>Objectives</h3><div>To determine the effect of using tailored and multifaceted strategies on the acceptability, appropriateness, feasibility and adoption of a perineal massage and warm compress intervention by midwives in a maternity ward of a tertiary hospital in Portugal.</div></div><div><h3>Methods</h3><div>The complex intervention in health was developed based on the Medical Research Council framework and guided by the Theory of Change. Tailored and multifaceted strategies, including dissemination, integration and implementing process strategies, were applied. A mixed-methods approach was adopted, with a combination of qualitative (semi-open interviews) and quantitative (surveys, audits and electronic health records) methods. Surveys were applied to assess the acceptability, appropriateness and feasibility of the intervention. In order to evaluate adoption of the intervention, data from interviews were introduced into NVivo Version 10 to perform thematic analysis, and each audit checklist criterion was analysed using McNemar's exact test to determine differences in paired proportion.</div></div><div><h3>Results</h3><div>This study found high acceptability (mean±standard deviation 4.28±0.45), high appropriateness (4.32±0.47) and high feasibility (4.26±0.43) of the intervention by midwives. Differences were reported for most topics between interviews conducted before and after implementation of the intervention. Pre-intervention, the midwives reported that the main factor affecting the application of perineal protection techniques was the lack of continuous presence of the midwife. The birth position was the alternative birth position (hands and knees, side-lying, squatting and semi-sitting), avoiding the lithotomy position. Techniques used for perineal protection were warm compresses, hands-on techniques, hands-off techniques and spontaneous pushing; and the reasons given for performing an episiotomy were large (high-birthweight) baby, Kristeller manoeuvre, tense perineum and previous obstetric sphincter injury. Post-intervention, the midwives reported that the presence of a second person increases the safety of professionals and women and improves working relations. The technique used for perineal protection was autonomy to adapt the intervention with perineal massage and warm compresses. A comfortable birth position for woman was used, and the rate of episiotomy reduced (only performed in the case of fetal distress). Regarding audits, significant differences (<em>p</em> &lt; 0.05) were found for all audit criteria (pre- and post-intervention), which means that midwives adopted the intervention into their clinical practice.</div></div><div><h3>Conclusion</h3><div>Acceptability, appropriateness, feasibility and adoption of the intervention by midwives were high. Thus, tailored and multifaceted strategies were effective to achieve the implementation outcomes.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104208"},"PeriodicalIF":2.6,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142469723","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}