Midwifery最新文献

{"title":"Perceptions of birth and wellbeing after birth debriefing among women who describe their birth as traumatic","authors":"Amber-lee Buendicho,&nbsp;Kachina Allen","doi":"10.1016/j.midw.2024.104267","DOIUrl":"10.1016/j.midw.2024.104267","url":null,"abstract":"<div><h3>Introduction</h3><div>In Australia, birth debriefing (BD) practices have primarily focused on clinical PTSD-FC, often neglecting the needs of mothers who describe their birth as traumatic but do not meet PTSD-FC criteria. The cessation of routine BD has overlooked a significant cohort- mothers experiencing subjective birth trauma (SBT). Their perceptions and wellbeing during the postpartum period remain poorly understood, and the lack of targeted interventions limits options for these mothers. This study investigates the wellbeing and birth perceptions of Australian mothers one to three years postpartum, focusing on the impact of BD for both mothers with and without reported birth trauma and exploring alternative reflective interventions.</div></div><div><h3>Method</h3><div>Using a cross-sectional and correlational design, the study compared mothers with SBT to those without. Participants completed validated assessment tools: Childbirth Perception Scale, Self-Compassion Scale (Short Form), and Childbirth Experience Questionnaire (CEQ). Additional questions explored experiences with BD and other reflective practices.</div></div><div><h3>Results</h3><div>Of the 273 participants, 33.7 % reported traumatic birth experiences. A substantial proportion (80 %) expressed a desire to discuss their birth experiences, yet only 26 % underwent BD, and 64.4 % were unaware of its specifics. BD notably enhanced perceptions of birth for mothers without reported trauma but showed varied effectiveness for those with reported trauma. Writing interventions also emerged as a potentially beneficial alternative for processing birth experiences. Differences in emotional validation were noted between in-hospital and out-of-hospital debrief settings.</div></div><div><h3>Discussion</h3><div>Results highlight the need for person-centred, choice-based approaches in postnatal care, particularly for mothers experiencing SBT. While BD shows potential benefits for non-traumatised mothers, its varied effectiveness for those with trauma suggests a need for more tailored, trauma-informed debriefing approaches. Expanding access to diverse interventions that cater to all individuals and understanding BDs role in broader postnatal care could improve maternal outcomes.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"141 ","pages":"Article 104267"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915276","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":"Experiences and concerns of pregnant refugee women from Nigeria seeking for asylum in Germany - A qualitative analysis","authors":"Nina Lindermaier,&nbsp;Irja Rzepka,&nbsp;Catharina Zehetmair,&nbsp;Claudia Kaufmann,&nbsp;Hans-Christoph Friederich,&nbsp;Christoph Nikendei","doi":"10.1016/j.midw.2024.104255","DOIUrl":"10.1016/j.midw.2024.104255","url":null,"abstract":"<div><h3>Problem</h3><div>Insights into and data of the experiences of pregnant women seeking asylum in Germany are largely lacking.</div></div><div><h3>Background</h3><div>Due to multiple stress factors, pregnant refugees are considered a vulnerable group. Gender-specific causes of flight, traumatic experiences during flight, and numerous stressors in the respective host country have a decisive impact on the health of women and affect pregnancy and childbirth.</div></div><div><h3>Aim</h3><div>This study aims to assess the perspectives and needs of pregnant refugee women from Nigeria, that are residing in an initial reception center in Germany.</div></div><div><h3>Methods</h3><div>Experiences and concerns of N = 20 pregnant refugee women from Nigeria relating to pregnancy and impending childbirth were assessed in semi-structured interviews, conducted by three psychologists in English.</div></div><div><h3>Findings</h3><div>Findings emphasize the need for continuous medical and psychotherapeutic care due to the multiple stressors and the partial lack of social support, especially for single women. The participants described their concerns particularly related to their personal and their family's health, as well as their impending birth, their optimistic attitude about the parenting experience, and confidence in medical care in Germany. Their wishes were predominantly related to items necessary for the care of their children, information about the pregnancy and birth process as well as for their integration. Utilization of resources and positive activities were indicative of adapting coping styles and resilience factors of pregnant refugee women.</div></div><div><h3>Conclusion</h3><div>This study highlights the importance of the context-sensitive medical and psychotherapeutic care to adequately support the women during pregnancy and around childbirth. Furthermore, the study demonstrates the necessity of counteracting the negative effects of experiences on their health and that of their children.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"141 ","pages":"Article 104255"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770643","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":"Workplace intervention among pregnant hospital employees - a cluster randomised trial evaluating well-being measures","authors":"Jane Lauridsen ,&nbsp;Anne-Mette Hedeager Momsen ,&nbsp;Pernille Pedersen ,&nbsp;Mette Lausten Hansen ,&nbsp;Ane-Marie Thulstrup ,&nbsp;Rikke Damkjær Maimburg","doi":"10.1016/j.midw.2024.104261","DOIUrl":"10.1016/j.midw.2024.104261","url":null,"abstract":"<div><h3>Problem</h3><div>Pregnant employees may experience work-related challenges, including inadequate attention to their unique needs.</div></div><div><h3>Background</h3><div>Unmet needs for work adjustment are associated with sick leave and reduced well-being, and supportive environments are regarded as a protective factor against sick leave.</div></div><div><h3>Aim</h3><div>To evaluate the effect of midwifery support focusing on work adjustment on pregnant hospital employees' well-being defined by work ability and dimensions of the psychosocial work environment.</div></div><div><h3>Methods</h3><div>A cluster randomised controlled trial was conducted. Well-being-related outcomes at baseline and follow-up were measured with The Copenhagen Psychosocial Questionnaire (COPSOQ) and Work Ability questionnaires. Intermediate outcomes were work adjustments, measured by non-validated survey items. Intention-to-treat analysis was performed with mixed-effect models.</div></div><div><h3>Findings</h3><div>Work adjustments was reported for 16 % (95 % CI 0.07;0.25) more intervention group participants. Group differences in change of mean outcome scores for the COPSOQ items were: 0.02 (95 % CI -0.12;0.09) for Job Satisfaction, 0.05 (95 % CI -0.25;0.35) for Influence, -0.16 (95 % CI -0.41;0.09) for Quality of Leadership, 0.25 (95 % CI -0.05;0.54) for Work-Family Conflict, -0.03 (95 % CI -0.21;0.15) for Self-Rated Health, 0.04 (95 % CI -0.26;0.34) for Burnout. The group difference in mean outcome score for the Work Ability Scale was -0.38 (95 % CI -0.91;0.11).</div></div><div><h3>Discussion</h3><div>The used survey items may not have captured all aspects of well-being and non-participation may have compromised the possibility to detect a difference between groups.</div></div><div><h3>Conclusion</h3><div>Pregnant employees' well-being was not improved with midwifery support. However, work adjustment increased significantly. The trial was registered in ClinicalTrials.gov with ID number 29–2019–03 on June 16, 2022.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"141 ","pages":"Article 104261"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854612","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":"Corrigendum to “How valuable is an implementation Toolkit for midwives? An exploratory study” [Midwifery 141 (2025) 104241]","authors":"Annemarie De Leo Annie ,&nbsp;Linda Sweet ,&nbsp;Peter Palamara ,&nbsp;Dianne Bloxsome ,&nbsp;Sara Bayes","doi":"10.1016/j.midw.2024.104263","DOIUrl":"10.1016/j.midw.2024.104263","url":null,"abstract":"","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"141 ","pages":"Article 104263"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829348","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":"Patterns of physical activity, sedentary behavior, and sleep across pregnancy before and during two COVID pandemic years","authors":"Andrea C. Kozai ,&nbsp;Melissa A. Jones ,&nbsp;Jaclyn D. Borrowman ,&nbsp;Alisse Hauspurg ,&nbsp;Janet M. Catov ,&nbsp;Christopher E. Kline ,&nbsp;Kara M. Whitaker ,&nbsp;Bethany Barone Gibbs","doi":"10.1016/j.midw.2024.104268","DOIUrl":"10.1016/j.midw.2024.104268","url":null,"abstract":"<div><h3>Background</h3><div>Physical activity is recommended during pregnancy, and high sedentary behavior and poor sleep may increase the risk of pregnancy complications. Activity patterns and sleep were negatively impacted by the COVID pandemic in many segments of the population, but the impact of the pandemic on pregnant people is understudied. We aimed to compare patterns of physical activity, sedentary time, and sleep during pregnancy between a pre-COVID and a COVID-era cohort.</div></div><div><h3>Methods</h3><div>Physical activity, sedentary time, and sleep in each trimester of pregnancy were compared between two parallel prospective observational cohorts using identical collection methods. Pre-COVID participants (n=111) were recruited in 2017–2019 and COVID-era participants (n=117) from 2021–2023. Physical activity and sedentary time were measured using the activPAL3 micro accelerometer, and sleep duration was self-reported. Between-cohort comparisons were conducted using linear regression for each behavior in each trimester. Within-COVID-era cohort linear regression analyses assessed whether activity patterns differed as pandemic-era restrictions were eased.</div></div><div><h3>Results</h3><div>Participant demographics were similar between cohorts except for self-reported income. Adjusted mean moderate-to-vigorous physical activity was 57–77 min/week higher in each trimester in pre-COVID compared to COVID-era participants (p&lt;0.001); adjusted mean sedentary time was 0.77–1.13 hours/day lower in each trimester (p&lt;0.01) and sleep duration was 0.8 hours/day lower in the third trimester in the pre-COVID compared to COVID-era cohort (p&lt;0.05). Within the COVID-era cohort, no significant within-trimester differences were detected across the pandemic years.</div></div><div><h3>Conclusions</h3><div>Pregnant participants during the COVID pandemic were less active and more sedentary than their pre-pandemic counterparts, and this trend was still detected years after the pandemic began. A more sedentary lifestyle during pregnancy may have health implications, and prenatal care providers should help pregnant people identify strategies to adopt an active lifestyle in the context of pandemic-era barriers.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"141 ","pages":"Article 104268"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11758526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142896035","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":"Factors influencing the capacity of healthcare providers to deliver disability-inclusive maternity care services: A scoping review","authors":"Champamunny Ven ,&nbsp;Manjula Marella ,&nbsp;Cathy Vaughan ,&nbsp;Sian Slade ,&nbsp;Alexandra Devine","doi":"10.1016/j.midw.2025.104321","DOIUrl":"10.1016/j.midw.2025.104321","url":null,"abstract":"<div><h3>Objective</h3><div>Current evidence highlights that women with disabilities experience challenges in accessing maternity care. Improving access requires an understanding of the factors influencing the capacity of healthcare providers to provide disability-inclusive care. Although providing maternity care services for women with disabilities has been reported to be a rewarding experience, numerous factors may impact health care providers’ capacity to do so. Limited evidence, especially from low and middle-income countries (LMICs), undermines our understanding of this issue and how to respond. This scoping review, therefore, aims to synthesise the current published literature examining factors influencing the capacity of healthcare providers to deliver disability-inclusive maternity care services.</div></div><div><h3>Design</h3><div>This scoping review used the Arksey and O'Malley framework in accordance with the PRISMA extension for Scoping Reviews. A systemic search of six electronic databases, including MEDLINE (Ovid), CINAHL Complete, Scopus, Eric Ebsco, Web of Science Core Collection, and EMBASE (Ovid), was undertaken to identify relevant studies. Snowball searching of reference lists and citations was also performed. The Quality of Care Framework for Maternal and Newborn Health, developed by the World Health Organization, was employed to guide the analysis and synthesis of the findings of this review.</div></div><div><h3>Findings</h3><div>Twenty-four studies published between 2000 and 2023 met the inclusion criteria. Factors influencing the capacity of healthcare providers to provide disability-inclusive maternity care were identified and categorised into six domains aligning with the Quality of Care framework: 1) Evidence-based practices for routine care and management of complications; 2) Actionable information systems; 3) Effective communication; 4) Respect and dignity; 5) Competent and motivated human resources; and 6) Essential physical resources available.</div></div><div><h3>Key conclusions and implications for practice</h3><div>This scoping review synthesised evidence on six key factors affecting the capacity of healthcare providers to provide disability-inclusive maternity care. It highlights the need to address the limited application of a ‘disability lens’ to evidence-based guidelines and health information. The review also highlights the need to better enable healthcare providers at all stages of their training and clinical practice to develop their knowledge and skills in providing respectful, disability-inclusive maternity care, in addition to ensuring essential physical resources are available. Very few studies examine the capacity of healthcare providers in low- and middle-income countries. Future research should focus on developing context-specific evidence from such countries, particularly given that this is where the majority of women with disabilities live.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"143 ","pages":"Article 104321"},"PeriodicalIF":2.6,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143335405","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":"Birthing parents’ perceptions of an online peer-delivered 1-day cognitive-behavioural therapy-based workshop for postpartum depression added to usual care","authors":"Jaslyn T. Drage ,&nbsp;Haley Layton ,&nbsp;Meghna Varambally ,&nbsp;Susan M. Jack ,&nbsp;Ryan J. Van Lieshout","doi":"10.1016/j.midw.2025.104319","DOIUrl":"10.1016/j.midw.2025.104319","url":null,"abstract":"<div><h3>Problem</h3><div>Postpartum depression affects as many as 20 % of birthing parents, with most preferring to be treated with psychotherapy.</div></div><div><h3>Background</h3><div>An increasing number of these individuals would like to receive support from those with lived experience of postpartum depression. Emerging evidence suggests that peer-administered interventions can reduce symptoms of depression in the postpartum period.</div></div><div><h3>Aim</h3><div>The purpose of this convergent parallel mixed methods study was to explore how birthing parents (<em>n</em> = 405) who participated in a randomised controlled trial of an online peer-delivered 1-day cognitive-behavioural therapy-based workshop for postpartum depression (registered at ClinicalTrials.gov with ID# NCT04934488) described their perception of the intervention and its delivery.</div></div><div><h3>Methods</h3><div>This study described and measured participants’ perceptions, experiences, and satisfaction with the workshop using an 11-item questionnaire assessing their perceptions of the intervention, plus the 8-item Client Satisfaction Questionnaire. The mean score for the Client Satisfaction Questionnaire was calculated and open-text responses were analysed using conventional content analysis.</div></div><div><h3>Findings</h3><div>Nearly 81 % of participants rated their satisfaction of the online cognitive-behavioural therapy workshop as medium-to-high (Mean = 24.81, SD = 4.74). Qualitatively, these high levels of satisfaction occurred as participants’ experiences were understood and validated by the peer facilitators, they were accepted and welcomed by peer facilitators who also served as effective role models for recovery, and the intervention reduced isolation and increased inclusion.</div></div><div><h3>Discussion/Conclusion</h3><div>Most participants were satisfied with the peer-led cognitive-behavioural therapy-based workshop and described multiple strengths related to the peers’ delivery of the program.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"143 ","pages":"Article 104319"},"PeriodicalIF":2.6,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349992","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":"Adaptive and maladaptive profiles in mothers of infants – a cross-sectional study on the meaning of self-confidence and mental health","authors":"Michalina Ilska ,&nbsp;Anna Kołodziej-Zaleska ,&nbsp;Anna Brandt-Salmeri","doi":"10.1016/j.midw.2025.104320","DOIUrl":"10.1016/j.midw.2025.104320","url":null,"abstract":"<div><h3>Aim</h3><div>The main goal of this study is to identify profiles of mothers based on the level of maternal self-confidence, and symptoms of depression and anxiety. Moreover, the objective is to evaluate how these profiles differ regarding perinatal, parental, and health variables.</div></div><div><h3>Methods</h3><div>A prospective study was performed from 2020 to 2021 with 179 postpartum mothers of infants who had participated in a longitudinal study (The Cope Study) during pregnancy. The survey included sociodemographic, prenatal, parental, and health details and standardized psychological measures: MCQ, PHQ-2, and GAD-7.</div></div><div><h3>Findings</h3><div>The cluster analyses revealed two profiles of mothers. The first was described as the “adaptive profile of mothers,” with high self-confidence and low rates of depression and anxiety (60, 3 %), and the second was defined as the “maladaptive profile of mothers,” with low maternal self-confidence and high rates of depression and anxiety (39.7 %). In the “maladaptive profile of mothers” group, more women experienced higher stress, declared fewer health-promoting behaviors, assessed their health as worse, received less support from their families, had labor induction, and had low birth satisfaction.</div></div><div><h3>Conclusion</h3><div>These results support the importance of early and multilevel psychological screening to understand the experience of infants’ mothers and to develop targeted and increasingly personalized interventions.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"143 ","pages":"Article 104320"},"PeriodicalIF":2.6,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143156973","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":"Assessing the Psychometric Strength of the Chinese Version of the Existential Breastfeeding Difficulty Scale: A Dual Approach Using Classical Test Theory and Item Response Theory","authors":"Xiaoke Jiang ,&nbsp;Wenyu Liang ,&nbsp;Haibo Xu ,&nbsp;Weiwei Liang ,&nbsp;Lina Palmér ,&nbsp;Fang Deng ,&nbsp;Caixin Yin ,&nbsp;Ronghua Li","doi":"10.1016/j.midw.2025.104313","DOIUrl":"10.1016/j.midw.2025.104313","url":null,"abstract":"<div><h3>Problem</h3><div>Challenges faced during the initial phase of breastfeeding contribute significantly to the cessation of exclusive breastfeeding among mothers within the first 6 months. Therefore, evaluating these challenges from a psychological perspective has immense clinical and research importance.</div></div><div><h3>Background</h3><div>The Existential Breastfeeding Difficulty Scale (ExBreastS) is a self-reported questionnaire designed to assess the psychological challenges of mothers during early breastfeeding. Its reliability and validity has been tested in Sweden and Turkey based on the classical test theory.</div></div><div><h3>Aim</h3><div>This study aims to translate and culturally adapt the ExBreastS into Chinese, while incorporating the classical test theory and item response theory to comprehensively evaluate the scale’s psychometric properties.</div></div><div><h3>Methods</h3><div>This was a cross-sectional study. After completing the translation and cross-cultural adaptation of the ExBreastS, 520 participants were recruited between January and April 2024. The participants, were 0-3 months postpartum, had singleton-term deliveries, were breastfeeding, and completed the Chinese version of the ExBreastS. Afterwards, the psychometric properties of the ExBreastS were thoroughly evaluated.</div></div><div><h3>Findings</h3><div>The Cronbach’s α coefficient for the ExBreastS was 0.884, with subscale coefficients ranging from 0.757 to 0.824. The difficulty parameters for each item ranged from –1.125 to 4.072, and the discrimination parameters ranged from 1.048 to 3.339. Furthermore, this scale exhibited substantial measurement information when latent trait levels were between –2 and 4.</div></div><div><h3>Discussion and conclusion</h3><div>The Chinese version of the ExBreastS is reliable for evaluating early breastfeeding challenges in mothers, and could aid healthcare professionals in screening and identifying mothers at risk of discontinuing breastfeeding.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"143 ","pages":"Article 104313"},"PeriodicalIF":2.6,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143156972","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 challenges of breastfeeding a late preterm or early term infant: Women's and clinician's perceptions of provision of antenatal information when considering early planned birth","authors":"Judith A Russell ,&nbsp;Dr Rosemary King","doi":"10.1016/j.midw.2025.104314","DOIUrl":"10.1016/j.midw.2025.104314","url":null,"abstract":"<div><h3>Problem</h3><div>Globally, there has been an increase in planned late preterm and early term births. These infants have poorer breastfeeding outcomes than full term infants.</div></div><div><h3>Background</h3><div>There is a lack of evidence around the impact of providing information for pregnant women about potential breastfeeding challenges when considering the optimal timing of early planned birth.</div></div><div><h3>Aim</h3><div>We explored what information is provided to pregnant women about potential breastfeeding challenges when early planned birth is being considered. We also explored obstetric doctors’ knowledge about breastfeeding challenges for infants born before 38 weeks.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted with 10 women who birthed a late preterm or early term infant (LP/ETI) through early planned birth, and with 6 obstetric consultants or registrars. Thematic analysis identified patterns of meaning in the data.</div></div><div><h3>Findings</h3><div>Four themes were identified relating to the study questions: Absent information, Complex decisions, Early struggles, and Improving communication during decision making.</div></div><div><h3>Discussion</h3><div>We identified an absence of information provided to women about the potential challenges of breastfeeding LP/ETI's when early birth was planned. Both women and doctors identified midwives as the health professionals with breastfeeding expertise. For women receiving high-risk care, minimal contact with midwives reduced opportunities to receive breastfeeding information. A lack of understanding of the characteristics of LP/ETI's contributed to women feeling unprepared for the reality versus their expectations of breastfeeding.</div></div><div><h3>Conclusion</h3><div>Strategies to support breastfeeding for these infants should include the provision of targeted antenatal information by midwives to prepare women for potential breastfeeding challenges.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"143 ","pages":"Article 104314"},"PeriodicalIF":2.6,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143335045","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}