Midwifery最新文献

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Successful surgical repair outcomes and determinants among obstetric fistula patients: A multi-centre study from Ethiopia 产科瘘患者成功的手术修复结果和决定因素:来自埃塞俄比亚的一项多中心研究
IF 2.6 3区 医学
Midwifery Pub Date : 2025-07-11 DOI: 10.1016/j.midw.2025.104516
Liknaw Bewket Zeleke , Alec Welsh , Gedefaw Abeje , Yohannes Sitotaw Addisie , Marjan Khajehei
{"title":"Successful surgical repair outcomes and determinants among obstetric fistula patients: A multi-centre study from Ethiopia","authors":"Liknaw Bewket Zeleke ,&nbsp;Alec Welsh ,&nbsp;Gedefaw Abeje ,&nbsp;Yohannes Sitotaw Addisie ,&nbsp;Marjan Khajehei","doi":"10.1016/j.midw.2025.104516","DOIUrl":"10.1016/j.midw.2025.104516","url":null,"abstract":"<div><h3>Background</h3><div>Obstetric fistula is a life-altering form of complex obstetric injury caused by prolonged obstructed labour. It remains a significant public health concern in developing countries, particularly in regions across the northern half of sub-Saharan Africa and in parts of the Middle East and South Asia. Many women undergo surgery to repair their fistulas; however, there are inconsistent reports in the literature regarding surgical repair outcomes, particularly in Ethiopia.</div></div><div><h3>Methods</h3><div>The study was undertaken at six treatment centres in Ethiopia using a longitudinal cohort design among 386 women with obstetric fistula. The participants underwent surgical repair of their fistula and were followed up until their outcome was determined. The data were collected using a structured questionnaire and an electronic data collection tool, Research Electronic Data Capture. The collected data were exported in various formats and analysed using R software.</div></div><div><h3>Results</h3><div>The study revealed that 77.5 % of the participants achieved successful surgical repair. Underweight body mass index (BMI) (AOR: 0.68, 95 %CI = 0.252, 1.977), having an alive child (AOR: 3.19, 95 %CI = 1.089, 9.638), fistula length &gt; 2 cm (AOR: 0.40, 95 %CI = 0.183, 0.851) and urethral damage (AOR: 0.41, 95 %CI = 0.221, 0.753) showed significant associations with successful surgical repair outcomes.</div></div><div><h3>Conclusion</h3><div>While many obstetric fistula repairs are successful, the overall success rate in Ethiopia falls below the World Health Organization's recommendation. Collaborative efforts are needed to revise the treatment approaches to meet the World Health Organization's standards.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104516"},"PeriodicalIF":2.6,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144686247","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}
引用次数: 0
Barriers and facilitators to the implementation of a midwifery-led care model: a qualitative systematic review 实施助产士主导的护理模式的障碍和促进因素:一项定性系统审查
IF 2.6 3区 医学
Midwifery Pub Date : 2025-07-08 DOI: 10.1016/j.midw.2025.104514
Andreia Soares Goncalves , Márcia Pestana-Santos , Christine McCourt , Ana Paula Prata
{"title":"Barriers and facilitators to the implementation of a midwifery-led care model: a qualitative systematic review","authors":"Andreia Soares Goncalves ,&nbsp;Márcia Pestana-Santos ,&nbsp;Christine McCourt ,&nbsp;Ana Paula Prata","doi":"10.1016/j.midw.2025.104514","DOIUrl":"10.1016/j.midw.2025.104514","url":null,"abstract":"<div><h3>Problem</h3><div>Despite the overwhelming benefits of midwifery-led care models, in many countries, for several reasons, there is a resistance to their implementation.</div></div><div><h3>Background</h3><div>These care models provide both short-term and long-term advantages for mothers and newborn, demonstrate sustainability, and offer economic benefits.</div></div><div><h3>Aim</h3><div>This qualitative systematic review explores and synthesises evidence on stakeholders’ perceptions of the barriers and facilitators to implementing a shift from doctor-led or shared-care models to midwifery-led models of care.</div></div><div><h3>Methods</h3><div>The review followed Joanna Briggs Institute guidance for qualitative systematic reviews, including a comprehensive database search, study selection, quality appraisal by two independent reviewers, data extraction using a tool for qualitative findings, and thematic synthesis. The Consolidated Framework for Implementation Research guided the organisation and presentation of results, and the credibility and dependability of findings were assessed using ConQual.</div></div><div><h3>Results and Discussion</h3><div>Seven studies met the inclusion criteria. Fourteen findings, five facilitators and nine barriers, were identified by stakeholders including women, midwives, doctors and educators. These relate to four implementation domains: innovation, outer setting, inner setting, and individuals. Key themes included cost, local attitudes, local attitudes and conditions, laws and policies, tension for change, relationships, infrastructure, compatibility, access to knowledge, client-centeredness and capability. The review underscores the need for evidence-based strategies to overcome barriers and enhance facilitators.</div></div><div><h3>Conclusion</h3><div>Context-specific strategies informed by implementation science must be developed to support the sustainable integration of midwifery-led care models, with a particular emphasis on policy development and stakeholder engagement.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104514"},"PeriodicalIF":2.6,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144632179","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}
引用次数: 0
Core values in midwifery - intensified and deepened: A qualitative study of midwives' experience of meaning when working in a specialised unit for late pregnancy loss 核心价值在助产-加强和深化:助产士的意义的经验定性研究时,在一个专门单位为晚期妊娠损失工作
IF 2.6 3区 医学
Midwifery Pub Date : 2025-07-08 DOI: 10.1016/j.midw.2025.104515
Mette Vingborg Eklund , Joan Hansen , Anne Hammer , Maja O'Connor , Christina Prinds , Dorte Hvidtjoern
{"title":"Core values in midwifery - intensified and deepened: A qualitative study of midwives' experience of meaning when working in a specialised unit for late pregnancy loss","authors":"Mette Vingborg Eklund ,&nbsp;Joan Hansen ,&nbsp;Anne Hammer ,&nbsp;Maja O'Connor ,&nbsp;Christina Prinds ,&nbsp;Dorte Hvidtjoern","doi":"10.1016/j.midw.2025.104515","DOIUrl":"10.1016/j.midw.2025.104515","url":null,"abstract":"<div><h3>Background</h3><div>Caring for parents bereaved by late pregnancy loss is complex. Healthcare professionals find the work meaningful yet stressful and challenging. Experience, education, and support from colleagues and organisations are essential for professionals working in this field.</div></div><div><h3>Aim</h3><div>This qualitative study explores the lived experience of meaning in work among midwives employed in a specialised Unit for late pregnancy Loss.</div></div><div><h3>Method</h3><div>Fourteen interviews were conducted with midwives working at a newly established Unit for Loss at a Danish maternity ward.</div></div><div><h3>Results</h3><div>Two main themes regarding meaning in work were identified, each with associated subthemes: 1) Core values in midwifery - intensified and deepened; Midwives emphasised the importance of ensuring comforting experiences and memories for parents. This required undisturbed time of “being” with them. The unit's organisational framework allowed time and space to fulfil these core values. The midwives’ work in the Unit for Loss was experienced as intensified and deepend compared to work in maternity wards with live births. 2) Navigating meaning; In some cases, termination of pregnancy brought about ambiguity in meaning, requiring midwives to balance values between the parents' autonomy and the fetus as a human being. The midwives stressed the importance of offering holistic, non-judgmental care and the ability to set aside personal values.</div></div><div><h3>Conclusion</h3><div>This study highlights the Unit for Loss setting as a time and space for midwives to fulfil meaningful professional core values. The work is perceived as profoundly meaningful, although it sometimes involves internal reflections to navigate values and meaning.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104515"},"PeriodicalIF":2.6,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144694491","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}
引用次数: 0
Midwives' recommendations for addressing paternal postnatal depression in Tanzania: A qualitative descriptive study 助产士对解决坦桑尼亚父亲产后抑郁症的建议:一项定性描述性研究
IF 2.6 3区 医学
Midwifery Pub Date : 2025-07-06 DOI: 10.1016/j.midw.2025.104512
Paul Shidende , Randi Bates , Gary Dick , Rebecca Lee
{"title":"Midwives' recommendations for addressing paternal postnatal depression in Tanzania: A qualitative descriptive study","authors":"Paul Shidende ,&nbsp;Randi Bates ,&nbsp;Gary Dick ,&nbsp;Rebecca Lee","doi":"10.1016/j.midw.2025.104512","DOIUrl":"10.1016/j.midw.2025.104512","url":null,"abstract":"<div><h3>Background</h3><div>Paternal postnatal depression (PPND) is a condition affecting fathers during the postpartum period. This study investigated the role of midwives in managing PPND in Tanzania, focusing on their recommendations for its management.</div></div><div><h3>Purpose</h3><div>To address the critical yet often neglected issue of PPND in Tanzania and, based on midwives' views, to explore midwifery recommendations for its identification, support, and treatment.</div></div><div><h3>Methods</h3><div>A qualitative descriptive study explored Tanzanian midwives' perceived knowledge, perceptions, and experience in PPND. Twenty-two midwives were purposively selected from two hospitals in Dar es Salaam, Tanzania, to participate in two focus group discussions. Following Elo and Kyngäs' (2008) framework, qualitative content analysis was employed to identify and interpret patterns in the data.</div></div><div><h3>Results</h3><div>Twenty-two Midwives from two selected referral hospitals in Dar es Salaam, Tanzania, were involved in this study. They identified the need for comprehensive midwifery education on PPND and recommended increased public awareness and community education. They advocated for the full involvement of fathers in postnatal care and the creation of supportive healthcare environments with specific spaces for fathers.</div></div><div><h3>Conclusions</h3><div>Several key recommendations highlighted the importance of involving fathers in prenatal and postnatal care, enhancing midwifery education, and creating supportive healthcare environments. These recommendations offered a pathway to improving paternal postnatal mental health and the well-being of both parents, ultimately fostering a more inclusive approach to family health care.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104512"},"PeriodicalIF":2.6,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144588379","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}
引用次数: 0
Corrigendum to "Epidural or water immersion? A prospective cohort study of maternal and neonatal outcomes in a tertiary hospital" [Midwifery 146 (2025)104392]. “硬膜外还是水浸?”三级医院产妇和新生儿结局的前瞻性队列研究"[助产学146(2025)104392]。
IF 2.6 3区 医学
Midwifery Pub Date : 2025-07-05 DOI: 10.1016/j.midw.2025.104505
Soledad Carregui-Vilar, Eva M Moya-Artuñedo, Ricardo Chalmeta, Lucia Rocca-Ihenacho, Eladio J Collado-Boira
{"title":"Corrigendum to \"Epidural or water immersion? A prospective cohort study of maternal and neonatal outcomes in a tertiary hospital\" [Midwifery 146 (2025)104392].","authors":"Soledad Carregui-Vilar, Eva M Moya-Artuñedo, Ricardo Chalmeta, Lucia Rocca-Ihenacho, Eladio J Collado-Boira","doi":"10.1016/j.midw.2025.104505","DOIUrl":"https://doi.org/10.1016/j.midw.2025.104505","url":null,"abstract":"","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":" ","pages":"104505"},"PeriodicalIF":2.6,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144575841","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}
引用次数: 0
Factors associated with breastfeeding knowledge and attitudes among non-pregnant, nulliparous women of reproductive age: A scoping review 与未怀孕、未生育的育龄妇女的母乳喂养知识和态度相关的因素:一项范围审查
IF 2.6 3区 医学
Midwifery Pub Date : 2025-07-04 DOI: 10.1016/j.midw.2025.104511
Maryam Malekian, Michelle Irving, Vanora Hundley
{"title":"Factors associated with breastfeeding knowledge and attitudes among non-pregnant, nulliparous women of reproductive age: A scoping review","authors":"Maryam Malekian,&nbsp;Michelle Irving,&nbsp;Vanora Hundley","doi":"10.1016/j.midw.2025.104511","DOIUrl":"10.1016/j.midw.2025.104511","url":null,"abstract":"<div><h3>Problem and background</h3><div>Although breastfeeding has well-established benefits for both mothers and infants, global rates remain suboptimal. Knowledge and attitudes are key factors associated with breastfeeding outcomes and identifying the factors that shape these before pregnancy can guide initiatives to improve breastfeeding rates.</div></div><div><h3>Aim</h3><div>This scoping review aimed to map factors associated with breastfeeding knowledge and attitudes in non-pregnant, nulliparous women of reproductive age.</div></div><div><h3>Method</h3><div>In line with PRISMA-ScR and the Joanna Briggs Institute methodology, the Population, Concept, and Context framework was applied to identify factors affecting breastfeeding knowledge and attitudes. A comprehensive search across SCOPUS, MEDLINE, Web of Science, Cochrane Library, CINAHL, and Embase was conducted. Data were extracted using a standardised form, and methodological quality was assessed. A narrative synthesis was performed to summarise the findings.</div></div><div><h3>Findings</h3><div>The review included 37 studies from 22 countries, primarily focusing on university students. Breastfeeding knowledge varied, with some studies reporting moderate to high levels, while others reported lower levels. Most participants had positive attitudes, though a few were neutral or negative. Key associated factors included education, exposure to breastfeeding, age, cultural norms, and socioeconomic status. Higher education and exposure to breastfeeding information were associated with better knowledge and attitudes, while the relationship with socioeconomic status showed mixed results.</div></div><div><h3>Conclusion</h3><div>This review highlights the multifactorial nature of breastfeeding knowledge and attitudes. Interventions before pregnancy are crucial to improving breastfeeding outcomes. Further research is needed, particularly in regions with low breastfeeding rates.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104511"},"PeriodicalIF":2.6,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144581086","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}
引用次数: 0
Labor characteristics and maternal and neonatal outcomes in women with gestational hypertension or mild preeclampsia who underwent labor induction 妊娠期高血压或轻度子痫前期妇女引产的分娩特征和母婴结局
IF 2.6 3区 医学
Midwifery Pub Date : 2025-07-03 DOI: 10.1016/j.midw.2025.104509
Xinyue Lu , Jieni Zou , Yujia Zhou , Anjian Xu , Chengxiu Zhu , Ying Hua
{"title":"Labor characteristics and maternal and neonatal outcomes in women with gestational hypertension or mild preeclampsia who underwent labor induction","authors":"Xinyue Lu ,&nbsp;Jieni Zou ,&nbsp;Yujia Zhou ,&nbsp;Anjian Xu ,&nbsp;Chengxiu Zhu ,&nbsp;Ying Hua","doi":"10.1016/j.midw.2025.104509","DOIUrl":"10.1016/j.midw.2025.104509","url":null,"abstract":"<div><h3>Background</h3><div>To investigate the labor characteristics and maternal-neonatal outcomes associated with induction of labour (IOL) in pregnant women with hypertensive disorders of pregnancy (HDP), as well as to identify the risk factors for the failed induction of labor.</div></div><div><h3>Material and methods</h3><div>This cohort study enrolled 425 pregnant women who underwent IOL, and they were divided into two groups: the HDP group and the normotensive pregnancies group. Labor induction characteristics, interventions and maternal and neonatal outcomes were compared. Univariate analysis and logistic regression analysis were conducted to identify the risk factors for the failed IOL.</div></div><div><h3>Results</h3><div>Compared to the control group, the HDP group exhibited a significantly higher rate of cesarean section (CS), and newborns in the HDP group were more likely to be transferred to the neonatal intensive care unit (<em>P</em> &lt; 0.05). There was little difference in labor durations and intrapartum interventions between the two groups of women with successful IOL, except for a higher rate of mediolateral episiotomy in the HDP group. Parity (OR 0.201; 95 % CI 0.053 to 0.763), bishop score (OR 0.658; 95 % CI 0.512 to 0.845), birth weight (OR 1.001; 95 % CI 1.000 to 1.002), and hypertensive disorders of pregnancy (HDP) (OR 2.502; 95 % CI 1.374 to 4.559) were identified as factors associated with an increased risk of failed IOL.</div></div><div><h3>Conclusions</h3><div>Women with HDP exhibited an increased risk of CS rate and mediolateral episiotomy after IOL compared to those with normotensive pregnancies, while the characteristics of induced labor, most intrapartum interventions and maternal and neonatal outcomes were similar.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104509"},"PeriodicalIF":2.6,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144572522","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}
引用次数: 0
Trajectories of prenatal depression and their prediction of adverse pregnancy outcomes based on nomograms in Mainland China—Results from a national longitudinal survey 中国大陆孕妇产前抑郁的发展轨迹及其对不良妊娠结局的预测——基于一项全国性的纵向调查
IF 2.6 3区 医学
Midwifery Pub Date : 2025-07-03 DOI: 10.1016/j.midw.2025.104510
Zhijiao Song , Daming Zhang , Li Yang , Nan Zhao , Xing Huang , Yehuan Yang , Yan Liu , Pengfei Zhu , Ruimin Zheng
{"title":"Trajectories of prenatal depression and their prediction of adverse pregnancy outcomes based on nomograms in Mainland China—Results from a national longitudinal survey","authors":"Zhijiao Song ,&nbsp;Daming Zhang ,&nbsp;Li Yang ,&nbsp;Nan Zhao ,&nbsp;Xing Huang ,&nbsp;Yehuan Yang ,&nbsp;Yan Liu ,&nbsp;Pengfei Zhu ,&nbsp;Ruimin Zheng","doi":"10.1016/j.midw.2025.104510","DOIUrl":"10.1016/j.midw.2025.104510","url":null,"abstract":"<div><h3>Background</h3><div>Cross-sectional data are commonly used to explore the relationships between prenatal depression and its relevant outcomes. Longitudinal studies of the influence of prenatal depressive trajectories on pregnancy outcomes are scarce. This study used nomograms to evaluate prenatal depressive trajectories as predictors of adverse pregnancy outcomes.</div></div><div><h3>Methods</h3><div>1169 participants were included in a national multicenter cohort study from five hospitals in Mainland China. Depression was measured by the Edinburgh Postnatal Depression Scale (EPDS) at 10–13, 15–18, 23–25, 30–32, and 36–37 weeks of gestation. A nomogram was constructed for each outcome based on multivariate logistic regression to evaluate the contribution of prenatal depressive trajectories to each outcome.</div></div><div><h3>Results</h3><div>Three different depressive trajectories were identified, namely “Low-stable,” “High-increasing,” and “High-decreasing,” accounting for 94.0 %, 4.3 %, and 1.7 % of participants, respectively. Prenatal high-increasing and high-decreasing trajectories elevated the likelihood of preterm term and small for gestational age (SGA) births occurring. Nomograms showed that prenatal depressive symptom trajectories predicted the above adverse outcomes more strongly than any other variable.</div></div><div><h3>Limitations</h3><div>Of the participants, 86.0 % had a education level of bachelor or higher. As the EPDS is highly aligned with the clinical diagnosis, it was used to assess depression levels.</div></div><div><h3>Conclusions</h3><div>Our study suggests that prenatal depressive trajectories can predict the likelihood of preterm and SGA births. These findings underscore the importance of early screening, identification, and intervention for prenatal depression.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104510"},"PeriodicalIF":2.6,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144611634","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}
引用次数: 0
Exploring factors influencing paternal-fetal attachment: A systematic review and meta-analysis 探讨影响父胎依恋的因素:系统回顾和荟萃分析
IF 2.6 3区 医学
Midwifery Pub Date : 2025-07-03 DOI: 10.1016/j.midw.2025.104508
Yue Sun , Rong Huang Guo , Ping Lei Chui , Mei Chan Chong , Jing Zhang , Fen Xu
{"title":"Exploring factors influencing paternal-fetal attachment: A systematic review and meta-analysis","authors":"Yue Sun ,&nbsp;Rong Huang Guo ,&nbsp;Ping Lei Chui ,&nbsp;Mei Chan Chong ,&nbsp;Jing Zhang ,&nbsp;Fen Xu","doi":"10.1016/j.midw.2025.104508","DOIUrl":"10.1016/j.midw.2025.104508","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Paternal-fetal attachment contributes to positive pregnancy outcomes and early child development. Although numerous factors influencing paternal-fetal attachment have been extensively reported, these findings have not been systematically synthesized.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;This study aimed to systematically evaluate the levels and influencing factors of paternal-fetal attachment, identify statistically significant determinants, and determine the effect sizes of these factors.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Data sources&lt;/h3&gt;&lt;div&gt;Medline, CINAHL, CNKI, Wanfang, Web of Science, Ovid, Scopus, PsycINFO, and Cochrane Library.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A comprehensive search was conducted across 7 English-language databases and 2 Chinese-language databases, covering the period from January 2014 to October 2024. The study included survey-based research (both cross-sectional and longitudinal studies) as well as qualitative studies. Quality assessment was performed using the Agency for Healthcare Research and Quality (AHRQ) tool, the Newcastle-Ottawa Scale (NOS), and the Critical Appraisal Skills Programme (CASP). Meta-analysis was conducted using RevMan Manager 5.4 software, and narrative synthesis was employed for data that were unsuitable or unable to undergo meta-analysis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;This systematic review and meta-analysis included 25 studies, with 17 studies (involving 2643 expectant fathers) contributing to the meta-analysis. The overall level of paternal-fetal attachment was 3.57 (95 % CI: 3.26–3.88), indicating a moderate level of attachment. Key factors influencing paternal-fetal attachment included positive emotions, partner support, and maternal-fetal attachment, which had moderate effect sizes, suggesting their substantial role in fostering paternal attachment. Other significant factors with smaller effect sizes included age (older fathers reported slightly lower attachment), pregnancy planning status (planned pregnancies were associated with stronger attachment), parity (first-time fathers showed higher attachment), and psychological factors such as anxiety, depression, and negative emotions, which were negatively associated with attachment. Additionally, marital status and marital quality were positively linked to attachment, though their effects were small. These findings highlight the importance of emotional, relational, and psychological factors in shaping paternal attachment during pregnancy.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;This systematic review offers a comprehensive overview of paternal-fetal attachment and identifies key predictive factors, including positive emotions, partner support, maternal-fetal attachment, and psychological well-being. The findings underscore the importance of addressing emotional, relational, and contextual factors to enhance paternal involvement during pregnancy. These insights can guide future research and inform evidence-based p","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104508"},"PeriodicalIF":2.6,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144595653","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}
引用次数: 0
An exploration of an interprofessional approach to perinatal mental health education: A qualitative descriptive study 围产期心理健康教育的跨专业方法探索:一项定性描述性研究
IF 2.6 3区 医学
Midwifery Pub Date : 2025-06-30 DOI: 10.1016/j.midw.2025.104507
Sandra Atkinson , Teresa Tuohy , Barbara Lloyd , Maria Noonan , Sylvia Murphy-Tighe , Therese Hennessy , Jan McCarthy , Cliona Reardon , Carmel Bradshaw
{"title":"An exploration of an interprofessional approach to perinatal mental health education: A qualitative descriptive study","authors":"Sandra Atkinson ,&nbsp;Teresa Tuohy ,&nbsp;Barbara Lloyd ,&nbsp;Maria Noonan ,&nbsp;Sylvia Murphy-Tighe ,&nbsp;Therese Hennessy ,&nbsp;Jan McCarthy ,&nbsp;Cliona Reardon ,&nbsp;Carmel Bradshaw","doi":"10.1016/j.midw.2025.104507","DOIUrl":"10.1016/j.midw.2025.104507","url":null,"abstract":"<div><h3>Aim/Objective</h3><div>This study aims to explore and evaluate postgraduate student experiences of a perinatal mental health education programme and to explore the value of collaborative learning within an interprofessional group.</div></div><div><h3>Background</h3><div>Evidence highlights the need for accessible mental health care during the perinatal period from educated and skilled healthcare professionals. Until recently, there has been a lack of emphasis on perinatal mental health care provision and a subsequent lack of education and training in the area for healthcare professionals.</div></div><div><h3>Design</h3><div>A qualitative descriptive research study was conducted to evaluate an interprofessional approach to perinatal mental health education.</div></div><div><h3>Participants</h3><div>A purposive sample of postgraduate healthcare professionals (<em>n</em> = 10) who completed the first year of the Master of Science in Perinatal Mental Health programme or who had completed relevant standalone modules, at a Higher Education Institute in Ireland, participated in the study.</div></div><div><h3>Methods</h3><div>Data collection were conducted via four online small-group discussions and thematic analysis was utilised to analyse the narrative data.</div></div><div><h3>Results</h3><div>Three themes illustrate participants’ experiences of the perinatal mental health programme: <em>Learning with other professionals, Enhanced confidence for clinical practice</em> and <em>Challenges of the programme</em>.</div></div><div><h3>Conclusion</h3><div>By undertaking the perinatal mental health programme/modules participants were provided with opportunities to engage in interprofessional education. The programme offered opportunities for developing networking relationships which continued into clinical practice. Participants acknowledged the benefits of the programme in acquiring specialist knowledge and skills regarding the spectrum of perinatal mental health enhancing clinical assessment, communication, and confidence in care provision.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104507"},"PeriodicalIF":2.6,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144572521","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}
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