Midwifery最新文献

{"title":"Developing professional education to support cultural humility in maternal health care: Reflecting on a co-design project with refugee and migrant women","authors":"Delia Rambaldini-Gooding ,&nbsp;Luke Molloy ,&nbsp;Maryann Barrington ,&nbsp;Katarzyna Olcoń ,&nbsp;Leissa Pitts ,&nbsp;Sofia Lema ,&nbsp;Eman Baghdadi ,&nbsp;Irene Njambi Thiru ,&nbsp;Claudia Tait ,&nbsp;Rebecca De Souza ,&nbsp;Associate Professor Chris Degeling","doi":"10.1016/j.midw.2025.104494","DOIUrl":"10.1016/j.midw.2025.104494","url":null,"abstract":"<div><h3>Background</h3><div>Culturally safe care is critical to positive maternal health experiences and outcomes. However, refugee and migrant women often experience inequities in maternal healthcare. To address these challenges, healthcare providers are increasingly using co-design. Much of this research focusses on evaluating outcomes or using traditional methods to obtain lived experience input. Comparatively, there is a paucity of research detailing how to achieve value-based co-design with refugee and migrant women.</div></div><div><h3>Aim</h3><div>The project aimed to co-design an education resource to support the development of cultural humility in a maternal health care service within a local public hospital. This paper reports on the co-design methods used to engage refugee and migrant women and healthcare providers and discusses the principles that should guide co-design.</div></div><div><h3>Method</h3><div>We used a value-based co-design approach to work with refugee and migrant women and maternal health care providers to co-create local solutions including development of education resources for use in maternal health services. Multiple participatory methods were used to work with women and providers.</div></div><div><h3>Findings</h3><div>Key principles identified through the value-based co-design process included collaboration, empowerment, openness and respect. Various techniques were used to ensure these principles were central to how the team functioned.</div></div><div><h3>Discussion and Conclusion</h3><div>Reflecting on key values assisted in the identification of recommendations for successful partnership with refugee and migrant women in future projects. Importantly, recommendations hold relevance across different co-design methods as they outline ways of upholding the values underpinning any co-design project.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104494"},"PeriodicalIF":2.6,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144329993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transforming fear of childbirth through narrative: Feasibility and efficacy of a community-based online-offline intervention","authors":"Xinchen Chen ,&nbsp;Cuiqin Zheng ,&nbsp;Mian Pan ,&nbsp;Shengbin Guo ,&nbsp;Lu Jing ,&nbsp;Huijing Liu ,&nbsp;Sisi Huang ,&nbsp;Chenyin Liu ,&nbsp;Pingping Qiu","doi":"10.1016/j.midw.2025.104492","DOIUrl":"10.1016/j.midw.2025.104492","url":null,"abstract":"<div><h3>Background</h3><div>Fear of childbirth (FoC) is a prevalent negative emotional experience that affects the psychological health of primiparous women. Psychoeducation offers a promising solution, but high-quality evidence underscores the need to evaluate programme feasibility, appropriateness, and acceptability. Developed based on Story Theory and Narrative Transportation Theory, and adhering to the Medical Research Council guidelines, the Stories-Empowered Education for New Parents (SEEN) program seeks to address these concerns by combining community-based online and offline interventions.</div></div><div><h3>Methods</h3><div>A single-group pre-post study involving 15 primiparous women utilized mixed methods for assessment. Feasibility metrics, including rates of consent, programme completion, and inter-session tasks completion were analysed quantitatively. The perceived appropriateness and acceptability of SEEN were assessed using a visual analogue scale, while the effectiveness of the program was measured through the Fear of Birth Scale (FOBS) and physiological stress indicators. Qualitative data from focus group interviews provided further interpretation of the quantitative findings.</div></div><div><h3>Findings</h3><div>SEEN achieved a 91 % consent rate and a 94 % program-completion rate, with all participants completing inter-session tasks without reminders. Significant satisfaction and improvements in FOBS scores and physiological stress indicators were reported (<em>p</em> &lt; 0.05). Qualitatively, SEEN was found to be understandable, practical, and effective in utilizing community medical resources, overcoming common barriers such as time and transportation.</div></div><div><h3>Conclusion</h3><div>SEEN is a feasible, acceptable, and suitable approach for reducing FoC in primiparous women, combining education with empathy-driven narratives to make a significant impact on maternal well-being.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104492"},"PeriodicalIF":2.6,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144297143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of midwives’ satisfaction on intention to leave the profession and emigration -a nationwide cross-sectional study","authors":"Alicja Domagała ,&nbsp;Agnieszka Micek ,&nbsp;Barbara Baranowska ,&nbsp;Beata Szlendak ,&nbsp;Maria Węgrzynowska ,&nbsp;Katarzyna Kopeć-Godlewska ,&nbsp;Ilona Nenko","doi":"10.1016/j.midw.2025.104495","DOIUrl":"10.1016/j.midw.2025.104495","url":null,"abstract":"<div><h3>Problem and background</h3><div>Midwives face challenging working conditions, including heavy workloads and high levels of stress, which may contribute to their decision to leave the profession or emigrate.</div></div><div><h3>Aim</h3><div>To explore job satisfaction and salary satisfaction among midwives working in Poland and their impact on intentions to leave the midwifery profession or emigrate.</div></div><div><h3>Methods</h3><div>A nationwide cross-sectional study was conducted from June to December 2023. Data were collected through an online survey among midwives practicing in outpatient clinics and hospitals in Poland. Associations between job and salary satisfaction and intentions to leave the profession or emigrate were analysed by adjusting for socio-demographic factors.</div></div><div><h3>Results</h3><div>We recruited 790 midwives practicing in Poland. All respondents were women and the median age was 30 years (range: 26–41 years). Our respondents' median job and salary satisfaction levels were 69 and 60, respectively, on a scale from 0 to 100. A relatively small proportion of respondents reported intentions to leave the profession (9.5 %) or to emigrate (16 %). A 10-point increase in job satisfaction reduced the likelihood of leaving the profession by 30 % (OR = 0.70, 95 %; CI: 0.62 - 0.79), while a similar increase in salary satisfaction reduced the likelihood by 12 % (OR = 0.88. 95 % CI: 0.79 - 0.98).</div></div><div><h3>Conclusion</h3><div>The results show the need to improve working conditions and ensure fair remuneration, which is crucial to maintaining and increasing the number of active midwives in the healthcare system. Our findings highlight the need for strategies to enhance satisfaction and support early-career midwives to minimize turnover.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104495"},"PeriodicalIF":2.6,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144338716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of mistreatment in maternity care: a population-based comprehensive multi-indicator approach","authors":"Z. Reyes-Amargant ,&nbsp;M. Roqueta-Vall-Llosera ,&nbsp;J. Garre-Olmo ,&nbsp;D. Ballester-Ferrando ,&nbsp;C. Rascón-Hernán ,&nbsp;C. Fuentes-Pumarola","doi":"10.1016/j.midw.2025.104493","DOIUrl":"10.1016/j.midw.2025.104493","url":null,"abstract":"<div><h3>Background</h3><div>Obstetric literature lacks clarity on what constitutes Mistreatment in Maternity Care (MMC). This includes dehumanized care, excessive interventions, and medicalization of a natural process.</div></div><div><h3>Aims</h3><div>To estimate the prevalence of MMC by developing multiple-source indicators and to determine their relationship with sociodemographic and childbirth characteristics.</div></div><div><h3>Methods</h3><div>Observational and cross-sectional multicentric study with 978 participants contacted by consecutive recruitment. Obstetric practices were collected from self-administered questionnaires and the available information registered in clinical records.</div></div><div><h3>Findings</h3><div>9 MMC indicators (MMCi) were developed according to evidence-based practice. 847 women accepted to participate (87.9 % participation). The prevalence of MMCi was 4.3 % (95 % CI = 3.1 –6.1) for instrumental delivery or caesarean unregistered in clinical records or performed with non-evidence-based clinical indication (UNREG/N-EB), and 48.1 % (95 % CI = 45.1– 52.2) for perception of inadequate attention. Six indicators were above 40 % (induction without a written consent, amniotomy performed as routine, lithotomy during pushing, suffering mother-baby separation, no maternal position choice during labor and delivery, or to drink freely). Private facilities were associated with the use of UNREG/N-EB practices. Childbirth characteristics showed differential associations with MMCi.</div></div><div><h3>Conclusions</h3><div>This study highlights the gap between recommended standards for respectful childbirth care and actual clinical practices. Addressing MMC requires a comprehensive approach that includes both clinical data and women’s perceptions, along with the enforcement of good clinical practice policies. Future research should focus on intersectional factors and reducing disparities to ensure equitable, high-quality care for all women.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104493"},"PeriodicalIF":2.6,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144312882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Innovative exergaming program for antenatal exercise: Pregnant women’s views and experiences","authors":"Gemechu Kumera Wirtu ,&nbsp;Rob Duffield ,&nbsp;Jaime Garcia ,&nbsp;Justine Salisbury ,&nbsp;Deborah Fox","doi":"10.1016/j.midw.2025.104491","DOIUrl":"10.1016/j.midw.2025.104491","url":null,"abstract":"<div><h3>Background</h3><div>Exergames are an emerging technology that employ interactive exercise-based video gaming with the aim to encourage physical activity. Exergames have been shown to encourage increased exercise participation in the non-pregnant population. However, the acceptability to pregnant women has not previously been explored.</div></div><div><h3>Aims</h3><div>The aim of this study was to explore pregnant women’s views and experiences of using a home-based exergaming intervention designed specifically for pregnancy.</div></div><div><h3>Methods</h3><div>This study was a part of a multidisciplinary feasibility project investigating the feasibility of using an exergaming program to encourage physical activity in pregnancy. A qualitative study design was adopted using semi-structured interviews. Twelve pregnant women who completed a home-based exergaming program designed for pregnancy using the Nintendo Switch™, from 16 to 36 weeks of gestation, participated in interviews that were audio recorded and transcribed verbatim. Data were analysed using the thematic analysis methods.</div></div><div><h3>Findings</h3><div>The women participants found that the exergame programs were enjoyable, convenient, motivating and easy to use during pregnancy. The interactive nature of exergames was particularly appealing and they valued the ability to exercise at home. They suggested that future exergames designed and developed for pregnant women could incorporate more of a variety of exercise options that are specifically tailored for pregnancy.</div></div><div><h3>Conclusion</h3><div>Exergame exercise programs were found to be enjoyable, and convenient for pregnant women participants. Our findings suggest exergames as a promising approach for encouraging regular exercise and addressing barriers to physical activity during pregnancy.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104491"},"PeriodicalIF":2.6,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144306643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telemidwifery: A scoping review on applications, advantages and obstacles","authors":"Khadijeh Moulaei ,&nbsp;Pershia Davoodi Karsalari ,&nbsp;Atousa Moghadam Fard ,&nbsp;Reihaneh Shahmoradi Pour ,&nbsp;Reza Moulaei ,&nbsp;Babak Sabet ,&nbsp;Mohammad Reza Afrash","doi":"10.1016/j.midw.2025.104477","DOIUrl":"10.1016/j.midw.2025.104477","url":null,"abstract":"<div><h3>Introduction</h3><div>Telemidwifery, the provision of midwifery care through telecommunication technologies, presents a promising approach to enhance maternal healthcare accessibility and quality. However, a comprehensive understanding of its advantages and obstacles is crucial for its effective implementation. This scoping review aims to systematically explore the existing literature on telemidwifery, focusing on elucidating its potential applications, advantages and obstacles.</div></div><div><h3>Method</h3><div>This scoping review follows the PRISMA-ScR guidelines. A systematic search of PubMed, Scopus, and Web of Science databases was conducted using predefined search terms related to telemedicine and midwifery. Articles were screened based on predefined inclusion and exclusion criteria, and data were extracted and synthesized to explore different aspects of telemidwifery.</div></div><div><h3>Result</h3><div>Of the 680 articles retrieved, 65 were included in this review. Three ways Synchronous and asynchronous (n= 24, 39%), Synchronous (n= 23, 38%), and aynchronous (n= 14, 23%) were commonly used for delivering telemidwifery services. Telephone (n=20) and Video conferencing (n=19) were the primary technologies used for service delivery. A total of 346 telemidwifery applications (n=105), advantages (n=182), and obstacles (n=59) were identified. After consolidating similar items, 128 remained: applications (n=61), advantages (n=51), and obstacles (n=16). The most significant applications were \"Virtual visits for offering perinatal care\" (n=7), \"Education on pregnancy complications and risk factors\" (n=6), and “Providing information on breastfeeding and infant issues” (n=6). Key advantages included \"Increasing people's knowledge, awareness and skills\" (n=16), \"Access to telemidvifery services anytime and anywhere\" (n=14). The primary obstacles were \"\"Limited access and slow internet connectivity anytime, anywhere\" (n=13), \" Lack of support for non-English-speaking individuals\" (n=7) and “Lack of sufficient digital skills and literacy “ (n=6).</div></div><div><h3>Conclusion</h3><div>This review is the first study that offers insights into its applications, advantages, and obstacles, stressing the importance of understanding them for effective implementation. Targeted strategies are needed to maximize benefits and overcome challenges.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104477"},"PeriodicalIF":2.6,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144240300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Traumatic breastfeeding experience in women: Scale development, validity and reliability study","authors":"Fatma Nilüfer Topkara ,&nbsp;Elif Dağlı ,&nbsp;Feyza Aktaş Reyhan","doi":"10.1016/j.midw.2025.104490","DOIUrl":"10.1016/j.midw.2025.104490","url":null,"abstract":"<div><h3>Background</h3><div>Women’s experiences of breastfeeding, their perspectives on breastfeeding and the meanings they attach to it can be very different. Breastfeeding, which is considered a healthy, physiological and natural process, can be differentiated and become a traumatic experience. In this context, the aim of the study was to develop the Traumatic Breastfeeding Experience Scale and to conduct a validity and reliability study.</div></div><div><h3>Methods</h3><div>This methodological study was conducted with 480 women admitted to the Obstetrics and Gynecology Clinic of a public hospital. Data were collected face-to-face. Both content (content validity index) and construct validity (exploratory and confirmatory factor analysis) of the draft scale that the researchers created as a result of the literature review were examined. In the reliability analysis, Cronbach’s alpha reliability coefficient, item discrimination, item-total score correlations and test-retest method were used.</div></div><div><h3>Results</h3><div>As a result of the psychometric analysis, it was concluded that the Traumatic Breastfeeding Experience Scale, which was collected under 5 sub-dimensions and 28 items, is a valid and reliable measurement tool. The Cronbach’s alpha value of the scale was 0.72 and the test-retest reliability was 0.99.</div></div><div><h3>Conclusions</h3><div>The Traumatic Breastfeeding Experience Scale was found to be a valid and reliable measurement tool that can be used to assess the prevalence of experience of breastfeeding as traumatic. The scale developed in this direction is recommended to be used in future research and individual clinical evaluations.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104490"},"PeriodicalIF":2.6,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144306421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stakeholders’ expectations and experiences of being involved with a global accreditation process for midwifery centres in LMICs: a rapid ethnography","authors":"Summer M. Aronson ,&nbsp;Laura Batinelli ,&nbsp;Lucia Rocca-Ihenacho ,&nbsp;Jennifer R. Stevens","doi":"10.1016/j.midw.2025.104482","DOIUrl":"10.1016/j.midw.2025.104482","url":null,"abstract":"<div><h3>Background</h3><div>This study explored the expectations and experiences of stakeholders involved in the accreditation of midwifery centres (MCs) in low- and middle-income countries (LMICs). With increasing evidence that MCs provide safe, respectful, and evidence-based care that improves maternal and neonatal outcomes, accreditation may serve as a mechanism to bridge quality gaps in maternal health systems, particularly in regions with high maternal and neonatal mortality.</div></div><div><h3>Methods</h3><div>A rapid ethnographic approach, combining participant observation and semi-structured interviews, was conducted in partnership with the GoodBirth Network (GBN), which identified six pilot midwifery centres in Haiti, Uganda, and South Africa. Convenience sampling was applied, and qualitative data was thematically analyzed using NVivo software. Ethical approval was granted by City St. George’s, University of London.</div></div><div><h3>Results</h3><div>Findings suggest that the accreditation process fostered a culture of co-production and continuous quality improvement. Four key themes emerged: the value of accreditation, enablers and barriers of the process, and future expectations. The participatory approach was identified as a self-reflexive tool supporting an evolving culture of quality, an enabling environment and embedding the principles of continuous improvement. However, structural and cultural barriers varied across contexts, potentially influencing stakeholder engagement and implementation.</div></div><div><h3>Conclusion</h3><div>A participatory approach to accreditation may facilitate MC implementation, integration, and sustainability in LMICs, contributing to quality care and enabling environments for midwives. Further research is needed to explore the short- and long-term benefits of accreditation, as well as macro- and micro-level enablers and barriers to its adoption.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104482"},"PeriodicalIF":2.6,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144297142","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 effect of early nipple stimulation on third stage of labour duration and estimated blood loss: A systematic review and meta-analysis","authors":"Zoe Y. Zervides ,&nbsp;Maria M. Witkowiak ,&nbsp;Dana O. Alzoubi ,&nbsp;Reem B. Zalloum ,&nbsp;Natalie E. Bourdakos ,&nbsp;Fatma A.M. Abdulsalam ,&nbsp;Hayato Nakanishi ,&nbsp;Christian A. Than ,&nbsp;Shavi Fernando ,&nbsp;Sir Sabaratnam Arulkumaran","doi":"10.1016/j.midw.2025.104478","DOIUrl":"10.1016/j.midw.2025.104478","url":null,"abstract":"<div><h3>Background</h3><div>Post-partum haemorrhage due to uterine atony remains a leading cause of maternal mortality worldwide with a high portion occurring in under resourced settings. The risk of post-partum haemorrhage increases with prolonged duration of the third stage of labour. Early nipple stimulation promotes the early release of oxytocin, which has beneficial effects on uterine tone. Therefore, this meta-analysis evaluates the impact of early nipple stimulation on the duration of the third stage of labour and estimated blood loss.</div></div><div><h3>Aim</h3><div>To assess whether early nipple stimulation following uncomplicated deliveries effects the duration of the third stage of labour and estimated blood loss.</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted in PubMed, EMBASE, Cochrane, CiNAHL, Scopus and Web of Science, covering studies published up to February 5^th 2024. Eligible studies included randomised control trials and observational studies involving women with singleton pregnancies and live foetuses who engaged in nipple stimulation in the third stage. Studies that reported the duration of the third stage of labour and/or estimated blood loss were included. Exclusion criteria comprised stillbirths, multiple pregnancies and the use of general anaesthesia. Data was analysed using a random-effects model. This review was registered with PROSPERO (CRD42023494605).</div></div><div><h3>Results</h3><div>Nine studies involving 789 mothers were included. Early nipple stimulation reduced blood loss and improved uterine tone. When synthetic oxytocin was not used, early nipple stimulation reduced the duration of the third stage of labour.</div></div><div><h3>Conclusion</h3><div>Early nipple stimulation may be a viable alternative to uterotonics in uncomplicated deliveries, especially in low-resource settings. Further high-quality primary research is indicated to build upon the preliminary findings of this current meta-analysis.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104478"},"PeriodicalIF":2.6,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144263491","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 MuM (Mums Using Music) online programme: A mixed methods feasibility study to promote perinatal wellbeing","authors":"Sylvia Murphy-Tighe ,&nbsp;Pui Sze Cheung ,&nbsp;Cathy McGlynn ,&nbsp;Kyriaki Pantelidou ,&nbsp;Anna Papyan ,&nbsp;Laoise FitzGerald ,&nbsp;Mairéad Morales ,&nbsp;Noelle O’Riordan ,&nbsp;Tríona McCaffrey","doi":"10.1016/j.midw.2025.104483","DOIUrl":"10.1016/j.midw.2025.104483","url":null,"abstract":"<div><h3>Background</h3><div>There is mounting evidence to support use of music for perinatal wellbeing yet few supports exist to inform pregnant women about using music for this purpose. In response to this the ‘Mums Using Music’(MuM) online programme was co-designed by music therapists, midwives and a Public and Patient Involvement Panel to empower pregnant women with knowledge on how to use music for their wellbeing. This mixed-method quasi-experimental study aimed to examine the feasibility of a MuM pilot among pregnant women.</div></div><div><h3>Methods</h3><div><em>N</em> = 9 pregnant women between 18–35 weeks gestation were recruited to an intervention group [<em>n</em> = 5] or a control group [<em>n</em> = 4]. The intervention group attended four 1-hour weekly online MuM sessions while the control group received care as usual. All participants completed the Warwick Edinburgh Mental Wellbeing Scale and the Prenatal Attachment Inventory at baseline and at follow up. Afterwards the control group received the MuM intervention, and all participants attended focus groups to gain qualitative feedback.</div></div><div><h3>Findings</h3><div>This study found that: (1) participants were drawn to MuM for a various reasons related to maternal wellbeing, (2) the online format was both accessible and supportive, (3) MuM seemed to enhance maternal wellbeing and maternal-foetal attachment and, (4) participants directly attributed their engagement with music to their maternal wellbeing.</div></div><div><h3>Conclusions</h3><div>The findings suggest that MuM, an online music programme for maternal wellbeing, is feasible among pregnant women. Progression to a larger trial is recommended.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104483"},"PeriodicalIF":2.6,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144231358","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}