Midwifery最新文献

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International News April 2025
IF 2.6 3区 医学
Midwifery Pub Date : 2025-02-21 DOI: 10.1016/j.midw.2025.104338
Elizabeth Duff (International NewsEditor)
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引用次数: 0
What do safety and risk mean to women who choose to birth at home? A systematic review
IF 2.6 3区 医学
Midwifery Pub Date : 2025-02-21 DOI: 10.1016/j.midw.2025.104340
Candice Chauncy , Kate Dawson , Sara Bayes
{"title":"What do safety and risk mean to women who choose to birth at home? A systematic review","authors":"Candice Chauncy ,&nbsp;Kate Dawson ,&nbsp;Sara Bayes","doi":"10.1016/j.midw.2025.104340","DOIUrl":"10.1016/j.midw.2025.104340","url":null,"abstract":"<div><h3>Introduction</h3><div>Despite clear evidence to support the safety and efficacy of homebirth, the concept challenges the almost universal belief that hospital is the safest place to give birth. Homebirth remains largely unsupported around the world due to prevailing beliefs and constructs surrounding risk and safety. Despite barriers to access, women continue to choose home as a place to birth.</div></div><div><h3>Methods</h3><div>A systematic review of qualitative research was conducted to explore and understand women's views on what constitutes risk and safety in labour and birth for those who choose to birth at home. All studies were evaluated for quality and relevance. Reflexive thematic analysis was used to identify themes.</div></div><div><h3>Results</h3><div>Analysis of the 29 papers included in this review identified three main themes: <em>risk of hospital birth, risk of homebirth,</em> and <em>safety of homebirth</em>, and convey that women who choose to birth at home view their social, emotional, psychological and spiritual safety as highly important, with homebirth protecting and respecting these factors. For the women in the studies we reviewed, physical safety was enhanced through having the expertise of a midwife present at their birth. Participants considered the cultural paradigm within hospital services to focus on care for the physical body and not the whole person, which had the potential to cause psychological and physical harm.</div></div><div><h3>Discussion</h3><div>This review demonstrated that women who choose to birth at home assess risk and safety differently to the way health care institutions assess these parameters. These findings will be of interest to maternity services and educators of maternity care practitioners.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"144 ","pages":"Article 104340"},"PeriodicalIF":2.6,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143519449","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}
引用次数: 0
Exploring early labour care in the context of an institutional reorganisation towards a more women-centred approach: An ethnographic field study
IF 2.6 3区 医学
Midwifery Pub Date : 2025-02-19 DOI: 10.1016/j.midw.2025.104347
Nanna Bjerg Pagh , Katja Schrøder , Mie G de Wolff
{"title":"Exploring early labour care in the context of an institutional reorganisation towards a more women-centred approach: An ethnographic field study","authors":"Nanna Bjerg Pagh ,&nbsp;Katja Schrøder ,&nbsp;Mie G de Wolff","doi":"10.1016/j.midw.2025.104347","DOIUrl":"10.1016/j.midw.2025.104347","url":null,"abstract":"<div><h3>Background</h3><div>Internationally, midwifery is working to improve early labour care by shifting away from delayed admission (i.e., waiting for measurable signs of impending active labour) towards an emphasis on the needs of individual women and their partners. Individualised in-hospital early labour care is a new field that is largely unexplored.</div></div><div><h3>Aim</h3><div>To explore how midwives provide care for women in early labour within a clinical practice that is transitioning towards a more woman-centred approach.</div></div><div><h3>Methods</h3><div>The researchers conducted an ethnographic field study using participant observation and informal interviews at a new section for women in early labour alongside the labour ward. The section featured latent-phase rooms for women and their partners who felt uncomfortable staying at or returning home.</div></div><div><h3>Findings</h3><div>Data analysis identified three main themes: “Navigating Uncharted Terrain” unfolds how embedded care practices challenged detecting women's needs and delivering woman-centred care. “Addressing Insufficient Language for Undefined Needs and Relational Care” highlights the challenges in attending to women's needs due to a lack of specific language for certain care types. Finally, “Caring Within an Institution” emphasises the influence of institutional conditions on achieving woman-centred early labour care.</div></div><div><h3>Conclusion</h3><div>Despite working in a hospital setting that promotes individualised early labour care, the midwives in our study had limited early labour care experience and needed additional support from the institution in developing new care practices. A woman-centred early labour care program valuing the significance of relational care is necessary to successfully build and implement woman-centred early labour care competencies and practices.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"144 ","pages":"Article 104347"},"PeriodicalIF":2.6,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143611641","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
Shifting perspectives – A qualitative study about midwives’ experiences of postgraduate education in Canada
IF 2.6 3区 医学
Midwifery Pub Date : 2025-02-18 DOI: 10.1016/j.midw.2025.104344
Danielle Macdonald , Ruth Walker , Robyn Berman , Kellie Thiessen , Erna Snelgrove-Clarke , Hannah Barnes
{"title":"Shifting perspectives – A qualitative study about midwives’ experiences of postgraduate education in Canada","authors":"Danielle Macdonald ,&nbsp;Ruth Walker ,&nbsp;Robyn Berman ,&nbsp;Kellie Thiessen ,&nbsp;Erna Snelgrove-Clarke ,&nbsp;Hannah Barnes","doi":"10.1016/j.midw.2025.104344","DOIUrl":"10.1016/j.midw.2025.104344","url":null,"abstract":"<div><h3>Background</h3><div>Globally, midwifery education is a priority. In Canada, there is only one postgraduate midwifery education program. Most midwives who pursue postgraduate education in Canada enroll in non-midwifery educational programs. We know little about midwives’ experiences of post-graduate education in Canada.</div></div><div><h3>Research Question</h3><div>What are midwives’ experiences of post-graduate education in Eastern Ontario, Canada?</div></div><div><h3>Methods</h3><div>We used feminist poststructuralism to explore midwives’ experiences of postgraduate education and paid attention to the concepts of gender, discourse, relations of power, subjectivity, language, and text. Interviews, with four participants, lasted 45–60 min and were transcribed verbatim. We used feminist poststructuralist discourse analysis.</div></div><div><h3>Findings</h3><div>We share one main theme <em>Shifting perspectives of self, systems, and others – Opening my eyes</em> and four corresponding sub-themes, 1) Increased awareness of health care system and midwifery - <em>How the assignment kind of like, is opening my eyes</em> 2) (Dis)connected to midwifery - <em>Allow me to be as close to midwifery as possible</em> 3) Engaging with a variety of peers and perspectives - <em>What a fascinating and interesting group of peers I have</em> and 4) Conflicting experiences of personal expectations – <em>I don't think I expected it to be quite this much work</em>.</div></div><div><h3>Discussion/Conclusion</h3><div>Midwives’ experiences highlighted the value of postgraduate education. Postgraduate education for midwives created new understandings of health systems, professional roles, and interdisciplinarity. Interdisciplinary postgraduate education may offer opportunities to challenge existing siloes in health systems. Postgraduate education programs should be designed with consideration of the competing priorities of clinical midwifery work.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"144 ","pages":"Article 104344"},"PeriodicalIF":2.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143463510","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}
引用次数: 0
Risk factors for inadequate and excessive gestational weight gain during pregnancy among women
IF 2.6 3区 医学
Midwifery Pub Date : 2025-02-18 DOI: 10.1016/j.midw.2025.104345
Ju Sun Cho , Sook Jung Kang
{"title":"Risk factors for inadequate and excessive gestational weight gain during pregnancy among women","authors":"Ju Sun Cho ,&nbsp;Sook Jung Kang","doi":"10.1016/j.midw.2025.104345","DOIUrl":"10.1016/j.midw.2025.104345","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to identify psychosocial predictors of inadequate and excessive gestational weight gain among Korean pregnant women.</div></div><div><h3>Methods</h3><div>Data were collected through an online survey of healthy adult Korean women who were at least 37 weeks pregnant. Logistic regression analysis was used to identify predictors of GWG.</div></div><div><h3>Result</h3><div>Among 139 participants, 42.4 % had inadequate and 20.9 % had excessive gestational weight gain. Quitting smoking for pregnancy (OR = 7.04) was found to be a risk factor for excessive GWG, while perceiving oneself as thin (OR = 0.18), high body image satisfaction (OR = 0.54), and negative attitudes toward weight gain (OR = 0.88) were protective factors for excessive GWG.</div></div><div><h3>Conclusion</h3><div>During the first prenatal care visit, smoking history, body image perception, satisfaction, and attitudes toward weight gain, which were identified in this study as predictors of gestational weight gain, should be assessed to identify pregnant women with risk factors. These individuals can be managed in nurse led weight management groups, which may help prevent excessive weight gain during pregnancy and improve pregnancy outcomes.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"144 ","pages":"Article 104345"},"PeriodicalIF":2.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143463511","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
A phenomenological study on the views of birthing room professionals on obstetric violence
IF 2.6 3区 医学
Midwifery Pub Date : 2025-02-18 DOI: 10.1016/j.midw.2025.104346
Aysegul Unutkan , Sercan Mansuroğlu , Kübra Karabulut , Imran Boylu Gülek , Emel Elem , Fatma Deniz Sayiner
{"title":"A phenomenological study on the views of birthing room professionals on obstetric violence","authors":"Aysegul Unutkan ,&nbsp;Sercan Mansuroğlu ,&nbsp;Kübra Karabulut ,&nbsp;Imran Boylu Gülek ,&nbsp;Emel Elem ,&nbsp;Fatma Deniz Sayiner","doi":"10.1016/j.midw.2025.104346","DOIUrl":"10.1016/j.midw.2025.104346","url":null,"abstract":"<div><h3>Aim</h3><div>This study investigates the perspectives of birthing room professionals regarding obstetric violence.</div></div><div><h3>Methods</h3><div>This phenomenological study involved 17 participants, including ten midwives and seven physicians (three faculty members, one specialist physician, and three assistant physicians) who had worked in the birthing room of a public hospital for at least one year. Data were collected using an \"Unstructured Interview Form\" and an \"Introductory Information Form.\" One researcher transcribed the data, which was independently reviewed by three others, and then analysed by categorising it into smaller sections using codes. The MAXQDA Analytics Pro 2022 programme was used to code the data.</div></div><div><h3>Results</h3><div>Two key themes emerged during the interviews: \"views on acts of violence\" and \"causes of violence\". Within the theme of 'views on acts of violence,' two categories were identified: 'awareness of violence' and 'ignoring/denying violence.' In the theme of 'causes of violence,' three categories were identified: 'pregnant women-related causes', 'originating from birthing room professionals,’ and 'system-originated.'</div></div><div><h3>Conclusion</h3><div>Birthing room professionals classified certain forms of obstetric violence as aggressive and impolite behaviour, whereas others were seen as normal during childbirth. Raising awareness among birthing room professionals about obstetric violence and ethical beliefs is essential, as is establishing social and institutional support systems to ensure respectful, individualised care throughout the birthing process.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"144 ","pages":"Article 104346"},"PeriodicalIF":2.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143454647","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
Non-pharmacological interventions for perineal trauma in the postpartum period: A scoping review
IF 2.6 3区 医学
Midwifery Pub Date : 2025-02-17 DOI: 10.1016/j.midw.2025.104341
Edna Jéssica Lima Gondim , Simony Lira Nascimento , Maria Victória Candida Gaitero , Ticiana Aparecida Alves Mira , Fernanda Garanhani Surita
{"title":"Non-pharmacological interventions for perineal trauma in the postpartum period: A scoping review","authors":"Edna Jéssica Lima Gondim ,&nbsp;Simony Lira Nascimento ,&nbsp;Maria Victória Candida Gaitero ,&nbsp;Ticiana Aparecida Alves Mira ,&nbsp;Fernanda Garanhani Surita","doi":"10.1016/j.midw.2025.104341","DOIUrl":"10.1016/j.midw.2025.104341","url":null,"abstract":"<div><h3>Background</h3><div>Non-pharmacological interventions for perineal trauma are crucial for postpartum women's care, providing an alternative to excessive medication use and the associated potential adverse effects for both the woman and her newborn.</div></div><div><h3>Aim</h3><div>To map the non-pharmacological interventions studied in the context of childbirth-related perineal trauma over the years.</div></div><div><h3>Methods</h3><div>A systematic search was conducted on PubMed, BVS/Bireme, CINAHL, Embase, Scielo, ProQuest, ProQuest theses, Medline, Web of Science, and Scopus electronic databases. Studies were included if their <em>population</em> consisted of puerperal women with perineal trauma, the <em>concept</em> being non-pharmacological interventions, and the <em>context</em> being the immediate postpartum period. A descriptive summary presents the most studied non-pharmacological interventions for perineal trauma, the main outcomes investigated, the types of perineal trauma of greatest interest, and publications about the topic over the years.</div></div><div><h3>Results</h3><div>This review encompassed 41 studies. Cryotherapy emerged as the most extensively studied non-pharmacological intervention, with 22 studies (53.65%). Other interventions were heat therapy, low-level light and electromagnetic therapy, therapeutic ultrasound, transcutaneous electrical nerve stimulation, pelvic floor muscle exercise, and complementary and alternative medicine. Perineal pain was the most investigated outcome (32 studies, 78.04%). Episiotomy was frequently the subject of research (20 studies, 48.78%). Interest in this topic has notably surged over the past 15 years.</div></div><div><h3>Conclusion</h3><div>A range of non-pharmacological interventions have been investigated for managing perineal trauma related to childbirth. Future studies could explore the efficacy and cost-effectiveness of these interventions to identify the most suitable options for postpartum women and facilitate their integration into clinical practice.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"144 ","pages":"Article 104341"},"PeriodicalIF":2.6,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143454713","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
Short birth/pregnancy interval and its association with adverse maternal outcomes in Asia Pacific region: A systematic review and meta-analysis
IF 2.6 3区 医学
Midwifery Pub Date : 2025-02-17 DOI: 10.1016/j.midw.2025.104342
Tesfaye Regassa Feyissa , Catherine Chojenta , Tahir Ahmed Hassen , Tesfalidet Beyene , Md Nuruzzaman Khan , Tanmay Bagade , Melissa L. Harris
{"title":"Short birth/pregnancy interval and its association with adverse maternal outcomes in Asia Pacific region: A systematic review and meta-analysis","authors":"Tesfaye Regassa Feyissa ,&nbsp;Catherine Chojenta ,&nbsp;Tahir Ahmed Hassen ,&nbsp;Tesfalidet Beyene ,&nbsp;Md Nuruzzaman Khan ,&nbsp;Tanmay Bagade ,&nbsp;Melissa L. Harris","doi":"10.1016/j.midw.2025.104342","DOIUrl":"10.1016/j.midw.2025.104342","url":null,"abstract":"<div><h3>Background</h3><div>Short interpregnancy/birth interval (SIBI) may be associated with greater risks of adverse pregnancy outcomes. This study aimed to synthesise the literature on the association between SIBI and adverse maternal outcomes in Asia-Pacific.</div></div><div><h3>Methods</h3><div>Five databases were searched for studies published between 2000 and 2023. Studies were eligible if they reported an association between SIBI and adverse maternal outcomes (e.g., anaemia). Studies that met the WHO's definition of SIBI were included in the meta-analysis. The key findings were then summarised through qualitative synthesis and meta-analyses.</div></div><div><h3>Results</h3><div>26 articles that examined the association between SIBI and adverse maternal outcomes and were included in the narrative synthesis. Eight studies examined anaemia, two examined antenatal or postnatal depression, three assessed gestational diabetes mellitus, and four studies examined preeclampsia. A significant association between SIBI and anaemia was reported, indicating an 181 % increase in anaemia with a SIBI (OR of 2.81;95 % CI: 1.30–4.31) compared to an optimal birth interval. There was a significant association between SIBI and gestational diabetes mellitus (OR of 0.68; 95 % CI: 0.65–0.71), antenatal or postnatal depression (OR of 2.36; 95 % CI: 1.76, 3.01) but no significant associations were found for preeclampsia (OR of 0.74; 95 % CI: 0.48–1.01).</div></div><div><h3>Conclusion</h3><div>Our review highlights that SIBI places women at an increased risk of adverse maternal outcomes compared to optimal birth interval. This indicates the importance of addressing short birth interval through effective contraception as a key maternal health intervention to reduce adverse maternal outcomes.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"144 ","pages":"Article 104342"},"PeriodicalIF":2.6,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143454646","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}
引用次数: 0
Nurse and midwife interventions to protect, promote and support breastfeeding: An umbrella review
IF 2.6 3区 医学
Midwifery Pub Date : 2025-02-16 DOI: 10.1016/j.midw.2025.104337
Cristina Couto , Ana Paula Prata , Sandra Patrícia Souto , Joana Machado , Clara Roquete Viana
{"title":"Nurse and midwife interventions to protect, promote and support breastfeeding: An umbrella review","authors":"Cristina Couto ,&nbsp;Ana Paula Prata ,&nbsp;Sandra Patrícia Souto ,&nbsp;Joana Machado ,&nbsp;Clara Roquete Viana","doi":"10.1016/j.midw.2025.104337","DOIUrl":"10.1016/j.midw.2025.104337","url":null,"abstract":"<div><h3>Background</h3><div>Low breastfeeding rates continue to be a global concern among nurses and midwives, raising critical questions about knowledge and effectiveness in promoting breastfeeding. Summarising evidence on nursing and midwifery interventions to protect, promote, and support breastfeeding enables a deeper understanding of how these professionals can enhance breastfeeding practices, inform decision-makers, and improve care quality.</div></div><div><h3>Aim</h3><div>To synthesise nursing and midwifery interventions that protect, promote, and support breastfeeding.</div></div><div><h3>Methods</h3><div>The JBI methodology for umbrella reviews guided this study. Searches were conducted in databases aggregated by EBSCOhost, SCOPUS, and Web of Science, as well as relevant grey literature. Systematic reviews published in English, Portuguese, and Spanish from January 2018 to December 2023 were included. Two independent reviewers used a JBI critical appraisal tool and a specific data extraction instrument to synthesise findings.</div></div><div><h3>Findings</h3><div>A total of 29 studies met the inclusion criteria. Synthesised findings include: (1) the absence of nursing/midwifery interventions focused on breastfeeding protection; (2) five nursing/midwifery interventions aimed at breastfeeding promotion, with the primary intervention being prenatal education; and (3) twenty-four interventions of nurses/midwives on breastfeeding support, the most frequent being home visits, telephone technology and follow-up.</div></div><div><h3>Conclusion</h3><div>This umbrella review reveals limited involvement of nurses/midwives in breastfeeding protection, despite their expertise and potential influence on policy development to support breastfeeding. They are involved in breastfeeding promotion, but most of their intervention is focused on breastfeeding support. The diverse roles and settings of nursing and midwifery practice present challenges in evaluating intervention effectiveness. Further research specific to nursing and midwifery is needed to inform evidence-based practice and policymaking in breastfeeding care.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"144 ","pages":"Article 104337"},"PeriodicalIF":2.6,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143479796","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}
引用次数: 0
“Get the ball rolling”: Results of a qualitative study to explore the current situation and develop elements essential for optimal preconception care in Indonesian primary care
IF 2.6 3区 医学
Midwifery Pub Date : 2025-02-14 DOI: 10.1016/j.midw.2025.104339
Fitriana Murriya Ekawati , Cika Golda Putri Ame , Dhiana Ayu Novitasari , Siti Marlina , I Nyoman Tritia Widiantara , Phyllis Lau
{"title":"“Get the ball rolling”: Results of a qualitative study to explore the current situation and develop elements essential for optimal preconception care in Indonesian primary care","authors":"Fitriana Murriya Ekawati ,&nbsp;Cika Golda Putri Ame ,&nbsp;Dhiana Ayu Novitasari ,&nbsp;Siti Marlina ,&nbsp;I Nyoman Tritia Widiantara ,&nbsp;Phyllis Lau","doi":"10.1016/j.midw.2025.104339","DOIUrl":"10.1016/j.midw.2025.104339","url":null,"abstract":"<div><h3>Background</h3><div>Despite its essential benefits to prevent pregnancy-related morbidity and mortality, comprehensive preconception counselling care in Indonesia is yet to exist. Before further developing the appropriate care for women, this study aimed to understand the current situation and propose essential elements necessary for further developing the optimal preconception care in Indonesian primary care.</div></div><div><h3>Study design</h3><div>Focus group (FG) discussions guided by grounded theory approach were conducted with Indonesian general practitioners, nurses, midwives, and obstetricians from Bantul Regency, Yogyakarta Province, between July and September 2023. The data were thematically analysed.</div></div><div><h3>Results</h3><div>Seven FGs involving 59 participants were conducted. Three themes emerged: “the Way”, “the Dream Ball’ and “the Bumps”. The Way depicts the providers’ conscious misconception regarding preconception care about being simple rather than comprehensive health examination and their intention to support women's readiness to conceive. The Way also covers the providers’ perceived limited training in primary care to perform preconception care. The Dream Ball describes providers’ ideas of an optimal preconception care and their future expectations for the service in practice. The Bumps are the potential challenges of preconception care in primary care practice. Framework elements are developed to visualise expected preconception service in Indonesian primary care from patient, clinical and policy levels.</div></div><div><h3>Discussion</h3><div>Our findings add to the literature on Indonesia's healthcare providers’ perceptions of preconception care and its potential implementation in practice. The proposed framework will guide providers, researchers, and policymakers in developing an appropriate preconception care model for Indonesian primary care.</div></div><div><h3>Conclusion</h3><div>Health providers’ perceptions of and proposed critical elements necessary for optimal preconception care in Indonesian primary care have been explored. Further study is desired to develop the model and strategic services of preconception care in Indonesian primary care practice.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"144 ","pages":"Article 104339"},"PeriodicalIF":2.6,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511526","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
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