Midwifery最新文献

{"title":"Resumption of sexual activity after childbirth and its related factors in Spanish women, a cross-sectional study","authors":"Isabel Artieta-Pinedo ,&nbsp;Carmen Paz-Pascual ,&nbsp;Arturo Garcia-Alvarez ,&nbsp;Paola Bully ,&nbsp;ema-Q Group ,&nbsp;Maite Espinosa","doi":"10.1016/j.midw.2024.104259","DOIUrl":"10.1016/j.midw.2024.104259","url":null,"abstract":"<div><div>The resumption of sexual activity (RSA) after childbirth is problematic for many women; however, it is rarely addressed as a whole in consultation with a midwife.</div></div><div><h3>Objective</h3><div>to describe the sexual function of women in the postpartum period and its relationship with their personal characteristics. To make a proposal adapted to their needs in conjunction with a midwife.</div></div><div><h3>Method</h3><div>a descriptive cross-sectional study carried out within the Basque Health Service. 281 postpartum women were recruited by a midwife in hospital, in primary care or through peer information, and answered a digital questionnaire about RSA with ten questions about desire, arousal, lubrication, orgasm, satisfaction, pain and knowledge and attitude about contraception. The predictor variables were type of delivery, perineal injury, breastfeeding, self-image and partner affection. Age, parity and educational level were taken into consideration. A descriptive analysis of each variable was carried out and multiple linear regression models were built for each domain.</div></div><div><h3>Results</h3><div>25.73 % of the total had resumed sexual relations, and 49.5 % of those who responded 6 weeks after giving birth had not yet done so. Satisfaction scored 3.52 (maximum 5). Genital injuries (β=-0.23, 95 %CI:-1.54, -0.07, p = 0.003), breastfeeding (β=-0.34, 95 %CI: -4.8, -1.18, p = 0.002), emotional support (β = 0.33, 95 %CI: 1.1, 4.69, p = 0.002) and self-image (β =-0.23, 95 % CI: -1.2,-0.07, p = 0.003) influenced at least three domains of sexual function.</div></div><div><h3>Discussion</h3><div>Postpartum care should include an expert response about physical state and an interview with the couple that addresses changes, self-image and emotional support.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"141 ","pages":"Article 104259"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142823820","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":"Component of the short version of the breastfeeding self-efficacy scale (BSES-SF) as a predictor of breastfeeding duration","authors":"Coral Castro-Cuervo ,&nbsp;Aythamy González-Darias ,&nbsp;José Miguel Díaz-Gómez ,&nbsp;Irene Cabrera-Ramírez ,&nbsp;N․Marta Díaz-Gómez","doi":"10.1016/j.midw.2024.104271","DOIUrl":"10.1016/j.midw.2024.104271","url":null,"abstract":"<div><h3>Background</h3><div>self-efficacy in breastfeeding influences the duration of breastfeeding. There is a validated scale to measure it, the Breastfeeding Self Efficacy Scale-Short Form (BSES-SF), developed by Dennis et al.</div></div><div><h3>Aims</h3><div>to examine the internal structure of the BSES-SF, verify if the score changes in the first months of lactation and if it is related to early cessation of breastfeeding.</div></div><div><h3>Methods</h3><div>at 24–48 h after birth and at 3 and 6 months, the 272 participants completed the BSES-SF and the type of lactation, sociodemographic and clinical variables were recorded. The construct validity of the scale was assessed by factorial analysis, the predictive validity using a multiple regression analysis, and the reliability by Cronbach's alpha coefficient.</div></div><div><h3>Results</h3><div>the factorial analysis reflected three components explaining 59.1 % of the variance confidence in the process of lactation, competence to manage breastfeeding, and motivation to breastfeed. The BSES-SF scale score increased throughout lactation, with a greater increment in mothers with exclusive or predominant breastfeeding. The confidence component increased at 3 and 6 months. Both confidence and competence reached significantly higher values in mothers with exclusive or predominant breastfeeding at 3 months. The multiple regression analysis, with the three dimensions of the scale and 6 other predictors, confirmed that the competence component is the best to predict breastfeeding maintenance (β: 0.479, <em>p</em> &lt; 0.0001).</div></div><div><h3>Discussion and conclusion</h3><div>our results support a three-dimensional structure of the scale. Competence is the component that best predicts breastfeeding continuity at 6 months and is where strategies to improve breastfeeding rates should be directed.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"141 ","pages":"Article 104271"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907140","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":"Continuity of care as central theme in perinatal care: A systematic review","authors":"Annelies BAART ,&nbsp;Anja H BRUNSVELD REINDERS ,&nbsp;Laury PIJNAPPEL ,&nbsp;Marlouke DE HAAN ,&nbsp;Janneke DE MAN VAN GINKEL","doi":"10.1016/j.midw.2024.104273","DOIUrl":"10.1016/j.midw.2024.104273","url":null,"abstract":"<div><h3>Problem</h3><div>The global shortage of nurses is straining perinatal care, disrupting continuity of care and negatively affecting patient outcomes.</div></div><div><h3>Background</h3><div>Continuity of care is essential in perinatal care, where the complexity of maternal and infant needs requires coordinated care across the antenatal, intrapartum, and postpartum periods.</div></div><div><h3>Aim</h3><div>To provide an overview of the current literature on continuity of care in the interprofessional perinatal care from the perspective of nursing.</div></div><div><h3>Methods</h3><div>Guided by the Joanna Briggs Institute, a search in seven academic databases was conducted in March 2023. A thematic synthesis was carried out to structure and integrate the findings.</div></div><div><h3>Findings</h3><div>A total of 23 articles were identified. Studies explored the impact of continuity of care, served as determinant or outcome, categorised into relational, management, and informational continuity. Notably, continuity as a determinant was the most commonly investigated aspect. Five determinants were identified related to three outcome categories: patient-reported experience measures, patient-reported outcomes, and the prevention or reduction of complications.</div></div><div><h3>Discussion</h3><div>Continuity of care is mainly manifested in relational and management continuity, with known healthcare professionals, whether or not involved in a care program, being key determinants. The most positive outcomes related to continuity of care were found in the patient-reported experience measures.</div></div><div><h3>Conclusion</h3><div>The personal relationship between patient, parents and healthcare professionals is crucial. Informational continuity is underrepresented in perinatal care research, and there is a lack of research on the relationship between continuity of care and patient-reported outcomes.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"141 ","pages":"Article 104273"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142927028","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":"Being pregnant and obese: A qualitative study of the experiences of pregnancy and birth of women who are obese","authors":"Angela Kerrigan ,&nbsp;Helen Cheyne ,&nbsp;Edward Duncan ,&nbsp;Carol Kingdon","doi":"10.1016/j.midw.2024.104257","DOIUrl":"10.1016/j.midw.2024.104257","url":null,"abstract":"<div><h3>Objectives</h3><div>This study explored the views and experiences of maternity care of postnatal women identified as being obese.</div></div><div><h3>Design</h3><div>A qualitative methodology was adopted using individual semi-structured interviews. Data was analysed using a framework approach.</div></div><div><h3>Setting</h3><div>Two National Health Service Hospitals- a large tertiary unit in England, and a district general hospital in Scotland.</div></div><div><h3>Participants</h3><div>8 women with a body mass index of greater than 35 who had recently had a baby.</div></div><div><h3>Findings</h3><div>The overall interpretation ‘Being pregnant and obese; Obese women's experiences of pregnancy and birth’ was underpinned by three key emergent themes: embodiment of obesity; being pregnant and overweight, and resource intensive maternity care. These findings are encapsulated in a conceptual framework that was formed to demonstrate the trajectory from the embodiment of obesity to becoming pregnant as an obese woman, experiencing the maternity regime that is currently in place for the care of obese women and then finally returning to being an obese woman.</div></div><div><h3>Key conclusions</h3><div>Women who are obese have an intrinsic fear of pregnancy and birth, have a desire for normal birth and ‘obese pregnancy’ presents a window of opportunity for both short and long-term lifestyle change.</div></div><div><h3>Implications for practice</h3><div>Currently one-fifth of women in the UK are obese. There is increasing evidence of the detrimental effects obesity has on intrapartum outcomes and a lack of research on how to minimise the associated risks of obesity through non-medicalised interventions and how to support women who are obese to maximise their experience of birth. Addressing the intrapartum management through non-medicalised interventions is of paramount importance to maximise the experience of birth and reduce the associated morbidities.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"141 ","pages":"Article 104257"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142785598","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":"How experiences of weight stigma impact higher-weight women during their maternity care: A meta-ethnography","authors":"Jenny Cunningham ,&nbsp;Dr. Melania Calestani ,&nbsp;Dr. Kirstie Coxon","doi":"10.1016/j.midw.2024.104242","DOIUrl":"10.1016/j.midw.2024.104242","url":null,"abstract":"<div><h3>Aim</h3><div>The aim of this review was to explore the experiences of pregnant women and birthing people with higher weight bodies, to understand the extent to which weight stigma impacted their maternity care.</div></div><div><h3>Methods</h3><div>We performed a systematic search of seven databases (CINAHL plus, Medline, Social Sciences Full Text [SSFT], International Bibliography of Social Sciences [IBSS], PsychINFO, Maternity and Infant Care [MIC], NIHR Journals Library, EThOS) using the Setting, Perspective, Intervention, Comparison, Evaluation (SPICE) framework search strategy and pre-defined inclusion and exclusion criteria. Included studies underwent a critical appraisal and data richness assessment. We undertook thematic analysis after coding first- and second-order constructs and developed a synthesis from the themes.</div></div><div><h3>Findings</h3><div>Thirty-eight papers, including six doctoral theses and one book chapter, met the inclusion criteria. Five themes were identified through thematic analysis, and the synthesis demonstrated that women of a higher weight experience shame, harmful attitudes and preconceptions from healthcare professionals regularly and repeatedly while receiving maternity care. This can be alleviated by individualised supportive care from a healthcare professional.</div></div><div><h3>Key conclusions</h3><div>Negative interactions with maternity care professionals are central to the experience of weight stigma, leading to a sense of ‘shame’, with pervasive feelings of humiliation, judgement and blame. Current guidance does not acknowledge the stigmatising effects of weight related conversations, additional interventions and restrictions on women's birthplace choices. Adopting a shame-sensitive lens within a culturally safe approach to maternity care could transform support for women.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"141 ","pages":"Article 104242"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791703","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":"Area-level deprivation as a risk factor for stillbirth in upper-middle and high-income countries: A scoping review","authors":"Jessica V. Keane ,&nbsp;Laura A. Robinson ,&nbsp;Richard A. Greene ,&nbsp;Paul Corcoran ,&nbsp;Sara Leitao","doi":"10.1016/j.midw.2024.104251","DOIUrl":"10.1016/j.midw.2024.104251","url":null,"abstract":"<div><h3>Background</h3><div>Socioeconomic deprivation has been associated with health inequalities and poor perinatal outcomes. Deprivation is described as a multidimensional concept, with composite indicators (e.g. area-based) developed internationally to study population health.</div></div><div><h3>Aim</h3><div>This scoping review aims to examine published literature on the relationship between area-level deprivation and stillbirth in upper-middle to high-income countries.</div></div><div><h3>Methods</h3><div>The Joanna Briggs Institute methodology for scoping reviews was utilised. The research question based on the Population (studies that examined stillbirth) Concept (area-level deprivation and its impact on stillbirth) Context (upper-middle- to high-income countries) framework. Six scientific databases were searched. Results were screened and reference lists searched to identify relevant literature. Data extraction on study characteristics and evidence of association provided was completed and a narrative summary reported the main findings.</div></div><div><h3>Results</h3><div>A total of 29 studies were included, from 9 countries (majority UK-based: <em>n</em> = 20) published between 1998 and 2023. A variety of composite deprivation indices were utilised, the UK's Index of Multiple Deprivation (IMD) was the most common (<em>n</em> = 8), followed by the Townsend and Jarman indices (<em>n</em> = 6 and <em>n</em> = 3, respectively). Income, employment, education and access to services were the most common factors included as measures of deprivation in the indices. Twenty-two of the 29 studies (75.9%) showed positive correlations between stillbirth and areas identified more socioeconomically deprived.</div></div><div><h3>Conclusion</h3><div>This review suggests that area-level deprivation seems an influencing factor on stillbirth in upper-middle to high-income countries. Focused initiatives to reduce stillbirth among those at higher deprivation related risk may be useful in improving maternal and perinatal outcomes.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"141 ","pages":"Article 104251"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791527","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":"Reliability and validity of the Spanish version of the Breastfeeding Motivation Scale (BMS). An approach to maternal mental health through psychological factors","authors":"Cecilia Peñacoba-Puente ,&nbsp;Octavio Luque-Reca ,&nbsp;Lucía Agudo-Díaz ,&nbsp;Miri Kestler-Peleg","doi":"10.1016/j.midw.2024.104260","DOIUrl":"10.1016/j.midw.2024.104260","url":null,"abstract":"<div><h3>Background</h3><div>The decision to breastfeed can be complex due to the significant benefits of breastfeeding and the various barriers that mothers have to face. In this context, it is important to have adequate instruments that provide insight into a mother's motives for breastfeeding.</div></div><div><h3>Aim</h3><div>Given the absence of instruments in this language, this study focuses on translating and validating the Breastfeeding Motivation Scale (BMS) in Spanish mothers.</div></div><div><h3>Method</h3><div>After cultural adaptation and an item clarity assessment with a pilot sample (n = 28), exploratory factor analysis was conducted with a preliminary sample (n = 118). The main study involved 193 Spanish primiparous mothers, aged 24-48 (<em>M</em> = 34.5; <em>SD</em> = 4.2), recruited within two months postpartum, where confirmatory factor analysis, internal consistency, group comparisons, and validity measures were explored.</div></div><div><h3>Results</h3><div>The findings (<span><math><mrow><msup><mrow><mi>χ</mi></mrow><mn>2</mn></msup><mo>=</mo><mn>358.925</mn></mrow></math></span>, <em>df</em>=183, <em>p</em>&lt;0.001, CFI=0.971, TLI=0.967, SRMR=0.079, and RMSEA=0.071 [90% CI: 0.060-0.081]) supported the existence of four motivational factors for breastfeeding: i) external and identified, ii) intrinsic, iii) integrated, and iv) introjected motivation. The four factors of the scale showed excellent internal consistency (ω_o ranging from 0.77 to 0.92), as well as good convergent and discriminant validity regarding theoretically-related variables (breastfeeding self-efficacy, positive attitude towards breastfeeding, and postpartum depression). Additionally, the scale showed incremental validity with respect to breastfeeding self-efficacy, but not regarding postpartum depression.</div></div><div><h3>Discussion</h3><div>The BMS evidenced good psychometric properties in Spanish primiparous mothers. The findings are discussed in the context of Ryan and Deci's self-determination theory, also reviewing the study's limitations and implications.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"141 ","pages":"Article 104260"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791750","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":"Effectiveness of sacral massage during labor in pregnant women: A systematic review and meta-analysis","authors":"Somayeh Makvandi ,&nbsp;Zahra Hadizadeh-Talasaz ,&nbsp;Seyedeh Fatemeh Nosrati Hadi Abad ,&nbsp;Elham Manouchehri ,&nbsp;Mona Larki","doi":"10.1016/j.midw.2024.104252","DOIUrl":"10.1016/j.midw.2024.104252","url":null,"abstract":"<div><h3>Background and aim</h3><div>Performing sacral massage during the childbirth process can provide numerous benefits due to its potential to alleviate stress and exhaustion. This systematic review and meta-analysis aimed to assess the effectiveness of sacral massage in pregnant women during labor.</div></div><div><h3>Method</h3><div>A comprehensive search was conducted in main databases from inception to 18th May 2024. The quality of included randomized control trials (RCTs) and quasi-experimental studies was assessed using the Jadad Scale and the Risk of Bias Assessment Tool for Nonrandomized Studies (RoBANS), respectively. All analyses were performed using the RevMan version 5.3. The GRADEpro GDT tool was utilized to determine the level of certainty of the evidence.</div></div><div><h3>Findings</h3><div>Nine articles were included in the systematic review and eight studies were included in the meta-analysis. The findings showed that in the sacral massage group, the labor pain intensity was significantly decreased (SMD= -2.40, 95 % CI -3. 5 to -1.29, <strong><em>p</em></strong> <strong>&lt;</strong> <strong>0.0001</strong>, I² = 97 %). The findings also showed that sacral massage does not significantly alter the length of the first labor stage (MD=-0.04, 95 % CI -0.27 to 0.20, <em>p</em> = 0.77, I² = 0 %) and the total duration of labor (MD= <strong>-0.56,</strong> 95 % CI <strong>-1.66, 0.55,</strong> <em>p</em> = 0.32, I² = 90 %<strong>)</strong>. The certainty of evidence for labor pain was moderate and for duration of the first stage and total duration of labor were very low.</div></div><div><h3>Conclusion</h3><div>This study demonstrated that sacral massage was an effective, non-pharmacologic method that significantly alleviating pain in women during childbirth. As a result, this intervention can be implemented in clinical settings during labor.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"141 ","pages":"Article 104252"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142823818","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 mediating role of resilience and sleep quality between self-efficacy and prenatal anxiety: A mediational analysis","authors":"Yanchi Wang ,&nbsp;Jian Gu ,&nbsp;Feng Zhang ,&nbsp;Xujuan Xu","doi":"10.1016/j.midw.2024.104272","DOIUrl":"10.1016/j.midw.2024.104272","url":null,"abstract":"<div><h3>Background and objective</h3><div>During pregnancy, prenatal anxiety is one of the most common mental disorders that women experience. This study aims to assess the prevalence of prenatal anxiety among Chinese pregnant women and explore the parallel mediating role of resilience and sleep quality in the relationship between self-efficacy and prenatal anxiety.</div></div><div><h3>Methods</h3><div>Between February and June 2023, a total of 1071 pregnant women were recruited from three hospitals in Nantong, Jiangsu Province, China, using a convenience sampling method. The participants completed general survey questionnaires and were assessed using the Depression Anxiety Stress Scale-21, the Pittsburgh Sleep Quality Index, the 10-item Connor–Davidson Resilience Scale, and the Chinese version of the General Self-Efficacy Scale. In addition, a hierarchical multiple regression analysis was employed to investigate the relevant and mediating factors of prenatal anxiety. This study utilized a structural equation model to examine the mediating role of resilience and sleep quality in the relationship between self-efficacy and prenatal anxiety.</div></div><div><h3>Results</h3><div>Multivariate regression analysis showed that self-efficacy, resilience, and sleep quality were associated with prenatal anxiety (<em>P</em> &lt; 0.05). The results of the mediation analysis indicated that resilience and sleep quality acted as fully mediators between self-efficacy and prenatal anxiety. The mediating effect of resilience was -1.8970 (95% CI -2.5259 to -1.3145), accounting for 72.07% of the total effect, and the mediating effect of sleep quality was -0.5482 (95% CI -0.7450 to -0.3726), accounting for 20.83% of the total effect. While self-efficacy accounted for 7.10% of the total effect (<em>P</em> = 0.5625), resilience, and sleep quality fully mediated prenatal anxiety.</div></div><div><h3>Conclusion</h3><div>In Chinese pregnant women, the study revealed that sleep quality and resilience played a fully mediating role in the impact of self-efficacy on symptoms of prenatal anxiety. This suggests that enhancing resilience, improving sleep quality, and promoting self-efficacy may help alleviate symptoms of prenatal anxiety.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"141 ","pages":"Article 104272"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142896036","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":"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}