Midwifery最新文献

{"title":"International News January 2025","authors":"Elizabeth Duff","doi":"10.1016/j.midw.2024.104234","DOIUrl":"10.1016/j.midw.2024.104234","url":null,"abstract":"","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104234"},"PeriodicalIF":2.6,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142662683","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 future of midwifery care and education in Belgium: A discussion paper","authors":"Régine Goemaes ,&nbsp;Mieke Embo ,&nbsp;Ana Belen Hernandez-Garcia ,&nbsp;Katelijne De Koster ,&nbsp;Geneviève Castiaux ,&nbsp;Naziha Hammoucha ,&nbsp;Feride Sulejmani ,&nbsp;Katrien Beeckman ,&nbsp;Annick Bogaerts","doi":"10.1016/j.midw.2024.104237","DOIUrl":"10.1016/j.midw.2024.104237","url":null,"abstract":"<div><h3>Background</h3><div>Advanced education of midwives acting during the first 1000 days in life is key in optimum care provision for intergenerational health and wellbeing.</div></div><div><h3>Aim</h3><div>This paper provides a comprehensive analysis of the current context of midwifery care and (inter)national trends in midwifery education. Gaps for optimizing midwifery education in Belgium are defined.</div></div><div><h3>Results</h3><div>Societal, medical, and technological changes including medicalization of birth impact the midwife's profession and competency requirements. The World Health Organization demands adapted midwifery competency frameworks to meet these changes and achieve universal health coverage by 2030. While the European Union's directives address the recognition of professional qualifications of midwives, basic midwifery programs in Europe range from vocational to master's programs. In Belgium, basic midwifery programs are direct-entry bachelor programs; however, the program length varies according to the region. A horizon scanning by the Belgian Health Care Knowledge Center concluded that an extension and advancement of the current midwifery program are urgently needed to enable midwives to fulfil an autonomous role in accordance with national laws and international directives.</div></div><div><h3>Discussion</h3><div>Basic midwifery education anno 2023 does not fit (1) the changes in women's health towards 2030; (2) the future demands regarding midwifery competence, and (3) the current and future demands for autonomy according to the legal frameworks.</div></div><div><h3>Conclusion</h3><div>An extension and advancement of the basic midwifery programs are needed to sufficiently arm midwives to meet changes they are confronted with. Therefore, a debate involving all stakeholders concerned with the future of midwifery care and education is recommended.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"141 ","pages":"Article 104237"},"PeriodicalIF":2.6,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142676180","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":"“With an unwanted pregnancy, we are looking for midwives in the neighbourhood to show us what to do.” Stakeholder perceptions of midwife-led woman-centred comprehensive abortion care in the province of Kinshasa, Democratic Republic of Congo: a qualitative descriptive study","authors":"Kirsty M Bourret ,&nbsp;Marie Chantal Kankolongo ,&nbsp;Nadia Lobo ,&nbsp;Désiré Banga ,&nbsp;Elisa Maffioli ,&nbsp;Marie Klingberg-Allvin","doi":"10.1016/j.midw.2024.104238","DOIUrl":"10.1016/j.midw.2024.104238","url":null,"abstract":"<div><h3>Problem</h3><div>Midwives are an essential yet underutilised health human resource for improving unsafe abortion outcomes and increasing abortion access and contraceptive care.</div></div><div><h3>Background</h3><div>In Democratic Republic of Congo (DRC), morbidity and mortality resulting from unsafe abortions are alarmingly high. The recent ratification of the Maputo Protocol in 2018 has made safe abortion accessible. National implementation strategies recognise midwives as providers of comprehensive abortion care (CAC), yet there is little understanding of their current role in its provision.</div></div><div><h3>Aim</h3><div>To understand the obstacles and facilitators in integrating the midwifery model of CAC in DRC's health system.</div></div><div><h3>Methods</h3><div>A qualitative descriptive design was used to explore health system stakeholders' perceptions regarding the midwifery model of CAC in Kinshasa, DRC. Data sources included <em>n</em> = 43 key informant interviews and <em>n</em> = 2 FGDs. Results were member-checked with DRC Midwives’ Association (SCOSAF) members.</div></div><div><h3>Findings</h3><div>Findings highlight midwives provided all aspects of CAC, with attention to the psycho-social well-being of their clients and acted as health service navigators in the community. Appropriate midwifery legislation, scope of practice that includes CAC, administrative support and remuneration, and better access to continuing education are facilitating health system factors for the midwifery model of CAC. Finally, SCOSAF, the Midwives’ Association, played an influential role in the implementation, positively supporting CAC integration by midwives.</div></div><div><h3>Discussion</h3><div>Understanding health system levers and the involvement of Midwives’ Associations are important considerations when integrating and sustaining the midwifery model of CAC. Gender transformative approaches are appropriate given systemic gender inequities inherent in midwifery.</div></div><div><h3>Conclusion</h3><div>Further research is needed to understand the impact of the midwifery model of CAC in DRC.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104238"},"PeriodicalIF":2.6,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648681","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 supporting lifestyle change in pregnant mothers with obesity through the wearable internet-of-things (SLIM) -intervention on self-efficacy in weight management in pregnant women: A quasi-experimental trial","authors":"Johanna Saarikko ,&nbsp;Anna Axelin ,&nbsp;Emilia Huvinen ,&nbsp;Amir M. Rahmani ,&nbsp;Terhi Kolari ,&nbsp;Hannakaisa Niela-Vilén","doi":"10.1016/j.midw.2024.104235","DOIUrl":"10.1016/j.midw.2024.104235","url":null,"abstract":"<div><h3>Background</h3><div>Half of women with overweight gain excessive weight during pregnancy. Perceived self-efficacy plays a significant role in adherence to healthy behaviours, especially in turning points of life, such as a pregnancy.</div></div><div><h3>Objectives</h3><div>To assess the effectiveness of the Supporting lifestyle change in pregnant mothers with obesity through the wearable internet-of-things (SLIM)-intervention in terms of improving self-efficacy in eating and physical activity and preventing excessive weight gain of pregnant women with overweight. The second aim was to evaluate the fidelity of the intervention implementation.</div></div><div><h3>Methods</h3><div>Pregnant women with overweight (<em>N</em> = 54) attending maternity clinics in Southwest Finland between 2021 and 2023, were recruited using convenience sampling. The SLIM-intervention included: health technology, motivational interviewing, feedback, and goal setting. The intervention was implemented in prenatal visits in maternity clinics continuing to 12 weeks postpartum. The change in self-efficacy was measured with Weight Efficacy Life-Style Questionnaire (score 0–180) and Self-Efficacy for Physical Activity Scale (score 5–25) with repeated measures in three timepoints. Data on weight were collected from patient records.</div></div><div><h3>Results</h3><div>The levels of self-efficacy were high throughout the study period and there were no significant changes in self-efficacy in eating (<em>p</em> <em>=</em> 0.650) or physical activity (<em>p</em> <em>=</em> 0.936). Most of the women (<em>N</em> = 9/10), whose gestational weight gain was within recommendations or less, managed to lose weight during the postpartum period (<em>p</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Although the intervention was not effective in improving self-efficacy, the importance of recommended gestational weight gain on better postpartum weight management was highlighted. A long follow-up time was valuable for examination of changes over time and understanding trends, patterns, and outcomes of the study.</div></div><div><h3>Registration</h3><div>The trial was registered at the Clinicaltrials.gov register platform (ID NCT04826861) on March 17th, 2021.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104235"},"PeriodicalIF":2.6,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644001","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":"Providing emotional care for early pregnancy loss: Development and evaluation of a new training module for healthcare providers","authors":"Lysha Lee ,&nbsp;Katrin Gerber ,&nbsp;Marjolein P.M. Kammers","doi":"10.1016/j.midw.2024.104233","DOIUrl":"10.1016/j.midw.2024.104233","url":null,"abstract":"<div><h3>Background</h3><div>Miscarriage is a common life event that frequently causes significant grief and distress. The emotional impact of miscarriage has been shown to be strongly influenced by patients’ and partners’ experiences interacting with healthcare providers during the miscarriage diagnosis and treatment: positive experiences are associated with reduced perinatal grief, whereas negative interactions can aggravate the traumatic impact of the loss. Unfortunately, healthcare providers frequently report feeling ill-equipped and unprepared to provide adequate emotional care for miscarriage. As such, there is an urgent need for effective training material to support healthcare providers in this important care.</div></div><div><h3>Method</h3><div>Here, we report a quasi-experimental study evaluating the effectiveness of a new training module that we recently developed to empower healthcare providers when providing emotional care for miscarriage.</div></div><div><h3>Results</h3><div>Using the previously-validated Perinatal Bereavement Care Confidence Scale, we show that this module is highly effective, achieving significant increases in healthcare providers’ knowledge, bereavement support skills, and awareness after completing training. Importantly, the module was effective for each of five different staff roles (anaesthetists, midwives, nurses, obstetricians and receptionists) and for both junior and more experienced staff. Furthermore, at six-week follow-up, HCPs reported using many of the module's recommendations in their ongoing practice.</div></div><div><h3>Conclusion</h3><div>Altogether, this new training module is therefore an important step towards empowering healthcare providers (in all roles) in providing essential emotional care for this common and frequently highly-distressing life event.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104233"},"PeriodicalIF":2.6,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142638876","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":"A methodological proposal for midwifery education: Asking, Learning, Telling, and Embracing Diversity (ALTE)","authors":"Rahime Aydin Er ,&nbsp;Merve Mergen ,&nbsp;Aslıhan Akpinar","doi":"10.1016/j.midw.2024.104230","DOIUrl":"10.1016/j.midw.2024.104230","url":null,"abstract":"<div><h3>Objective</h3><div>This study addressed the imperative for educational methodologies that effectively cultivate an understanding of diverse cultures within midwifery education curricula, particularly focusing on culture-based practices in the professional milieu. The primary objective was to develop a comprehensive methodology for the integration of cultural competence acquisition into midwifery undergraduate education. This study endeavoured to introduce and critically assesses an educational approach tailored to facilitate the acquisition of cultural competence and sensitivity among midwifery students.</div></div><div><h3>Design</h3><div>The Asking, Learning, Telling, and Embracing Diversity (ALTE) method, which was developed for use in the “History and Philosophy of Midwifery” course curriculum, was evaluated within the framework of instructor experiences and feedback from students.</div></div><div><h3>Setting</h3><div>Kocaeli University Faculty of Health Sciences, Department of Midwifery in Türkiye.</div></div><div><h3>Participants</h3><div>A cohort of midwifery students enrolled in the History and Philosophy of Midwifery course between 2011 and 2016 (<em>N</em> = 95).</div></div><div><h3>Findings</h3><div>The ALTE method, which is characterized by a student-cantered approach and active participation facilitation, presents an opportunity to enhance student engagement and foster active learning. Student feedback underscored that ALTE, emphasizing active participation, is perceived as an instructive and enriching educational approach, diverging from conventional didactic teaching methods. The ALTE method has emerged as an effective instrument for instilling cultural competence within midwifery education.</div></div><div><h3>Key conclusions</h3><div>The implementation of the ALTE method empowered midwifery students from diverse geographical backgrounds to discern varied cultural codes and traditional practices. This methodology facilitated the identification of commonalities across regions, exploration of preserved cultural values, and scrutiny of potential advantages, disadvantages, and risks associated with such practices concerning maternal and neonatal well-being. Notably, ALTE exhibited commendable efficacy in fostering cultural sensitivity, active learning, acquisition of communication and presentation skills, peer learning, development of cultural competence, and critical thinking skills.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104230"},"PeriodicalIF":2.6,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142623999","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":"Dutch maternity care providers’ attitudes toward and support of young fathers: A cross-sectional survey-based study","authors":"Justine van de Beek ,&nbsp;Femke Hilverda ,&nbsp;Violet Petit-Steeghs ,&nbsp;Anna Petra Nieboer","doi":"10.1016/j.midw.2024.104229","DOIUrl":"10.1016/j.midw.2024.104229","url":null,"abstract":"<div><h3>Background</h3><div>Given their often-vulnerable circumstances, young fathers’ childcare involvement is precarious. Despite the potential benefits of receiving professional support, young fathers experience exclusion or suboptimal support in maternity care. Insights into maternity care providers’ attitudes toward young fathers and their perspectives on the support they provide to this group are, however, lacking. Such insights could be helpful to better align support with young fathers’ needs.</div></div><div><h3>Aim</h3><div>The study objectives were to examine maternity care providers’ attitudes toward young fathers and their perspectives on the support they provide to them, assess relationships between the two and investigate differences between and within occupational groups.</div></div><div><h3>Method</h3><div>An online survey study was conducted with 183 Dutch midwives and maternity nurses.</div></div><div><h3>Findings</h3><div>Maternity care providers reported positive attitudes and high levels of support. They indicated that they provide mainly affirmative support, followed by emotional, informational, and instrumental support. All forms of support correlated significantly with positive attitudes. Maternity nurses had higher positive attitude and support scores than did midwives, with the largest difference observed for instrumental support.</div></div><div><h3>Conclusion</h3><div>Maternity care providers reported positive attitudes and high levels of support provided to young fathers, which stands in contrast with the father's experience of support. This difference suggests that having positive attitudes and the intention to deliver high levels of support are not by definition sufficient to meet young fathers’ support needs. Attention should also be paid to the forms and manners of support provided.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104229"},"PeriodicalIF":2.6,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142624002","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":"Midwives’ knowledge, attitude, practices, and experiences toward trauma-informed abortion care in urban district hospitals in Rwanda","authors":"Yvonne Delphine Nsaba Uwera ,&nbsp;Aimable Nkurunziza ,&nbsp;Michael Habtu ,&nbsp;Jean Pierre Ndayisenga ,&nbsp;Madeleine Mukeshimana ,&nbsp;Donatilla Mukamana ,&nbsp;Justine Bagirisano ,&nbsp;Jean Bosco Henri Hitayezu ,&nbsp;Marie Laetitia Ishimwe Bazakare ,&nbsp;Olive Tengera ,&nbsp;Gerard Kaberuka ,&nbsp;Jean Pierre Nganabashaka","doi":"10.1016/j.midw.2024.104228","DOIUrl":"10.1016/j.midw.2024.104228","url":null,"abstract":"<div><div>In Rwanda, many abortion services are not currently providing trauma-informed abortion care (TIAC) due to laws that restrict service provision and the incorporation of potentially traumatizing procedures with little attention to the woman's experience and support needs. Midwives working in abortion services often lack adequate training to effectively support clients with trauma. The authors aim to evaluate midwives’ knowledge, attitudes, practices, and experiences toward TIAC. A mixed-method design was used. In quantitative, all midwives were invited to participate. In qualitative, purposive sampling was applied, and four focus group discussions with eight participants each were conducted. Of the 167 midwives who participated in this study, 86.2% demonstrated sufficient knowledge of TIAC, 83.8% had thorough experience of TIAC, and 62.3% reported a negative attitude toward TIAC. Respondents with an advanced diploma were more likely to have satisfactory knowledge than those with a bachelor's degree, and the workplace institution influenced TIAC practice. Males had a more positive attitude compared to their female counterparts. Moreover, respondents with more knowledge of and positive attitudes toward TIAC were significantly more likely to have good practice. Four themes were identified: a) conceptualization and practice of TIAC; b) TIAC as an essential practice in quality care; c) physical environment as a hindrance of TIAC; and d) dynamics of caring leading to secondary trauma. Providing TIAC training to midwives is essential for shifting negative attitudes. Hospitals need to enhance their infrastructure and offer resources to address the challenges of abortion services, including mitigating secondary trauma among healthcare workers.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104228"},"PeriodicalIF":2.6,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142593505","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":"Exploring mothers' perspectives on the early mother-infant relationship to inform midwifery practice: A qualitative study","authors":"Cathy Stoodley ,&nbsp;Lois McKellar ,&nbsp;Jennifer Fereday ,&nbsp;Tahereh Ziaian ,&nbsp;Mary Steen ,&nbsp;Ian Gwilt","doi":"10.1016/j.midw.2024.104200","DOIUrl":"10.1016/j.midw.2024.104200","url":null,"abstract":"<div><h3>Background</h3><div>The mother-infant relationship plays a crucial role in individual and community health. The nature of the mother-infant relationship can influence the social and emotional development of the infant, impacting their lifelong health. Midwives are key in providing health promotion for women and babies and are ideally placed to support women during the early development of the mother-infant relationship.</div></div><div><h3>Aims</h3><div>This study aimed to explore new mothers' perspectives on developing the early mother-infant relationship to inform midwifery practice.</div></div><div><h3>Methods</h3><div>This study is phase one of a mixed-method, exploratory sequential design project. In this phase, 14 women were interviewed within six weeks of birth to explore experiences that influenced the developing relationship with their baby. To support reflection women were provided with a visual prompt activity. These interviews informed the co-design workshops to develop an intervention to support midwives to promote the early mother infant relationship. A research protocol was published prior to undertaking the study, however as this research did not seek to modify or measure any heath related outcomes it was not registered as a clinical trial.</div></div><div><h3>Results</h3><div>Key themes from the interviews included: making moments that matter; the role of the village; feeling like I'm winning; supportive health professionals, and forming a new family. These themes underpinned strategies to support the mother-infant relationship.</div></div><div><h3>Conclusion</h3><div>The findings from this study offer ways for midwives to support the emerging mother-infant relationship during the early postnatal period. Facilitating mothers to engage with their baby as well as integrating key people is important. Midwives also play a key role in building maternal confidence and competence. Further research is needed to embed and evaluate strategies in midwifery practice.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104200"},"PeriodicalIF":2.6,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142503586","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":"Emotional safety in maternity care: An evolutionary concept analysis","authors":"Elliesha O'Reilly,&nbsp;Kate Buchanan,&nbsp;Sara Bayes","doi":"10.1016/j.midw.2024.104220","DOIUrl":"10.1016/j.midw.2024.104220","url":null,"abstract":"<div><h3>Background</h3><div>Safety in maternity care is a priority, and a broadened view of safety (e.g., emotional, psychological, cultural) is evident in scientific literature and in lay discourse. ‘Emotional safety’ is being referred to with increasing frequency in this context; however, there is a lack of clarity in its use and meaning.</div></div><div><h3>Aim</h3><div>The aim of this concept analysis was to examine the concept of emotional safety in maternity care.</div></div><div><h3>Methods</h3><div>The evolutionary approach was used for this concept analysis.</div></div><div><h3>Data sources</h3><div>This concept analysis was literature-based, with a systematic search conducted of CINAHL, MIDIRS, and MEDLINE databases. Ten articles published between 2006 and 2024 met our criteria for inclusion.</div></div><div><h3>Results</h3><div>Identified attributes of emotional safety in maternity care included ‘feeling secure’, ‘feeling heard and well taken care of’, experiencing ‘supportive and respectful care’, and being in a ‘calm care environment’. Antecedents to emotional safety in maternity care were ‘having care needs met’, enacting ‘personal agency’, and engaging in ‘trusting relationships’. The consequences of emotional safety for maternity care recipients were ‘positive impact on experience’, ‘feeling empowered’, and ‘improved outcomes’. A conceptual definition and model resulted that clarify and illustrate the concept of emotional safety in the context of receiving maternity care.</div></div><div><h3>Conclusion</h3><div>This concept analysis contributes to the current body of knowledge of care recipients’ views and experiences of safe maternity care and provides a foundation for future concept use in research, education, policy, and clinical practice.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104220"},"PeriodicalIF":2.6,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605278","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}