European Journal of Midwifery最新文献

{"title":"The influence of emotional labor and emotional intelligence on cesarean section decision-making among midwives and obstetricians in Kosovo: A cross-sectional study using conjoint analysis.","authors":"Besarta Taganoviq, Pam Smith, Mateja Lorber, Ilir Hoxha","doi":"10.18332/ejm/197168","DOIUrl":"10.18332/ejm/197168","url":null,"abstract":"<p><strong>Introduction: </strong>Cesarean section rates continue to increase worldwide. In 2021, one in every five deliveries was delivered by cesarean section. This is particularly alarming in resource-limited countries such as Kosovo, where the rates continue to increase and vary considerably between hospitals. Understanding the underlying factors that drive the increase and variation of cesarean section rates may help to change these trends. This study investigates how emotional intelligence and emotional labor impact cesarean section decision-making among midwives and obstetricians in Kosovo, along with clinical factors.</p><p><strong>Methods: </strong>We employed a conjoint analysis using a cross-sectional study design to assess preferences that drive decisions for cesarean section. We used the Dutch questionnaire on Emotional Labor, the Assessing Emotions Scale, and the Quality of Decision-making questionnaire, and designed a conjoint questionnaire with 28 hypothetical scenarios. We invited all midwives and obstetricians employed at the Gynecology and Obstetrics Clinic of the University Clinical Centre of Kosovo to participate in the study. The data were collected from January to the end of March 2023. Stata 18 BE was used for statistical computing and data visualization.</p><p><strong>Results: </strong>A gestational age of 42 weeks decreased CS likelihood among midwives (OR=0.75; 95% CI: 0.62-0.90, p=0.002). Previous cesarean sections (OR=1.42; 95% CI: 1.11-1.81, p=0.005) and hypertension (OR=1.23; 95% CI: 1.01-1.51, p=0.042) raised CS odds for midwives. A pelvic size of 8 cm significantly increased CS likelihood for midwives (OR=1.70; 95% CI: 1.37-2.09, p<0.001), while a size of 11 cm was protective for both groups (midwives: OR=0.73; 95% CI: 0.57-0.93, p=0.010; obstetricians: OR=0.70; 95% CI: 0.52-0.94, p=0.019). Maternal age of 40 years was significant only for obstetricians (OR=1.43; 95% CI: 1.00-2.06, p=0.052), and university education was significant for midwives (OR=1.19; 95% CI: 1.03-1.37, p=0.020). Non-clinical factors and emotional measures showed no significant or consistent trends in either group.</p><p><strong>Conclusions: </strong>Various clinical and non-clinical factors shape the decision to recommend a cesarean section, with obstetricians and midwives prioritizing these factors differently. These findings underscore the importance of implementing evidence-based practices to enhance maternal and newborn health outcomes in Kosovo and similar settings, while optimizing cesarean decision-making.</p>","PeriodicalId":32920,"journal":{"name":"European Journal of Midwifery","volume":"9 ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11739932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum: What midwives should know about fertility awareness and its impact on reproductive behavior.","authors":"","doi":"10.18332/ejm/200080","DOIUrl":"https://doi.org/10.18332/ejm/200080","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.18332/ejm/195830.].</p>","PeriodicalId":32920,"journal":{"name":"European Journal of Midwifery","volume":"9 ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11739931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum: The role of continuity of care in high-risk pregnant women in Indonesia.","authors":"","doi":"10.18332/ejm/ejm/200122","DOIUrl":"https://doi.org/10.18332/ejm/ejm/200122","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.18332/ejm/195831.].</p>","PeriodicalId":32920,"journal":{"name":"European Journal of Midwifery","volume":"9 ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11739930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of the Greek version of Mothers on Respect (MOR) index.","authors":"Eleni Serpetini, Antigoni Sarantaki, Aikaterini Lykeridou, Maria Vlachou, Athina Diamanti","doi":"10.18332/ejm/196694","DOIUrl":"10.18332/ejm/196694","url":null,"abstract":"<p><strong>Introduction: </strong>Pregnancy is a critical period marked by vast changes, with a pivotal role in healthcare. The Mothers on Respect (MOR) index measures and ensures respect in maternal care, impacting health-seeking behaviors and postpartum outcomes vital for individual and healthcare system well-being. This study aims to validate the Greek version of the MOR index to enhance respectful maternity care and contribute to positive childbirth experiences.</p><p><strong>Methods: </strong>A retrospective, cross-sectional, descriptive, and analytical online survey collected data from Greek women with home childbirth experience. We utilized a self-administered questionnaire and the Greek version of the Mothers on Respect (MOR) index.</p><p><strong>Results: </strong>The MOR index, assessing knowledge and awareness, showed a median score of 78 points, with a significant association between higher scores and living in Attica or being a healthcare professional (p=0.027 and p=0.024, respectively). Confirmatory factor analysis indicated the questionnaire had an acceptable fit, and reliability was confirmed with Cronbach's α exceeding 0.7 across all dimensions.</p><p><strong>Conclusions: </strong>The Greek MOR index validation advances respectful maternity care, enhances maternal health in Greece, and contributes to regional efforts for positive childbirth experiences.</p>","PeriodicalId":32920,"journal":{"name":"European Journal of Midwifery","volume":"9 ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Autonomy support in prenatal consultation: A quantitative observation study in maternity care.","authors":"Joyce Kors, Linda Martin, Corine J Verhoeven, Jens Henrichs, Saskia M Peerdeman, Rashmi A Kusurkar","doi":"10.18332/ejm/197053","DOIUrl":"10.18332/ejm/197053","url":null,"abstract":"<p><strong>Introduction: </strong>Maternity care professionals need to guide women through an increasing number of decision-making processes during pregnancy. Professionals tend to focus more on providing information than on decision support. According to the self-determination theory (SDT), professionals could help women make their own choices by fulfilling their three basic psychological needs: autonomy, competence, and relatedness through autonomy-supportive interactions. This study aimed to quantify autonomy-supportive and autonomy-thwarting interactions that professionals use during prenatal consultations and their association with women's perceptions of the healthcare climate during consultations.</p><p><strong>Methods: </strong>A quantitative observation study with a cross-sectional design was conducted in the Netherlands from March to October 2020. Twenty-three maternity care professionals in 2 hospitals and 16 midwifery practices were purposefully sampled. During 104 prenatal consultations, professional interactions were audiotaped and coded using the Coding and Observing Need-Supportive Consultation in Maternity Care Consultations. The woman's perceived healthcare climate was assessed using the Healthcare Climate Questionnaire.</p><p><strong>Results: </strong>We observed that professionals derive their autonomy-supportive interactions from a small repertoire. They tend to use more autonomy-supportive interactions (mean=2.31, SD=0.58) that give room to the woman than interactions that stimulate active engagement (mean=1.41, SD=0.80). During structuring interactions, they tend to use more informative (mean=1.81, SD=0.59) than supportive interactions (mean=0.94, SD=0.55). Women generally perceived the healthcare climate as positive.</p><p><strong>Conclusions: </strong>Women were rarely stimulated to be actively engaged in the consultations, while active woman engagement is vital in offering women-centered decision-making support. Professionals could improve their autonomy-supportive consultation climate by paying explicit attention to interactions involving women and offering structure.</p>","PeriodicalId":32920,"journal":{"name":"European Journal of Midwifery","volume":"9 ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11726625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of continuity of care in high-risk pregnant women in Indonesia.","authors":"Siti Mar'atus Sholikah, Fitria Nurwulansari, Elfira Nurul Aini, Slamet Wardoyo, Jessica Juan Pramudita","doi":"10.18332/ejm/195831","DOIUrl":"10.18332/ejm/195831","url":null,"abstract":"<p><strong>Introduction: </strong>High-risk pregnancies require special attention in maternal and child health services, given the high potential for complications that can affect maternal and fetal health. The continuity of care (COC) approach is expected to increase family independence and prevent pregnancy complications. This study aims to analyze the effectiveness of COC in improving the family independence of high-risk pregnant women in preventing pregnancy complications.</p><p><strong>Methods: </strong>This study used a quasi-experimental design with a pretest-posttest approach without a control group, involving 134 high-risk pregnant women, in the target area at the Wonoayu Community Health Centre, Sidoarjo, Indonesia from February to May 2024, who were selected through purposive sampling. Data were collected through structured questionnaires before and after the COC intervention, which included assessing knowledge and family roles in supporting pregnant women's health. The COC mentoring program was implemented for three months, with a focus on family education and involvement in maternal healthcare. A validated questionnaire measured family self-reliance before and after the intervention.</p><p><strong>Results: </strong>The study showed a significant increase in family self-reliance, with a p<0.001 in all aspects measured, including fulfilment of physiological and psychological needs, preparation for labor, the postpartum period, and preparation after the baby is born. This increase suggests that the COC intervention is effective in empowering families to support high-risk pregnant women. Before the intervention, the mean score for physiological and psychological needs fulfilment was 17.45, which increased to 36.42 after the intervention (p<0.001). In addition, labor preparation also showed a significant increase from 11.40 to 24.38, as well as postpartum preparation from 13.00 to 28.79, and preparation after the baby is born from 13.25 to 28.75 (all p<0.001).</p><p><strong>Conclusions: </strong>The consistent improvement in all measured aspects, indicated that the COC intervention not only improved families' knowledge and skills, but also contributed to their preparedness in supporting pregnant women during and after pregnancy.</p>","PeriodicalId":32920,"journal":{"name":"European Journal of Midwifery","volume":"9 ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11696369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What midwives should know about fertility awareness and its impact on reproductive behavior.","authors":"Evangelia Saranti, Vicentia C Harizopoulou, Eleni Bili, George Pados, Dimitrios G Goulis, Dimitrios Vavilis, Victoria Vivilaki","doi":"10.18332/ejm/195830","DOIUrl":"10.18332/ejm/195830","url":null,"abstract":"","PeriodicalId":32920,"journal":{"name":"European Journal of Midwifery","volume":"9 ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11696370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A qualitative study of bereaved parents and healthcare professionals on perinatal loss.","authors":"Jozefiene Jansens, Kristof Faes, Maëlle De Coninck, Joni Gilissen, Liesbeth Van Kelst","doi":"10.18332/ejm/194159","DOIUrl":"10.18332/ejm/194159","url":null,"abstract":"<p><strong>Introduction: </strong>Perinatal loss, encompassing stillbirth and neonatal death, can have profound physical and psychological consequences for parents. Effective communication by healthcare professionals during this sensitive period is critical. This study aimed to explore how bereaved parents and professionals experienced verbal and non-verbal communication during perinatal loss.</p><p><strong>Methods: </strong>A qualitative, in-depth interview study following grounded theory principles was conducted in Flanders, Belgium, between January and June 2021. Participants were purposively selected via a hospital ward. Face-to-face (n=8) and online (n=13) interviews were carried out by two midwife researchers who were aware of potential biases related to personal/professional interests. A group of bereaved parents and professionals provided feedback during the project. Qualitative analysis was conducted using NVIVO, employing open and axial coding to identify themes.</p><p><strong>Results: </strong>Eleven bereaved parents and ten professionals participated. Six themes emerged: 1) navigating time and adjusting pace; 2) recognition of parenthood in woman and partner; 3) clear, honest information for shared decision-making; 4) authentic contact while leaving room for alone time; 5) gentle and sensitive verbal communication; and 6) professionals' self-care. Parents valued clear, honest communication, acknowledgment of their parenthood, and the ability to make informed decisions. Healthcare professionals emphasized the challenge of providing adequate time and presence amidst busy schedules, but recognized the importance of empathy and sensitivity.</p><p><strong>Conclusions: </strong>Compassionate, patient-centered care with effective verbal and non-verbal communication is vital in supporting bereaved parents during perinatal loss, and it continues to be a challenge. Findings can guide clinical practice to inform professional training initiatives and inform intervention development.</p>","PeriodicalId":32920,"journal":{"name":"European Journal of Midwifery","volume":"8 ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11656490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric evaluation and adaptation of the COMICE questionnaire for Swedish midwifery students.","authors":"Ingegerd Hildingsson, Lena Bäck, Anette Björk, Lisbeth Kristiansen","doi":"10.18332/ejm/196137","DOIUrl":"10.18332/ejm/196137","url":null,"abstract":"<p><strong>Introduction: </strong>The world needs skilled, well educated, and confident midwives, but there is a lack of instruments to measure confidence in the Swedish context. The aim was to psychometrically test and adapt the COMICE (Confidence Of Midwifery students on selected midwifery Competencies at completion of Education) questionnaire on Swedish midwifery students.</p><p><strong>Methods: </strong>This is a national cross-sectional study of midwifery students from all 13 universities in Sweden in 2016-2017. The questionnaire comprised antenatal, intrapartum, postpartum and newborn care and underwent a principal component analysis. Analysis of variance was used to study associations with students' background characteristics.</p><p><strong>Results: </strong>A total of 238 students (78% response rate) completed the questionnaire. For antenatal care, two components were identified: performing routine midwifery assessments during pregnancy and identifying fetal and maternal risk factors while educating parents (KMO=0.895, p<0.001; Cronbach's alpha=0.848 and 0.827, respectively). For intrapartum care, three components emerged: managing physiological birth and providing support, managing complicated labor and birth, and identifying and providing lifesaving measures (KMO=0.905, p<0.001; Cronbach's alpha=0.917, 0.809, and 0.777, respectively). Postnatal and newborn care included managing uncomplicated care while educating parents and managing complications (KMO=0.941, p<0.001; Cronbach's alpha=0.993 and 0.558, respectively). Younger students (<31 years) reported greater confidence in routine antenatal assessments compared to older students (mean: 27.43 vs 26.01, p=0.004), managing physiological births (mean: 65.41 vs 62.85, p=0.01), and handling complicated labors (mean: 20.37 vs 19.05, p=0.046).</p><p><strong>Conclusions: </strong>This study supports the Swedish version of the COMICE questionnaire as a tool to measure confidence among midwifery students in a Swedish context.</p>","PeriodicalId":32920,"journal":{"name":"European Journal of Midwifery","volume":"8 ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11656489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and associations of neurodevelopmental and mental health disorders with academic and well-being challenges among nursing and midwifery students: A cross-sectional study.","authors":"Alina Liepinaitiene, Vaidas Jotautis, Simona Jankauskaite, Lijana Navickiene, Daiva Bartusiene, Evelina Lamsodiene, Rasa Gaiziunaite, Vaida Valalyte, Rasa Vaitkiene, Magdalena Korżyńska-Piętas, Linda Gudre, Viktorija Piscalkiene","doi":"10.18332/ejm/195808","DOIUrl":"10.18332/ejm/195808","url":null,"abstract":"<p><strong>Introduction: </strong>This study highlights the significant stress faced by nursing and midwifery students stemming from the rigorous requirements of their curriculum, which includes both demanding theoretical and practical elements. This study aims to identify the causes and manifestations of learning environment stress among midwifery and nursing students.</p><p><strong>Methods: </strong>A cross-sectional study in Lithuania, Poland and Latvia was employed to evaluate students' learning challenges and neurodiversity using 40 different questions assessed on a Likert scale. Data were gathered through online surveys in February-April 2024, distributed to nursing and midwifery students from three international institutions.</p><p><strong>Results: </strong>The findings reveal significant correlations (p<0.05) between anxiety and stress levels in students with neurodiversity, underscoring the critical impact of stress on the mental health and well-being of nursing students. These results demonstrate significant associations (ρ=0.2; p<0.05) with shifts in life meaning, health issues, emotional and cognitive challenges, and mobbing.</p><p><strong>Conclusions: </strong>Anxiety and stress are significantly related to the presence of neurodisability among students, highlighting the necessity for targeted mental health interventions to address these critical issues.</p>","PeriodicalId":32920,"journal":{"name":"European Journal of Midwifery","volume":"8 ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11635650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}