European Journal of Midwifery最新文献

{"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}

{"title":"Effect of an online teaching module on midwives' knowledge, attitude and practice regarding intrapartum ultrasound: A quasi-experimental approach.","authors":"Bram Packet, Samešová Adela, Richter Jute","doi":"10.18332/ejm/195498","DOIUrl":"10.18332/ejm/195498","url":null,"abstract":"<p><strong>Introduction: </strong>Intrapartum ultrasound (IPUS) allows for a more reliable and reproducible assessment of fetal head station and position during labor. This study aimed to investigate how an online education module on IPUS impacts midwives' knowledge, attitudes, and practices (KAP) regarding this topic.</p><p><strong>Methods: </strong>Midwives working in the labor ward of the University Hospital of Leuven (Belgium) were invited to participate in an educational program on IPUS in April 2023. A baseline KAP survey was completed upon enrolment, followed by an online education module on the intrapartum sonographic assessment of head station and position. Afterwards, a second KAP survey was completed. Score were compared using a two-sided Wilcoxon signed-rank test. A p<0.05 was considered significant. Statistical analyses were conducted using SPSS (version 29.0.2.0).</p><p><strong>Results: </strong>A total of 45 midwives were eligible for inclusion and invited to participate. From these, 46.7% (21/45) agreed to take part. Attitudes towards IPUS were positive, as most perceived it as safe, time-efficient, and beneficial for medical-decision making. However, only two midwives (9.1%) sometimes used IPUS themselves during the second stage, whereas none used it during the first stage. A significant improvement in knowledge scores was recorded after the online education module for both the sections on fetal head station (median score 0/5 to 2.75/5, p=0.01) and position (median score 2.5/5 to 3.5/5, p=0.04). No significant differences were observed in the overall attitude scores, as they remained overall positive (4.5/5 to 5/5, p=0.18).</p><p><strong>Conclusions: </strong>Although having little experience with IPUS themselves, most participating midwives perceive it as an acceptable, time-efficient, and safe imaging modality. A short online education module resulted in a significant improvement in their knowledge of these topics. Further implementation research is needed to investigate how the uptake of IPUS amongst midwives can be improved, and how this can improve overall labor care.</p>","PeriodicalId":32920,"journal":{"name":"European Journal of Midwifery","volume":"10 ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11633044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814503","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 need for educational intervention for breastfeeding women and the professional practice of midwives in France to promote breastfeeding: A joint explanatory study.","authors":"Mehrnoosh Yazdanbakhsh, Vincent De Andrade, Laurence Spiesser-Robelet, Rémi Gagnayre","doi":"10.18332/ejm/191176","DOIUrl":"10.18332/ejm/191176","url":null,"abstract":"<p><p>In France, breastfeeding prevalence is high at birth, but its continuation remains low compared with other high-income countries, despite worldwide public health recommendations. Midwives offer parenting classes in an experimental manner without considering the importance of education in their interventions. The objectives of this study were to identify the teaching strategies and learning environments offered by midwives and their effect on women's perception of usefulness and their breastfeeding competence, to assess midwives' perception of usefulness and their pedagogical competencies. A comparative mixed study of 20 hospital midwives and 53 breastfeeding women (at 3 and 30 days postpartum) was conducted between January and August 2022 in two maternity units in France. Comparing the two periods, positive effects were found about breastfeeding women's level of knowledge: usefulness of learning theoretical (p=0.01) and practical (p=0.00) knowledge; and their breastfeeding management: signs of lactation (p=0.00), breast engorgement (p=0.04), and behavior (p=0.04). It positively reinforced the development of self-esteem (p=0.00) and commitment to breastfeeding (p=0.00). Midwives expressed strong motivation to use an appropriate teaching strategy and provide a supportive learning environment for women to improve their educational interventions (mean motivation score 7.7/10). The study results can promote research to examine educational interventions modeled according to the theories in education. Critical realism can be used to evaluate these interventions to elucidate how a program based on educational engineering can contribute to breastfeeding promotion and achieving the 2030 goals of WHO.</p><p><strong>Clinical trial registration: </strong>The study was registered on the official website of ClinicalTrials.gov.</p><p><strong>Identifier: </strong>ID NCT05271812.</p>","PeriodicalId":32920,"journal":{"name":"European Journal of Midwifery","volume":"8 ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11633045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814502","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":"Challenges and facilitators to perinatal mental healthcare among first-generation migrant women: A qualitative ethnographic study in Flanders, Belgium.","authors":"Astrid Claerbout, Jade Steppe, Gilissen Joni, Liesbeth van Kelst","doi":"10.18332/ejm/194682","DOIUrl":"https://doi.org/10.18332/ejm/194682","url":null,"abstract":"<p><strong>Introduction: </strong>Women with a migration background face significant barriers to accessing perinatal mental health support. This study aims to explore the needs, barriers and facilitators regarding perinatal mental health support in women with a first-generation migration background and how they experience support within their own community.</p><p><strong>Methods: </strong>We conducted qualitative in-depth face-to-face interviews with mothers who gave birth within 12 months preceding the interview, recruited from an Antwerp maternity ward between August and September 2022. Three midwife researchers conducted interviews at the participants' home, using an interpreter if needed. A midwife researcher with relevant expertise reviewed the final manuscript. Two researchers independently performed qualitative inductive content analysis and constant comparison of audio transcripts using NVIVO.</p><p><strong>Results: </strong>Of the 11 participants, none reported mental health issues at the time of the interview. However, four mothers shared experiences indicative of postnatal depression, highlighting significant challenges such as isolation, language barriers, and a lack of awareness about mental health support. Recurring themes included the importance of professionals taking the time and making efforts to provide accessible information, navigating language barriers, differences in participants' openness toward discussing mental health, the importance of having a close network available for psychological support, and practical aspects inhibiting access. Overall, participants reported a desire for more culturally sensitive care and information about available support.</p><p><strong>Conclusions: </strong>Findings underscore the urgent need for tailored perinatal mental health support that is easy to access, emphasizing awareness and training for professionals, especially midwives, to meet diverse needs. Recognizing this population's variety is essential.</p>","PeriodicalId":32920,"journal":{"name":"European Journal of Midwifery","volume":"8 ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11610409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772546","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":"Rethinking midwifery education in the Grand Duchy of Luxembourg: Charting a new milestone.","authors":"Joeri Vermeulen, Nicole Weber, Yolande Klein, Kristel Von Laufenberg, Marie Friedel, Ali Ghanchi","doi":"10.18332/ejm/195630","DOIUrl":"10.18332/ejm/195630","url":null,"abstract":"","PeriodicalId":32920,"journal":{"name":"European Journal of Midwifery","volume":"8 ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11600621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740161","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}