{"title":"Women’s Experiences of Perinatal Anxiety: A Critical Feminist Approach","authors":"Zalia Powell, Nonie Harris, Abraham Francis","doi":"10.1891/ijc-2022-0096","DOIUrl":"https://doi.org/10.1891/ijc-2022-0096","url":null,"abstract":"OBJECTIVE: Perinatal anxiety is a prevalent mental health issue with implications for the well-being of women and their children. There is a scarcity of research that considers perinatal anxiety as a standalone mental health issue or explores the lived experiences of women with perinatal anxiety. METHODS: In-depth interviews were carried out with nine mothers who had a lived experience of perinatal anxiety. The women were recruited from South East Queensland, Australia, and were either pregnant and/or parenting a child under the age of five. Data from the interviews were analyzed through a process of thematic analysis to identify key themes in the lived experiences of anxious mothers. Critical feminist theory informed all the aspects of the study. RESULTS: Analysis of the data revealed four key themes: Good Motherhood, Warning Signs, Mental Health Literacy, and Strengths and Support, and seven subthemes: The Birthing Experience, Irritable Infants, Sleep, Breastfeeding, Social Isolation, Barriers to Help Seeking, and Social Roles. Anxiety was found to complicate the experience of motherhood, with the pressure to present as a “good mother” resulting in a reluctance to seek help. Experiences such as birthing, feeding, and sleeping were risk factors for triggering or exacerbating anxiety. Experiences of perinatal anxiety were further complicated by poor mental health literacy and inconsistencies in the care provided by health professionals. Anxious mothers expressed a need for holistic, multidisciplinary mental healthcare, with residential options during times of struggle or crisis. CONCLUSION: Findings reveal the complex context of motherhood and mental illness and identify barriers and opportunities for the multidisciplinary mental healthcare of anxious mothers. A holistic, multidisciplinary response to perinatal anxiety is recommended.","PeriodicalId":43300,"journal":{"name":"International Journal of Childbirth","volume":"169 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135968720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Azza Ismail El Sayed, Mirfat Mohamed Labib Elkashif, Thanaa Ali Ahmad Elawany, Azza Mohamed Fathy, Howaida Amin Hassan Fahmy Elsaba
{"title":"Major Placenta Previa in Advanced Age Among Nulliparous With Cesarean Section: A Cross-Sectional Study","authors":"Azza Ismail El Sayed, Mirfat Mohamed Labib Elkashif, Thanaa Ali Ahmad Elawany, Azza Mohamed Fathy, Howaida Amin Hassan Fahmy Elsaba","doi":"10.1891/ijc-2022-0114","DOIUrl":"https://doi.org/10.1891/ijc-2022-0114","url":null,"abstract":"INTRODUCTION: Major placenta previa with advanced maternal age (AMA) is a significant risk factor for obstetric hemorrhage and associated maternal and neonatal complications. OBJECTIVE: The objective was to study major placenta previa in advanced age among nulliparous with cesarean section. METHODS: This prospective cross-sectional study analyzes 78 pregnant women of advanced age with major placenta previa under a cesarean section. Data were collected using interview questionnaires between January 2019 and June 2020. RESULTS: The mean gestational age at delivery was 35.7 ± 3 years. Antepartum hemorrhage, premature membrane rupture, and placenta accreta occurred in 15.4%, 35.9%, and 15.4% of cases, respectively. About 12.8% of women were at risk of post-traumatic stress disorder symptoms. Fetal distress, postpartum hemorrhage (PPH), and cesarean hysterectomy occurred in 37.2%, 46.2%, and 15.4% of patients. Mean Apgar scores in the first and fifth minutes were 7.0 ± 0.90 and 8.0 ± 0.82, respectively. The mean birth weight was 2.7 ± 0.14823. Of neonates, 37.2% were premature, 37.2% required resuscitation, less than half (44.9%) were admitted to the neonatal intensive care unit, and 37.2% had respiratory distress syndrome. Moreover, there is a statistically significant relationship between placenta accreta and cesarean hysterectomies and the occurrence of PPH. Also, a highly significant association was observed between the use of antenatal steroids, fetal distress, Apgar score <3 at 1 minute, and neonatal respiratory distress syndrome. CONCLUSION: Major placenta previa with AMA significantly influences pregnancy outcomes and is considered an obstetric emergency. Therefore, early detection of major placenta previa and proper management during clinical care is essential.","PeriodicalId":43300,"journal":{"name":"International Journal of Childbirth","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135393443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. B. Fons, O. P. Roda, Marta Peró, Paula Fabra Roca, Marta Simó González
{"title":"Results of a Systematic Intensive Follow-Up of 259 Cases of Obstetric Anal Sphincter Injury","authors":"L. B. Fons, O. P. Roda, Marta Peró, Paula Fabra Roca, Marta Simó González","doi":"10.1891/ijc-2022-0062","DOIUrl":"https://doi.org/10.1891/ijc-2022-0062","url":null,"abstract":"","PeriodicalId":43300,"journal":{"name":"International Journal of Childbirth","volume":"1 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41757293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Zammit, Pauline Fenech, Rita Borg Xuereb, Nicoletta Riva
{"title":"Women’s Experiences of Pregnancy, Birth, and the Postpartum Period During the COVID-19 Pandemic: A Cross-Sectional Survey Study","authors":"J. Zammit, Pauline Fenech, Rita Borg Xuereb, Nicoletta Riva","doi":"10.1891/ijc-2023-0007","DOIUrl":"https://doi.org/10.1891/ijc-2023-0007","url":null,"abstract":"","PeriodicalId":43300,"journal":{"name":"International Journal of Childbirth","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45332170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Theresa Obiageli Madu, Adaobi Obiekwu, C. Mbadugha, N. Omotola
{"title":"Knowledge and Practice of Pelvic Floor Muscle Exercises Among Antenatal and Postnatal Women Attending a Secondary Health Facility in Southeast, Nigeria","authors":"Theresa Obiageli Madu, Adaobi Obiekwu, C. Mbadugha, N. Omotola","doi":"10.1891/ijc-2022-0046","DOIUrl":"https://doi.org/10.1891/ijc-2022-0046","url":null,"abstract":"","PeriodicalId":43300,"journal":{"name":"International Journal of Childbirth","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45074414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Women’s Experiences of Care Provider Interaction During Decision-Making About Induction of Labor: A Narrative Systematic Review of the Qualitative Literature","authors":"Katrina Reid, C. H. Hollins Martin","doi":"10.1891/ijc-2022-0088","DOIUrl":"https://doi.org/10.1891/ijc-2022-0088","url":null,"abstract":"","PeriodicalId":43300,"journal":{"name":"International Journal of Childbirth","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45397650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Charlotte Brosens, Y. V. Gils, L. Branden, Roxanne Bleijenbergh, Sophie Rimaux, Eveline Mestdagh, Yvonne J. Kuipers
{"title":"Pregnancy-Related Anxiety and Associated Coping Styles and Strategies: A Cross-Sectional Study","authors":"Charlotte Brosens, Y. V. Gils, L. Branden, Roxanne Bleijenbergh, Sophie Rimaux, Eveline Mestdagh, Yvonne J. Kuipers","doi":"10.1891/ijc-2022-0102","DOIUrl":"https://doi.org/10.1891/ijc-2022-0102","url":null,"abstract":"","PeriodicalId":43300,"journal":{"name":"International Journal of Childbirth","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45695982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Registration Experiences of Middle Eastern Qualified Midwives in Australia: A Narrative Case Study Analysis","authors":"Kolsoom Safari, Lisa McKenna, Jenny Davis","doi":"10.1891/ijc-2022-0073","DOIUrl":"https://doi.org/10.1891/ijc-2022-0073","url":null,"abstract":"BACKGROUND: Migrating to Australia to work as a midwife can be challenging, particularly for those from non-English speaking backgrounds, since they must achieve strict qualification standards, English language skills, and professional competence to be eligible for registration. AIM: The purpose of this study was to explore the registration experiences of Middle Eastern-qualified midwives in Australia. METHODS: Multiple case narrative study, underpinned by structuration theory, involving 19 Middle Eastern-qualified midwives from different states of Australia. Individual semi-structured interviews were conducted between November 2020 and September 2021 and digitally recorded and then transcribed. Transcriptions were analyzed in three stages, with categories generated in the second stage and core categories developed in the third. RESULTS: This study found that Middle Eastern-qualified midwives’ registration experiences were significantly impacted by evolutions in policies in Australia. The accounts of participants who applied for registration at varying stages suggested the process became more complicated over time. Overall, four categories emerged with varying prominence from the accounts of participants who applied for registration at different times including: language barrier, variation in the process, inadequate orientation, and misdirection . Systemic issues were identified as significant barriers to the registration of Middle Eastern-qualified midwives in Australia. CONCLUSION: With Australia’s reliance on internationally qualified midwives, strategies should be developed to identify the language support, appropriate orientation, and regulatory adjustment necessary to reduce the underutilization of Middle Eastern-qualified midwives.","PeriodicalId":43300,"journal":{"name":"International Journal of Childbirth","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135220498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Margaret Omowaleola Akinwaare, Abimbola Oluwatosin, Olakekan Uthman, Elizabeth Ike
{"title":"Women’s Birth Preparedness and Complication Readiness in Nigeria: A Systematic Review and Meta-Analysis","authors":"Margaret Omowaleola Akinwaare, Abimbola Oluwatosin, Olakekan Uthman, Elizabeth Ike","doi":"10.1891/ijc-2022-0068","DOIUrl":"https://doi.org/10.1891/ijc-2022-0068","url":null,"abstract":"INTRODUCTION: Globally, efforts are being made to reduce the menace of maternal death in order to achieve the sustainable development goal. Maternal death has been associated with inadequate Birth Preparedness and Complication Readiness (BPCR), especially in low- and middle-income countries. Therefore, this review assessed birth preparedness and complication readiness in Nigeria. METHODS: A systematic review and meta-analysis of published research articles on birth preparedness and complication readiness in Nigeria were done using PubMed, EMBASE, and MEDLINE databases. All published articles from inception to November 2018 were included in the review. A total of 8,913 published articles were identified from an electronic search, and a total of 4,440 studies were included in this review, while only 12 articles met the inclusion criteria and were included in the meta-analysis. RESULTS: The pooled prevalence of “good BPCR” for all studies yielded an estimate of 58.7% (95% CI 43.9%–72.7%). The I 2 statistic was 98%, indicating statistically significant heterogeneity among the studies. The percentage of women with good birth preparedness and complication readiness increases with the year of publication, such that women have tended to be more aware of good birth preparedness and complication readiness in recent years. More than half of the women had knowledge of obstetric danger signs (52.0%, 95% CI 39.5%–64.4%, 10 studies), arranged for transportation (59.5%, 95% CI 36.2%–80.7%, 11 studies), or saved money (63.4%, 95% CI 44.7%–80.2%, 11 studies) as part of the BPCR. PROSPERO REGISTRATION NUMBER: The study protocol was registered with PROSPERO number CRD42019123220. CONCLUSION: Women in Nigeria are better prepared for birth preparedness and complication readiness in recent years. Therefore, interventions to promote more adequate birth preparedness and complication readiness among women are recommended.","PeriodicalId":43300,"journal":{"name":"International Journal of Childbirth","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135220499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}