International Journal of Childbirth最新文献

{"title":"Prevalence of Neglect and Abuse During Labor and Delivery in a Tertiary Hospital","authors":"Hanan M. Ghoneim, Omima T. Taha, Asmaa M. Elgedawy","doi":"10.1891/ijc-2023-0024","DOIUrl":"https://doi.org/10.1891/ijc-2023-0024","url":null,"abstract":"BACKGROUND: Childbirth is a significant event with a great impact on maternal physical and psychological health. Childbirth abuse has been reported in different countries with variable rates. This study aims to determine the prevalence of childbirth abuse during labor in a governmental hospital in Egypt. METHODS: This cross-sectional study was conducted from March 2020 to December 2021. We recruited 190 women. Patients were asked to fill in the Arabic-validated childbirth verbal abuse and neglect questionnaire immediately after delivery. The questionnaire consisted of four parts enquiring about personal data and childbirth history, the occurrence of physical violence, and other elements of satisfaction. RESULTS: Fifty (26.3%) patients were neglected during childbirth. Verbal abuse was reported by 25.8%. Two women (1.1%) were slapped (physical abuse) during childbirth. Women reported being satisfied and strongly satisfied at 57.9% and 37.9%, respectively. Multiparity ( p -value .02), patient ignorance about the childbirth process ( p -value .004), their rights ( p -value .0001), and lack of participation in decision-making ( p -value .0001) were associated with exposure to neglect. Verbal abuse was associated with the delivery time in addition ( p -value .004). CONCLUSION: Neglect and abuse occurred significantly at the current facility.","PeriodicalId":43300,"journal":{"name":"International Journal of Childbirth","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135366315","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":"A Case Report on the Unique Challenges of COVID-19 Infection During Perioperative Anesthesia Care for a Laboring COVID-19-Infected Mother in a Low-Resource Area","authors":"Tajera Tageza Ilala, Gudeta Teku Ayano, Megersa Kelbesa Olika","doi":"10.1891/ijc-2023-0012","DOIUrl":"https://doi.org/10.1891/ijc-2023-0012","url":null,"abstract":"BACKGROUND: Recently, the rate of cesarean sections has increased, addressing the concern of anesthesia for cesarean sections in a similar manner. Physiological changes during pregnancy, such as increased cardiac output, heart rate, and oxygen consumption, decreased lung compliance and capacity, immune modulation (an altered response of the cell-mediated immunity), and increased risk of thromboembolic disease reduce maternal compensation during stress and certain pathological conditions like infections. Importantly, the provision of anesthesia for a pregnant mother is perceived as a challenging situation because of the attendant physiological, anatomical, and pharmacological changes in pregnancy. This culminates in the modification and dosage adjustment for certain medications, especially sedative-hypnotics and delivery, as well as the management of anesthetic techniques, to optimize and ensure maternal organ function and fetal well-being. Certain perioperative factors, such as COVID-19 infection, comorbid disease, and obstetric complications, increase the risk of maternal morbidity and mortality with a subsequent fetal compromise during the perioperative state, besides the aforementioned anesthetic challenges. Moreover, COVID-19 infection increases the perils of complicating pregnancy and pregnancy outcomes, including maternal artificial ventilation and intensive care admission, preterm labor, fetal distress, neonatal intensive care admission, and fetal and maternal deaths. CONCLUSION: Preventive strategies toward the spread of the COVID-19 infection, vaccines, and the proper use of personnel protective equipment by healthcare providers reduce the spread and severity of the COVID-19 infection and improve obstetric and pregnancy outcomes.","PeriodicalId":43300,"journal":{"name":"International Journal of Childbirth","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135366316","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":"Breastfeedıng Attitudes of Puerperal Women and Influencing Factors During the COVID-19 Pandemic","authors":"Resmiye Kaya Odabaş, Yasemin Sökmen, Seren Doğru, Ayten Taşpınar","doi":"10.1891/ijc-2022-0108","DOIUrl":"https://doi.org/10.1891/ijc-2022-0108","url":null,"abstract":"INTRODUCTION: Assessment of mothers’ breastfeeding attitudes during the COVID-19 pandemic can aid healthcare professionals in planning appropriate breastfeeding counseling. The aim of our study is to assess the breastfeeding attitudes of puerperal women during the COVID-19 pandemic and the related factors. METHODS: A cross-sectional study was conducted on 470 postpartum women who delivered in a state hospital in Turkey in 2022. Participants were selected through simple random sampling. RESULTS: The mean score on the Breastfeeding Attitude Evaluation Scale was 101.11 ± 19.79 (scores range from 0 to 184). Factors that positively influenced breastfeeding attitude included initiating breastfeeding in the first hour after birth ( p = .043), planning exclusive breastfeeding for the first 6 months ( p = .004), intending to breastfeed for 24 months or more ( p = .008), giving breast milk as the baby’s first food ( p = .017), believing that a COVID-19-infected mother should breastfeed her baby ( p = .000), and not separating a COVID-19-positive mother from her baby ( p = .014). Conversely, being a primiparous mother ( p = .011) and not believing that breast milk protects the baby from COVID-19 ( p = .011) negatively impacted the breastfeeding attitude. CONCLUSION: This study found that postpartum women had positive breastfeeding attitudes during the COVID-19 pandemic, and certain factors influenced these attitudes.","PeriodicalId":43300,"journal":{"name":"International Journal of Childbirth","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135366320","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":"A Thematic Analysis of Narratives About Birth Satisfaction and Health Awareness From Postnatal Women Who Have High and Low Trauma Scores on the<i>Posttraumatic Stress Disorder Checklist</i>","authors":"Berbel Emmens, Caroline J. Hollins Martin, Jenny Patterson, Colin R. Martin","doi":"10.1891/ijc-2022-0036","DOIUrl":"https://doi.org/10.1891/ijc-2022-0036","url":null,"abstract":"BACKGROUND: Around one-third of women experience childbirth trauma, with 3%–15% developing postpartum posttraumatic stress disorder (PP-PTSD). AIM: Explore birth satisfaction and health perception across two groups of postnatal women with either high or low trauma scores. METHOD: Forty postnatal women were divided into groups dependent upon Posttraumatic Stress Disorder Checklist (PCL-5) scores: high severity ( n = 20; range 25–57) or low severity ( n = 20; range 0–7). Semi-structured interviews explored women’s childbirth experiences related to birth satisfaction and reports of postnatal health. Thematic analysis was performed. FINDINGS: Narrative content differed appreciably between high (A) and low (B) scoring groups. Group A narratives were more negative (A1: Overall, a negative recall), referencing lack of autonomy, support, or being heard (A2: Missing needs) and negative influences (A3: Disrupting my bubble). Group B recalled more birth satisfaction (B1: Mostly positive recall) associated with (B2: Autonomy; B3: Being cared for; B4: Intuition, instinct, and primal force). Group A narratives focused strongly on mental health (A4: Reduced awareness; A6: Experiencing PTSD; A7: Needing help), with some focus on physical health (A5: How I feel physically); Group B spoke less about health (B5:My health). DISCUSSION: High-quality psychological care during labor, with continuity, choice, support, and control, alongside postnatal health follow-up may improve birth satisfaction and reduce the incidence of PP-PTSD. CONCLUSION: To increase birth satisfaction and reduce trauma, maternity care providers must be supported to prioritize high-quality psychological care to women during labor, providing choice, control, and continuity within trusting relationships. Trusting relationships are key to ongoing conversations regarding health and seeking/receiving help. Routine birth satisfaction screening and education for care providers about signs of trauma are important.","PeriodicalId":43300,"journal":{"name":"International Journal of Childbirth","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135366311","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 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":null,"pages":null},"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}

{"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":null,"pages":null},"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}

{"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":null,"pages":null},"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}

{"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":null,"pages":null},"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 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":null,"pages":null},"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}

{"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":null,"pages":null},"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}