Women and Birth最新文献

{"title":"Reframing birth: Social space as a humanizing lens in the Global South","authors":"Rikas Saputra , Yenni Lidyawati","doi":"10.1016/j.wombi.2025.101936","DOIUrl":"10.1016/j.wombi.2025.101936","url":null,"abstract":"","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 4","pages":"Article 101936"},"PeriodicalIF":4.4,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of working in continuity of care models on Australian midwives: A scoping review","authors":"Michelle B. Hobday ,&nbsp;Jennifer Fenwick ,&nbsp;Jane Reynolds ,&nbsp;Kirsten A. Small ,&nbsp;Chanelle Warton ,&nbsp;Melanie Robinson ,&nbsp;Caroline SE Homer ,&nbsp;Joanne Gray ,&nbsp;Kathleen Baird ,&nbsp;Zoe Bradfield","doi":"10.1016/j.wombi.2025.101932","DOIUrl":"10.1016/j.wombi.2025.101932","url":null,"abstract":"<div><h3>Problem</h3><div>Global and national strategy directives identify continuity of midwifery carer (CoMC) models as important priorities for workforce development. There are concerns about the impacts of working in CoMC on the midwifery workforce in Australia.</div></div><div><h3>Background</h3><div>CoMC models enable care across the childbearing continuum from a single midwife or small group of midwives known to the pregnant woman, improving perinatal outcomes. Potential impacts on midwives working in these models include work-life balance, retention, professional progression, professional satisfaction, burnout and attrition.</div></div><div><h3>Aim</h3><div>To review and synthesise research reporting the impact of working in CoMC models on midwives in Australia, and identify knowledge gaps to guide future research.</div></div><div><h3>Methods</h3><div>This review adopted the Joanna Briggs Institute methodology for scoping reviews and the PRISMA-ScR check list. A search strategy was developed using keywords relating to the midwifery profession, location (Australia) and CoMC models. Four databases were searched, relevant papers were identified, data extracted and synthesised.</div></div><div><h3>Findings</h3><div>Thirty-two papers met the inclusion criteria for this review. Impacts were identified under the following themes: positive partnerships with women, improved professional satisfaction, work-life balance, impact on professional relationships and positive psychological health and wellbeing.</div></div><div><h3>Discussion</h3><div>These impacts are mostly positive, with evidence of lower levels of intention to leave the workforce and reduced levels of burnout, compared to those working in shift-based models.</div></div><div><h3>Conclusion</h3><div>The effect of variations in on-call arrangements were identified as an aspect of work-life balance for future research. Findings are relevant for health service design reform and strategic national workforce planning.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 4","pages":"Article 101932"},"PeriodicalIF":4.4,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing collaboration between midwives and obstetricians: A qualitative content analysis study","authors":"Liesa Beier ,&nbsp;Ans Luyben ,&nbsp;Qendresa Thaqi ,&nbsp;Rahel Naef","doi":"10.1016/j.wombi.2025.101929","DOIUrl":"10.1016/j.wombi.2025.101929","url":null,"abstract":"<div><h3>Problem</h3><div>Collaboration between midwives and obstetricians is insufficiently developed in Swiss and other healthcare systems.</div></div><div><h3>Background</h3><div>Collaboration in maternity care impacts birth outcomes. Previous studies have focused on determinants of collaboration, but it remains unclear how to promote interprofessional birthing care.</div></div><div><h3>Aim</h3><div>This study aimed to identify strategies for enhancing collaboration between midwives and obstetricians.</div></div><div><h3>Methods</h3><div>We conducted a qualitative content analysis study with midwives and obstetricians in three acute care hospitals in the German-speaking part of Switzerland. Data were collected through focus group interviews and analysed using inductive content analysis following Graneheim and Lundman.</div></div><div><h3>Findings</h3><div>Eleven midwives and nine obstetricians participated. Three strategies with seven categories emerged that might enhance collaboration between midwives and obstetricians on Swiss labour wards: (1) getting to know each other, (2) building trustful relationships, and (3) creating safe practice environments for collaborative practice.</div></div><div><h3>Discussion</h3><div>The findings highlight the need to promote early mutual understanding of professional roles, responsibilities, and care philosophies. Trust-building through open communication and shared decision-making was considered vital for effective collaboration. Early and ongoing joint opportunities for education, training, and professional development is required. Systemic, structural support is necessary, including shared workflow, established, interprofessional communication structures, and leadership that fosters psychological safety. Organisational commitment is essential to embedding collaboration in practice.</div></div><div><h3>Conclusion</h3><div>Enhancing collaboration in maternity care requires a multi-level approach. Efforts should focus on interprofessional learning, mutual understanding of roles, trust-building practices, and supportive institutional structures. Leadership that models inclusive behaviours and reduces perceived hierarchies is key to strengthening collaboration.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 4","pages":"Article 101929"},"PeriodicalIF":4.4,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pregnancy and extreme heat events: A rapid review of evidence related to health outcomes, risk factors and interventions","authors":"Caroline Li-Maloney ,&nbsp;Katie E. Wagar ,&nbsp;Emily J. Tetzlaff ,&nbsp;Glen P. Kenny","doi":"10.1016/j.wombi.2025.101931","DOIUrl":"10.1016/j.wombi.2025.101931","url":null,"abstract":"<div><h3>Background</h3><div>Climate change is increasing the frequency and severity of extreme heat events (EHEs), resulting in increased morbidity and mortality for vulnerable populations. Pregnant people and fetuses are at risk for adverse pregnancy outcomes from EHEs.</div></div><div><h3>Objective</h3><div>To collate and synthesize existing evidence on the effects of EHE on pregnant people and fetuses and relevant mitigating factors and interventions to inform healthcare providers and other pregnancy-focused audiences.</div></div><div><h3>Methods</h3><div>A peer-reviewed search strategy was conducted in MEDLINE, EMBASE, Global Health, CAB Abstracts, SCOPUS, and ProQuest Public Health, for empirical studies and reviews published between 2009 and 2023 in English and French. The search strategy focused on terms related to EHEs, exposure, and pregnancy. Health outcomes, risk factors and interventions relating to EHEs (defined based on high ambient temperature thresholds) were reviewed and narratively reported.</div></div><div><h3>Findings</h3><div>Sixty-eight studies were included (<em>n</em> = 16 reviews; <em>n</em> = 52 empirical studies). Associations between both adverse fetal outcomes (e.g., pre-term birth) and maternal outcomes (e.g., severe maternal morbidities) and EHEs were identified. Pregnant people with low socioeconomic status were found to be more likely to have morbidities. Interventions such as improved clinician support have been proposed by researchers to reduce the risk of poor pregnancy outcomes.</div></div><div><h3>Conclusion</h3><div>There is an association between EHEs and the development of pregnancy-related morbidity and mortality, mediated by environmental, social and intrinsic individual factors. There are remaining knowledge gaps that have been identified that should be addressed, but more importantly, the synthesis of this evidence highlights the urgent need for interventions such as improved healthcare provider education, and policy interventions to mitigate the health riskscaused by exposure to heat in pregnant populations.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 4","pages":"Article 101931"},"PeriodicalIF":4.4,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspectives and experiences of induction of labour: An Australian cross-sectional study","authors":"Zoe Bradfield ,&nbsp;Georgia Griffin ,&nbsp;Jennifer Wood ,&nbsp;Lorna Finley ,&nbsp;Courtney Barnes ,&nbsp;Sonya Mahoney ,&nbsp;Scott White ,&nbsp;Lindsay Kindinger","doi":"10.1016/j.wombi.2025.101927","DOIUrl":"10.1016/j.wombi.2025.101927","url":null,"abstract":"<div><h3>Problem</h3><div>Despite being the most common obstetric intervention, little is known about women’s experiences of induction of labour (IOL).</div></div><div><h3>Background</h3><div>Rates of IOL have risen by 43 % in the past decade in Australia. There is limited evidence regarding women’s experiences of IOL. Consumer experience is a key safety and quality indicator.</div></div><div><h3>Aim</h3><div>To explore women’s perspectives and experiences of IOL.</div></div><div><h3>Methods</h3><div>A cross-sectional method via anonymous online survey, recruited and collected data from consenting women who underwent IOL regardless of gestation, level of risk or model of care, at a tertiary site. Quantitative data were analysed using descriptive and inferential statistics. Qualitative data were analysed using inductive content analysis.</div></div><div><h3>Findings</h3><div>A total n = 546 women participated. Most (68.9 %) were satisfied with their care. Significant differences were found in women’s experiences by parity, model of care and for those not speaking English at home. Four key categories and corresponding concepts were identified.</div></div><div><h3>Discussion</h3><div>Findings provide novel evidence of women’s experiences of IOL; offering new evidence, critical to contemporary maternity service planning. Inclusion of women in co-designed benchmarking of experiences and outcomes is recommended.</div></div><div><h3>Conclusion</h3><div>This research provides comprehensive exploration of women’s experiences of IOL in one of Australia’s largest tertiary maternity services. Findings report common and divergent perspectives useful to support clinical care reform and service redesign. Remaining gaps in evidence are highlighted with recommendations for future research including addressing the rates of primiparous IOL, the impact of continuity of midwifery carer on IOL experience outcomes; and Aboriginal women’s IOL experiences specifically.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 4","pages":"Article 101927"},"PeriodicalIF":4.4,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144134207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Practice and knowledge of umbilical cord clamping of terms infants among midwives and obstetricians in Jordan: A national study","authors":"Khitam Ibrahem Mohammad ,&nbsp;Doha Ababneh ,&nbsp;Mohammad Khaled Alafi ,&nbsp;Mohammed Albashtawy ,&nbsp;Abdullah Alkawaldeh ,&nbsp;Asem Abdalrahim ,&nbsp;Kamil Fram ,&nbsp;Debra Creedy","doi":"10.1016/j.wombi.2025.101930","DOIUrl":"10.1016/j.wombi.2025.101930","url":null,"abstract":"<div><h3>Background</h3><div>The absence of clinical guidelines on umbilical cord clamping may hinder evidence-based practice by midwives and obstetricians in Jordan.</div></div><div><h3>Objective</h3><div>To investigate current practices and knowledge among midwives and obstetricians regarding umbilical cord clamping for term infants and the influence of socio-demographic and professional factors.</div></div><div><h3>Methods</h3><div>This descriptive, cross-sectional study was conducted with 274 midwives and 51 obstetricians from 25 public hospitals that provide intrapartum care in Jordan. A paper-based questionnaire assessed current practices and knowledge regarding umbilical cord clamping.</div></div><div><h3>Results</h3><div>Most midwives and obstetricians (69.8 %) reported routinely performing early cord clamping for term infants (within &lt; 1 minute of childbirth). Around 61 % of participants reported poor knowledge regarding the benefits of delayed cord clamping. While participants with Bachelor and higher degree level education achieved higher knowledge scores, age was inversely correlated. Participants aged over 30 years, with more than 5 years’ experience, diploma level qualifications, obstetricians, and those with poor knowledge were more likely to perform early cord clamping.</div></div><div><h3>Conclusion</h3><div>Around two-thirds of midwives and obstetricians reported poor knowledge regarding the benefits of delayed cord clamping and were more likely to perform early cord clamping. Results highlight the need for national guidelines in Jordan in conjunction with continued education and training regarding umbilical cord clamping.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 4","pages":"Article 101930"},"PeriodicalIF":4.4,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A snapshot of Australian midwifery: A workforce survey","authors":"Kirsten Small ,&nbsp;Chanelle Warton ,&nbsp;Zoe Bradfield ,&nbsp;Kathleen Baird ,&nbsp;Jennifer Fenwick ,&nbsp;Caroline Homer","doi":"10.1016/j.wombi.2025.101928","DOIUrl":"10.1016/j.wombi.2025.101928","url":null,"abstract":"<div><h3>Background</h3><div>Midwives are the largest professional group in Australian maternity services. Understanding the current midwifery workforce and the issues midwives face is important for workforce planning.</div></div><div><h3>Aim</h3><div>Provide detailed understandings of the current Australian midwifery workforce, including potential attrition rates.</div></div><div><h3>Method</h3><div>Descriptive cross-sectional online survey of registered midwives.</div></div><div><h3>Findings</h3><div>3286 midwives contributed to the data. Respondents most commonly reported their gender as woman, were aged 40 – 59, worked part-time, and practised in a metropolitan setting. Only 11.8 % of midwives worked in roles where they might provide continuity of midwifery care, yet 37.5 % expressed an interest in working in midwifery group practice. One third (36.6 %) were considering leaving midwifery, for reasons mostly related to their workplace. Poor workplace culture, understaffing, over-medicalisation, and being unable to provide safe midwifery care were commonly reported concerns.</div></div><div><h3>Discussion</h3><div>This is the largest survey of the Australia midwifery workforce. While most midwives worked in clinical roles in the public sector, the range of roles was extremely diverse. Potential attrition rates are high, which would have a devastating impact on safe maternity care provision in Australia. More midwives want to work in continuity of midwifery carer models than are currently doing so.</div></div><div><h3>Conclusion</h3><div>Urgent action to improve midwifery workplaces is required to retain midwives and encourage greater workforce participation. Increasing midwifery student intakes, removing barriers to employment in flexible continuity of midwifery carer roles, and improving working conditions will contribute to a stronger future for the Australian midwifery workforce.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 4","pages":"Article 101928"},"PeriodicalIF":4.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144105202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A “better service” promoting “better experiences”: Midwives' experiences working in a caseload service for women of refugee backgrounds","authors":"Mpho Dube,&nbsp;Angela Bromley,&nbsp;Sarah Ireland,&nbsp;Yu Gao,&nbsp;Sue Kildea","doi":"10.1016/j.wombi.2025.101910","DOIUrl":"10.1016/j.wombi.2025.101910","url":null,"abstract":"<div><h3>Background</h3><div>Women of refugee backgrounds living in high-income countries experience health inequities. One contributing factor is maternity services that are unresponsive to their particular needs. In 2016, after a service evaluation identified significant issues, an Australian tertiary hospital redesigned a service for women of refugee backgrounds by incorporating continuity of midwifery carer with 24/7 phone access to midwives and interpreters. Midwives provided group antenatal care at a community venue with an onsite social worker, interpreters, and postnatal care at home. There is a dearth of literature describing midwives’ experiences of working in such services.</div></div><div><h3>Aim</h3><div>To explore and describe midwives’ experiences and perceptions of working at a dedicated Refugee Caseload Midwifery Group Practice service (RMGP).</div></div><div><h3>Methods</h3><div>One focus group and five one-on-one online interviews were conducted between 12 and 30 July 2021 with eight midwives working, or previously working, at the service. Reflexive thematic analysis interpreted midwives’ work perspectives and experiences.</div></div><div><h3>Findings</h3><div>Themes included 1) Accessible and responsive care, 2) Understanding and valuing women’s needs, and 3) Strong partnerships. Our findings suggest that the RMGP service promoted equity-oriented care by contextually tailoring care to meet women’s cultural and logistical needs. The service components were responsive to women’s needs, promoting easier access to care. However, midwives lacked adequate support to provide trauma-informed care.</div></div><div><h3>Conclusion</h3><div>The RMGP service promotes accessible care and is an excellent example of a service that provides equity-oriented care for women of refugee backgrounds. Effective training in trauma-informed care will enhance midwives’ provision of quality care.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 4","pages":"Article 101910"},"PeriodicalIF":4.4,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144105201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Humanising childbirth: Bridging respectful maternity care and mental health outcomes","authors":"Riza Amalia,&nbsp;Alwita Susanti,&nbsp;Ajeng Ayu Widiastuti","doi":"10.1016/j.wombi.2025.101917","DOIUrl":"10.1016/j.wombi.2025.101917","url":null,"abstract":"","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 4","pages":"Article 101917"},"PeriodicalIF":4.4,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144071448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do migrant women have equity of access to midwife continuity of care?","authors":"Sarah J. Melov ,&nbsp;James Elhindi ,&nbsp;Helena Qian ,&nbsp;Olivia Byrnes ,&nbsp;N. Wah Cheung ,&nbsp;P. Michelle de Vroome ,&nbsp;Geraldine Gilroy ,&nbsp;Tanya Nippita ,&nbsp;Michelle Simmons ,&nbsp;Gayatri Talla ,&nbsp;Lisa White ,&nbsp;Dipti Zachariah ,&nbsp;Allison Cummins ,&nbsp;Dharmintra Pasupathy","doi":"10.1016/j.wombi.2025.101918","DOIUrl":"10.1016/j.wombi.2025.101918","url":null,"abstract":"<div><h3>Background</h3><div>Migrant populations are recognised to be at increased risk of adverse health outcomes including perinatal outcomes. Structural barriers to maternity care and racism are recognised globally as an urgent issue for migrants. Midwife continuity of care (MCoC) has well known improved perinatal benefits.</div></div><div><h3>Aim</h3><div>To investigate if duration since migration was associated with reduced access to MCoC.</div></div><div><h3>Methods</h3><div>We conducted a retrospective cohort study from June 2020–November 2023 at six Australian hospitals. MCoC was investigated by hospital and self-identified ethnic group for women who migrated &lt; 5 years, ≥ 5 years compared to the Australian born population. Regression models adjusted for significant factors including use of interpreter and co-morbidities.</div></div><div><h3>Findings</h3><div>There were 48,240 participants for analysis. Most in the cohort were Australian born (54.7 %, n = 26,365), migrants of &lt; 5 years comprised 13.2 % (n = 6388) and those who migrated ≥ 5 years 32.1 % (n = 15,487). At all study hospitals, new migrants had the least access to MCoC. Compared to Australian born women, new migrants were 70 % less likely to receive MCoC (aOR 0.30; 95 %CI 0.27–0.34) and migrants of ≥ 5 years were 49 % less likely (aOR 0.51; 95 %CI 0.48–0.56). We identified a difference to access to MCoC between ethnic groups.</div></div><div><h3>Discussion</h3><div>Health literacy needs of women who are migrants should be addressed to improve equity of access to a model of care that is evidenced based to improve perinatal outcomes.</div></div><div><h3>Conclusion</h3><div>It is incumbent on health services to measure equity of access and adjust services to ensure equity of access for all populations.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 4","pages":"Article 101918"},"PeriodicalIF":4.4,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143927904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}