Women and Birth最新文献

{"title":"Midwives' negative experiences and outcomes, a phenomenological study \"Being a midwife in Istanbul; I am a midwife, I accompany births…, but I cannot be a midwife!\"","authors":"Dilan Comert ,&nbsp;Fadime Bayri Bingol","doi":"10.1016/j.wombi.2025.101956","DOIUrl":"10.1016/j.wombi.2025.101956","url":null,"abstract":"<div><h3>Problem and background</h3><div>In Turkey, the fact that midwives cannot actively perform midwifery during births negatively affects them. Studies examining the negative experiences and outcomes of midwives are quite limited.</div></div><div><h3>Aim</h3><div>The study was conducted to examine the negative experiences and outcomes of midwives.</div></div><div><h3>Method</h3><div>The study was designed with phenomenological design, one of the qualitative research types. The participants consisted of 19 midwives selected by snowball sampling method. Semi-structured, face-to-face in-depth interviews were conducted with the participants. Interviews were audio recorded and transcribed. The data were analysed using an inductive qualitative content analysis approach. In the open coding process, expressions with similar meanings were identified and coded; these codes were divided into categories and subcategories according to their similarities and differences. Themes were formed in line with the relationships between categories.</div></div><div><h3>Findings and results</h3><div>The data obtained were grouped under three main themes. The themes were determined as \"(I) negative experiences of midwives, (II) effects of midwives' negative experiences on their professional lives and (III) effects of midwives' negative experiences on their private lives. It was determined that midwives were exposed to mobbing and violence and had team problems. It was determined that they felt dissatisfied and disappointed as a result of the negative experiences they experienced. As a result, it was determined that midwives experienced burnout, secondary trauma, introversion and depression.</div></div><div><h3>Suggestions</h3><div>The sustainability of the midwifery workforce depends largely on improving their well-being and job satisfaction. This can be achieved by creating a positive working environment and implementing practical, long-term solutions. Supporting and advocating for midwives in the workplace by their managers can reduce burnout and dissatisfaction. Improving working conditions; reducing working hours, eliminating staff shortages, increasing wages, ensuring a balanced distribution of work intensity will reduce the intra-team conflict and tension experienced by midwives in their working environment.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 5","pages":"Article 101956"},"PeriodicalIF":4.4,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144703295","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":"Implementability of contraceptive implant insertions during midwife postnatal home visits: an exploratory qualitative study","authors":"Jessica R. Botfield ,&nbsp;Malcolm Moffat ,&nbsp;Catherine Dunphy ,&nbsp;Nicola Parry ,&nbsp;Jenna Perkins ,&nbsp;Sharon Cameron ,&nbsp;Kirsten Black","doi":"10.1016/j.wombi.2025.101955","DOIUrl":"10.1016/j.wombi.2025.101955","url":null,"abstract":"<div><h3>Problem</h3><div>Many women lack access to contraception information and services during pregnancy and postnatally and are at risk of unintentionally falling pregnant again soon after birth.</div></div><div><h3>Background</h3><div>Contraception enables women to attain their desired number and spacing of births. Better access to postpartum contraception is critical for informed decision-making, higher uptake and improved health outcomes. Home-based provision of the contraceptive implant may contribute to increasing access.</div></div><div><h3>Aim</h3><div>To explore the views of midwives on the implementability of midwives providing contraceptive implants during postnatal home visits</div></div><div><h3>Methods</h3><div>We conducted an exploratory qualitative interview study with 21 midwives. Reflexive thematic analysis was used to construct themes.</div></div><div><h3>Findings</h3><div>Home implant insertions were seen as generally acceptable and potentially feasible. Midwives’ primary concerns related to workload and scheduling, although most felt this could be manageable, particularly in continuity models. Two factors to promote implementability included i) enhanced ‘contraception conversations’ in maternity settings, and ii) strong leadership and support, including a policy and training framework, opportunities for practice, and consideration of workload.</div></div><div><h3>Discussion</h3><div>Midwives felt home insertions would be well-suited to continuity care models. Although this may be a beneficial starting point, it means key groups of women who would also benefit from contraception may be missed.</div></div><div><h3>Conclusion</h3><div>Midwives viewed provision of home implant insertions as generally acceptable and potentially feasible, in the context of early and ongoing contraception conversations and proper planning and support. Further research trialling implant insertions during midwife postnatal home visits is warranted to determine feasibility and acceptability in real settings.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 5","pages":"Article 101955"},"PeriodicalIF":4.4,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144703296","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":"Burnout, job satisfaction, and intention to leave among midwives in Western Switzerland: The role of caseload and hospital-based practice models","authors":"Pauline Sartori ,&nbsp;Kathrin Stoll ,&nbsp;Mechthild M. Gross ,&nbsp;Claudia Oblasser","doi":"10.1016/j.wombi.2025.101952","DOIUrl":"10.1016/j.wombi.2025.101952","url":null,"abstract":"<div><h3>Background</h3><div>Burnout and job dissatisfaction among midwives compromise healthcare quality and workforce retention. Practice models, such as hospital-based versus caseload models, may influence midwives’ well-being and warrant further exploration.</div></div><div><h3>Aim</h3><div>To examine the association between midwifery practice models (caseload vs. hospital) and burnout, job satisfaction, and the intention to leave the profession among midwives in Western Switzerland.</div></div><div><h3>Method</h3><div>A cross-sectional survey was conducted with 392 midwives, using the Copenhagen Burnout Inventory to assess personal, work-related, and patient-related burnout. Multivariable logistic regression explored associations between practice models and burnout levels, job satisfaction, as well as retention in the profession.</div></div><div><h3>Main results</h3><div>Hospital midwives were over nine times more likely than caseload midwives to experience moderate to high work-related burnout (OR = 9.18, <em>p</em> &lt; .001) and were 80 % less likely to report above average job satisfaction (OR = 0.21, <em>p</em> &lt; .001), considering differences between socio-demographic and practice-related factors between the two groups of midwives. Nearly half of all hospital-based participants expressed an intention to leave compared to one in three caseload midwives. Higher burnout and lower job satisfaction were linked to intentions to leave the profession.</div></div><div><h3>Discussion and conclusion</h3><div>Caseload models may protect midwives’ well-being and promote job satisfaction and retention. These findings highlight the critical need for practice model changes and structural reforms in hospital midwifery, incorporating caseload principles, to support sustainable maternal and child healthcare in Western Switzerland and retain a resilient midwifery workforce.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 5","pages":"Article 101952"},"PeriodicalIF":4.4,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144672226","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":"Indigenous community-based support traditions to enhance equity in maternity continuity of care: A perspective from Indonesia","authors":"Ashari Mahfud ,&nbsp;Anisatul Latifah,&nbsp;Citra Abriani Maharani,&nbsp;Shinta Mayasari,&nbsp;Muslikah,&nbsp;Marlin Sianturi","doi":"10.1016/j.wombi.2025.101954","DOIUrl":"10.1016/j.wombi.2025.101954","url":null,"abstract":"","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 5","pages":"Article 101954"},"PeriodicalIF":4.4,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144672225","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":"Maternal vaping and pregnancy adverse outcomes: A systematic review and meta-analysis","authors":"Alexandre Vallée ,&nbsp;Maha Eid ,&nbsp;Anis Feki ,&nbsp;Jean-Marc Ayoubi","doi":"10.1016/j.wombi.2025.101951","DOIUrl":"10.1016/j.wombi.2025.101951","url":null,"abstract":"<div><h3>Background</h3><div>The increasing use of vaping during pregnancy raises concerns due to known risks of nicotine exposure. This meta-analysis assesses the association between maternal vaping and preterm birth, low birth weight, and small-for-gestational-age, compared to non-smokers, tobacco smokers, and dual users (both vaping and combastible tobacco use).</div></div><div><h3>Methods</h3><div>A systematic review and meta-analysis was conducted following PRISMA guidelines. PubMed, Web of Science, and Cochrane Library were searched for studies published from Auguts 1986 to December 2024. Eligible studies included pregnant women using vaping, with reported outcomes on preterm birth, low birth weight, or small-for-gestational-age. Odds ratios (ORs) with 95 % confidence intervals (CIs) were pooled using fixed- or random-effects models.</div></div><div><h3>Results</h3><div>Nine studies involving 423,680 pregnant women met the inclusion criteria. Compared to non-smokers, vaping use was associated with a 40 % increased risk of preterm birth (OR = 1.40, 95 % CI: 1.25–1.58), a 49 % increased risk of low birth weight (OR = 1.49, 95 % CI: 1.32–1.69), and a 32 % increased risk of small-for-gestational-age (OR = 1.32, 95 % CI: 1.17–1.48). No significant difference was found between vaping users and smokers or dual users for preterm birth or low birth weight. However, vaping users had a 47 % lower risk of small-for-gestational-age (OR = 0.53, 95 % CI: 0.42–0.66), and a 67 % lower risk compared to dual users (OR = 0.33, 95 % CI: 0.18–0.61).</div></div><div><h3>Conclusion</h3><div>Vaping during pregnancy is associated with a significantly higher risk of preterm birth, low birth weight, and small-for-gestational-age, compared to non-use of nicotine.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 5","pages":"Article 101951"},"PeriodicalIF":4.4,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144604737","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":"Diversity of representation in pregnancy research: A national mixed-methods survey of women’s perceptions and experiences in the United Kingdom","authors":"Jacqueline Matthew ,&nbsp;Holly Lovell ,&nbsp;Zenab Barry ,&nbsp;Julie Nihouarn Sigurdardottir ,&nbsp;Imogen Deforges ,&nbsp;Lisa Story ,&nbsp;Emily Skelton ,&nbsp;Christina Malamateniou ,&nbsp;Mary Rutherford ,&nbsp;Sergio A. Silverio","doi":"10.1016/j.wombi.2025.101942","DOIUrl":"10.1016/j.wombi.2025.101942","url":null,"abstract":"<div><h3>Aim</h3><div>To explore the experiences and perceptions of women who may take part in antenatal research, including their perceived motivators, enablers, and barriers to participating in research with a sub-analysis of under-represented groups.</div></div><div><h3>Methods</h3><div>A mixed-methods parallel explanatory design was employed, and a national semi-structured online survey was circulated nationally using a start to end participatory framework. Likert scale responses and participant experience and demographic data were cross-tabulated to explore the differences between groups using descriptive and non-parametric statistics. A content analysis was used to explore open-ended questions and generate coding clusters. The qualitative and quantitative results were then merged using a using a pillar integration process.</div></div><div><h3>Findings</h3><div>There were 260 survey responses across the UK, from Oct to Nov 2021 as part of wider research. Three meta-themes were developed from the merged integration: 1. Participation being mediated by perceptions and experience of safety, convenience, and communication, 2. Lived experience and education may increase access to research participation, and 3. Sociocultural differences may lead to research hesitancy.</div></div><div><h3>Conclusion</h3><div>Clinical researchers and research delivery teams working in antenatal settings, have the potential to impact the inclusion of underserved communities through facilitative research designs, well considered communication strategies, and authentic relationships which support participant education about research.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 4","pages":"Article 101942"},"PeriodicalIF":4.4,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480148","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":"Modifiable and vulnerability factors for maternal stress and anxiety in the first 1000 days: An umbrella review and framework","authors":"Karen Matvienko-Sikar ,&nbsp;Willeke v Dijk ,&nbsp;Samantha Dockray ,&nbsp;Patricia Leahy-Warren","doi":"10.1016/j.wombi.2025.101941","DOIUrl":"10.1016/j.wombi.2025.101941","url":null,"abstract":"<div><h3>Background</h3><div>Maternal stress and anxiety during pregnancy and up to 2 years postpartum have important implications for the physical health and psychological wellbeing of women and children.</div></div><div><h3>Aim</h3><div>An umbrella review synthesised the modifiable and vulnerability factors related to perinatal and early parenthood stress and anxiety from the literature to develop a theoretically-informed framework for future interventions.</div></div><div><h3>Methods</h3><div>MEDLINE, CINAHL, PsycINFO, and Maternity and Infant Care databases were searched from database inception to September 2023. All systematic reviews, meta-analyses, qualitative evidence syntheses, and rapid or scoping reviews that focused on pregnant women and/or up to 2 years postpartum and examined factors associated with perinatal and/or early parenthood maternal stress and/or anxiety were included. Each paper was reviewed using A MeaSurement Tool to Assess systematic Reviews (AMSTAR-2). Narrative synthesis and framework development were informed by the social ecological and diathesis-stress models.</div></div><div><h3>Findings</h3><div>Forty-three reviews were included. Factors related to maternal stress and anxiety were identified across social-ecological levels. The strongest evidence for modifiable factors was identified for existing mental health issues and interpersonal factors, such as social support. There was moderate evidence for modifiable factors including social norms and stigma, health behaviours, and expectancies. Vulnerability factors identified included sociodemographic factors, life history, maternal health, and birth-related factors, interpersonal factors, and child-related factors.</div></div><div><h3>Conclusion</h3><div>Addressing identified modifiable factors across multiple ecological levels, with consideration of vulnerability factors that impact on stress and anxiety outcomes is essential. The theoretically informed framework developed in this umbrella review can guide identifying and addressing these factors to reduce perinatal and early parenthood maternal stress and anxiety.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 4","pages":"Article 101941"},"PeriodicalIF":4.4,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144335938","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":"Evaluating knowledge, attitudes and preparedness of health care providers to respond to intimate partner violence in the Western Pacific Region: A scoping review","authors":"Cherolyn Pokawin Polomon ,&nbsp;Kathleen Marion Baird ,&nbsp;Heike Roth ,&nbsp;Debra Anderson","doi":"10.1016/j.wombi.2025.101939","DOIUrl":"10.1016/j.wombi.2025.101939","url":null,"abstract":"<div><h3>Background</h3><div>Intimate partner violence (IPV) during pregnancy is a prevalent human rights issue as well as a serious public health issue. Adverse health outcomes of IPV are no longer in doubt; however, there continues to be a lack of acknowledgement of the importance of health sectors response to recognise and support survivors of violence, especially in low- and middle-income countries <span><span>[7]</span></span>; Khalil et al., 2016).</div></div><div><h3>Objectives</h3><div>The aim of the scoping review was to identify, synthesise, appraise, and report on relevant literature in the Western Pacific Region and to identify any gaps in knowledge, attitudes, and preparedness of health care providers towards IPV identification during pregnancy in relation to maternal health service provision.</div></div><div><h3>Method</h3><div>A scoping review was conducted following the Joanna Briggs Institute guideline<strong>.</strong> A comprehensive search of research databases was conducted across six different databases. The review included peer-reviewed articles published in English from January 2000 to May 2023, with a primary focus on identifying literature conducted within the Western Pacific Region (WPR). Reference lists of included studies were also searched for any relevant literature. Titles and abstracts of the papers retrieved were reviewed by two reviewers. A third reviewer was used to resolve discrepancies using systematic review software. Key characteristics of the included studies were mapped and analysed using content analysis to synthesize and report findings.</div></div><div><h3>Findings</h3><div>Twelve articles were included in the review. Eight articles were conducted in Australia a high-income country. The remaining four articles were from low- and-middle-income countries (LMIC), China, Philippines, Vietnam, and Malaysia. The findings were grouped into three main themes: (1) ‘Lack of healthcare providers knowledge and understanding of IPV as a health issue’, (2) ‘Lack of health care provider confidence to respond to IPV’, and (3) ‘Preparedness of healthcare providers to address IPV within the healthcare sector’.</div></div><div><h3>Conclusion and recommendations</h3><div>Adequate knowledge and awareness of IPV as a prevalent public health issue with detrimental effects on the health of women and children enhance the ability of care providers to respond effectively to IPV within the health sector.</div><div>A lack of healthcare provider competence in identifying and responding to IPV results in missed opportunities to address the health and social impacts of IPV. Further research is needed to identify screening practices for IPV in LMICs of the WPR, where the health and social burden is significant.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 4","pages":"Article 101939"},"PeriodicalIF":4.4,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144322157","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":"Enablers and barriers to practice planned home birth for midwives in Spain: A qualitative study","authors":"Alba Sola-Martinez ,&nbsp;Vanesa Gutiérrez-Puertas ,&nbsp;Trinidad Maria Galera-Barbero ,&nbsp;Lorena Gutiérrez-Puertas","doi":"10.1016/j.wombi.2025.101938","DOIUrl":"10.1016/j.wombi.2025.101938","url":null,"abstract":"<div><h3>Problem</h3><div>Planned home birth is a practice that remains uncommon in Spain, and research on midwives' perspectives regarding the facilitation of planned home births is scarce.</div></div><div><h3>Background</h3><div>The quality of care in planned home births assisted by midwives is increasingly improving. However, in Spain, the supported of planned home births remains a controversial topic and is a practice rarely undertaken by midwives.</div></div><div><h3>Aim</h3><div>The objective of this study was to describe the perceptions and views of midwives working in the clinical setting of the Spanish public healthcare system regarding the supported of planned home births.</div></div><div><h3>Methods</h3><div>A qualitative descriptive design, using thematic analysis was employed. Semi-structured interviews and focus group were conducted in 2024 with midwives working in the Spanish public health care setting (n = 14).</div></div><div><h3>Findings</h3><div>Three main themes were developed reflecting the patterns of meaning constructed through the data analysis: a) Perceived barriers and benefits of planned home birth with the subthemes “identifying obstacles to implementing planned home birth” and “motivations offered by the process”; b) <em>The duality that accompanies home birth</em> with the subthemes “in the shadows of the underground” and “demystifying the process”; c) <em>The struggle for recognition</em> with subthemes “integrating planned home birth into the public health system” and “promoting the path toward change”.</div></div><div><h3>Discussion</h3><div>Participants identified the factors and challenges that interfere with the facilitation of planned home births, emphasizing the need to develop strategies and initiatives with significant impact at governmental, professional, and social.</div></div><div><h3>Conclusion</h3><div>The data obtained provide an opportunity to reflect on the importance of including planned home birth support within the healthcare system.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 4","pages":"Article 101938"},"PeriodicalIF":4.4,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144272484","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":"Editorial – 2025 Women and Birth Special Issue on midwifery education","authors":"Deborah Fox","doi":"10.1016/j.wombi.2025.101940","DOIUrl":"10.1016/j.wombi.2025.101940","url":null,"abstract":"","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 4","pages":"Article 101940"},"PeriodicalIF":4.4,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144272485","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}