Women and Birth最新文献

{"title":"Birth houses in Australia: Discovery of safe, transformative birthplaces","authors":"Rowena Shakes ,&nbsp;Mary Sidebotham ,&nbsp;Roslyn Donnellan-Fernandez","doi":"10.1016/j.wombi.2024.101831","DOIUrl":"10.1016/j.wombi.2024.101831","url":null,"abstract":"<div><h3>Background</h3><div>Institutionalised birth settings do not meet the needs or wishes of all women. Current literature has reported on women’s experiences of alternative birthplaces, however there is no published data on Australian birth houses. Birth houses are low-technology home-like birthplaces where women receive care from endorsed private practice midwives. Knowledge of women’s perspectives and experiences of birth houses is unreported.</div></div><div><h3>Aims</h3><div>To gain understanding of women’s motivations for accessing and experiences of birth houses; and develop insight into the role of birth houses within Australian maternity services.</div></div><div><h3>Methods</h3><div>A qualitative descriptive study was conducted in 2020. This methodology was chosen to centre women’s voices of their experiences. Women who had utilised birth houses for labour and birth were invited to participate. Those who responded completed a brief questionnaire to support diversity in participant selection. Interviews were conducted via video-link, based on semi-structured open-ended questions. These were transcribed verbatim and thematically analysed.</div></div><div><h3>Findings</h3><div>Ten women who utilised any of three known birth houses in Australia for labour and/or birth were interviewed. Four themes were revealed: “<em>I knew there must be another</em> way<em>”, “The best of both worlds”, “Discovering a safe space”</em> and <em>“Transformation”</em> with safety interwoven through each of these.</div></div><div><h3>Discussion</h3><div>Women sought birthplaces and care congruent with their values and knowledge. Birth houses offered women a level of agency unavailable within hospital-based maternity care. While proximity to medical facilities was important, women’s definitions of safety transcended biomedical perspectives to incorporate emotional and psychosocial wellbeing. Women described their experiences in birth houses as transformational, highly satisfying, and positive influences for future birthplace choices.</div></div><div><h3>Conclusion</h3><div>Women sought birth houses for safety, convenience, agency and autonomy. This study demonstrated these needs were met within birth houses, highlighting these birthplaces as a middle ground between home and hospital. High levels of satisfaction illustrate the validity of birth houses and reiterate the call for greater birthplace choice for all women.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"37 6","pages":"Article 101831"},"PeriodicalIF":4.4,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The acceptability of implementation of group B Streptococcus testing: Perspectives from women and health professionals in the GBS3 trial: A qualitative study","authors":"Georgina Constantinou ,&nbsp;Susan Ayers ,&nbsp;Eleanor J. Mitchell ,&nbsp;Kate F. Walker ,&nbsp;Soo Downe ,&nbsp;Ann-Marie Jones ,&nbsp;Sarah Moore ,&nbsp;Jane P. Daniels ,&nbsp;GBS3 Collaborative Group","doi":"10.1016/j.wombi.2024.101832","DOIUrl":"10.1016/j.wombi.2024.101832","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the acceptability of different methods of routine testing for group B Streptococcus (GBS) colonisation to pregnant women and health care professionals (HCPs), and to examine barriers and facilitators to their implementation.</div></div><div><h3>Design</h3><div>Qualitative study, embedded in a cluster randomised trial</div></div><div><h3>Setting</h3><div>Four NHS maternity units participating in the GBS3 Trial: two conducting routine antenatal enriched culture medium (ECM) testing; and two using routine rapid intrapartum testing.</div><div><strong>Sample</strong></div><div>39 women and 25 HCPs purposively sampled to ensure representation of women with various birthing experiences and different professions.</div><div><strong>Methods</strong></div><div>Women were interviewed approximately 12 weeks postpartum by telephone or online video call, using a semi-structured topic guide. HCPs were interviewed during the testing period of the trial. Interviews were transcribed for thematic analysis and summarised using the framework method.</div></div><div><h3>Results</h3><div>Four categories of interest emerged: (1) views of routine testing; (2) acceptability of the testing procedure; (3) preferences on the types of test; (4) improving the testing procedure. Routine GBS testing was well received by both women and HCPs. Most participants found the procedure acceptable and were willing to receive the offer of testing in the future. Preferences for different testing methods varied, with participants emphasising the importance of evidence and informed choice.</div></div><div><h3>Conclusions</h3><div>Routine GBS testing is acceptable to most women and HCPs. Areas for consideration and the practicalities of implementing testing in maternity services are highlighted.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"37 6","pages":"Article 101832"},"PeriodicalIF":4.4,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142442515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Women and midwives’ experiences of an audio-visual enhanced hospital birth environment: An interview study","authors":"Mariann Hadland ,&nbsp;Sari Holland ,&nbsp;Wendy Smyth ,&nbsp;Cate Nagle","doi":"10.1016/j.wombi.2024.101830","DOIUrl":"10.1016/j.wombi.2024.101830","url":null,"abstract":"<div><h3>Problem</h3><div>Most hospital birth environments remain clinical in appearance and are not attuned to the neurohormonal processes that orchestrate labour and birth. Hospital environments are therefore not aligned with the innate needs of a woman to feel safe and secure in the place where she gives birth.</div></div><div><h3>Background</h3><div>Research has suggested that audio-visual effects such as nature images and sounds may help promote physiological labour in women at low risk of complications. This study aimed to explore the experiences of women labouring in a hospital birth environment enhanced with audio-visual technology, regardless of pregnancy complexity and use of interventions. Experiences of midwives providing one-to-one midwifery care in this environment were also explored.</div></div><div><h3>Methods</h3><div>Transcripts of semi-structured interviews conducted with thirty-two women and six midwives were analysed thematically.</div></div><div><h3>Findings</h3><div>Universally, women reported that access to audio-visual imagery and soundtracks in the birth environment positively influenced their experience of labour. Nature images and sounds during labour helped create serenity and calmness within the woman and her surroundings, allowing her to relax and focus inwards. Midwives used this technology to create a calm and psychologically safe environment for women giving birth in the hospital. Projecting nature images and sounds became a medium for midwives to create ambience and instil calmness in the clinical environment. Midwives also reported observing positive impacts on the behaviours of other clinicians entering the room.</div></div><div><h3>Conclusion</h3><div>Audio-visual enhancement of the hospital birth environment was found to enhance women’s birth experiences and support midwives providing woman-centred care.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"37 6","pages":"Article 101830"},"PeriodicalIF":4.4,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The neurodivergent perinatal experience — A systematic literature review on autism and attention deficit hyperactivity disorder","authors":"Jata K. Elliott ,&nbsp;Kate Buchanan ,&nbsp;Sara Bayes","doi":"10.1016/j.wombi.2024.101825","DOIUrl":"10.1016/j.wombi.2024.101825","url":null,"abstract":"<div><h3>Background</h3><div>Neurodivergent individuals often face unique challenges during the perinatal period, which can significantly impact their experiences of pregnancy, childbirth, and early parenting. Despite growing awareness of neurodiversity, there remains a gap in perinatal care that fully addresses the lived experiences and needs of those with neurodivergent conditions such as Autism (ASD) and Attention-Deficit/Hyperactivity Disorder (ADHD).</div></div><div><h3>Objective</h3><div>To compile and analyse recent literature on the perinatal experiences of neurodivergent parturients. To provide an overview of current knowledge, identify prevalent challenges, and suggest opportunities for improving perinatal services. Additionally, we aim to highlight research gaps that guide future studies and enhance care quality for neurodivergent individuals during the perinatal period.</div></div><div><h3>Methods</h3><div>The Systematic Reviews methodological process was utilised to search relevant scientific databases to gather current research articles on neurodivergent perinatal experiences. Eleven studies met the inclusion criteria and were appraised using a rigorous quality checklist. Thematic analysis identified recurring themes across the selected papers.</div></div><div><h3>Results</h3><div>Three major themes emerged: <em>Care provider support, Perinatal mental health needs, and Resilience and growth of neurodivergent parturients</em>. These themes highlight significant differences in perinatal experiences between neurodivergent and neurotypical individuals, underscoring the need for tailored care approaches.</div></div><div><h3>Conclusion</h3><div>The findings reveal that current perinatal care practices do not adequately address the specific challenges faced by perinatal neurodivergent individuals. There is a critical need for perinatal care systems to integrate neurodiversity-affirming practices. Future research should consider intersectionality to include marginalised and underrepresented neurodivergent voices.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"37 6","pages":"Article 101825"},"PeriodicalIF":4.4,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Where’s my baby?” A feminist phenomenological study of women experiencing preventable separation from their baby at caesarean birth","authors":"Linda J. Deys ,&nbsp;Valerie Wilson ,&nbsp;Sara Bayes ,&nbsp;Shahla Meedya","doi":"10.1016/j.wombi.2024.101828","DOIUrl":"10.1016/j.wombi.2024.101828","url":null,"abstract":"<div><h3>Problem</h3><div>Separating women and babies immediately after birth contributes to poor birth experience and reduced satisfaction.</div></div><div><h3>Background</h3><div>A negative birth experience can impact a woman’s transition to motherhood and emotional well-being beyond the newborn period. Separating women from their baby at birth is known to reduce birth satisfaction and is more likely to happen at caesarean section births.</div></div><div><h3>Question</h3><div>What is the experience of women who are separated from their baby after caesarean section birth without medical necessity?</div></div><div><h3>Methods</h3><div>Unstructured, in-depth phenomenological interviews were conducted with fifteen women who had been separated from their well-baby at caesarean section birth. Data was analysed using a Modified van Kaam approach. A novel feminist phenomenological framework with two birthing theories was used to explore the experience of the participants.</div></div><div><h3>Findings</h3><div>Four major themes emerged – Disconnection, Emotional Turmoil, Influence, and Insight. These demonstrated significant trauma that both the separation and perinatal care created.</div></div><div><h3>Discussion</h3><div>The participants recognised their vulnerability and the lack of power and control they had over themselves and their baby, which was seemingly not acknowledged. Provider and hospital needs were valued above those of the women.</div></div><div><h3>Conclusion</h3><div>Woman-centred care was not evident in the treatment of these women despite the attendance of a midwife at each birth. This research challenges midwives and other health care providers to support and advocate for those birthing by caesarean section to return power and control and support them to remain in close physical contact with their baby immediately after birth.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"37 6","pages":"Article 101828"},"PeriodicalIF":4.4,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pandemic-related prenatal maternal stress, model of maternity care and postpartum mental health: The Australian BITTOC study","authors":"Belinda Lequertier ,&nbsp;Mia A. McLean ,&nbsp;Sue Kildea ,&nbsp;Suzanne King ,&nbsp;Hazel Keedle ,&nbsp;Jacqueline A. Boyle ,&nbsp;Hannah G. Dahlen","doi":"10.1016/j.wombi.2024.101827","DOIUrl":"10.1016/j.wombi.2024.101827","url":null,"abstract":"<div><h3>Problem</h3><div>Women pregnant during the COVID-19 pandemic may be at risk of elevated postpartum mental health problems.</div></div><div><h3>Background</h3><div>Social support protects maternal mental health during a pandemic. It is possible that formal supports, such as continuity maternity models of care, may also support maternal wellbeing.</div></div><div><h3>Aim</h3><div>To investigate whether model of care moderates the association between prenatal maternal stress from the COVID-19 pandemic, and postpartum (a) depression and (b) anxiety.</div></div><div><h3>Methods</h3><div>Women in Australia, pregnant during the COVID-19 pandemic (<em>n</em> = 3048), completed a survey detailing their COVID-19-related objective hardship and subjective distress during pregnancy and completed depression and anxiety measures at birth to six weeks (“Early”), seven to 21 weeks (“Moderate”), and/or 22–30 weeks (“Late”) postpartum.</div></div><div><h3>Findings</h3><div>Higher subjective distress was associated with elevated depression and anxiety at all timepoints. Model of care did not moderate the association of objective hardship or subjective distress and depression or anxiety at any timepoint. Compared with Standard Care, women receiving private midwifery care had a 74 % reduction in the odds of elevated anxiety in early postpartum.</div></div><div><h3>Discussion</h3><div>Women receiving private midwifery may have experienced lower anxiety due to a greater duration of postpartum in-home care, fewer changes to service delivery, and the option of homebirth. Women pregnant during a pandemic should be screened for higher subjective distress about the event.</div></div><div><h3>Conclusion</h3><div>These results suggest that continuity of private midwifery care may be beneficial for supporting postpartum mental health during a pandemic, with implications for practice and policy for the current and future pandemics.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"37 6","pages":"Article 101827"},"PeriodicalIF":4.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142328358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“In an ideal world”: A qualitative exploration of shared decision-making and weight stigma in antenatal care","authors":"Madeline Hawke ,&nbsp;Julie Considine ,&nbsp;Linda Sweet","doi":"10.1016/j.wombi.2024.101824","DOIUrl":"10.1016/j.wombi.2024.101824","url":null,"abstract":"<div><h3>Background</h3><p>Shared decision-making supports women’s autonomy in antenatal care, but several barriers to shared decision-making have been identified in practice. Women with high body mass index experience a higher rate of interventions, which could provide more opportunities for shared decision-making in antenatal care. However, weight stigma may exist as a barrier to shared decision-making, limiting access to collaborative care.</p></div><div><h3>Aim</h3><p>To explore how shared decision-making is implemented and whether body mass index influences maternity clinicians' use of shared decision-making when providing antenatal care for women.</p></div><div><h3>Methods</h3><p>Maternity clinicians were recruited via purposive sampling from two sites in metropolitan Melbourne, Australia. Semi-structured interviews were audio recorded, transcribed, and analysed using reflexive thematic analysis.</p></div><div><h3>Findings</h3><p>Twelve maternity clinicians consented to participate. Three themes and ten sub-themes were identified. The themes were: 1) Whose choice is it anyway? 2) Pregnancy as risky 3) Excess weight as a diseased state.</p></div><div><h3>Discussion</h3><p>Maternity clinicians in this study view pregnancy through a risk management lens that complicates women’s involvement in decision-making, demonstrating inherent beliefs that may further limit options for women with high body mass index.</p></div><div><h3>Conclusion</h3><p>Shared decision-making is difficult to implement in the current antenatal clinic setting and requires significant structural consideration to become a reality for women. Clinicians may inadvertently limit meaningful opportunities to engage in shared decision-making with women with high body mass index due to preconceived perceptions of risk and stigmatising beliefs about women with high body mass index.</p></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"37 6","pages":"Article 101824"},"PeriodicalIF":4.4,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1871519224002841/pdfft?md5=72f9da601241f6d608b11f8490fcb64d&pid=1-s2.0-S1871519224002841-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142271098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Humanising childbirth – Maternity acupressure training for healthcare providers at the Fernandez Foundation Hospitals, Hyderabad, India. Evaluation of program delivery in one region of India","authors":"Kate M. Levett ,&nbsp;Emilie Salomons ,&nbsp;Pooja Shenoy ,&nbsp;Inderjeet Kaur ,&nbsp;Evita Fernandez","doi":"10.1016/j.wombi.2024.101819","DOIUrl":"10.1016/j.wombi.2024.101819","url":null,"abstract":"<div><h3>Background</h3><p>Internationally, traditional medicine approaches are used to support humanised childbirth practices. Labour support issues in low- and middle-income countries (LMICs), include limited resources, staffing, and escalating pharmaceutical interventions. There is a strong interest in evidence-based acupressure programs, however, training and experience to implement them is limited. Maternity professionals at the Fernandez Foundation (FF) including associated hospitals in the Hyderabad region, India, sought training in acupressure to support humanised childbirth.</p></div><div><h3>Aims</h3><p>To evaluate the implementation of the ‘Acupressure for childbirth training program’ at FF hospitals, up to 6-months post-training, including barriers and facilitators, as well as determining pregnancy and labour conditions for which the techniques are most useful.</p></div><div><h3>Methods</h3><p>Pre- and post-training, and 6-month surveys, were distributed to participants.</p></div><div><h3>Results</h3><p>Participants included a diverse group of 88 midwives, doulas, physiotherapists, educators and obstetricians. There were significant improvements in participant skills and knowledge, which persisted up to 6-months post-training (p&lt;0.01). Participants indicated they were ‘highly satisfied’ with the training, and found it valuable, easy to implement, and reported extremely positive responses from women and support people. Facilitators to implementation included ‘strategies and ideas’, ‘effectiveness of pain relief’, and ‘aiding labour progress’. Barriers included ‘other staff and institutional challenges’, ‘needing more training’, ‘women’s attitudes’.</p></div><div><h3>Conclusion</h3><p>Acupressure training as part of a humanised approach to childbirth, demonstrates significant skill and knowledge gain, usefulness of training and skills, ease of implementation, and a highly positive reception within the clinical environment. Implementation of these practices should be widespread and supported by policy makers and clinicians.</p></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"37 6","pages":"Article 101819"},"PeriodicalIF":4.4,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142240003","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":"Midwifery student engagement with digital interactive books: A cross sectional survey","authors":"Hazel Keedle,&nbsp;Katherine Young,&nbsp;Fiona Arundell,&nbsp;Elaine Burns","doi":"10.1016/j.wombi.2024.101826","DOIUrl":"10.1016/j.wombi.2024.101826","url":null,"abstract":"<div><h3>Aim</h3><p>To explore the benefit and engagement of undergraduate students’ use of H5P interactive books for student learning.</p></div><div><h3>Design</h3><p>An evaluation study of technology enabled learning for first year undergraduate Bachelor of Midwifery students in Australia.</p></div><div><h3>Methods</h3><p>Students were invited to complete an online evaluation survey of their use and engagement with H5P interactive books. The survey included the long form User Engagement Scale which has four subscales of focused attention, aesthetic appeal, reward factor and perceived usability scored on a 5-point Likert scale. Content analysis was used to analyse the text comments given to five open text questions.</p></div><div><h3>Results</h3><p>There were 21 students who completed the survey. There was a high overall User Engagement Scale score of 73.1 % with aesthetic appeal and reward factor being the highest scoring subscales. The content analysis showed students found the interactive books engaging and easy to navigate. Areas for improvement identified were not including a large amount of content and providing downloadable content.</p></div><div><h3>Conclusions</h3><p>This study demonstrates the valuable and engaging use of H5P Interactive Books for undergraduate students in higher education. Students who used H5P Interactive Books identified their ease of use, organised layout and engaging format.</p></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"37 6","pages":"Article 101826"},"PeriodicalIF":4.4,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1871519224002865/pdfft?md5=f0f69cce13e408f3e23fd77c3635298c&pid=1-s2.0-S1871519224002865-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142232071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sharing midwifery philosophy through a positive learning environment prepares students for a future providing midwifery continuity of care: A mixed method study","authors":"Nicole Hainsworth ,&nbsp;Lyndall Mollart ,&nbsp;Elysse Prussing ,&nbsp;Danielle Clack ,&nbsp;Allison Cummins","doi":"10.1016/j.wombi.2024.101808","DOIUrl":"10.1016/j.wombi.2024.101808","url":null,"abstract":"<div><h3>Background</h3><p>Global and national frameworks for midwifery education recognise and prioritise the provision of midwifery continuity of care. Previous studies report that learning is enhanced when students have professional experience placements within these models, however there remains wide variation in midwifery students’ access to placements within these models in Australia.</p></div><div><h3>Aim</h3><p>To evaluate Bachelor of Midwifery students’ experiences in midwifery continuity of care models within two local health districts in New South Wales, Australia.</p></div><div><h3>Method</h3><p>A mixed methods design was used: qualitative data collected through interviews, and quantitative data collected via an online survey using the Midwifery Student Evaluation of Practice (MidSTEP) tool. Thematic analysis of qualitative data and descriptive analysis of quantitative data was undertaken.</p></div><div><h3>Results</h3><p>Sixteen students responded, four students were interviewed, and 12 students completed the survey. The MidSTEP mean scores for all sub-scales rated above 3.0/4.0. Participants rated ‘work across the full scope of midwifery practice’ and five out of eight subscales of Philosophy of Midwifery Practice at 100 %. ‘Experiences prepare me to be a change agent for maternity service reform’ rated the lowest (67 %). Three qualitative themes emerged: care versus carer model; learning experience; and future career as a caseload midwife.</p></div><div><h3>Conclusion</h3><p>A mixed method approach using a validated tool to measure student experiences, contributes to the evidence that students value professional experience placements within midwifery continuity of care models. Currently this is not an option for all midwifery students and as midwifery continuity of care models expand, these findings will inform further implementation of student professional experience placement within these models.</p></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"37 6","pages":"Article 101808"},"PeriodicalIF":4.4,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1871519224002683/pdfft?md5=fc263a75242dfebea4c28b5a24d57fb8&pid=1-s2.0-S1871519224002683-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142168513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}