Women and Birth最新文献

{"title":"The social conception of space of birth according to women with positive birth experiences: A trans-European study","authors":"Yvonne J. Kuipers ,&nbsp;Gill Thomson ,&nbsp;Elise van Beeck ,&nbsp;Ema Hresanová ,&nbsp;Josefina Goberna-Tricas ,&nbsp;Sara Rodriguez Martin ,&nbsp;Simona Ruta Cuker ,&nbsp;Lisa Chudaska ,&nbsp;Irmi Waldner ,&nbsp;Christoph Zenzmaier ,&nbsp;Julia Leinweber","doi":"10.1016/j.wombi.2025.101916","DOIUrl":"10.1016/j.wombi.2025.101916","url":null,"abstract":"<div><h3>Background</h3><div>The social space of birth—the birth environment, its occupants, and the human activities taking place—is interconnected with birth experiences.</div></div><div><h3>Aim</h3><div>To investigate how the reality of the social space of birth affects women’s positive birth experiences.</div></div><div><h3>Methods</h3><div>We combined open-text responses to the Babies Born Better survey from 3633 postpartum women in Austria, Belgium, the Czech Republic, Germany, Spain, the Netherlands, and the United Kingdom and 39 interview transcripts from Czech and Dutch postpartum women. We conducted a textual and thematic analysis.</div></div><div><h3>Findings</h3><div>Three themes and 11 categories were generated: (1) <em>Exercising fundamental human agency in the birth space</em> consists of the categories: ‘exercising rights’, ‘the protection of human vulnerability’, and ‘the freedom to be authentic’, which women regard as prerequisite components of the birth space. (2) <em>Regulatory frameworks &amp; care philosophies in maternity services</em>, including the categories ‘(financial) regulations’, ‘values of the care provider and the institution’, and ‘model of care’, are regarded as attributes of the birth space. Theme (3) <em>Building a nest for comfort and connection</em> comprises the categories ‘relational and affective atmosphere during labour &amp; birth’, ‘performative atmosphere during labour &amp; birth’, ‘shelter’, ‘implicit and explicit tacit doing &amp; being’ and ‘symbol of deeper meaning’.</div></div><div><h3>Discussion/Conclusion</h3><div>The reality of the birth space of women with positive birth experiences consists of human rights and birth rights, the quality of interactions with care providers during labour and birth in a relationship-centred and relation-continuity model of care, and a place to retreat from the world.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 3","pages":"Article 101916"},"PeriodicalIF":4.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890789","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":"From mourning to memorialising – A lasting connection through remembrance: The role of memory making in preserving the identity of parenthood amongst women who have suffered a perinatal bereavement","authors":"Elana Payne ,&nbsp;Sergio A. Silverio ,&nbsp;Rebecca E. Fellows ,&nbsp;Lauren E. Heywood ,&nbsp;Karen Burgess ,&nbsp;Claire Storey ,&nbsp;Munira Oza ,&nbsp;Flora E. Kent-Nye ,&nbsp;Leonie Haddad ,&nbsp;Amy Sampson ,&nbsp;The PUDDLES UK Collaboration ,&nbsp;Katherine Knighting","doi":"10.1016/j.wombi.2025.101902","DOIUrl":"10.1016/j.wombi.2025.101902","url":null,"abstract":"<div><h3>Problem</h3><div>Perinatal bereavement can severely disrupt women’s anticipated role as mothers, affecting their psychological wellbeing and identity as parents.</div></div><div><h3>Background</h3><div>Existing research highlights many women report persistent and enduring grief for months or even years post-loss, highlighting the urgent need for interventions to help maintain a healthy parental identity and mitigate long-term mental health impacts.</div></div><div><h3>Aim</h3><div>To explore how memory-making practices, supported by compassionate care, serve to preserve the parental identity of bereaved mothers after perinatal loss.</div></div><div><h3>Methods</h3><div>Semi-structured qualitative interviews were conducted with 54 UK-based women who had experienced a perinatal bereavement. Grounded Theory Analysis guided the inductive coding and thematic development.</div></div><div><h3>Findings</h3><div>Five themes emerged: (1) Compassion to Care; (2) Finding Comfort in Guidance; (3) Deriving Hope from Parental Identity; (4) Altruism as Catharsis; and (5) Comforted and Consoled. Together, these themes gave rise to the final theory, ‘From Mourning to Memorialising – A Lasting Connection through Remembrance,’ demonstrating how memory-making enables bereaved mothers to preserve their sense of parenthood after loss.</div></div><div><h3>Discussion</h3><div>Memory-making activities allow bereaved mothers to acknowledge their baby’s existence and uphold their parental identity. When supported by compassionate care and support, these activities help to integrate the baby’s memory into daily life, gradually easing acute grief. Over time, they become lasting markers which validate motherhood, foster continuity, and provide solace, ensuring that parenthood endures despite the absence of a living child.</div></div><div><h3>Conclusions</h3><div>Structured memory-making and compassionate care strategies can enhance parental identity retention, fostering emotional resilience and guiding more effective bereavement care provision.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 3","pages":"Article 101902"},"PeriodicalIF":4.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143894933","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":"Beyond bereavement: Women’s healthcare experiences and cardiovascular disease risk in the years after stillbirth and recurrent early pregnancy loss","authors":"Bec Jenkinson ,&nbsp;Melanie McKenzie ,&nbsp;Ayme Limmer ,&nbsp;Valerie Charlton ,&nbsp;Leah Hardiman ,&nbsp;Sam Payne ,&nbsp;Anna Lee Ura ,&nbsp;Carissa Bonner ,&nbsp;Sheleigh Lawler ,&nbsp;Philippa Middleton ,&nbsp;Jenny Doust ,&nbsp;Gita D. Mishra","doi":"10.1016/j.wombi.2025.101915","DOIUrl":"10.1016/j.wombi.2025.101915","url":null,"abstract":"<div><h3>Problem</h3><div>Cardiovascular disease (CVD) is the leading cause of death among women.</div></div><div><h3>Background</h3><div>Adverse pregnancy outcomes, such as stillbirth and recurrent pregnancy loss, are sex-specific risk factors for CVD. Little research investigates CVD preventive healthcare following bereavement.</div></div><div><h3>Aim</h3><div>To describe women’s preferences and experiences regarding CVD preventive healthcare after bereavement and identify their questions to inform future research and intervention design.</div></div><div><h3>Methods</h3><div>A participatory, qualitative approach was adopted, involving a Lived Experience Expert Group to plan, conduct and interpret focus groups with women who experienced stillbirth or recurrent pregnancy loss. Focus groups involved facilitated group discussion, and a nominal group technique activity to prioritise questions about CVD risk. Focus group transcripts were analysed thematically.</div></div><div><h3>Findings</h3><div>Sixteen women participated, all previously unaware of the association between their bereavement and increased CVD risk. Two major themes emerged: women have unmet needs for supportive care after bereavement, and a cautious desire for information about CVD risk. The ‘top ten’ questions focussed on improving bereavement care, preventing CVD, and concerns beyond CVD.</div></div><div><h3>Discussion</h3><div>Although women valued information about CVD risk, they were concerned about adding to the burden of bereaved women, especially in the context of inadequate bereavement care.</div></div><div><h3>Conclusion</h3><div>Gaps in bereavement care have an enduring impact on women after early pregnancy loss and stillbirth. Beyond improving women’s experiences and mental health outcomes, improving bereavement care may also support uptake of long-term CVD preventive healthcare.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 3","pages":"Article 101915"},"PeriodicalIF":4.4,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143882357","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 satisfaction with outpatient balloon catheter versus inpatient prostaglandin induction of labour: A randomised controlled trial in Aotearoa New Zealand","authors":"Robin S. Cronin ,&nbsp;Michelle R. Wise ,&nbsp;John MD Thompson ,&nbsp;Jessica Wilson ,&nbsp;Emilie Robertson ,&nbsp;Billie F. Bradford","doi":"10.1016/j.wombi.2025.101914","DOIUrl":"10.1016/j.wombi.2025.101914","url":null,"abstract":"<div><h3>Background</h3><div>Little is known about women’s satisfaction with induction of labour experiences in the context of randomised controlled trials, specifically those evaluating outpatient balloon catheter vs inpatient vaginal prostaglandins.</div></div><div><h3>Objective</h3><div>To determine satisfaction levels for women having induction of labour with outpatient balloon vs inpatient-prostaglandin.</div></div><div><h3>Study design</h3><div>Online survey of maternal satisfaction with induction of labour at term within a multi-centre randomised controlled trial in Aotearoa-New Zealand comparing outpatient-balloon with inpatient prostaglandin induction. Outcomes were measured at four to eight weeks after birth. Analysis was chi-square and t-test for descriptive statistics and thematic analysis for free-text data.</div></div><div><h3>Results</h3><div>There were 821 participants. For women in the outpatient-balloon group, insertion pain was greater than expected compared to those in the inpatient-prostaglandin group (p = 0.01), however, overall pain was less than expected (p = 0.009). Women in the outpatient-balloon group were less tired at transfer to birthing suite (p &lt; 0.001) and more likely to choose a future induction (p &lt; 0.01) and by the same method (p &lt; .0001). Themes from the free-text data provided by 514 participants were (1) Care and Support; (2) Pain and Discomfort; (3) Sleep and Rest, highlighting novel explanatory evidence of better pre-labour care, less pain and more sleep in the outpatient-balloon group. Information and choice on the induction process were lacking for both groups.</div></div><div><h3>Conclusions</h3><div>This study demonstrated greater satisfaction among women having outpatient-balloon induction of labour related to more pre-labour support at home and less pain and tiredness during labour. We encourage maternity hospitals to routinely offer outpatient-balloon induction of labour.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 3","pages":"Article 101914"},"PeriodicalIF":4.4,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143876526","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":"The question still remains which variables are more associated with risk of suicide and postpartum depression","authors":"Fabio Gomes de Matos e Souza ,&nbsp;Luísa Weber Bisol","doi":"10.1016/j.wombi.2025.101905","DOIUrl":"10.1016/j.wombi.2025.101905","url":null,"abstract":"","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 3","pages":"Article 101905"},"PeriodicalIF":4.4,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869360","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":"Transformative learning in homebirth settings: A reflexive thematic analysis of midwifery students' experiences","authors":"Kate Buchanan,&nbsp;Sara Morris,&nbsp;Sara Bayes,&nbsp;Clare Davison","doi":"10.1016/j.wombi.2025.101912","DOIUrl":"10.1016/j.wombi.2025.101912","url":null,"abstract":"<div><h3>Background</h3><div>The homebirth setting provides opportunities for midwifery students to witness autonomous midwifery practice, but these experiences are limited. Factors that limit practicum placement in the home birth setting are either logistical, with less than one percent of women having a homebirth in Australia or related to university governance, whereby approval is not granted for midwifery students attending homebirth.</div></div><div><h3>Objectives</h3><div>To explore midwifery students' experiences in the homebirth setting and to determine how this has influenced understandings of the role and scope of practice the midwife.</div></div><div><h3>Methods</h3><div>Qualitative methods were chosen to inform this study.</div></div><div><h3>Setting</h3><div>A University that offers undergraduate and post graduate pre-registration midwifery programs.</div></div><div><h3>Participants</h3><div>Six final year students, from both courses, were interviewed for in-depth interviews.</div></div><div><h3>Data collection and analysis</h3><div>Interviews were conducted by the first two authors. Data were analysed using Reflexive Thematic analysis.</div></div><div><h3>Results</h3><div>The study identified four central themes illustrating the transformative experiences of midwifery students attending homebirths: Anchoring trust in the birth process; Encountering the full scope and role; Shifting perspectives on birth space; and A profound beacon of hope. Collectively, these themes elucidate the importance of homebirth experiences as shaping the students' understanding of midwifery practice and profession.</div></div><div><h3>Conclusions</h3><div>Exposure to homebirth experiences resulted in students achieving a deeper understanding of normal physiology, gained greater insights into the role and scope of midwives, better comprehended the women's birthing experiences, and reinforced midwifery philosophy. Such experiences are crucial for retaining students within the profession.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 3","pages":"Article 101912"},"PeriodicalIF":4.4,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143860563","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":"Maternity care experiences of women with a BMI> 35 kg/m2: An interpretive phenomenological analysis","authors":"Rachael Nugent ,&nbsp;Caroline de Costa ,&nbsp;Leonie Callaway ,&nbsp;Lauren Kearney","doi":"10.1016/j.wombi.2025.101900","DOIUrl":"10.1016/j.wombi.2025.101900","url":null,"abstract":"<div><h3>Problem</h3><div>Maternity care of women with a Body Mass Index <u>&gt;</u> 35 kg/m² is driven by a biomedical approach, with limited inclusion of women’s views or experiences.</div></div><div><h3>Background</h3><div>Body Mass Index <u>&gt;</u> 35 kg/m² in pregnancy is common. Women with a higher Body Mass Index are more likely to access medical care during their pregnancy owing to increased rates of obstetric complexity.</div></div><div><h3>Aim</h3><div>To understand experiences of care for women with a Body Mass Index <u>&gt;</u> 35 kg/m² accessing maternity care.</div></div><div><h3>Methods</h3><div>We conducted in-depth, semi-structured interviews with ten women with a Body Mass Index <u>&gt;</u> 35 kg/m² accessing maternity care in Australia. Data were analysed using Interpretive Phenomenological Analysis.</div></div><div><h3>Findings</h3><div>Women’s experiential data were analysed and three superordinate themes were constructed: Women’s knowledge and agency; Healthcare that harms; and Healthcare that heals. Participants recounted their own role in invoking knowledge and enacting agency, describing birth as a significant life event. Participants acknowledged that past life and pregnancy experiences informed present experience, including intuitive knowledge of their own bodies. Harm was experienced when care was discriminatory or stigmatising, in response to inadequate or inconsistent information or inadequate consent. Healing care was experienced when care was relationship-based, knowledgeable, kind and listening, and when adequate preparation was facilitated. Irrespective of the specifics of their maternity care experience, participants in this study rejected Body Mass Index as a measure of health and expected more nuanced and detailed individual health assessment from their maternity carers.</div></div><div><h3>Discussion</h3><div>Women described variable experiences of maternity care. A woman’s knowledge and agency are central to her pregnancy care experience. Delivery of healthcare that heals minimises harmful care experiences. Harms such as stigma, discrimination, inadequate consent, and difficulty gathering and sharing information can be avoided with maternity care that was relationship-based, kind and knowledgeable, and affords adequate preparation.</div></div><div><h3>Conclusions</h3><div>Previous experience informs personal agency. Body Mass Index was rejected as a marker of health. Women want personalised care.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 3","pages":"Article 101900"},"PeriodicalIF":4.4,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143855736","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":"Midwives’ perceptions of the support they provide to new graduates and the role of the health service in Australia: A survey of midwives","authors":"Virginia M. Stulz ,&nbsp;Allison Cummins ,&nbsp;Deborah Davis ,&nbsp;Carolyn Hastie ,&nbsp;Linda Sweet ,&nbsp;Zoe Bradfield ,&nbsp;Marnie Griffiths ,&nbsp;Lois McKellar ,&nbsp;Elaine Jefford ,&nbsp;Athena Sheehan ,&nbsp;Michelle Gray","doi":"10.1016/j.wombi.2025.101913","DOIUrl":"10.1016/j.wombi.2025.101913","url":null,"abstract":"<div><h3>Problem</h3><div>Evidence suggests new midwifery graduates are leaving the profession prematurely during the initial graduate years due to workplace stress.</div></div><div><h3>Background</h3><div>Graduate midwives are essential to provide a future midwifery workforce. Support for new graduates in the initial years of practice is essential in retaining them in the midwifery profession.</div></div><div><h3>Aim</h3><div>The aim of this study was to explore midwives’ perspectives of the support they provide new graduates within existing midwifery graduate programs, and their experiences and perceptions of the health service processes to support midwifery graduates.</div></div><div><h3>Methods</h3><div>A cross-sectional study was undertaken with a purposive sample of Australian midwives. Descriptive statistics were used to analyse frequencies and percentages of responses. Spearman’s correlational analyses were used to determine associations between the variables. Responses to open-ended questions were analysed by content analysis.</div></div><div><h3>Findings</h3><div>In total, 167 midwives responded to the survey. Just over a third (34.1 %) of midwives felt they had sufficient resources to support a midwifery graduate. Half (50.9 %) of the midwives engaged in reflective practice with midwifery graduates. The majority (97 %) of midwives reported that they felt it was important for midwifery graduates to have a mentor.</div></div><div><h3>Discussion</h3><div>A lack of protected time to provide mentoring opportunities and support new graduates to gain further experience and education was identified. These findings support the need for a formal mentorship program to be introduced.</div></div><div><h3>Conclusion</h3><div>This study offers insights into the perspective of midwives dealing with the realities of striving to support midwifery graduates in their initial years of practice.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 3","pages":"Article 101913"},"PeriodicalIF":4.4,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143855737","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":"Intrapartum and childbirth care and outcomes in midwife-led birth centres in France: A nationwide descriptive study with an analysis of maternal and neonatal transfers","authors":"Anne Alice Chantry ,&nbsp;Candy Guiguet-Auclair ,&nbsp;Clara Rollet ,&nbsp;Mayanne Pralus ,&nbsp;Marine Dubel-Jam ,&nbsp;Ingele Roelens ,&nbsp;Mathilde Revolon ,&nbsp;Anne Evrard ,&nbsp;Sophie Goyet ,&nbsp;Camille Le Ray ,&nbsp;Priscille Sauvegrain ,&nbsp;Françoise Vendittelli ,&nbsp;on behalf of the MDN Research Group","doi":"10.1016/j.wombi.2025.101908","DOIUrl":"10.1016/j.wombi.2025.101908","url":null,"abstract":"<div><h3>Problem</h3><div>Midwife-led birth centres (MLBCs) offer an alternative to obstetric-led units (OUs) for low-risk women. Despite positive assessments, their development still remains controversial.</div></div><div><h3>Aim</h3><div>To assess the appropriateness of care, intrapartum and childbirth care, and outcomes of women with a planned birth in MLBCs and to describe transfers to OUs and their risk factors.</div></div><div><h3>Methods</h3><div>This was a 2-year (2018–2019) nationwide population-based retrospective cohort involving women with a planned birth in all eight French MLBCs. We described the appropriateness of care, intrapartum and childbirth care, maternal and neonatal outcomes and causes of transfers to OUs. We calculated adjusted odds ratios to identify risk factors for transfers during labour and after birth.</div></div><div><h3>Results</h3><div>Among 1313 women with a planned MLBC birth, the appropriateness of care was high, with 99.3 % of women meeting low-risk criteria. Intrapartum care in MLBCs featured few interventions (2.2 % artificial membrane ruptures and 1.1 % episiotomies). Regardless of the final place of birth, there were 90.8 % spontaneous vaginal births, 2.6 % caesarean births, 6.6 % operative vaginal births, 2.4 % severe postpartum haemorrhages, 0.4 % Apgar scores &lt; 7 at 5 min and one neonatal death. Transfers to an OU involved 21 % of women with a planned birth in an MLBC during labour and 5.8 % after birth, mainly due to postpartum haemorrhage; 4.6 % of newborns were transferred, often for monitoring.</div></div><div><h3>Conclusion</h3><div>With appropriate selection of women and low-intervention care, French MLBCs achieve salutogenic outcomes. We identified risk factors for transfers. Further research is needed to assess safety comprehensively with comparative studies.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 3","pages":"Article 101908"},"PeriodicalIF":4.4,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143835228","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":"“If I’m not getting oxygen, neither is my baby”: A qualitative study of Australian women’s experiences of asthma management in pregnancy","authors":"Karen McLaughlin ,&nbsp;Megan E. Jensen ,&nbsp;Jonathan Burke ,&nbsp;Jonathan Drake ,&nbsp;Bridget Fredericks ,&nbsp;Alexander Johns ,&nbsp;Tzy Cherng Leong ,&nbsp;Erin Sheldon ,&nbsp;Maralyn Foureur ,&nbsp;Vanessa E. Murphy","doi":"10.1016/j.wombi.2025.101911","DOIUrl":"10.1016/j.wombi.2025.101911","url":null,"abstract":"<div><h3>Background</h3><div>Optimal management of asthma during pregnancy is an important element in improving maternal and neonatal outcomes. Asthma effects 12.7 % of pregnant women in Australia. Despite consistent management recommendations available via clinical practice guidelines for asthma in pregnancy, pregnant women with asthma are not receiving guideline recommended care.</div><div>This study builds on previous research and aims to explore the asthma management experiences of pregnant women with asthma. Specifically, to gain insight into pregnant women's understanding of their asthma; previous and current exposure to asthma education; and attitudes towards their asthma management and medication use.</div></div><div><h3>Methods</h3><div>This qualitative descriptive study involved individual semi-structured interviews with pregnant women with asthma. Data were transcribed and analysed using content analysis.</div><div>The participants were recruited from those enrolled in the Breathing For Life Trial (BLT), an RCT of inflammation-guided asthma management in pregnancy versus usual care.</div></div><div><h3>Results</h3><div>A total of 24 women were interviewed between June 2018 and May 2020. Three main themes: “Did not think asthma was an issue”, “If I’m not getting oxygen in then neither is my baby” and “Beyond pregnancy care” were identified along with 9 sub-themes which showed asthma knowledge, attitude and medication adherence variation depending on experiences with asthma management.</div></div><div><h3>Conclusions</h3><div>This study highlighted the varied experiences of this cohort of pregnant women with asthma and identified the need for ongoing consistent asthma management to improve the knowledge, attitude, and medication adherence of women with asthma before during and after pregnancy, and in turn improve maternal and neonatal outcomes.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 3","pages":"Article 101911"},"PeriodicalIF":4.4,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143835229","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}