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“They painted a rosy view, but I would have preferred to hear the reality”‐ Australian women’s experiences of antenatal breastfeeding education
IF 4.4 2区 医学
Women and Birth Pub Date : 2025-02-03 DOI: 10.1016/j.wombi.2025.101888
Elisha Stein, Kathleen Dixon, Elaine Burns
{"title":"“They painted a rosy view, but I would have preferred to hear the reality”‐ Australian women’s experiences of antenatal breastfeeding education","authors":"Elisha Stein,&nbsp;Kathleen Dixon,&nbsp;Elaine Burns","doi":"10.1016/j.wombi.2025.101888","DOIUrl":"10.1016/j.wombi.2025.101888","url":null,"abstract":"<div><h3>Background</h3><div>Education is an essential component of antenatal care, yet little is known about Australian women’s experience of breastfeeding education.</div></div><div><h3>Aim</h3><div>This study aimed to explore women’s experiences of breastfeeding education accessed during the antenatal period and the impact on breastfeeding preparedness.</div></div><div><h3>Methods</h3><div>An online survey collected both qualitative and quantitative data over a one-month period. Quantitative data was analysed for descriptive statistics and open text questions were qualitatively analysed for themes.</div></div><div><h3>Findings</h3><div>In total 182 participants accessed the survey and 178 completed. Most participants attended breastfeeding education at a public hospital. Some received education free of charge and others had to pay. Breastfeeding education was absent from some antenatal education classes and where it was included there was a lack of standardised content. The benefits of breastfeeding and the importance of skin-to-skin contact were covered regularly, but instructions on how to breastfeed were limited.</div><div>Two overarching themes were identified. The first “I didn't feel prepared for breastfeeding” included six sub- themes describing a feeling of being deceived about how easy breastfeeding would be. The second smaller theme “I felt prepared for breastfeeding” reflected more positive experiences. Within this theme were three subthemes including the importance of a skilled educator, learning techniques and the educator’s breastfeeding knowledge.</div></div><div><h3>Conclusion</h3><div>Women described feeling unprepared for the reality of breastfeeding and sought realistic and practical breastfeeding education. Coverage of breastfeeding was inconsistent, especially breastfeeding challenges. Future policy guidelines on breastfeeding education must be consistent and include minimum information standards.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 2","pages":"Article 101888"},"PeriodicalIF":4.4,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139387","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}
引用次数: 0
Compassionate care or acting on routine - a video-ethnographic study of midwives’ and midwifery students' support during the second stage of labour
IF 4.4 2区 医学
Women and Birth Pub Date : 2025-02-03 DOI: 10.1016/j.wombi.2025.101882
Malin Edqvist , Karin Henley Listermar , Hannah G. Dahlen , Hanna Ulfsdottir
{"title":"Compassionate care or acting on routine - a video-ethnographic study of midwives’ and midwifery students' support during the second stage of labour","authors":"Malin Edqvist ,&nbsp;Karin Henley Listermar ,&nbsp;Hannah G. Dahlen ,&nbsp;Hanna Ulfsdottir","doi":"10.1016/j.wombi.2025.101882","DOIUrl":"10.1016/j.wombi.2025.101882","url":null,"abstract":"<div><h3>Background</h3><div>There is a lack of knowledge regarding how midwifery preceptors provide support during the second stage of labour while teaching. The aim of this study was to explore how midwives support women when they are precepting students, and to describe what types of support preceptors and midwifery students provide to women during the second stage.</div></div><div><h3>Methods</h3><div>A video-reflexive ethnography methodology utilising video recordings and interviews was conducted at two labour wards in Sweden. Four women were filmed and cared for by five preceptor-student pairs. The data was collected during 2019–2020 and was analysed inductively. A framework analysis approach was conducted using the Royal College of Midwives (RCM) guidance on support during childbirth, and the observed support dimensions found were quantified into minutes.</div></div><div><h3>Findings</h3><div>Two overarching themes were found: <em>Support provided with compassion</em> and <em>Support provided in a routine manner</em>. Of the RCM support dimensions <em>Emotional support, Physical support, Information and advice</em> were observed. The fourth support dimension <em>Advocacy</em> was lacking, and there were several instances of non-consented care.</div></div><div><h3>Discussion</h3><div>Support provided on routine and the absence of <em>Advocacy</em>, could be related to the fragmented care system, where midwives do not provide continuity of care to women. Despite midwives and midwifery students providing emotional and physical support, instances of disrespectful care were observed, which students also participated in.</div></div><div><h3>Conclusion</h3><div>There was evidence of disrespectful care that was normalised and accepted in the births that were filmed. This may further amplify students’ internalisation and reproduction of acts and behaviors that are disrespectful.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 2","pages":"Article 101882"},"PeriodicalIF":4.4,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139388","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}
引用次数: 0
“I hope to feel part of something bigger than my immediate world…”; the values and attitudes that motivate participation in a virtual international midwifery student experience
IF 4.4 2区 医学
Women and Birth Pub Date : 2025-02-01 DOI: 10.1016/j.wombi.2025.101883
Theresa M. Harvey , Heather J. Wallace
{"title":"“I hope to feel part of something bigger than my immediate world…”; the values and attitudes that motivate participation in a virtual international midwifery student experience","authors":"Theresa M. Harvey ,&nbsp;Heather J. Wallace","doi":"10.1016/j.wombi.2025.101883","DOIUrl":"10.1016/j.wombi.2025.101883","url":null,"abstract":"<div><h3>Problem</h3><div>As ethnic and cultural diversity of societies increases, healthcare professionals are required to provide culturally appropriate care for the communities they serve.</div></div><div><h3>Background</h3><div>One way to prepare midwifery students for the diverse settings and women they will care for, is to provide short-term international study experience opportunities, to nurture the development of cultural sensitivity and humility. During the COVID-19 pandemic, the higher education industry was challenged to identify innovative ways to develop student’s cultural competences, without international travel. A midwifery virtual study program was an innovative way to provide an international experience for students while borders were closed. Research on impacts of virtual short-term international study experiences and midwifery students’ motivation to participate is sparce.</div></div><div><h3>Aim</h3><div>The aim of this study was to gain an understanding of what motivates midwifery students to participate in a virtual short-term international study experience.</div></div><div><h3>Methods</h3><div>A descriptive qualitative design using reflective thematic analysis to analyse students’ written journal entries and reflections.</div></div><div><h3>Findings</h3><div>An overarching theme of ‘Develop compassion’ was identified, underpinned by three sub themes, ‘Deepening understanding and knowledge’, ‘Expanding cultural identify and attitudes’, and ‘strengthening professional self’.</div></div><div><h3>Discussion and Conclusion</h3><div>Students’ motivation to participate in a virtual short-term international study experience included aspects of improving and enhancing their developing professional self, including compassion, in anticipation of supporting their career progression and the effectiveness of the care they deliver. The findings are relevant for academics and administrators involved in study abroad programs for ongoing improvement of quality cultural learning opportunities for health discipline students.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 2","pages":"Article 101883"},"PeriodicalIF":4.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082971","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}
引用次数: 0
A systematic review of key principles relating to decolonising interventions in midwifery education
IF 4.4 2区 医学
Women and Birth Pub Date : 2025-02-01 DOI: 10.1016/j.wombi.2025.101869
Sheridan Thomas, Georgia Allan, Vanessa Heaslip, Christine Furber
{"title":"A systematic review of key principles relating to decolonising interventions in midwifery education","authors":"Sheridan Thomas,&nbsp;Georgia Allan,&nbsp;Vanessa Heaslip,&nbsp;Christine Furber","doi":"10.1016/j.wombi.2025.101869","DOIUrl":"10.1016/j.wombi.2025.101869","url":null,"abstract":"<div><h3>Problem</h3><div>Midwifery education is predominantly influenced by Eurocentric models, contributing to systemic health inequalities for marginalised groups.</div></div><div><h3>Background</h3><div>The health disparities for ethnically diverse maternity service users are well documented. There are various decolonising interventions such as cultural safety education, being implemented to address these disparities by challenging colonial legacies and power imbalances that perpetuate health inequity.</div><div>Research Question: What are the key principles of decolonising interventions in midwifery education, that can be applied to midwifery education on a global scale?</div></div><div><h3>Methods</h3><div>This study follows a systematic literature review based on the PRISMA guidelines. Data were sourced from six databases, evaluating peer-reviewed articles between February 2014 and February 2024. The PICO framework guided the research. A thematic synthesis approach was used for data analysis.</div></div><div><h3>Findings</h3><div>Four major themes emerged: (1) centring Indigenous knowledge, (2) cultural safety, (3) transformative learning, and (4) systemic institutional support. Workshops, yarning circles, and experiential placements were identified as effective mechanisms for promoting cultural safety and addressing discomfort. However, educators often lacked the skills and confidence to implement these changes.</div></div><div><h3>Discussion</h3><div>Decolonising midwifery education requires ongoing reflexivity, institutional support, and curricula co-design with Indigenous communities. Barriers such as discomfort from participants and inadequate institutional structures must be addressed to ensure long-term impact.</div></div><div><h3>Conclusion</h3><div>Decolonising interventions in midwifery education fosters culturally safe care. However, further research is needed to assess the long-term outcomes on health equity and the impact of such interventions on marginalised communities.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 2","pages":"Article 101869"},"PeriodicalIF":4.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082973","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}
引用次数: 0
Maternity care pathway and involvement in decision making: A mixed-methods study of women’s experiences in Ireland
IF 4.4 2区 医学
Women and Birth Pub Date : 2025-01-28 DOI: 10.1016/j.wombi.2025.101879
Ella Tuohy, Lorna Sweeney, Daniela Rohde, Anna Maria Verling, Conor Foley, Tracy O’Carroll, Rachel Flynn
{"title":"Maternity care pathway and involvement in decision making: A mixed-methods study of women’s experiences in Ireland","authors":"Ella Tuohy,&nbsp;Lorna Sweeney,&nbsp;Daniela Rohde,&nbsp;Anna Maria Verling,&nbsp;Conor Foley,&nbsp;Tracy O’Carroll,&nbsp;Rachel Flynn","doi":"10.1016/j.wombi.2025.101879","DOIUrl":"10.1016/j.wombi.2025.101879","url":null,"abstract":"<div><h3>Background</h3><div>In Ireland, maternity care is provided through a mixture of public and private services, with type of maternity care offered varying according to availability, clinical need and geographic location.</div></div><div><h3>Aim</h3><div>To explore women’s perceived involvement in decisions about care depending on the maternity care pathway received.</div></div><div><h3>Methods</h3><div>Mixed-methods secondary analysis of data from the Irish National Maternity Experience Survey 2020. Three care pathway groups reflecting maternity care provision in Ireland were created: public care with midwives and obstetricians in hospital, private/semi-private obstetric-led care and midwifery-led care. Hierarchical multiple regression determined the association between care pathways and involvement in decisions. Free-text comments from respondents were thematically analysed.</div></div><div><h3>Findings</h3><div>3205 women participated (50 % response rate). 64.75 % received public care, 24.11 % received consultant-led private/semi-private care and 11.13 % received midwifery-led care. Private/semi-private care and midwifery-led care were associated with greater perceived involvement in decisions during pregnancy compared to public care. Private/semi-private care was associated with greater perceived involvement in care decisions during labour and birth and decisions in hospital after birth compared to public care. Qualitative findings identified that involvement in decisions was supported by effective communication, continuity of relationship with healthcare professionals, availability of choice and support for women’s preferences.</div></div><div><h3>Discussion</h3><div>Levels of continuity of care provided by maternity care models in Ireland may account for differences in perceived involvement in decisions.</div></div><div><h3>Conclusion</h3><div>All maternity care pathways should strive to provide continuity of care to support women to make informed choices across all stages of their maternity care.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 2","pages":"Article 101879"},"PeriodicalIF":4.4,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070598","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}
引用次数: 0
Writing for publication: The basics
IF 4.4 2区 医学
Women and Birth Pub Date : 2025-01-28 DOI: 10.1016/j.wombi.2025.101878
Linda Sweet , Sara Borrelli , Karen Matvienko-Sikar , Yvonne Kuipers , Deborah Fox
{"title":"Writing for publication: The basics","authors":"Linda Sweet ,&nbsp;Sara Borrelli ,&nbsp;Karen Matvienko-Sikar ,&nbsp;Yvonne Kuipers ,&nbsp;Deborah Fox","doi":"10.1016/j.wombi.2025.101878","DOIUrl":"10.1016/j.wombi.2025.101878","url":null,"abstract":"<div><h3>Problem</h3><div>Writing for publication can be a challenging experience. Whilst midwives develop writing skills through their university education, writing a journal article can be quite different.</div></div><div><h3>Purpose</h3><div>To explain some basic skills of scientific writing when preparing a paper for publication to support midwives in engaging in scientific writing.</div></div><div><h3>Overview</h3><div>Four basic elements of scientific writing will be presented: the importance of careful word choices, the use of active and passive voice, sentence and paragraph structures, and review and editing. Examples of poor and better writing are given to illustrate these basic elements of good academic writing. We hope potential midwifery authors will read and refer to this article when writing. As editors, the elements addressed here are common problems found when reviewing submitted manuscripts that, with guidance, can be easily overcome.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 2","pages":"Article 101878"},"PeriodicalIF":4.4,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070605","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}
引用次数: 0
‘Every woman deserves that’: A qualitative exploration of the impact of Australia’s national maternity strategy
IF 4.4 2区 医学
Women and Birth Pub Date : 2025-01-21 DOI: 10.1016/j.wombi.2025.101871
Paula Medway , Alison M. Hutchinson , Linda Sweet
{"title":"‘Every woman deserves that’: A qualitative exploration of the impact of Australia’s national maternity strategy","authors":"Paula Medway ,&nbsp;Alison M. Hutchinson ,&nbsp;Linda Sweet","doi":"10.1016/j.wombi.2025.101871","DOIUrl":"10.1016/j.wombi.2025.101871","url":null,"abstract":"<div><h3>Background</h3><div>Since 2019, maternity care in Australia has been guided by the national maternity policy, <em>Woman-centred care: Strategic directions for Australian maternity services</em> (the Strategy). The Strategy has four core values (safety, respect, choice and access), which underpin 12 principles of woman-centred care.</div></div><div><h3>Aim</h3><div>To describe women’s experiences of receiving maternity care in Australia and explore how their care aligned with the values and principles of the Strategy.</div></div><div><h3>Methods</h3><div>A qualitative descriptive approach was used. Fifty women from across Australia, including women from each of the priority populations within the Strategy, were interviewed. Data analysis was conducted using Braun and Clarke’s reflexive thematic analysis.</div></div><div><h3>Findings</h3><div>Women described how their care aligned and misaligned with the Strategy. Workforce shortages impacted their sense of safety, and they frequently had to self-advocate for individualised care that made them feel safe. Women wanted a holistic approach to care provision where they were listened to, heard, and their choices were respected by maternity care providers, but they felt the need to arm themselves with information to achieve this. They also expressed a desire for better care in the postnatal period to 12 months that included appropriate and affordable mental health support.</div></div><div><h3>Conclusion</h3><div>Receiving care that aligns with the values and principles of the Strategy is on an ad hoc basis, and maternity care provision is not consistent across Australia. A greater commitment to the implementation and adoption of the Strategy is required at a national and service level if its intent is to be fully realised.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 2","pages":"Article 101871"},"PeriodicalIF":4.4,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143026051","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}
引用次数: 0
Bereaved parent involvement in co-designed stillbirth research: Experiences of Project Engage 失去亲人的父母参与共同设计的死产研究:参与项目的经验。
IF 4.4 2区 医学
Women and Birth Pub Date : 2025-01-01 DOI: 10.1016/j.wombi.2024.101838
Kirstin Tindal , Danielle Pollock , Brad Farrant , Nicky Robinson , Yumi Oba , Ashley Pade , Jassy Moore , Siobhan Loughnan , Vicky Flenady , Christine Andrews
{"title":"Bereaved parent involvement in co-designed stillbirth research: Experiences of Project Engage","authors":"Kirstin Tindal ,&nbsp;Danielle Pollock ,&nbsp;Brad Farrant ,&nbsp;Nicky Robinson ,&nbsp;Yumi Oba ,&nbsp;Ashley Pade ,&nbsp;Jassy Moore ,&nbsp;Siobhan Loughnan ,&nbsp;Vicky Flenady ,&nbsp;Christine Andrews","doi":"10.1016/j.wombi.2024.101838","DOIUrl":"10.1016/j.wombi.2024.101838","url":null,"abstract":"<div><h3>Background</h3><div>While benefits of involving consumers in research are well established, bereaved parents face unique challenges, and descriptions of their experiences with co-designed stillbirth research are lacking. The collective experience of ‘<em>Project Engage’</em> involved co-designing resources to support bereaved parents’ involvement in research.</div></div><div><h3>Methods</h3><div>This study aimed to describe and evaluate the involvement of bereaved parents as co-investigators of a stillbirth research project. Descriptive and exploratory methods were used to describe the process of <em>Project Engage,</em> between 2021 and 2023, in which bereaved parents were involved in all aspects. Evaluation was performed through iterative review and reflection to examine barriers and enablers of co-designed stillbirth research.</div></div><div><h3>Findings</h3><div>The project team co-designed and published ‘<em>Getting Involved in Stillbirth Research: A guide for bereaved parents</em>’. Seven co-investigators completed the end-of-phase project evaluation, including five bereaved parents and two researchers without lived experience of stillbirth. Most co-investigators felt that their contribution was highly valued and that project outputs matched their expectations. Enablers of co-design included clear communication, having a shared goal, a supportive team, relevant outputs, and lived-experience researchers on the team. Barriers included research jargon, meeting logistics, support and maintaining engagement, role expectations, and institutional governance processes.</div></div><div><h3>Conclusion</h3><div>The co-design experience was perceived positively by both parents and researchers, with many key facilitators to the teams’ success identified. Evaluation of the experiences of bereaved parents and researchers co-designing stillbirth research is vital. The process and recommendations outlined here will guide future best practice for bereaved parent involvement in stillbirth research.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 1","pages":"Article 101838"},"PeriodicalIF":4.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928851","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}
引用次数: 0
What are the experiences of Aboriginal and/or Torres Strait Islander midwifery students and midwives? A scoping review 土著和/或托雷斯海峡岛民助产学生和助产士的经历是什么?范围审查。
IF 4.4 2区 医学
Women and Birth Pub Date : 2025-01-01 DOI: 10.1016/j.wombi.2024.101856
Donna L. Hartz , Renae Coleman , Stacey Butcher , Leona McGrath , Cherisse Buzzacott , Karel Williams , Angela Coe , Machelee Kosiak
{"title":"What are the experiences of Aboriginal and/or Torres Strait Islander midwifery students and midwives? A scoping review","authors":"Donna L. Hartz ,&nbsp;Renae Coleman ,&nbsp;Stacey Butcher ,&nbsp;Leona McGrath ,&nbsp;Cherisse Buzzacott ,&nbsp;Karel Williams ,&nbsp;Angela Coe ,&nbsp;Machelee Kosiak","doi":"10.1016/j.wombi.2024.101856","DOIUrl":"10.1016/j.wombi.2024.101856","url":null,"abstract":"<div><h3>Background</h3><div>Aboriginal and/or Torres Strait Islander midwives are underrepresented within the midwifery workforce and is likely compounded by lower graduate rates. This review is a part of the Midwifery Futures Project. It explores the experiences of Aboriginal and/or Torres Strait Islander midwives and midwifery students to illuminate issues impacting work and study and uncover successful strategies towards addressing current disparities.</div></div><div><h3>Methods</h3><div>A scoping review was guided by the Joanna Briggs Institute framework. Literature searching identified 1311 papers. Eleven papers, four qualitative research studies, and seven grey papers met the inclusion criteria: published academic journals, book publishers or key professional organisations; focused on the professional experiences of Aboriginal and/or Torres Strait Islander midwives or the learning experiences; written in English; and published 2004 onwards (inclusive). The papers were analysed using inductive thematic analysis.</div></div><div><h3>Results</h3><div>Three interconnected themes emerged: <em>connection and kinship, racism</em> and <em>balancing responsibilities</em>.</div></div><div><h3>Conclusion</h3><div>Culture, connection and kinship are foundational in providing experiences for Aboriginal and/or Torres Strait Islander midwives and midwifery students that are clinically and academically transformational, culturally safe and promote resilience for</div><div>Aboriginal and/or Torres Strait Islander midwives and midwifery students. Midwives and midwifery students need to connect with each other and value working with Aboriginal and/or Torres Strait Islander women, clinicians and academics. Strategies that balance work, study and life responsibilities promote retention and resilience. Clinical, work and study contexts must be culturally safe by respecting and embracing Aboriginal and/or Torres Strait Islander cultures and actively opposing racism in the personal, Community and organisational interfaces.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 1","pages":"Article 101856"},"PeriodicalIF":4.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928933","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}
引用次数: 0
Midwives' experience of managing emergencies during labour and birth in a community setting: a mixed-methods systematic review 助产士在社区环境中处理分娩和分娩期间紧急情况的经验:一项混合方法的系统评价。
IF 4.4 2区 医学
Women and Birth Pub Date : 2025-01-01 DOI: 10.1016/j.wombi.2024.101861
Rebecca Parker , Ethel E. Burns , Paul Carding , Rachel Rowe
{"title":"Midwives' experience of managing emergencies during labour and birth in a community setting: a mixed-methods systematic review","authors":"Rebecca Parker ,&nbsp;Ethel E. Burns ,&nbsp;Paul Carding ,&nbsp;Rachel Rowe","doi":"10.1016/j.wombi.2024.101861","DOIUrl":"10.1016/j.wombi.2024.101861","url":null,"abstract":"<div><h3>Background</h3><div>For women at low risk of complications during labour and birth, in the United Kingdom, planned birth in a ‘community’ setting (at home or a freestanding midwifery unit) is generally safe, and intrapartum emergencies are uncommon. Limited exposure may affect midwives’ experience of managing an emergency.</div></div><div><h3>Aim</h3><div>Identify and synthesise available evidence about midwives’ experiences of managing intrapartum emergencies during labour in a community setting.</div></div><div><h3>Methods</h3><div>A mixed-methods systematic review was undertaken, with searches conducted in April 2021 and February 2024. Studies were eligible for inclusion if they described midwives’ experience of managing intrapartum emergencies in high-income countries and if the setting(s) explicitly included community settings. Analytical themes were identified through integration of qualitative descriptive themes and a narrative summary of quantitative findings.</div></div><div><h3>Findings</h3><div>Ten papers were included, reporting seven studies carried out in the United Kingdom, United States of America, Australia and the Netherlands. Four inter-related themes were identified: unexpected and unpredictable nature of events; confidence and preparedness in skills and the birthing process; immediate and enduring emotional impact; and mediating effects of relationships and support.</div></div><div><h3>Discussion and conclusions</h3><div>Limited research exists about midwives’ experience of emergencies in community settings and much of the evidence included in this review was from studies about traumatic births, where emergencies were a subset of those studied. Further research about midwives’ experience would be valuable to inform optimal training and support.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 1","pages":"Article 101861"},"PeriodicalIF":4.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928907","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}
引用次数: 0
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