Women and Birth最新文献

{"title":"“Butterflies in the air, you’re now a breastfeeding mother”: A qualitative study of women’s experiences receiving postnatal midwifery breastfeeding support","authors":"Emma V. Shipton ,&nbsp;Katie Foxcroft ,&nbsp;Susan J. de Jersey ,&nbsp;Leonie Callaway ,&nbsp;Nigel Lee","doi":"10.1016/j.wombi.2024.101859","DOIUrl":"10.1016/j.wombi.2024.101859","url":null,"abstract":"<div><h3>Background</h3><div>Despite breastfeeding being widely accepted as the optimal feeding method for infants many women do not meet their breastfeeding goals or continue to breastfeed as long as recommended. Continuation of exclusive breastfeeding is multifactorial, with midwifery support during the postnatal period considered to be an important component. However, little is known about how women receive this support from midwives across varying models of care.</div></div><div><h3>Aim</h3><div>To explore women’s experiences of midwifery education and support with postnatal infant feeding in the context of midwifery models of care.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted with 14 postnatal women, using an interpretive descriptive approach. Data were analysed through reflective thematic analysis to identify themes.</div></div><div><h3>Findings</h3><div>Two themes each with three subthemes were identified: (1) How midwifery breastfeeding support was provided, and (2) Expectations and realities of breastfeeding.</div></div><div><h3>Discussion</h3><div>Experiences of breastfeeding support and education by midwives were often reported as being superficial and at times, simplistic. Midwives offered breastfeeding guidance that focused on technical aspects of latching, which allowed for brief episodes of care before moving onto other tasks. Women described surprise at the realities of breastfeeding a baby, and the understanding that it involves more than simply providing nutrition.</div></div><div><h3>Conclusion</h3><div>Midwifery education and support of breastfeeding should be prioritised as an important component of care, and personalised to the woman’s requirements. Specifically, it is important to provide education beyond a focus on the health benefits of breastfeeding, which may allow midwives to promote other aspects, such as positive emotional and bonding experiences.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 1","pages":"Article 101859"},"PeriodicalIF":4.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928848","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 effectiveness of antenatal education on improving labour and birth outcomes – A systematic review and meta-analysis","authors":"Emily Hooper ,&nbsp;Olivia Mechkaroff ,&nbsp;Aurora Upitis ,&nbsp;Emma Schofield ,&nbsp;Jane Ellen Carland ,&nbsp;Amanda Henry","doi":"10.1016/j.wombi.2024.101843","DOIUrl":"10.1016/j.wombi.2024.101843","url":null,"abstract":"<div><h3>Background</h3><div>The World Health Organisation has suggested antenatal education be integrated within standard antenatal care. However, evidence for the impact of antenatal education varies. This systematic review and meta-analysis evaluated randomised controlled trial evidence regarding the influence of antenatal education on labour and birth outcomes.</div></div><div><h3>Methods</h3><div>Electronic databases (CINAHL, PubMed, Embase and Scopus) were searched for randomised controlled trials published between 2011 and 2023. Primary outcomes were mode of birth, epidural analgesia use, and induction of labour. Subgroup analysis by type of education (general education, specific technique, birth plan use) was performed. Three authors reviewed studies and extracted data. Risk of bias was assessed using the Cochrane Risk of Bias 2 tool. Meta-analysis was performed using RevMan.</div></div><div><h3>Results</h3><div>Seventeen studies (n=7260 participants) were included, most (n=10) had low risk of bias. Antenatal education was associated with decreased rates of planned caesarean sections (Relative Risk (RR) 0.87; 95 % confidence interval (CI), 0.83–0.92, I²=0 %), but not unplanned caesareans (RR 0.99; 95 % CI, 0.88–1.12, I²=0 %),as well as increased vaginal births (RR 1.14; 95 % CI 1.07–1.21, I²=79 %) and increased spontaneous onset of labour (n=10 studies, RR, 1.07; 95 % CI, 1.01–1.14, I²=0 %). Epidural analgesia use (RR, 0.88; 95 % CI, 0.88–1.00, I²=78 %) was not significantly affected. General education and birth plan care interventions were found to be more effective than specific technique care.</div></div><div><h3>Conclusion</h3><div>Antenatal education programs studied improve some labour and birth outcomes, although with substantial heterogeneity regarding mode of birth and epidural analgesia use findings. General education appeared more effective than specific technique education.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 1","pages":"Article 101843"},"PeriodicalIF":4.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928931","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":"Sex, gender identity and women’s health research and equality: An urgent need for clarity of language and accurate data collection","authors":"Karleen D. Gribble ,&nbsp;Leonie Callaway ,&nbsp;Melissa Raven ,&nbsp;Julie P. Smith ,&nbsp;Jenny Gamble ,&nbsp;Hannah G. Dahlen","doi":"10.1016/j.wombi.2024.101854","DOIUrl":"10.1016/j.wombi.2024.101854","url":null,"abstract":"<div><h3>Background</h3><div>With the rise in salience of the concept of gender identity, changes are being made to language and data collection with major implications for women’s health research and equality. Specifically, language referring to women is being desexed and data collection on sex diminishing. In 2023, Australia’s National Health and Medical Research Council (NHMRC) undertook public consultations on two draft guidance documents discussing use of the words 'woman'/'women' when describing the involvement of pregnant women in research, and sex and gender identity data collection. We collaborated in writing and gathering support for responses to both consultations.</div></div><div><h3>Discussion</h3><div>We advocated retaining sexed usage of woman/women when sex was relevant, emphasising that addressing sexism and the female data gap requires identifying women as a group and emphasised the need to avoid confusion, dehumanisation, and exclusion of disadvantaged groups. We expressed concern that data collection on gender identity is supplanting that on sex, and sex data is not being accurately collected. We recommended the NHMRC prioritise data accuracy, guide researchers on when and how to collect sex data, and recognise that individuals do not universally apply gender identity to themselves. These issues have international relevance as pressure to desex language and prioritise gender identity data is occurring world-wide. The NHMRC has now finalised its data collection guidance, unfortunately our concerns were largely ignored.</div></div><div><h3>Conclusion</h3><div>Researchers and clinicians globally must urgently participate in policy discussion regarding the importance of sexed language and accurate sex data, to protect individual and population health and data and research integrity.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 1","pages":"Article 101854"},"PeriodicalIF":4.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928964","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":"Exploring Australian knowledge and practice for maternal postnatal transition of care between hospital and primary care: A scoping review","authors":"Jennifer E. Green ,&nbsp;Nicole Ang ,&nbsp;Ben Harris-Roxas ,&nbsp;Kathleen Baird ,&nbsp;Heike Roth ,&nbsp;Amanda Henry","doi":"10.1016/j.wombi.2024.101852","DOIUrl":"10.1016/j.wombi.2024.101852","url":null,"abstract":"<div><h3>Problem</h3><div>Despite the significance of the perinatal period, postnatal care remains insufficient for optimising long-term health.</div></div><div><h3>Background</h3><div>The perinatal period is a vulnerable time in a woman’s life-course health trajectory. Supporting transitions from hospital to primary care is essential to promote health and guide evidence-based follow-up care.</div></div><div><h3>Aim</h3><div>The aims are to (i) explore existing knowledge and practice in Australia regarding maternal postnatal transitions of care between hospital and primary care and (ii) understand the enablers and barriers to implementing optimal postnatal discharge and handover of care from the maternity to primary health setting.</div></div><div><h3>Methods</h3><div>A scoping review was conducted according to PRISMA-ScR guidelines. Medline, Embase, CINAHL, Scopus and The Cochrane Library were searched using MeSH terms, subject headings and keywords. Full-text articles in English were included from 1st January 2010–8 th June 2024.</div></div><div><h3>Results</h3><div>Eighteen studies were included, 14 focused on care in specific states and four Australia-wide. Maternal postnatal transition of care between hospital and primary care varied. Critical components of care that were valued by women and healthcare providers and promoted effective care transitions were grouped into four concepts: “Woman-centred discharge planning and process”, “Integrated care”, “Follow-up care” and “Continuity of care\". Discharge communication across Australian health services is diverse. Women and healthcare providers require clear discharge communication that highlights complications, guides follow-up and promotes continuity.</div></div><div><h3>Conclusion</h3><div>Australian postnatal transition between hospital and primary care is inconsistent and ineffective. Lack of robust handover between services hinders evidence-based follow-up care after postnatal discharge from hospital, particularly following pregnancy complications.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 1","pages":"Article 101852"},"PeriodicalIF":4.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928896","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":"Understanding preconception health in Australia through the lens of people of reproductive age: Implications for care providers","authors":"Edwina Dorney ,&nbsp;Kate Cheney ,&nbsp;Loretta Musgrave ,&nbsp;Karin Hammarberg ,&nbsp;Ray Rodgers ,&nbsp;Kirsten I. Black","doi":"10.1016/j.wombi.2024.101857","DOIUrl":"10.1016/j.wombi.2024.101857","url":null,"abstract":"<div><h3>Problem</h3><div>Limited awareness about the importance of preconception health is a recognised barrier to preparing for pregnancy.</div></div><div><h3>Background</h3><div>Opportunities exist to improve the health of future parents through preconception care. One of the recognised barriers to pregnancy preparation is a lack of knowledge and a lack of presentation for information and care.</div></div><div><h3>Aim</h3><div>To explore the understanding of “preconception health” amongst people of reproductive age in Australia to inform the delivery of preconception care.</div></div><div><h3>Methods</h3><div>A qualitative descriptive study using online interviews with people of reproductive age in Australia. Recruitment was via social media (Facebook). Interview transcripts were analysed thematically.</div></div><div><h3>Findings</h3><div>Of the 20 women and five men we interviewed, all acknowledged the importance of preparing for pregnancy. Despite broadly understanding the concept, most participants had limited understanding of the details of preconception health. To increase their knowledge, participants’ preferred sources of information included education in schools, reputable online sources, primary and maternity healthcare providers, and community members with lived experience.</div></div><div><h3>Discussion</h3><div>People in Australia are keen to learn about preparing for pregnancy and appreciate this as important. Suggested avenues to improve awareness and understanding about optimal preconception health included through school education, primary and reproductive healthcare providers, and online resources. This can improve understanding and behaviours before first and subsequent pregnancies.</div></div><div><h3>Conclusion</h3><div>Preconception care requires a life-course approach, beginning with universal education through schools, enhanced by readily accessible reputable online resources, and access to trusted primary and maternity care providers. Maternity care providers can be key drivers in this process.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 1","pages":"Article 101857"},"PeriodicalIF":4.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928932","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":"Risk of suicide and postpartum depression in women who feel they were treated inadequately during childbirth","authors":"Juan Miguel Martínez-Galiano ,&nbsp;Ana Rubio-Alvárez ,&nbsp;Ana Ballesta-Castillejos ,&nbsp;Inmaculada Ortiz-Esquinas ,&nbsp;Miriam Donate-Manzanares ,&nbsp;Antonio Hernández-Martínez","doi":"10.1016/j.wombi.2024.101858","DOIUrl":"10.1016/j.wombi.2024.101858","url":null,"abstract":"<div><h3>Background</h3><div>Postpartum depression and suicide are two of the most frequent mental health disorders in the perinatal period and have an increasing trend.<del>.</del> An increasing number of women report receiving inadequate treatment during childbirth care. There are no studies that relate inadequate treatment to any of these mental health disorders; those that exist are very limited and have not used validated instruments. We proposed to determine if there is an association between inadequate treatment and/or abuse during childbirth care with the risk of postpartum depression (PPD) and the risk of suicidality in women during the perinatal stage.</div></div><div><h3>Methods</h3><div>An observational study was carried out with postpartum women in Spain. Information was collected on sociodemographic and obstetric variables, among others. Edinburgh Postnatal Depression Scale was used to determine the risk of postpartum depression and item 10 for the risk of suicide, and the Childbirth Abuse and Respect Evaluation-Maternal Questionnaire (CARE-MQ) was used to determine the women's perception of having been treated inadequately during childbirth. Adjusted ORs and their 95 % CI were calculated.</div></div><div><h3>Results</h3><div>1579 women participated. Women with CARE-MQ scores above the 90th percentile had a higher probability of risk of suicidal ideation (aOR of 2.89; 95 %CI: 1.60–5.04) and postpartum depression (aOR of 3.17; 95 %CI: 1.94–5.18) compared to those who had scores lower than the 50th percentile. On the contrary, factors associated with a lower probability of suicidal ideation and PPD were: higher economic income and attendance at prenatal education.</div></div><div><h3>Conclusion</h3><div>Women who perceived that they experienced a situation of inadequate treatment during childbirth were more likely to be at risk of postpartum depression and risk of suicide.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 1","pages":"Article 101858"},"PeriodicalIF":4.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928926","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":"Suboptimal care factors and stillbirths during the COVID-19 pandemic in Victoria: A state-wide linkage study of stillbirths and Consultative Council on Obstetric and Paediatric Mortality and Morbidity case reviews","authors":"Lisa Hui ,&nbsp;Melvin B. Marzan ,&nbsp;Kirsten R. Palmer ,&nbsp;Carmel Walsh ,&nbsp;Lisa Begg ,&nbsp;Susan McDonald ,&nbsp;Tanya Farrell ,&nbsp;Mark Umstad","doi":"10.1016/j.wombi.2024.101855","DOIUrl":"10.1016/j.wombi.2024.101855","url":null,"abstract":"<div><h3>Problem</h3><div>The COVID-19 pandemic affected perinatal outcomes globally, with some regions reporting an increase in stillbirths.</div></div><div><h3>Background</h3><div>Melbourne, Australia, experienced one of the longest and most stringent pandemic lockdowns.</div></div><div><h3>Aim</h3><div>To compare stillbirth rates for singleton pregnancies <u>&gt;</u> 20 weeks’ gestation before and during the pandemic and examine differences in suboptimal care factors.</div></div><div><h3>Methods</h3><div>January 2018 to December 2021 data on singleton births ≥ 20 weeks in Victoria were extracted and linked to stillbirths in the Consultative Council on Obstetric and Paediatric Mortality and Morbidity database. Statistical comparisons of patient characteristics, pregnancy outcomes, and suboptimal care factors were performed between the pre-pandemic period (2018–19) and the pandemic years (2020, 2021).</div></div><div><h3>Results</h3><div>Among 302,528 singleton births, 2244 stillbirths were recorded. The stillbirth rate was higher in the first pandemic year (0.81 %) compared with pre-pandemic years (0.73 %) and the second pandemic year (0.70 %) (p = 0.04). No stillbirths were directly attributable to maternal COVID-19 infection. The proportion of stillbirths with suboptimal care factors was similar across periods (p &gt; 0.05). 'Barriers to engaging care' increased in frequency as a contributing factor (p &lt; 0.001). 'Organizational factors' were more common in 2020 (p &lt; 0.001), while suboptimal care related to healthcare personnel was less common in 2021 (p &lt; 0.001). Disadvantaged and non-Australian-born women were more likely to experience suboptimal care.</div></div><div><h3>Discussion</h3><div>Significant fluctuations in stillbirth rates were observed during the pandemic, with a temporary rise in 2020. Barriers to accessing care were a notable factor.</div></div><div><h3>Conclusion</h3><div>Embedding woman-centred care to address structural inequities is essential for supporting families and creating a just health system.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 1","pages":"Article 101855"},"PeriodicalIF":4.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928930","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":"How do midwives learn about, understand, and integrate Cultural Safety into their care of First Nations women and families? A qualitative exploration","authors":"Moira Williamson ,&nbsp;Tanya S. Capper ,&nbsp;Rachelle M. Chee ,&nbsp;Bridget Ferguson ,&nbsp;Katie Lentell ,&nbsp;Kelly Haynes","doi":"10.1016/j.wombi.2025.101868","DOIUrl":"10.1016/j.wombi.2025.101868","url":null,"abstract":"<div><h3>Problem</h3><div>Midwives are required to provide care based on Cultural Safety for First Nations women and families. Recent literature has suggested that midwives' understanding of Cultural Safety and how it translates into their practice differs widely. This disparity requires further exploration.</div></div><div><h3>Background</h3><div>The Australian professional midwifery codes and standards state that there is a requirement to provide care based on Cultural Safety. It is critical to understand how First Nations people’s history and culture impacts their health and wellbeing, requiring midwives to recognise how this may impact care.</div></div><div><h3>Aim</h3><div>To determine Australian midwives’ knowledge and understanding of Cultural Safety and how this translates into their practice when caring for First Nations women and families.</div></div><div><h3>Methods</h3><div>A qualitative study was undertaken. Data were collected via semi-structured interviews with 12 midwives practicing in Australia. Data were transcribed and thematically analysed.</div></div><div><h3>Findings</h3><div>Three themes were identified: ‘Society and Systems’, ‘Knowingness versus Understanding’, and ‘Personal Qualities, Engagement and Partnerships’ which highlight the strengths and deficits of Cultural Safety education and its integration into midwifery practice in Australia.</div></div><div><h3>Discussion</h3><div>Health systems providing maternity care remain rooted in Western biomedical philosophies, which influences the practice of Cultural Safety at all levels. Midwives are beginning to understand the ongoing impact of colonisation on the health and wellbeing of First Nations families, but still face challenges when striving to provide culturally safe care.</div></div><div><h3>Conclusion</h3><div>Cultural Safety must be valued at an organisational level, in which midwives can engage in authentic, maternity-based educational programs led by suitably prepared educators.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 1","pages":"Article 101868"},"PeriodicalIF":4.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142974041","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":"Intrapartum hydration assessment and management: A cross-sectional survey of Australian and New Zealand maternity units","authors":"Brianne G. McIntyre ,&nbsp;Debbie Massey ,&nbsp;Nigel Lee ,&nbsp;Lauren Kearney","doi":"10.1016/j.wombi.2024.101865","DOIUrl":"10.1016/j.wombi.2024.101865","url":null,"abstract":"<div><h3>Background</h3><div>Hydration assessment and management during labour play an important role in maternal and newborn outcomes. Studies indicate that clinical practice is inconsistent, with limited consensus evident in clinical guidelines. Current practices in fluid management across public and private maternity units within Australia and New Zealand remain unknown. Respondents highlighted the importance of maternal hydration assessment and management to well-being. However, inconsistencies were noted in the documentation, medication use and adherence to clinical protocols.</div></div><div><h3>Aim</h3><div>Our study aimed to investigate unit-level clinical practice regarding intrapartum hydration assessment and management across Australian and New Zealand private and public hospitals. The scope of this study focuses on fluid management during both spontaneous and induced labour.</div></div><div><h3>Method</h3><div>We conducted a cross-sectional, descriptive survey to assess the fluid management practices of Australian and New Zealand maternity services.</div></div><div><h3>Results</h3><div>Of the 307 eligible maternity units, 89 participated (responding key informants included midwives, obstetricians, managers, and educators). All acknowledged the importance of maternal intrapartum hydration assessment and management. However, variations existed in assessment methods, with urine colour (87.6 %, n = 78) and frequency (84.3 %, n = 75), as well as maternal and fetal vital sign assessments (83.1 %, n = 74) being most prevalent. Documentation format and tools varied, and midwives identified this as their role. Despite the significance attributed to hydration by clinicians, not all felt confident in their capabilities to assess or manage intrapartum hydration. Free-text responses emphasised the significance of this topic from an educational perspective.</div></div><div><h3>Conclusion</h3><div>Respondents highlighted the significance of maternal intrapartum hydration assessment and maternal and newborn well-being management. However, inconsistent documentation, medication usage, including intravenous fluids, and clinical protocols were evident.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 1","pages":"Article 101865"},"PeriodicalIF":4.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985402","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":"Evaluating a midwifery leadership programme: a process evaluation study","authors":"Malin Bogren ,&nbsp;Paridhi Jha ,&nbsp;Bharati Sharma ,&nbsp;Kerstin Erlandsson","doi":"10.1016/j.wombi.2024.101853","DOIUrl":"10.1016/j.wombi.2024.101853","url":null,"abstract":"<div><h3>Background</h3><div>Despite global support for midwifery leadership investment, there is a notable lack of scientific evaluations of leadership programmes worldwide for midwives. The Government of India’s Midwifery Initiative launched the Midwifery Leadership Programme to enhance the leadership capacity of state-level midwifery leaders.</div></div><div><h3>Aim</h3><div>To evaluate the Midwifery Leadership Programme in India using implementation science as a framework.</div></div><div><h3>Methods</h3><div>A qualitative research design using the UK Medical Research Council guidance for process evaluation of a 12-week midwifery leadership programme in India. Data were collected through focus group discussions (n=6) with midwives and medical doctors, who have responsibility in maternal and child health services, midwifery education, practice and regulation, and individual interviews (n=3) with programme directors and a government representative, resulting in an individual participant total of 22. Transcribed discussions were analysed guided by an evaluation framework, using content analysis.</div></div><div><h3>Results</h3><div>The midwifery leadership programme was successfully implemented in terms of fidelity, dose, and reach, with continuous adaptations. Having the programme’s design, structure, and content tailor-made for the Indian context was valued highly. Easy-to-follow assignments led to state-level action plans, while participants’ motivation and improved communication skills enhanced leadership capacity.</div></div><div><h3>Conclusions</h3><div>This study demonstrates the utility of a process evaluation framework in evaluating midwifery education programmes, using the Midwifery Leadership Programme in India as an example. It is recommended that future research on evaluating midwifery education initiatives adopt implementation science frameworks to evaluate both the implementation process and the mechanisms driving programmes' impact for change, thereby informing the design and delivery of effective midwifery education programmes.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 1","pages":"Article 101853"},"PeriodicalIF":4.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928894","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}