Sexual & Reproductive Healthcare最新文献_第10页

‘Goodbye and good luck’ Midwifery care to pregnant undocumented migrants in Norway: A qualitative study 挪威对怀孕的无证移民的“再见，祝你好运”助产护理：一项定性研究

IF 1.8 3区医学

Sexual & Reproductive Healthcare Pub Date : 2023-09-01 DOI: 10.1016/j.srhc.2023.100878

Nanna Voldner , Frode Eick , Siri Vangen

{"title":"‘Goodbye and good luck’ Midwifery care to pregnant undocumented migrants in Norway: A qualitative study","authors":"Nanna Voldner , Frode Eick , Siri Vangen","doi":"10.1016/j.srhc.2023.100878","DOIUrl":"10.1016/j.srhc.2023.100878","url":null,"abstract":"<div><h3>Objective</h3><p>To explore community midwives’ experiences caring for pregnant undocumented migrants seeking prenatal care in Norway.</p></div><div><h3>Method</h3><p>Due to the relatively limited previous research and number of pregnant undocumented migrants we used an explorative approach through qualitative method. Ten community midwives were interviewed after snowball sampling in Oslo, the capital of Norway. The main themes emerged through a qualitative analysis of the transcripts, and meaning units were extracted.</p></div><div><h3>Results</h3><p>Midwives with no prior experience with pregnant undocumented migrants expressed uncertainty regarding the women’s rights. In contrast, those midwives who had had prior experience with this group, developed their own solutions and enacted certain strategies to help them without any guidelines from their employer. All the midwives found it challenging to provide follow-up care to the undocumented migrants during pregnancy and postpartum. They also expressed concerns regarding increasing challenges creating clinical trusting relationships and restrictions and practices at public hospitals.</p></div><div><h3>Conclusions</h3><p>To ensure adequate perinatal care, it is needed to reassure pregnant undocumented migrants free and safe care at all stages in the birth giving process. Community midwives need professional support in establishing trusting clinical relationships with pregnant undocumented migrants to reduce maternal stress and facilitate continuity in perinatal care.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10214017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Midwifery care for late termination of pregnancy: Integrative review 晚期终止妊娠的助产护理:综合评价

IF 1.8 3区医学

Sexual & Reproductive Healthcare Pub Date : 2023-09-01 DOI: 10.1016/j.srhc.2023.100889

Susanne Armour , Hazel Keedle , Andrea Gilkison , Hannah Grace Dahlen

{"title":"Midwifery care for late termination of pregnancy: Integrative review","authors":"Susanne Armour , Hazel Keedle , Andrea Gilkison , Hannah Grace Dahlen","doi":"10.1016/j.srhc.2023.100889","DOIUrl":"10.1016/j.srhc.2023.100889","url":null,"abstract":"<div><p>Midwives provide reproductive healthcare to women, including during termination of pregnancy (TOP) after 12 weeks (late TOP). Their expertise, knowledge and woman-centred care approach sees them ideally placed for this role. However, the medical, social and emotional complexities of late TOP can cause midwives significant distress. An integrative review methodology was used to examine the research on midwifery care for late TOP and identify support strategies and interventions available to midwives in this role. Five databases and reference lists were searched for relevant studies published between 2000 and 2021. A total of 2545 records were identified and 24 research studies included. Synthesis of research findings resulted in three themes: <em>Positive aspects</em>, <em>negative aspects</em> and <em>carers need care.</em> Midwives reported a high level of job satisfaction when caring for women during late TOP. Learning new skills and overcoming challenges were positive aspects of their work. Yet, midwives felt unprepared to deal with challenging aspects of late TOP care such as the grief and the psychological burden of the role. Caring for the baby with dignity had both positive and negative aspects. Midwives relied predominantly on close colleagues for help and debriefing as they felt poorly supported by management, judged by co-workers and lacked appropriate support to reduce the emotional effects of late TOP care. Midwives need support, although current evidence has not identified the most appropriate and effective strategy to support them in this role.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10156218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Bearing the burden of spill-over effects: Living with a woman affected by symptomatic pelvic organ prolapse after vaginal birth – from a partner’s perspective 承受溢出效应的负担:从伴侣的角度来看，与阴道分娩后有盆腔器官脱垂症状的女性一起生活

IF 1.8 3区医学

Sexual & Reproductive Healthcare Pub Date : 2023-09-01 DOI: 10.1016/j.srhc.2023.100894

Maria Mirskaya, Anna Isaksson, Eva-Carin Lindgren, Ing-Marie Carlsson

{"title":"Bearing the burden of spill-over effects: Living with a woman affected by symptomatic pelvic organ prolapse after vaginal birth – from a partner’s perspective","authors":"Maria Mirskaya, Anna Isaksson, Eva-Carin Lindgren, Ing-Marie Carlsson","doi":"10.1016/j.srhc.2023.100894","DOIUrl":"10.1016/j.srhc.2023.100894","url":null,"abstract":"<div><h3>Introduction</h3><p>Symptomatic pelvic organ prolapse (sPOP) can have a negative impact on a woman’s health. While research exists about the impact of sPOP on women, little is known about the effect on their partners. Therefore, this study aimed to explore, from the partner’s perspective, what it means to live with a woman with symptomatic pelvic organ prolapse after vaginal birth.</p></div><div><h3>Methods</h3><p>A qualitative explorative design with a constructed grounded theory approach was taken to analyse the interviews of 13 partners who experienced living with a woman who had sPOP after vaginal birth.</p></div><div><h3>Results</h3><p>“The theory of bearing the burden of spill-over effects” was constructed based on a core category: “Facing a new restricted life”, with related categories “Giving up valued activities”; “Struggling with added demands”; “Changing intimate behaviour” and “Redefining future family planning”. The theory also contains factors constraining and enabling adjustment to the new reality. While the shortcomings of healthcare constrained the process of adjustment, getting competent treatment and the feeling of love for the family enabled it.</p></div><div><h3>Conclusion</h3><p>This study demonstrated that women’s sPOP had an apparently negative impact on partners’ health behaviours, sexual health, relationship harmony, and psychological well-being.</p><p>The partners indicated they were unprepared for post-birth adversities and distressed by the lack of treatment options. There is a need to develop prenatal information highlighting the potential risks of sPOP which may be accompanied by levator ani muscle injury, implement guidelines for the prevention and management of these conditions, and offer targeted support to partners if needed.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10157189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Student midwives' perspectives of women's sexual and reproductive health literacy in Turkey 学生助产士对土耳其妇女性健康和生殖健康知识普及的看法

IF 1.8 3区医学

Sexual & Reproductive Healthcare Pub Date : 2023-09-01 DOI: 10.1016/j.srhc.2023.100864

Sarah Church , Serap Ejder Apay , Ayse Gurol , Yoanna Slaveva , Rhianna Mills

{"title":"Student midwives' perspectives of women's sexual and reproductive health literacy in Turkey","authors":"Sarah Church , Serap Ejder Apay , Ayse Gurol , Yoanna Slaveva , Rhianna Mills","doi":"10.1016/j.srhc.2023.100864","DOIUrl":"10.1016/j.srhc.2023.100864","url":null,"abstract":"<div><h3>Objective</h3><p>This study focused on the issues surrounding health literacy in the context of women’s sexual and reproductive health (SRH), the significance and availability of information for midwives and women; and the socio-cultural influences and barriers related to women’s level of health literacy.</p></div><div><h3>Methods</h3><p>A cross sectional on-line survey was distributed to 280 student midwives in their 2nd 3rd and 4th year of a midwifery programme. This paper focuses on the responses from 138 students which were analysed using descriptive and non-parametric tests.</p></div><div><h3>Results</h3><p>Student midwives indicated their level of agreement regarding women’s ability to access, understand, and appraise information they received verbally and in written form about the six main SRH topics (namely contraception, STIs, abortion, Pap tests and cervical cancer, and fertility and pregnancy), from their midwife but agreement was much lower regarding women’s access to SRH information from peers and their families. False beliefs were ranked as the most common barrier to accessing information and services. Students ranked being a refugee, being from a rural area, being educated to a primary school level or not formally educated, as having the greatest negative impact on women’s health literacy.</p></div><div><h3>Conclusions</h3><p>Findings from this study indicate the role that the sociocultural background of Islamic culture plays in the disparities in sexual and reproductive health literacy (SRHL) for women from the perspective of student midwives. Our findings indicate the need for future research to focus on women as participants to gain their first-hand experiences of SRHL.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10157544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Perceived risk factors and preventive practices of Hepatitis B viral infection among pregnant women in Nigerian hospitals: A cross-sectional study 尼日利亚医院孕妇乙型肝炎病毒感染的感知危险因素和预防措施:一项横断面研究

IF 1.8 3区医学

Sexual & Reproductive Healthcare Pub Date : 2023-09-01 DOI: 10.1016/j.srhc.2023.100896

Love B. Ayamolowo , Olawumi Olorunfemi , Omolola O. Irinoye , Adebukunola O. Afolabi

{"title":"Perceived risk factors and preventive practices of Hepatitis B viral infection among pregnant women in Nigerian hospitals: A cross-sectional study","authors":"Love B. Ayamolowo , Olawumi Olorunfemi , Omolola O. Irinoye , Adebukunola O. Afolabi","doi":"10.1016/j.srhc.2023.100896","DOIUrl":"10.1016/j.srhc.2023.100896","url":null,"abstract":"<div><h3>Objective</h3><p>The study assessed the perceived risk factors and prevention practices of HBV infection among pregnant women in Nigerian hospitals.</p></div><div><h3>Study Design</h3><p>A descriptive cross-sectional study was conducted among 343 pregnant women attending antenatal clinics at two purposefully selected primary health care centers in Ile-Ife. Women were included in the study using systematic sampling. A structured researcher-administered questionnaire was used for data collection. Descriptive and inferential (Chi-square test and Logistic regression) statistical analysis were carried out.</p></div><div><h3>Results</h3><p>More than half (53%) of the respondents had a low perceived risk for hepatitis. Majority (73.5%) had been screened for HBV during the index pregnancy but only 30% received complete doses of HBV vaccine. Respondents who underwent HBV screening during pregnancy (OR = 2.06, 95% CI = 0.94 – 4.5), who had completed Hepatitis B vaccination had reduced odds ratios for perceiving risk factors for Hepatitis B Viral Infection (OR = 0.224, 95% CI = 0.94 – 4.5).</p></div><div><h3>Conclusion</h3><p>Pregnant women had a low-risk perception of HBV infection. The low level of risk perception can serve as a basis for developing preventive interventions aimed at educating and empowering expectant mothers in order to prevent HBV infection and its transmission to their children.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10158572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Factors affecting mother-infant bonding in a Polish group of mothers 波兰母亲群体中影响母婴关系的因素

IF 1.8 3区医学

Sexual & Reproductive Healthcare Pub Date : 2023-09-01 DOI: 10.1016/j.srhc.2023.100880

Karolina Kossakowska, Andrzej Śliwerski

{"title":"Factors affecting mother-infant bonding in a Polish group of mothers","authors":"Karolina Kossakowska, Andrzej Śliwerski","doi":"10.1016/j.srhc.2023.100880","DOIUrl":"10.1016/j.srhc.2023.100880","url":null,"abstract":"<div><h3>Aim</h3><p>The study aimed to identify the factors affecting the mother-infant bond.</p></div><div><h3>Methods</h3><p>This cross-sectional study included 117 mothers of infants up to 12 months of age. The participants completed online versions of the Postpartum Depression Screening Scale – Short Form, the Postpartum Bonding Questionnaire, the Parenting Sense of Competence Scale, the Perception of Stress Questionnaire, and the Prenatal Expectations Scale, which included expectations toward the child, social functioning, and the partner. The results were analyzed using independent t-tests, one-way ANOVA, and multivariate linear regression.</p></div><div><h3>Results</h3><p>Mothers who experienced symptoms of postpartum depression reported lower satisfaction with motherhood, higher stress levels, and greater discrepancies between prenatal expectations and postpartum reality. Regression analysis revealed that postpartum depression symptoms did not significantly influence the three dimensions of bonding difficulties. However, stress, discrepancies between expectations toward the partner and child, and maternal sense of competence were found to potentially intensify bonding disorders. The study also found that greater disappointment with the partner was generally associated with a weaker bond with the child. However, in cases where caring for a child was more challenging than expected during pregnancy, high emotional tension was present, or the mother had lower parental competencies, having a partner who functioned better than expected may exacerbate the disruption of the bond between the mother and child.</p></div><div><h3>Conclusions</h3><p>Prenatal expectations, perceived stress levels, and maternal sense of competence are significant factors in bonding difficulties, with postpartum depression symptoms being an important as single variable. However, the role of postpartum depression symptoms in shaping the mother-infant bond diminishes when the overall functioning of the mother is considered.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10155720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 1

In what ways does maternity care in Australia align with the values and principles of the national maternity strategy? A scoping review 澳大利亚的产妇护理在哪些方面符合国家产妇战略的价值观和原则？范围审查

IF 1.8 3区医学

Sexual & Reproductive Healthcare Pub Date : 2023-09-01 DOI: 10.1016/j.srhc.2023.100900

Paula Medway, Alison Hutchinson, Linda Sweet

{"title":"In what ways does maternity care in Australia align with the values and principles of the national maternity strategy? A scoping review","authors":"Paula Medway, Alison Hutchinson, Linda Sweet","doi":"10.1016/j.srhc.2023.100900","DOIUrl":"10.1016/j.srhc.2023.100900","url":null,"abstract":"<div><p>Australia’s national maternity strategy <em>Woman-centred care: strategic directions for Australian maternity services</em> (the Strategy) was released by the federal government in November 2019. It was developed to provide national guidance on the effective provision of woman-centred maternity care. The Strategy is structured around four values of safety, respect, choice, and access, and underpinned by twelve principles of woman-centred care. By examining previous research, this review aims to provide a baseline understanding of how maternity care provision is being met in relation to these core values. A systematic search of Australian literature was undertaken via four databases using the Strategy’s values and 41 articles met the selection criteria. Include articles were predominantly published pre-2019, providing a baseline understanding of Australian maternity care provision prior to the Strategy’s publication. Findings suggest that the four values align with those of women; however, women were not always receiving care in accordance with the values, particularly among women from priority populations. Women prioritised safety for themselves and their babies, articulated the need for respectful relationships with maternity care providers, wanted autonomy to make their own decisions, and desired access to appropriate, local, maternity services. Additionally, while pockets of appropriate care do exist, these are more likely to occur at a single-service level than more broadly at a population level. This implies the Strategy is needed, and its operationalisation must be prioritised through a coordinated national response to better meet the maternity care needs of Australian women. Further research is warranted to determine the Strategy’s effectiveness.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10187637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Postpartum contraception usage in immigrants compared with non-immigrants in Buffalo, NY 纽约州布法罗市移民与非移民产后避孕使用情况的比较

IF 1.8 3区医学

Sexual & Reproductive Healthcare Pub Date : 2023-09-01 DOI: 10.1016/j.srhc.2023.100897

Rebeccah Stevens , Blakeley Schiffman , Faye Justicia-Linde , James Shelton

{"title":"Postpartum contraception usage in immigrants compared with non-immigrants in Buffalo, NY","authors":"Rebeccah Stevens , Blakeley Schiffman , Faye Justicia-Linde , James Shelton","doi":"10.1016/j.srhc.2023.100897","DOIUrl":"10.1016/j.srhc.2023.100897","url":null,"abstract":"<div><h3>Objectives</h3><p>The purpose of this study was to compare rates of postpartum contraception use in immigrant populations in Buffalo, NY compared with non-immigrant populations. The study also explores rates of specific birth control selection amongst those who did choose to employ postpartum contraception.</p></div><div><h3>Study design</h3><p>A retrospective chart review was conducted comparing the rate of postpartum contraceptive use in 132 immigrant individuals with that of 134 non-immigrant individuals, as measured by the documented intent or refusal to initiate any contraceptive method within the first three months postpartum. Patients were from clinics affiliated with the Women and Children’s Hospital of Buffalo (WCHOB) who delivered during the years 2015–2016. The immigrant patients were chosen from the top ten immigrant countries of origin who delivered at WCHOB at the time.</p></div><div><h3>Results</h3><p>After controlling for factors of maternal age, gestational age at time of delivery, and gravidity and parity, the immigrant group was more likely to decline postpartum contraception in the first three months postpartum compared with the non-immigrant group (25.8% vs 6.7%, p < 0.001). Immigrants were more likely to select a barrier method (p = 0.036) and decided to employ contraception more remotely from delivery when compared with non-immigrant individuals (p < 0.001). Amongst the immigrant cohort, there was no statistically significant difference in methods chosen based on broad geographic areas of origin.</p></div><div><h3>Conclusions</h3><p>Immigrant obstetric populations in Buffalo are less likely to employ postpartum contraception compared with non-immigrant populations. The factors influencing this are multifactorial; however, this information can inform care for both immigrant and non-immigrant patients.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10513568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

The prevalence of exclusive breastfeeding practice in the first six months of life and its associated factors in Nepal: A systematic review and meta-analysis 尼泊尔前六个月纯母乳喂养的流行及其相关因素:一项系统回顾和荟萃分析

IF 1.8 3区医学

Sexual & Reproductive Healthcare Pub Date : 2023-09-01 DOI: 10.1016/j.srhc.2023.100863

Sharada P. Wasti , Ayushka Shrestha , Pushpa Dhakal , Vijay S. GC

{"title":"The prevalence of exclusive breastfeeding practice in the first six months of life and its associated factors in Nepal: A systematic review and meta-analysis","authors":"Sharada P. Wasti , Ayushka Shrestha , Pushpa Dhakal , Vijay S. GC","doi":"10.1016/j.srhc.2023.100863","DOIUrl":"10.1016/j.srhc.2023.100863","url":null,"abstract":"<div><p>Despite the global emphasis on breastfeeding, exclusive breastfeeding (EBF) in the first six months of life still lag behind the global recommendations in low- and middle-income countries, such as Nepal. This systematic review aims to determine the prevalence of EBF in the first six months of life and the associated factors determining EBF practices in Nepal. The databases PubMed/MEDLINE, Embase, Scopus, Web of Science, Cochrane Library, MIDIRS, DOAJ, and the NepJOL were searched for peer-reviewed literature published up to December 2021. The JBI quality appraisal checklist was used to assess the quality of studies. Analyses were performed by pooling together studies using the random-effect model, and the I<sup>2</sup> test was used to assess the heterogeneity of the included studies. A total of 340 records were found, out of which 59 full-text were screened. Finally, 28 studies met the inclusion criteria and were selected for analysis. The pooled prevalence of EBF was 43 % (95 % confidence interval: 34–53). The odds ratio for the type of delivery was 1.59 (1.24–2.05), for ethnic minority groups 1.33 (1.02–1.75) and for first-birth order 1.89 (1.33–2.67). We found a lower prevalence of exclusive breastfeeding practice in Nepal compared to the national target. Multifaceted, effective, evidence-based interventions would encourage individuals in the exclusive breastfeeding journey. Incorporating the BEF counselling component into Nepal’s existing maternal health counselling package may help promote exclusive breastfeeding practice. Further research to explore the reasons for the suboptimal level of EBF practice would help develop the targeted interventions pragmatically.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10530271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 2

Midwife Educators’ perceptions of the efficacy of the Objective Structured clinical assessment of life-saving interventions - a qualitative interview study in Bangladesh 助产士教育工作者对挽救生命干预措施的客观结构化临床评估的有效性的看法——孟加拉国的一项定性访谈研究

IF 1.8 3区医学

Sexual & Reproductive Healthcare Pub Date : 2023-09-01 DOI: 10.1016/j.srhc.2023.100861

Catrin Borneskog , Gabriella Engström , Noor Islam , Ulrika Byrskog , Christina Pedersen , Anneli Stromsöe , Kerstin Erlandsson , MSc student group

{"title":"Midwife Educators’ perceptions of the efficacy of the Objective Structured clinical assessment of life-saving interventions - a qualitative interview study in Bangladesh","authors":"Catrin Borneskog , Gabriella Engström , Noor Islam , Ulrika Byrskog , Christina Pedersen , Anneli Stromsöe , Kerstin Erlandsson , MSc student group","doi":"10.1016/j.srhc.2023.100861","DOIUrl":"10.1016/j.srhc.2023.100861","url":null,"abstract":"<div><h3>Introduction</h3><p>Objective Structured Clinical Assessment (OSCA) is a way of evaluating students or clinicians in how they are carrying out their duties. The aim of this study was to examine how midwifery educators in Bangladesh perceived using OSCA as an assessment device in midwifery education for student performance in life-saving midwifery interventions.</p></div><div><h3>Method</h3><p>Individual interviews were conducted with 47 academic midwives and clinical midwives using purposive sampling at 38 education institutions in Bangladesh. Content analysis inspired by Elo and Kyngas was used to analyze the data.</p></div><div><h3>Results</h3><p>The ability of students to perform effectively in the OSCA-evaluated simulation of life-saving skills was related to the educators’ understanding of the concept of midwifery. The overarching main category of this study showed that for midwifery educators to be able to effectually teach professional, evidence-based midwifery, they need to be able to synthesize the delivery of practical and theoretical skills with pedagogical skills and knowledge. To implement the OSCA tool more effectively, midwifery educators need to understand the underpinning principles of midwifery values and philosophy including leadership, ownership, responsibility, and personal engagement.</p></div><div><h3>Conclusion</h3><p>There is potential to improve the efficacy of using OSCA to deliver the teaching of life-saving skills. Team sessions with midwives and physicians aiming to practice teamwork and role divisions in life-saving interventions are recommended.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10148772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 2