Sexual & Reproductive Healthcare最新文献

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A positive deviant approach to examining the impact of Covid-19 on ethnic inequalities in maternal and neonatal outcomes 采用正偏差方法研究 Covid-19 对孕产妇和新生儿结局中种族不平等的影响
IF 1.8 3区 医学
Sexual & Reproductive Healthcare Pub Date : 2024-04-18 DOI: 10.1016/j.srhc.2024.100971
Jemima Dooley , Jen Jardine , Buthaina Ibrahim , Rohan Mongru , Farrah Pradhan , Daniel Wolstenholme , Erik Lenguerrand , Tim Draycott , Faye Bruce , Stamatina Iliodromiti
{"title":"A positive deviant approach to examining the impact of Covid-19 on ethnic inequalities in maternal and neonatal outcomes","authors":"Jemima Dooley ,&nbsp;Jen Jardine ,&nbsp;Buthaina Ibrahim ,&nbsp;Rohan Mongru ,&nbsp;Farrah Pradhan ,&nbsp;Daniel Wolstenholme ,&nbsp;Erik Lenguerrand ,&nbsp;Tim Draycott ,&nbsp;Faye Bruce ,&nbsp;Stamatina Iliodromiti","doi":"10.1016/j.srhc.2024.100971","DOIUrl":"10.1016/j.srhc.2024.100971","url":null,"abstract":"<div><h3>Objectives</h3><p>During the COVID-19 pandemic, rapid and heterogeneous changes were made to maternity care. Identification of changes that may reduce maternal health inequalities is a national priority. The aim of this project was to use data collected about care and outcomes to identify NHS Trusts in the UK where inequalities in outcomes reduced during the pandemic and explore through interviews how the changes that occurred may have led to a reduction in inequalities.</p></div><div><h3>Methods</h3><p>A Women’s Reference Group of public advisors guided the project. Analysis of Hospital Episode Statistics Admitted Patient Care data of 128 organisations in England identified “positive deviant” organisations that reduced inequalities, using maternal and perinatal composite adverse outcome indicators. Positive deviant organisations were identified for investigation, alongside comparators. Senior clinicians, heads of midwifery and representatives of women giving birth were interviewed. Reflexive thematic analysis was employed.</p></div><div><h3>Results</h3><p>The change in the inequality gap for the maternal indicator ranged from a reduction of −0.24 to an increase of 0.30 per 1000 births between the pre-pandemic and pandemic period. For the perinatal composite indicator, the change in inequality gap ranged from −0.47 to 0.67 per 1000 births. Nine Trusts were identified as positive deviants and 10 as comparators. We conducted 20 interviews from six positive deviant and four comparator organisations. Positive deviants reported that necessary shifts in roles led to productive and novel use of expert staff; comparators reported senior staff ‘stepping in’ where needed and no benefits of this. They reported proactivity and quick reactions, increased team working, and rapid implementation of new ideas. Comparators found constant changes overwhelming, and no increase in team working. No specific differences in care processes were identified.</p></div><div><h3>Conclusions</h3><p>Harnessing proactivity, flexibility, staffing resource, and increased team working proves vital in reducing health inequalities.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000260/pdfft?md5=43b2c8af24c9633c2c7aecd6baa4ba63&pid=1-s2.0-S1877575624000260-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140788687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Letter to the editor episiotomy: To cut or to not cut? 致编辑的信 会阴切开术:切还是不切?
IF 1.8 3区 医学
Sexual & Reproductive Healthcare Pub Date : 2024-04-06 DOI: 10.1016/j.srhc.2024.100970
Maheen Kausar Siddiqui , Hira Iqbal Naviwala , Marium Kausar Siddiqui
{"title":"Letter to the editor episiotomy: To cut or to not cut?","authors":"Maheen Kausar Siddiqui ,&nbsp;Hira Iqbal Naviwala ,&nbsp;Marium Kausar Siddiqui","doi":"10.1016/j.srhc.2024.100970","DOIUrl":"10.1016/j.srhc.2024.100970","url":null,"abstract":"","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140627576","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
Exploring the concept of unmet need within sexual and reproductive health in England: A qualitative Delphi exercise 探索英格兰性健康和生殖健康领域未满足需求的概念:德尔菲定性研究
IF 1.8 3区 医学
Sexual & Reproductive Healthcare Pub Date : 2024-04-04 DOI: 10.1016/j.srhc.2024.100969
Danielle Solomon , Jo Gibbs , Fiona Burns , Caroline A Sabin
{"title":"Exploring the concept of unmet need within sexual and reproductive health in England: A qualitative Delphi exercise","authors":"Danielle Solomon ,&nbsp;Jo Gibbs ,&nbsp;Fiona Burns ,&nbsp;Caroline A Sabin","doi":"10.1016/j.srhc.2024.100969","DOIUrl":"10.1016/j.srhc.2024.100969","url":null,"abstract":"<div><h3>Background</h3><p>Unmet need within sexual and reproductive health (SRH) is a concept that is difficult to define and measure. This qualitative Delphi exercise was used to ascertain the opinions of SRH professionals on the conceptualisation and measurement of unmet need within SRH.</p></div><div><h3>Methods</h3><p>This exercise was carried out in two rounds. In the first round, respondents responded narratively to three prompts, which were then used to create a series of statements. In the second round, participants responded narratively to the statements created in the first round. Responses from both rounds were then coded and analysed thematically.</p></div><div><h3>Results</h3><p>Participants felt that an understanding of unmet need is an important part of SRH service design and provision, and believed that certain populations are often underrepresented within the datasets that are used to assess unmet need. Many respondents felt that a full understanding of unmet need within SRH would only come from involvement of relevant stakeholders in the process of investigating unmet need, and that qualitative methods may also have a role to play in gaining a more holistic understanding of unmet need within SRH.</p></div><div><h3>Conclusions</h3><p>Respondents within this study felt that unmet need is complex concept that has a significant impact on service delivery and the outcomes and experiences of the most vulnerable populations. We need to improve our understanding of unmet need and prioritise stakeholder voices if we want to create interventions that address unmet need within SRH.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000247/pdfft?md5=4c9c1463e48c86b3f129900d8b8cd041&pid=1-s2.0-S1877575624000247-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140782553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Preparing solo mothers for childbirth and parenthood – The importance of being with like-minded women 让单亲妈妈为分娩和为人父母做好准备--与志同道合的女性在一起的重要性
IF 1.8 3区 医学
Sexual & Reproductive Healthcare Pub Date : 2024-03-27 DOI: 10.1016/j.srhc.2024.100968
Karen Frydenrejn Funderskov , Marie Konge Nielsen , Dorthe Boe Danbjørg , Mette Juel Rothmann , Anette Werner
{"title":"Preparing solo mothers for childbirth and parenthood – The importance of being with like-minded women","authors":"Karen Frydenrejn Funderskov ,&nbsp;Marie Konge Nielsen ,&nbsp;Dorthe Boe Danbjørg ,&nbsp;Mette Juel Rothmann ,&nbsp;Anette Werner","doi":"10.1016/j.srhc.2024.100968","DOIUrl":"https://doi.org/10.1016/j.srhc.2024.100968","url":null,"abstract":"<div><h3>Objectives</h3><p>Denmark and many high-income countries have seen an increase in the number of single women getting pregnant through medical assisted reproduction (MAR). These women are also named <em>solo mothers</em>. According to the Danish Health Authorities, they should, as all other pregnant women, be offered antenatal education. The aim of this study was to explore solo mothers’ needs in order to prepare them for childbirth and parenthood.</p></div><div><h3>Methods</h3><p>This qualitative study was set to investigate solo mothers’ experiences and requirements during pregnancy to<!--> <!-->prepare them for childbirth and parenting. Semi-structured interviews were conducted by telephone or face-to-face. A systematic text condensation and interpretation was used to analyse data.</p></div><div><h3>Results</h3><p>38 interviews were conducted before and after pregnancy. Twenty solo mothers participated in the study. Three themes emerged from the analysis: ‘Confrontation with the normative pregnancy’, ‘Mirroring and network’ and ‘Using formal and informal sources to gain information’.</p></div><div><h3>Conclusion</h3><p>The conventional antenatal packages offered by the healthcare system did not meet the solo mothers’ needs. The women called for content and information tailored to single parents. Solo mothers may benefit from structured antenatal classes in small groups. Being with like-minded women was essential for preparing for childbirth and parenting.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140342382","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
Home-based postnatal care following early hospital discharge: A descriptive study of the health care service midwife home 早期出院后的家庭产后护理:医疗保健服务助产士之家的描述性研究
IF 1.8 3区 医学
Sexual & Reproductive Healthcare Pub Date : 2024-03-23 DOI: 10.1016/j.srhc.2024.100967
Benedikte Kjetland Skarsgaard , Therese Harvold Henriksen , Unn Dahlberg , Tone Shetelig Løvvik , Ingvild Aune
{"title":"Home-based postnatal care following early hospital discharge: A descriptive study of the health care service midwife home","authors":"Benedikte Kjetland Skarsgaard ,&nbsp;Therese Harvold Henriksen ,&nbsp;Unn Dahlberg ,&nbsp;Tone Shetelig Løvvik ,&nbsp;Ingvild Aune","doi":"10.1016/j.srhc.2024.100967","DOIUrl":"10.1016/j.srhc.2024.100967","url":null,"abstract":"<div><h3>Objective</h3><p>At St. Olav’s University Hospital in Trondheim, Norway, “Midwife Home” (MH) is an integrated home-based postnatal service for mothers who want early discharge (i.e. 6–24 h) after giving birth. The purpose of our study was to evaluate MH by (1) describing the characteristics of mother–newborn pairs followed up by MH to investigate whether the service has an appropriate target group; (2) describing the number and causes of possible readmissions for safety; (3) investigating whether MH follows the criteria set for the service; and (4) exploring whether the service facilitates continuity of care.</p></div><div><h3>Methods</h3><p>Following a cross-sectional design, we collected data from medical records at St. Olav’s University Hospital.</p></div><div><h3>Results</h3><p>In the 212 mother–newborn pairs investigated, most mothers had a high level of education, were multiparous, had vaginal delivery, did not experience postpartum haemorrhage exceeding 500 mL, experienced first-degree or no perineal tear and started breastfeeding before discharge from hospital. Most newborns had a birthweight of 3000–4000 g and an APGAR score exceeding 7 after 5 min. Within the first six weeks postpartum, 1.4 % of the mothers and 2.3 % of the newborns were readmitted.</p></div><div><h3>Conclusion</h3><p>Mothers who choose follow-up by MH represent a homogeneous group of healthy, highly educated multiparous mothers with uncomplicated births and healthy newborns. The low number of readmissions imply that MH is a safe service, and that the target group is appropriate.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000223/pdfft?md5=29724c1f6a5a91fcc762d5e2058e9a6d&pid=1-s2.0-S1877575624000223-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140275603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 sexual and reproductive health issues do young people want to discuss with a doctor, and why haven’t they done so? Findings from an online survey 年轻人希望与医生讨论哪些性健康和生殖健康问题?在线调查的结果
IF 1.8 3区 医学
Sexual & Reproductive Healthcare Pub Date : 2024-03-20 DOI: 10.1016/j.srhc.2024.100966
H. Bittleston , J.S. Hocking , M. Temple-Smith , L. Sanci , J.L. Goller , J. Coombe
{"title":"What sexual and reproductive health issues do young people want to discuss with a doctor, and why haven’t they done so? Findings from an online survey","authors":"H. Bittleston ,&nbsp;J.S. Hocking ,&nbsp;M. Temple-Smith ,&nbsp;L. Sanci ,&nbsp;J.L. Goller ,&nbsp;J. Coombe","doi":"10.1016/j.srhc.2024.100966","DOIUrl":"https://doi.org/10.1016/j.srhc.2024.100966","url":null,"abstract":"<div><h3>Objective</h3><p>Young people are a priority group for sexual and reproductive health (SRH) care. We considered which SRH topics young Australians want to discuss with a general practitioner (GP) and explored barriers they encounter to discussing these issues.</p></div><div><h3>Methods</h3><p>We conducted an online survey (2nd May – 21st June 2022) of Australians aged 16–29 years. Participants were asked to identify from a list of SRH topics which they wanted to discuss, but never had, with a GP. Those who selected any topic/s (with ‘undiscussed SRH issues’) were asked a free-text follow-up question about what prevented them from discussing issues. We explored characteristics associated with having undiscussed issues using multivariate logistic regression. Free-text comments were analysed using content analysis.</p></div><div><h3>Results</h3><p>A total of 1887 people completed relevant survey questions. Most (67.1 %) were women and 48.5 % were heterosexual. Two-thirds (67.0 %) had a usual GP. Nearly half (45.6 %) had undiscussed issues. Most commonly, women wanted to discuss cervical screening and sexual problems, and men wanted to discuss sexual problems and STIs. Participants who were male, older, heterosexual, and with a usual GP were least likely to have undiscussed issues. Barriers to accessing care for SRH were identified from free-text comments, including discomfort, lack of opportunity, fear of negative outcomes, low priority of SRH issues, and perceptions about the role and expertise of GPs.</p></div><div><h3>Conclusions</h3><p>Many young people would welcome more preventative SRH care. Young people may be reassured that all issues, including sexual difficulties and dysfunction, are appropriate to discuss with a GP.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000211/pdfft?md5=1fb9951e026b6d95536729a0b09f1cee&pid=1-s2.0-S1877575624000211-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140190788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Experiences of implementing and working with obstetric emergency triage: A qualitative study among Swedish midwifes, auxiliary nurses, and obstetricians 产科急诊分诊的实施和工作经验:瑞典助产士、辅助护士和产科医生的定性研究
IF 1.8 3区 医学
Sexual & Reproductive Healthcare Pub Date : 2024-03-11 DOI: 10.1016/j.srhc.2024.100958
Linnéa Lindroos , Verena Sengpiel , Helen Elden
{"title":"Experiences of implementing and working with obstetric emergency triage: A qualitative study among Swedish midwifes, auxiliary nurses, and obstetricians","authors":"Linnéa Lindroos ,&nbsp;Verena Sengpiel ,&nbsp;Helen Elden","doi":"10.1016/j.srhc.2024.100958","DOIUrl":"https://doi.org/10.1016/j.srhc.2024.100958","url":null,"abstract":"<div><h3>Introduction</h3><p>Obstetric emergency triage is a relatively new form of emergency triage and is not yet implemented in Sweden. Adaptations enables safe assessment of the childbearing woman, fetus and labor status. Failure to identify severely ill childbearing women and women post childbirth has repeatedly led to adverse outcomes. Introducing obstetric emergency triage constitutes a profound alteration in management that may challenge preconceived notions on how to provide best care. This study aimed at exploring and describing obstetric staff’s experiences of working with obstetric emergency triage.</p></div><div><h3>Materials and Methods</h3><p>Thirteen obstetricians, midwives and auxiliary nurses at an obstetric emergency department in eastern Sweden were recruited by purposeful sampling. Individual qualitative interviews underwent inductive qualitative content analysis according to Graneheim and Lundman.</p></div><div><h3>Results</h3><p>An overarching theme − <em>A new mindset</em> − emerged from the analysis, comprising the four categories: <em>Implications for the individual caregiver’s own work, An improved organization, Improved patient care</em>. Initial skepticism to triage changed towards a positive attitude during implementation, identifying barriers and facilitators for successful implementation.</p></div><div><h3>Conclusions</h3><p>This first study exploring Swedish obstetric staff’s perception of obstetric emergency triage as a working method suggests that, given time for implementation, a new mindset in obstetric emergency care might develop. Triage provides structure and a sense of control through a clear and quick overview of childbearing women seeking emergency care and enhances teamwork by improving communication. Triage directs attention toward aberrations and promotes reflection and action, improving patient safety.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000132/pdfft?md5=f92dfa799e60cce97e3bd05133645f45&pid=1-s2.0-S1877575624000132-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140137891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Psychometric testing and the predictive validity of the Postpartum Depression Predictors Inventory-Revised (PDPI-R): A longitudinal study with Turkish women 产后抑郁预测量表-修订版(PDPI-R)的心理测试和预测有效性:针对土耳其妇女的纵向研究
IF 1.8 3区 医学
Sexual & Reproductive Healthcare Pub Date : 2024-03-02 DOI: 10.1016/j.srhc.2024.100965
Fatma Ayhan , Ayse Akalin , Habip Balsak , Arzu Erden
{"title":"Psychometric testing and the predictive validity of the Postpartum Depression Predictors Inventory-Revised (PDPI-R): A longitudinal study with Turkish women","authors":"Fatma Ayhan ,&nbsp;Ayse Akalin ,&nbsp;Habip Balsak ,&nbsp;Arzu Erden","doi":"10.1016/j.srhc.2024.100965","DOIUrl":"https://doi.org/10.1016/j.srhc.2024.100965","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this study was to investigate the validity and reliability of the prenatal and postnatal versions of the Postpartum Depression Predictors Inventory-Revised (PDPI-R) and to examine the predictive validity of PDPI-R in Turkish women, considering two gold standards to determine postpartum depression (PPD).</p></div><div><h3>Methods</h3><p>This prospective longitudinal study was conducted between August 2021 and September 2023. A total of 301 pregnant women participated in the study. Participants completed the PDPI-R during the third trimester of pregnancy (T1) and at 4 weeks postpartum (T2). At T2, participants also completed the Edinburgh Postnatal Depression Scale (EPDS), and women were interviewed using the Structured Clinical Interview for DSM-IV Disorders.</p></div><div><h3>Results</h3><p>The prenatal version of the PDPI-R predicted PPD with 64% (R:0.64) accuracy on the basis of the EPDS and 78% accuracy (R:0.78) according to DSM IV criteria. The postnatal version of the PDPI-R predicted PPD with 71% (R:0.71) accuracy on the basis of the EPDS and 81% accuracy (R:0.781) based on DSM IV criteria. The cut-off points exhibited the highest sensitivity and specificity values at 8.5 for the prenatal version and 10.5 for the postnatal version.</p></div><div><h3>Conclusions</h3><p>The PDPI-R is a valid and reliable screening tool for identifying Turkish women at high risk of developing PPD and for estimating the psychosocial risk associated with PPD.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140067328","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
Swedish midwives’ attitudes towards continuity models-a cross-sectional survey 瑞典助产士对连续性模式的态度--横断面调查
IF 1.8 3区 医学
Sexual & Reproductive Healthcare Pub Date : 2024-02-29 DOI: 10.1016/j.srhc.2024.100957
Ingegerd Hildingsson , Hanna Fahlbeck , Birgitta Larsson , Margareta Johansson
{"title":"Swedish midwives’ attitudes towards continuity models-a cross-sectional survey","authors":"Ingegerd Hildingsson ,&nbsp;Hanna Fahlbeck ,&nbsp;Birgitta Larsson ,&nbsp;Margareta Johansson","doi":"10.1016/j.srhc.2024.100957","DOIUrl":"https://doi.org/10.1016/j.srhc.2024.100957","url":null,"abstract":"<div><h3>Background</h3><p>Midwifery continuity models are growing worldwide, but few such alternatives are available in Sweden. There is sparse knowledge about Swedish midwives’ attitudes about midwifery continuity models.</p></div><div><h3>Aim</h3><p>The aim of this study was to explore Swedish midwives’ attitudes toward continuity models. An additional aim was to evaluate the psychometric properties of a previously developed instrument measuring attitudes to continuity models.</p></div><div><h3>Methods</h3><p>A cross-sectional survey of a national sample of 2537 midwives in Sweden. The participants completed a questionnaire online. A Principal component Analysis was performed to identify components in the instrument.</p></div><div><h3>Results</h3><p>A fairly similar proportion of midwives worked in antenatal care (30.7%), intrapartum care (30.7%) and in other areas (31.1%). Many midwives (59%) agreed that continuity models should be available to women, but were not certain about if such models should be offered to all women or low risk women only. Two domains of the attitude scale were identified; <em>Relationship-based Midwifery Continuity Models</em>, and <em>Practical and Organisational Aspects of Midwifery Continuity Models.</em> Age, having children, marital status, length of work experience and place of work were associated with high agreement non the two components.</p></div><div><h3>Conclusion</h3><p>Many midwives in general held positive attitudes about continuity models. The relationship aspects were highly valued but midwives were also hesitant about the practical and organisational aspect of continuity models. Unbiased information to midwives about the pros and cons with continuity models should be offered, in order to limit misunderstandings about the model.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000120/pdfft?md5=962cb622db7f197c9c847e93650a87af&pid=1-s2.0-S1877575624000120-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140014188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Perceptions and educational needs of social and healthcare professionals in the prevention of domestic violence – A focus group study 社会和医疗保健专业人员对预防家庭暴力的看法和教育需求--焦点小组研究
IF 1.8 3区 医学
Sexual & Reproductive Healthcare Pub Date : 2024-02-23 DOI: 10.1016/j.srhc.2024.100956
Evanthia Sakellari , Mari Berglund , Areti Lagiou , Maria Luisa Sotto-mayor De Carvalho Pinto , Maria Anabela Ferreira Dos Santos , Mari Lahti , Tiina Murto
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