Birth-Issues in Perinatal Care最新文献

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Unveiling injustice: Disrupting child removal policies and upholding breastfeeding: An emancipatory framework. 揭开不公正的面纱:扰乱儿童迁移政策,坚持母乳喂养:解放框架。
IF 2.8 3区 医学
Birth-Issues in Perinatal Care Pub Date : 2024-08-16 DOI: 10.1111/birt.12852
Amanda Peek, Sharynne Hamilton, Marjorie Atchan, Natasha Jojo, Holly Northam
{"title":"Unveiling injustice: Disrupting child removal policies and upholding breastfeeding: An emancipatory framework.","authors":"Amanda Peek, Sharynne Hamilton, Marjorie Atchan, Natasha Jojo, Holly Northam","doi":"10.1111/birt.12852","DOIUrl":"https://doi.org/10.1111/birt.12852","url":null,"abstract":"<p><p>Before colonization, Aboriginal and Torres Strait Islander communities had nurturing, holistic, and communitarian approaches that promoted extended and healthy lives for their children. Colonization, marked by policies of genocide and assimilation, has resulted in an alarming overrepresentation of Aboriginal and Torres Strait Islander children under the care of child protection agencies, resulting in compromised health outcomes and reduced life expectancies. We are conducting a study designed to enhance positive developmental outcomes for Aboriginal and Torres Strait Islander children by articulating and enabling the rights of mothers and children to breastfeed in the context of a child protection intervention and child removal. To understand and address this problem, it is critical to implement culturally safe, de-colonized, emancipatory research that is guided by and benefits Aboriginal and Torres Strait Islander communities. This article presents an emancipatory framework that we are applying to our study using an Aboriginal participatory action research approach, that serves as a guide for non-Indigenous researchers seeking to conduct research with Indigenous communities. We emphasize the importance of incorporating an Aboriginal participatory action research framework, using community consultation and codesign; culturally secure data collection methods, and paying attention to Indigenous data sovereignty. Developing trusting respectful relationships is conducive to knowledge acquisition, exchange, and use, when research approaches deeply rooted in community involvement are applied. A call to action by the critical midwifery studies collective, urges non-Indigenous researchers to become accountable allies that demonstrates respect for community leadership while actively striving to ensure research does not perpetuate further harm, and produces effective change. This article provides an overview of ways to conduct ethical emancipatory research with Indigenous participants, that is, of benefit to midwifery practitioners and is applicable to many areas of research, policy, and practice.</p>","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989557","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
Labor outcomes in caseload midwifery compared with standard midwifery care: A cohort study 个案助产与标准助产护理的分娩结果比较:一项队列研究。
IF 2.8 3区 医学
Birth-Issues in Perinatal Care Pub Date : 2024-08-14 DOI: 10.1111/birt.12861
Sarah Hjorth PhD, Anne-Line Brülle MSc, Helle Kristensen RM, Anette Frederiksen RM, Ellen Aagard Nohr PhD
{"title":"Labor outcomes in caseload midwifery compared with standard midwifery care: A cohort study","authors":"Sarah Hjorth PhD,&nbsp;Anne-Line Brülle MSc,&nbsp;Helle Kristensen RM,&nbsp;Anette Frederiksen RM,&nbsp;Ellen Aagard Nohr PhD","doi":"10.1111/birt.12861","DOIUrl":"10.1111/birt.12861","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Research has shown caseload midwifery to increase the chance of vaginal birth, but this may not be the case in settings with high vaginal birth rates in standard care. This study investigated the association between caseload midwifery and birth mode, labor interventions, and maternal and neonatal outcomes at a large obstetric unit in Denmark.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Cohort study including medical records on live, singleton births fr om June 2018 until February 2022. Exposure was caseload midwifery care compared with standard midwifery care. The primary outcome was birth mode, and secondary outcomes were other outcomes of labor. Adjusted risk ratios (aRR) with 95% confidence intervals (CI) were estimated by log-binomial regression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among 16,110 pregnancies, 3162 pregnancies (19.6%) received caseload midwifery care. Caseload midwifery was associated with fewer planned cesareans (aRR 0.63 [95% CI 0.54–0.74]) and emergency cesareans (aRR 0.86 [95% CI 0.75–0.95]). No differences in labor induction, use of epidural analgesia, oxytocin augmentation, or anal sphincter tears were observed. Caseload midwifery performed more amniotomies (aRR 1.14 [95% CI 1.02–1.27]) and tended to perform more episiotomies (aRR 1.19 [95% CI 0.96–1.48]). Postpartum hemorrhage (aRR 0.90 [95% CI 0.82–0.99]) and low Apgar score were less likely (aRR 0.54 [95% CI 0.37–0.77]), and early discharge more likely (aRR 1.22 [95% CI 1.17–1.28]) in caseload midwifery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>In caseload midwifery care, a higher vaginal birth rate was observed with no increase in adverse outcomes, mainly due to a lower likelihood of planned cesarean. Also, fewer children were born with low Apgar scores.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":"51 4","pages":"817-824"},"PeriodicalIF":2.8,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/birt.12861","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977261","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
Parents' and healthcare providers' perceptions, experiences, knowledge of, and attitudes toward kangaroo care of preterm babies in hospital settings: Mixed-methods systematic review 父母和医护人员对医院早产儿袋鼠式护理的看法、经验、知识和态度:混合方法系统综述。
IF 2.8 3区 医学
Birth-Issues in Perinatal Care Pub Date : 2024-08-14 DOI: 10.1111/birt.12859
Amal Almutairi RN, AC-PNP, Anna Gavine PhD, Alison McFadden PhD
{"title":"Parents' and healthcare providers' perceptions, experiences, knowledge of, and attitudes toward kangaroo care of preterm babies in hospital settings: Mixed-methods systematic review","authors":"Amal Almutairi RN, AC-PNP,&nbsp;Anna Gavine PhD,&nbsp;Alison McFadden PhD","doi":"10.1111/birt.12859","DOIUrl":"10.1111/birt.12859","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Kangaroo care is an effective intervention to increase survival and improve the health and development of preterm infants. Despite this, implementation of kangaroo care globally remains low. The objectives of this review were to: (a) synthesize evidence on parents' and healthcare practitioners' perceptions, experiences, knowledge of, and attitudes toward kangaroo care of preterm babies in hospital settings; and (b) establish parents' satisfaction with kangaroo care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Studies of any design were included if they focused on parents' or healthcare practitioners' perceptions, experiences, knowledge of, and attitudes to kangaroo care of preterm babies, or reported parents' satisfaction, and were conducted in hospital settings. The search of seven electronic databases, African Journals Online, World Health Organization regional databases, and a gray literature search was conducted in April/May 2020, and updated in January 2024. Study selection was undertaken by two independent reviewers. Quality assessment using the Mixed Method Appraisal Tool and data extraction were completed by one reviewer with a 10% check by a second reviewer. Data were synthesized narratively using a parallel results convergent integrated design.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty-seven studies, 19 quantitative, 16 qualitative, and 2 mixed methods, were included. The findings suggested that while healthcare practitioners generally demonstrated knowledge about kangaroo care, there was a notable minority with insufficient understanding among those who received training. Parents' knowledge, particularly among fathers, was limited. Both healthcare practitioners and parents appeared to have positive attitudes to kangaroo care. Little is known about parental satisfaction with kangaroo care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Most healthcare practitioners were knowledgeable about kangaroo care, but parents had limited knowledge. This review findings suggest a need to enhance parental knowledge of kangaroo care before neonatal unit admission, and training is needed for HCPs to implement kangaroo care consistently.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":"51 4","pages":"690-707"},"PeriodicalIF":2.8,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977262","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
Assessing patient autonomy in the context of TeamBirth, a quality improvement intervention to improve shared decision-making during labor and birth 在 "团队分娩 "的背景下评估患者的自主权。"团队分娩 "是一项质量改进干预措施,旨在改善分娩和生产过程中的共同决策。
IF 2.8 3区 医学
Birth-Issues in Perinatal Care Pub Date : 2024-08-14 DOI: 10.1111/birt.12857
Vanessa L. Neergheen MPH, Lynn El Chaer MPH, Avery Plough MPH, Elizabeth Curtis RN, Victoria J. Paterson MPH, Trisha Short RN, Amani Bright BS, Stuart Lipsitz ScD, Aizpea Murphy BA, Kate Miller PhD, Laura Subramanian MS, Evelyn Radichel MSN, John Ervin MD, Lindsay Castleman RN, Erin Brown DO, Tracy Yeboah BS, Tiffany Moore Simas MD, MPH, MEd, Daniel Terk MD, Saraswathi Vedam CNM, MSN, RM, Neel Shah MD, Amber Weiseth DNP
{"title":"Assessing patient autonomy in the context of TeamBirth, a quality improvement intervention to improve shared decision-making during labor and birth","authors":"Vanessa L. Neergheen MPH,&nbsp;Lynn El Chaer MPH,&nbsp;Avery Plough MPH,&nbsp;Elizabeth Curtis RN,&nbsp;Victoria J. Paterson MPH,&nbsp;Trisha Short RN,&nbsp;Amani Bright BS,&nbsp;Stuart Lipsitz ScD,&nbsp;Aizpea Murphy BA,&nbsp;Kate Miller PhD,&nbsp;Laura Subramanian MS,&nbsp;Evelyn Radichel MSN,&nbsp;John Ervin MD,&nbsp;Lindsay Castleman RN,&nbsp;Erin Brown DO,&nbsp;Tracy Yeboah BS,&nbsp;Tiffany Moore Simas MD, MPH, MEd,&nbsp;Daniel Terk MD,&nbsp;Saraswathi Vedam CNM, MSN, RM,&nbsp;Neel Shah MD,&nbsp;Amber Weiseth DNP","doi":"10.1111/birt.12857","DOIUrl":"10.1111/birt.12857","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Respectful maternity care includes shared decision-making (SDM). However, research on SDM is lacking from the intrapartum period and instruments to measure it have only recently been developed. TeamBirth is a quality improvement initiative that uses team huddles to improve SDM during labor and birth. Team huddles are structured meetings including the patient and full care team when the patient's preferences, care plans, and expectations for when the next huddle will occur are reviewed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We used patient survey data (<i>n</i> = 1253) from a prospective observational study at four U.S. hospitals to examine the relationship between TeamBirth huddles and SDM. We measured SDM using the Mother's Autonomy in Decision-Making (MADM) scale. Linear regression models were used to assess the association between any exposure to huddles and the MADM score and between the number of huddles and the MADM score.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In our multivariable model, experiencing a huddle was significantly associated with a 3.13-point higher MADM score. When compared with receiving one huddle, experiencing 6+ huddles yielded a 3.64-point higher MADM score.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Patients reporting at least one TeamBirth huddle experienced significantly higher SDM, as measured by the MADM scale. Our findings align with prior research that found actively involving the patient in their care by creating structured opportunities to discuss preferences and choices enables SDM. We also demonstrated that MADM is sensitive to hospital-based quality improvement, suggesting that future labor and birth interventions might adopt MADM as a patient-reported experience measure.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":"51 4","pages":"855-866"},"PeriodicalIF":2.8,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977336","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
Toward a semiotics of midwifery: Multimodal communication's effects on accessibility, equity, and power dynamics. 助产的符号学:多模态传播对可及性、公平性和权力动态的影响。
IF 2.8 3区 医学
Birth-Issues in Perinatal Care Pub Date : 2024-08-12 DOI: 10.1111/birt.12853
Jane Celeste
{"title":"Toward a semiotics of midwifery: Multimodal communication's effects on accessibility, equity, and power dynamics.","authors":"Jane Celeste","doi":"10.1111/birt.12853","DOIUrl":"https://doi.org/10.1111/birt.12853","url":null,"abstract":"<p><p>According to semiotics, we live in a world of signs, where almost anything can act as a signifier and convey meaning. But what of the semiotic landscape of midwifery? What signs are present within a client's multi-sensory experience of their midwifery care? How are these signs functioning to increase equity and accessibility? Or worse, how might certain aspects of the client's experience communicate unjust power dynamics? Semiotics allows us to examine a wide communicative and educational environment. By paying particular attention to the multivalent meanings of different signs-be they written, visual, oral, or even physical-we can start to see how multimodal communication plays a vital role in a client's perception of equity and power. One way to improve client experience is by approaching education and semiotic experience from the same place as trauma-informed care. A more health-literate sensitive approach viewed through the lens of semiotics assumes all clients have little previous knowledge or comfort within a care setting. This hyperawareness and criticality of the semiotic environment would allow midwives to acknowledge various sensory and communicative biases and intentionally redesign the entire client experience. The semiotic landscape is then curated to meet the needs of the most important audience-those marginalized and discriminated against whether that is because of education, finances, race, gender, or any other intersectional identity. We must acknowledge the fact that all sign systems can either reinforce abusive power relations or work to improve them. For what is at stake here is not just a client's overall comfort, but their full understanding of the care they are receiving, the options they have, and their autonomy within their entire perinatal experience.</p>","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972365","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 impact of relationship factors on antenatal depression in the context of the COVID-19 pandemic. 在 COVID-19 大流行的背景下,关系因素对产前抑郁症的影响。
IF 2.8 3区 医学
Birth-Issues in Perinatal Care Pub Date : 2024-08-12 DOI: 10.1111/birt.12862
Chloe Pekarsky, Janice Skiffington, Kathleen Chaput, Donna Slater, Lara M Leijser, Amy Metcalfe
{"title":"The impact of relationship factors on antenatal depression in the context of the COVID-19 pandemic.","authors":"Chloe Pekarsky, Janice Skiffington, Kathleen Chaput, Donna Slater, Lara M Leijser, Amy Metcalfe","doi":"10.1111/birt.12862","DOIUrl":"https://doi.org/10.1111/birt.12862","url":null,"abstract":"<p><strong>Background: </strong>Antenatal depression is the most prevalent pregnancy-associated mental health disorder. Previous studies have identified several risk factors for antenatal depression, including partner support. However, during the COVID-19 pandemic, many relationship dynamics changed. This study examined the extent to which relationship factors had an impact on antenatal depression in comparison with other well-researched factors in the context of the pandemic.</p><p><strong>Methods: </strong>A secondary analysis was conducted using data from the P3 Cohort in Calgary, a longitudinal cohort study based in Alberta, Canada. Pregnant people (n = 872) completed self-report questionnaires and validated scales about sociodemographic, psychological, and relationship characteristics. Antenatal depression was assessed using the Edinburgh Postnatal Depression Scale (EPDS). Logistic regression was used to assess the impact of reported characteristics on antenatal depression. Tests of model fit were used to examine whether the inclusion of variables related to relationship quality improved model fit after accounting for other known risk factors.</p><p><strong>Results: </strong>Overall, 18.23% of participants experienced antenatal depression. Relationship factors including relationship unhappiness (OR = 1.98 [95% CI: 1.06-3.69]), having an upsetting partner (OR = 2.00 [95% CI: 1.17-3.40]), and having a lower quality of relationships with close friends and family (OR = 1.76 [95% CI: 1.14-2.73]) were associated with antenatal depression; however, inclusion of these relationship factors did not improve model fit after accounting for other known predictors.</p><p><strong>Conclusion: </strong>Overall, relationship factors were not associated with antenatal depression during the pandemic after accounting for other known risk factors. Stress and anxiety caused by the pandemic may have overshadowed the impact of relationship factors, or relationship factors may have contributed to higher levels of stress and anxiety more generally within our sample.</p>","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972364","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
A case study analysis of a successful birth center in northern Uganda 对乌干达北部一个成功接生中心的案例研究分析。
IF 2.8 3区 医学
Birth-Issues in Perinatal Care Pub Date : 2024-06-24 DOI: 10.1111/birt.12837
Michelle Telfer DNP, CNM, MPH, FACNM, Rachel Zaslow PhD, RM, Scovia Nalugo Mbalinda PhD, RM, Rachel Blatt MSN, CNM, Diane Kim MSN, CNM, Holly Powell Kennedy PhD, CNM, FACNM, FAAN
{"title":"A case study analysis of a successful birth center in northern Uganda","authors":"Michelle Telfer DNP, CNM, MPH, FACNM,&nbsp;Rachel Zaslow PhD, RM,&nbsp;Scovia Nalugo Mbalinda PhD, RM,&nbsp;Rachel Blatt MSN, CNM,&nbsp;Diane Kim MSN, CNM,&nbsp;Holly Powell Kennedy PhD, CNM, FACNM, FAAN","doi":"10.1111/birt.12837","DOIUrl":"10.1111/birt.12837","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Mothers and infants continue to die at alarming rates throughout the Global South. Evidence suggests that high-quality midwifery care significantly reduces preventable maternal and neonatal morbidity and mortality. This paper uses a case study approach to describe the social and institutional model at one birth center in Northern Uganda where, in over 20,000 births, there have been no maternal deaths and the neonatal mortality rate is 11/1000—a rate that is lower than many high-resource countries.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This case study combined institutional ethnographic and narrative methods to explore key maternal and neonatal outcomes. The sample included birthing people who intended to or had given birth at the center, as well as the midwives, staff, stakeholders, and community health workers affiliated with the center. Data were collected through individual and small group interviews, participant observation, field notes, data and document reviews. Iterative and systematic analytical steps were followed, and all data were organized and managed with Atlas.ti software.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Findings describe the setting, an overview of the birth center's history, how it is situated within the community, its staffing, administration, clinical outcomes, and model of care. A synthesis of contextual variables and key outcomes as they relate to the components of the evidence-informed Quality Maternal and Newborn Care (QMNC) framework are presented. Three overarching themes were identified: (a) community knowledge and understanding, (b) community integrated care, and (c) quality care that is respectful, accessible, and available.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This birth center is an example of care that embodies the findings and anticipated outcomes described in the QMNC framework. Replication of this model in other childbearing settings may help alleviate unnecessary perinatal morbidity and mortality.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":"51 4","pages":"783-794"},"PeriodicalIF":2.8,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460885","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
Through our eyes: A birth mom and adoptive parent share their perspectives on bias in obstetric care. 透过我们的眼睛:一位亲生母亲和养父母分享他们对产科护理偏见的看法。
IF 2.5 3区 医学
Birth-Issues in Perinatal Care Pub Date : 2024-06-19 DOI: 10.1111/birt.12829
Nadja Wainwright, Keith Reisinger-Kindle
{"title":"Through our eyes: A birth mom and adoptive parent share their perspectives on bias in obstetric care.","authors":"Nadja Wainwright, Keith Reisinger-Kindle","doi":"10.1111/birt.12829","DOIUrl":"https://doi.org/10.1111/birt.12829","url":null,"abstract":"<p><p>Understanding the impacts of bias, and how to mitigate these impacts, on clinical care is critically important for all healthcare team members. However, the concerns and needs in our current system are likely even more fundamental, as we are continuing to hear about the experiences of patients who are struggling to seek care that contains even the most basic tenants of respect and decency. Creating inclusive and diverse environments requires constant proactive evaluation, commitment, and energy. This piece shares the experiences of a Black birth mom and a White adoptive dad (who is also an Ob/Gyn and anti-racism researcher) and the experiences surrounding the birth of their daughter.</p>","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421994","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
Indigenous maternal and infant outcomes and women's experiences of midwifery care: A mixed-methods systematic review. 原住民孕产妇和婴儿的结果与妇女的助产护理经验:混合方法系统综述。
IF 2.8 3区 医学
Birth-Issues in Perinatal Care Pub Date : 2024-06-19 DOI: 10.1111/birt.12841
Deborah McNeil, Sarah A Elliott, Angie Wong, Seija Kromm, Liza Bialy, Stephanie Montesanti, Adam Purificati-Fuñe, Sonje Juul, Pamela Roach, Jackie Bromely, Esther Tailfeathers, Maddie Amyotte, Richard T Oster
{"title":"Indigenous maternal and infant outcomes and women's experiences of midwifery care: A mixed-methods systematic review.","authors":"Deborah McNeil, Sarah A Elliott, Angie Wong, Seija Kromm, Liza Bialy, Stephanie Montesanti, Adam Purificati-Fuñe, Sonje Juul, Pamela Roach, Jackie Bromely, Esther Tailfeathers, Maddie Amyotte, Richard T Oster","doi":"10.1111/birt.12841","DOIUrl":"10.1111/birt.12841","url":null,"abstract":"<p><strong>Background: </strong>The impact of midwifery, and especially Indigenous midwifery, care for Indigenous women and communities has not been comprehensively reviewed. To address this knowledge gap, we conducted a mixed-methods systematic review to understand Indigenous maternal and infant outcomes and women's' experiences with midwifery care.</p><p><strong>Methods: </strong>We searched nine databases to identify primary studies reporting on midwifery and Indigenous maternal and infant birth outcomes and experiences, published in English since 2000. We synthesized quantitative and qualitative outcome data using a convergent segregated mixed-methods approach and used a mixed-methods appraisal tool (MMAT) to assess the methodological quality of included studies. The Aboriginal and Torres Strait Islander Quality Appraisal Tool (ATSI QAT) was used to appraise the inclusion of Indigenous perspectives in the evidence.</p><p><strong>Results: </strong>Out of 3044 records, we included 35 individual studies with 55% (19 studies) reporting on maternal and infant health outcomes. Comparative studies (n = 13) showed no significant differences in mortality rates but identified reduced preterm births, earlier prenatal care, and an increased number of prenatal visits for Indigenous women receiving midwifery care. Quality of care studies indicated a preference for midwifery care among Indigenous women. Sixteen qualitative studies highlighted three key findings - culturally safe care, holistic care, and improved access to care. The majority of studies were of high methodological quality (91% met ≥80% criteria), while only 14% of studies were considered to have appropriately included Indigenous perspectives.</p><p><strong>Conclusion: </strong>This review demonstrates the value of midwifery care for Indigenous women, providing evidence to support policy recommendations promoting midwifery care as a physically and culturally safe model for Indigenous women and families.</p>","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428319","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 Family and Pregnancy Pop-Up Village: Developing a one-stop shop of services to reduce pregnancy care-related inequities in San Francisco. 家庭与怀孕流行村:发展一站式服务,减少旧金山与怀孕护理相关的不平等现象。
IF 2.5 3区 医学
Birth-Issues in Perinatal Care Pub Date : 2024-06-17 DOI: 10.1111/birt.12839
Malini A Nijagal, Osamuedeme J Odiase, April J Bell, Alison M El Ayadi, Schyneida Williams, Chloe Nicolaisen, Garrett Jacobs, Brandi Mack, Monique LaSerre, Chelsea Stewart, KaSelah Crockett, Patience A Afulani
{"title":"The Family and Pregnancy Pop-Up Village: Developing a one-stop shop of services to reduce pregnancy care-related inequities in San Francisco.","authors":"Malini A Nijagal, Osamuedeme J Odiase, April J Bell, Alison M El Ayadi, Schyneida Williams, Chloe Nicolaisen, Garrett Jacobs, Brandi Mack, Monique LaSerre, Chelsea Stewart, KaSelah Crockett, Patience A Afulani","doi":"10.1111/birt.12839","DOIUrl":"https://doi.org/10.1111/birt.12839","url":null,"abstract":"<p><strong>Introduction: </strong>Centering affected individuals and forming equitable institutional-community partnerships are necessary to meaningfully transform care delivery systems. We describe our use of the PRECEDE-PROCEED framework to design, plan, and implement a novel care delivery system to address perinatal inequities in San Francisco.</p><p><strong>Methods: </strong>Community engagement (PRECEDE phases 1-2) informed the \"Pregnancy Village\" prototype, which would unite key organizations to deliver valuable services alongside one another, as a recurring \"one-stop-shop\" community-based event, delivered in an uplifting, celebratory, and healing environment. Semi-structured interviews with key partners identified participation facilitators and barriers (PRECEDE phases 3-4) and findings informed our implementation roadmap. We measured feasibility through the number of events successfully produced and attended, and organizational engagement through meeting attendance and surveys.</p><p><strong>Results: </strong>The goals of Pregnancy Village resonated with key partners. Most organizations identified resource constraints and other participation barriers; all committed to the requested 12-month pilot. During its first year, 10 pilot events were held with consistent organizational participation and high provider engagement.</p><p><strong>Conclusion: </strong>Through deep engagement and equitable partnerships between community and institutional stakeholders, novel systems of care delivery can be implemented to better meet comprehensive community needs.</p>","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421993","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
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