Birth-Issues in Perinatal Care最新文献

{"title":"Validity and reliability of an Arabic-language version of the postpartum specific anxiety scale research short-form in Jordan","authors":"Heba H. Hijazi MSc, PhD,&nbsp;Main N. Alolayyan MSc, PhD,&nbsp;Rabah M. Al Abdi MSc, PhD,&nbsp;Ahmed Hossain MSc, PhD,&nbsp;Victoria Fallon BSc (Hons), PhD,&nbsp;Sergio A. Silverio MPsycholSci (Hons), MSc","doi":"10.1111/birt.12840","DOIUrl":"10.1111/birt.12840","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The English-language Postpartum Specific Anxiety Scale (PSAS) is a valid, reliable measure for postpartum anxiety (PPA), but its 51-item length is a limitation. Consequently, the PSAS Working Group developed the PSAS Research Short-Form (PSAS-RSF), a statistically robust 16-item tool that effectively assesses PPA. This study aimed to assess and validate the reliability of an Arabic-language version of the PSAS-RSF in Jordan (PSAS-JO-RSF).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using a cross-sectional methodological design, a sample of Arabic-speaking mothers (<i>N</i> = 391) with infants aged up to 6 months were recruited via convenience sampling from a prominent tertiary hospital in northern Jordan. Factor analysis, composite reliability (CR), average variance extracted (AVE), McDonald's ω, and inter-item correlation measures were all examined.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Explanatory factor analysis revealed a four-factor model consistent with the English-language version of the PSAS-RSF, explaining a cumulative variance of 61.5%. Confirmatory factor analysis confirmed the good fit of the PSAS-JO-RSF (<i>χ</i>²/<i>df</i> = 1.48, CFI = 0.974, TLI = 0.968, RMSEA = 0.039, SRMR = 0.019, <i>p</i> &lt; 0.001). The four factors demonstrated acceptable to good reliability, with McDonald's ω ranging from 0.778 to 0.805, with 0.702 for the overall scale. The CR and AVE results supported the validity and reliability of the PSAS-JO-RSF.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study establishes an Arabic-language version of the PSAS-JO-RSF as a valid and reliable scale for screening postpartum anxieties in Jordan.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":"51 4","pages":"708-718"},"PeriodicalIF":2.8,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141066277","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}

{"title":"Pregnancy experiences of transgender and gender-expansive individuals: A systematic scoping review from a critical midwifery perspective.","authors":"Elias G Thomas, Bahareh Goodarzi, Hannah Frese, Linda J Schoonmade, Maaike E Muntinga","doi":"10.1111/birt.12834","DOIUrl":"https://doi.org/10.1111/birt.12834","url":null,"abstract":"<p><strong>Background: </strong>Evidence suggests that transgender and gender-expansive people are more likely to have suboptimal pregnancy outcomes compared with cisgender people. The aim of this study was to gain a deeper understanding of the role of midwifery in these inequities by analyzing the pregnancy experiences of transgender and gender-expansive people from a critical midwifery perspective.</p><p><strong>Methods: </strong>We conducted a systematic scoping review. We included 15 papers published since 2010 that reported on pregnancy experiences of people who had experienced gestational pregnancy at least once, and were transgender, nonbinary, or had other gender-expansive identities.</p><p><strong>Results: </strong>Three themes emerged from our analysis: \"Navigating identity during pregnancy,\" \"Experiences with mental health and wellbeing,\" and \"Encounters in the maternal and newborn care system.\" Although across studies respondents reported positive experiences, both within healthcare and social settings, access to gender-affirmative (midwifery) care and daily social realities were often shaped by trans-negativity and transphobia.</p><p><strong>Discussion: </strong>To improve care outcomes of transgender and gender-expansive people, it is necessary to counter anti-trans ideologies by \"fixing the knowledge\" of midwifery curricula. This requires challenging dominant cultural norms and images around pregnancy, reconsidering the way in which the relationship among \"sex,\" \"gender,\" and \"pregnancy\" is understood and given meaning to in midwifery, and applying an intersectional lens to investigate the relationship between gender inequality and reproductive inequity of people with multiple, intersecting marginalized identities who may experience the accumulated impacts of racism, ageism, and classism. Future research should identify pedagogical frameworks that are suitable for guiding implementation efforts.</p>","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141066276","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}

{"title":"Cesarean reduction efforts undercut by not attempting vaginal birth","authors":"Ellen Kauffman MD","doi":"10.1111/birt.12826","DOIUrl":"10.1111/birt.12826","url":null,"abstract":"&lt;p&gt;Cesarean birth (CB) is likely overused&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; as no evidence of benefit to newborn morbidity or mortality and increasing maternal morbidity and mortality have spurred national and global efforts to reduce its use.&lt;span&gt;&lt;sup&gt;2, 3&lt;/sup&gt;&lt;/span&gt; The increasing risks to the birthing person are “a significant maternal health safety issue.”&lt;span&gt;&lt;sup&gt;4&lt;/sup&gt;&lt;/span&gt; While potentially lifesaving, CB does have both short- and long-term risks for both mother and newborn.&lt;span&gt;&lt;sup&gt;5-7&lt;/sup&gt;&lt;/span&gt; In the United States (US), the CB rate has risen from 16.5% in 1980,&lt;span&gt;&lt;sup&gt;8&lt;/sup&gt;&lt;/span&gt; to 20.7% in 1996,&lt;span&gt;&lt;sup&gt;9&lt;/sup&gt;&lt;/span&gt; to &gt;30% from 2005 to the present&lt;span&gt;&lt;sup&gt;10&lt;/sup&gt;&lt;/span&gt; with a rate of 32.2% reported for 2022 and the first quarter of 2023.&lt;span&gt;&lt;sup&gt;11&lt;/sup&gt;&lt;/span&gt; Since 2012, labor management guidelines&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; have been a core tool designed to help lower the CB rate in the United States. In January 2024, the American College of Obstetrics and Gynecology (ACOG) reaffirmed labor management guidelines as the principal mechanism for reducing CB.&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;And yet, publicly available data&lt;span&gt;&lt;sup&gt;12&lt;/sup&gt;&lt;/span&gt; show that 72% of all CB between 2016 and 2021 in the United States occurred among women and birthing people with no trial of labor in pursuit of vaginal birth. Because the ACOG guidelines &lt;i&gt;by definition&lt;/i&gt; only reduce CB among individuals who labor, they necessarily exclude the majority of CBs. As such, the ability of these guidelines to reduce CBs is significantly diminished.&lt;/p&gt;&lt;p&gt;The purpose of this commentary is to describe the disconnect between where cesarean reduction efforts are focused and where the majority of cesareans are actually occurring in the United States. Next, I propose a strategy for collecting and reporting data that would enable a more thorough analysis of this disconnect and that might also indicate ways to eliminate it. I close with some reflections on associated issues surrounding the provision of maternity care in the United States today.&lt;/p&gt;&lt;p&gt;Centers for Disease Control and Prevention (CDC) national vital statistics natality records distinguish between two clinical circumstances for CB: (i) CB that interrupts labor and (ii) CB without a trial of labor. The CDC data for the 6 years between 2016 and 2021&lt;span&gt;&lt;sup&gt;12&lt;/sup&gt;&lt;/span&gt; indicate that of the 21,821,747 women who gave birth, 21,727,755 (99.6%) have data on whether vaginal birth was attempted or not. Most women (77%, &lt;i&gt;n&lt;/i&gt; = 16,757,753) attempted a vaginal birth (the labor group), while 23% (&lt;i&gt;n&lt;/i&gt; = 4,970,002) did not attempt a vaginal birth (the no-labor group). Figure 1 shows the percentage of the population in each group.&lt;/p&gt;&lt;p&gt;Of the 21,727,755 women who gave birth between 2016 and 2021, 6,847,320 did so by cesarean, with 72% of CBs occurring in the group of women who did not attempt a vaginal birth (no labor, &lt;i&gt;n&lt;/i&gt; = 4,970,002). This means that only 28% of CBs (&lt;i&gt;n&lt;/i&gt; ","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":"51 3","pages":"471-474"},"PeriodicalIF":2.8,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/birt.12826","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141066316","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}

{"title":"When facts become feelings.","authors":"Alice M Abernathy","doi":"10.1111/birt.12830","DOIUrl":"10.1111/birt.12830","url":null,"abstract":"<p><p>I have long maintained that equipoise between empathy and the rational, decisive nature of obstetric care is central to good doctoring. I had exacting standards for how to communicate facts with feeling while shielding my own. Then, after experiencing my own obstetric emergency and preterm birth, this changed. In this reflection, I explore how recognizing the intersections between facts and feelings has made me a better physician.</p>","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11576487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141066296","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}

{"title":"Client-centered flexible planning of home-based postpartum care: A randomized controlled trial on the quality of care","authors":"Fleur J. Lambermon PhD,&nbsp;Noortje T. L. van Duijnhoven PhD,&nbsp;Christine Dedding PhD,&nbsp;Jan A. M. Kremer PhD","doi":"10.1111/birt.12824","DOIUrl":"10.1111/birt.12824","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Standardization of health systems often hinders client-centered care. This study investigates whether allowing more flexibility in the planning range of the Dutch home-based postpartum care service improves its quality of care, as innovative approach to client-centered care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A randomized controlled trial was conducted (2017–2019), in which pregnant women who intended to breastfeed were assigned into two groups (1:1). The intervention group was allowed to receive care up to the 14th-day postpartum, instead of the first 8–10 consecutive days (“usual care”). Primary outcome measure was the proportion of newborns still receiving exclusively breastmilk on final caring day of the service. This so-called <i>successful breastfeeding rate</i> is currently used by the Dutch health sector to measure the quality of care. Secondary outcome measures were <i>self-care experience</i>, <i>overall care experience</i>, and <i>exclusive breastfeeding duration rate</i>.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Based on data from 1275 participants, there was no difference in exclusive breastfeeding on final caring day (86,7% intervention group vs. 88,9% control group, RR: 1.03, 95% CI: 0.98–1.07). Both groups showed similar <i>self-care experiences</i>. Women in the intervention group had slightly poorer <i>overall care experience</i> and lower <i>exclusive breastfeeding duration rates</i>.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study found no effect on the quality of care when allowing more flexibility in the planning range of home-based postpartum care. Women can, therefore, be offered more flexibility to suit them. Given the confusion in interpreting the sector's current main quality indicator, we call for an inclusive dialogue on how to best measure the quality of home-based postpartum care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":"51 3","pages":"649-658"},"PeriodicalIF":2.8,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/birt.12824","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877968","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}

{"title":"The impact of devaluing Women of Color: stress, reproduction, and justice","authors":"Gabriella B. Mayne MA,&nbsp;Luwam Ghidei MD, MSCI","doi":"10.1111/birt.12825","DOIUrl":"10.1111/birt.12825","url":null,"abstract":"<p>This commentary is in response to the Call for Papers put forth by the Critical Midwifery Studies Collective (June 2022). We argue that due to a long and ongoing history of gendered racism, Women of Color are devalued in U.S. society. Devaluing Women of Color leads maternal healthcare practitioners to miss and even dismiss <i>distress</i> in Women of Color. The result is systematic underdiagnosis, undertreatment, and the delivery of poorer care to Women of Color, which negatively affects reproductive outcomes generally and birth outcomes specifically. These compounding effects exacerbate distress in Women of Color leading to greater distress. Stress physiology is ancient and intricately interwoven with healthy pregnancy physiology, and this relationship is a highly conserved reproductive strategy. Thus, where there is disproportionate or excess stress (<i>distress</i>), unsurprisingly, there are disproportionate and excess rates of poorer reproductive outcomes. Stress physiology and reproductive physiology collide with social injustices (i.e., racism, discrimination, and anti-Blackness), resulting in pernicious racialized maternal health disparities. Accordingly, the interplay between <i>stress</i> and <i>reproduction</i> is a key social <i>justice</i> issue and an important site for theoretical inquiry and birth equity efforts. Fortunately, both stress physiology and pregnancy physiology are highly plastic—responsive to the benefits of increased social support and respectful maternity care. <i>Justice</i> means valuing Women of Color and valuing their right to have a healthy, respected, and safe life.</p>","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":"51 2","pages":"245-252"},"PeriodicalIF":2.5,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/birt.12825","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140833937","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}

{"title":"Postpartum care for parent–infant dyads: A community midwifery model","authors":"Ariana Thompson-Lastad PhD,&nbsp;Jessica M. Harrison PhD, LCSW,&nbsp;Tanya Khemet Taiwo CPM, PhD, MPH,&nbsp;Chanda Williams PhD,&nbsp;Mounika Parimi MSc,&nbsp;Briana Wilborn CNM,&nbsp;Maria T. Chao DrPh, MPA","doi":"10.1111/birt.12822","DOIUrl":"10.1111/birt.12822","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Postpartum health is in crisis in the United States, with rising pregnancy-related mortality and worsening racial inequities. The World Health Organization recommends four postpartum visits during the 6 weeks after childbirth, yet standard postpartum care in the United States is generally one visit 6 weeks after birth. We present community midwifery postpartum care in the United States as a model concordant with World Health Organization guidelines, describing this model of care and its potential to improve postpartum health for birthing people and babies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted semi-structured interviews with 34 community midwives providing care in birth centers and home settings in Oregon and California. A multidisciplinary team analyzed data using reflexive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 24 participants were Certified Professional Midwives; 10 were certified nurse-midwives. A total of 14 midwives identified as people of color. Most spoke multiple languages. We describe six key elements of the community midwifery model of postpartum care: (1) multiple visits, including home visits; typically five to eight over six weeks postpartum; (2) care for the parent–infant dyad; (3) continuity of personalized care; (4) relationship-centered care; (5) planning and preparation for postpartum; and (6) focus on postpartum rest.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The community midwifery model of postpartum care is a guideline-concordant approach to caring for the parent–infant dyad and may address rising pregnancy-related morbidity and mortality in the United States.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":"51 3","pages":"637-648"},"PeriodicalIF":2.8,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/birt.12822","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140583167","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}

{"title":"\"Black Women Should Not Die Giving Life\": The lived experiences of Black women diagnosed with severe maternal morbidity in the United States.","authors":"Wendy Post, Angela Thomas, Karey M Sutton","doi":"10.1111/birt.12820","DOIUrl":"https://doi.org/10.1111/birt.12820","url":null,"abstract":"<p><strong>Objective: </strong>We sought to understand the lived experiences of Black women diagnosed with severe maternal morbidity (SMM) in communities with high maternal mortality to inform practices that reduce obstetric racism and improve patient outcomes.</p><p><strong>Methods: </strong>From August 2022 through December 2022, we conducted a phenomenological, qualitative study among Black women who experienced SMM. Participants were recruited via social media and met inclusion criteria if they self-identified as Black cisgender women, were 18-40 years old, had SMM diagnosed, and lived within zip codes in the United States that have the top-five highest maternal mortality rates. Family members participated on behalf of women who were deceased but otherwise met all other criteria. We conducted in-depth interviews (IDIs), and transcripts were analyzed using inductive and deductive methods to explore birth story experiences.</p><p><strong>Results: </strong>Overall, 12 participants completed IDIs; 10 were women who experienced SMM and 2 were mothers of women who died due to SMM. The mean age for women who experienced SMM was 31 years (range 26-36 years) at the time of the IDI or death. Most participants had graduate-level education, and the average annual household income was 123,750 USD. Women were especially interested in study participation because of their high-income status as they did not fit the stereotypical profile of Black women who experience racial discrimination. The average time since SMM diagnosis was 2 years. Participants highlighted concrete examples of communication failures, stereotyping by providers, differential treatment, and medical errors which patients experienced as manifestations of racism. Medical personnel dismissing and ignoring concerns during emergent situations, even when raised through strong self-advocacy, was a key factor in racism experienced during childbirth.</p><p><strong>Conclusions: </strong>Future interventions to reduce racism and improve maternal health outcomes should center on the experiences of Black women and focus on improving patient-provider communication, as well as the quality and effectiveness of responses during emergent situations. Précis statement: This study underscores the need to center Black women's experiences, enhance patient-provider communication, and address emergent concerns to mitigate obstetric racism and enhance maternal health outcomes.</p>","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337760","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}

{"title":"Changes in attitudes to childbirth in modern times illustrated over three generations in Iraq","authors":"Fatima Junaid,&nbsp;Ailsa Bradbury,&nbsp;Taghreed Alhaidari,&nbsp;Ali Kubba","doi":"10.1111/birt.12821","DOIUrl":"10.1111/birt.12821","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To describe changes in attitudes and expectations of labor over the previous six decades, comparing the Iraqi generation who labored at home without medical assistance with their descendants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Study Design</h3>\u0000 \u0000 <p>We used semi-structured telephone interviews with 22 women across three generations of one extended family living and giving birth in Iraq between the 1950s and the 2010s. Qualitative data were analyzed thematically using open, axial, and selective coding.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Each generation experienced a paradigm shift in childbirth, from exclusive home births to hospital-directed maternity care, to a trend that favors planned cesarean birth, driven by generation-specific changes in outlook. Emerging themes included social influences, changing technology, and medical professionals' recommendations; all of these affected attitudes toward childbirth and pregnancy. There were generational disconnects in perceptions concerning the reasons childbirth has changed over the past 60 years, with the youngest generation citing wider pressures regarding body image and marital relationships as two of the factors affecting preferences in childbirth options.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Societal changes and availability of healthcare services affect women's choices and experiences of childbirth. To be successful, efforts to improve women's experiences in labor, as well as maternal and neonatal outcomes, must consider these wider sociocultural issues.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":"51 3","pages":"629-636"},"PeriodicalIF":2.8,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177774","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}

{"title":"Maternal height, and ethnicity and birth weight: A retrospective cohort study of uncomplicated term vaginal deliveries in Malaysia","authors":"Zhen Hean Teoh MD,&nbsp;Jeevitha Mariapun PhD,&nbsp;Valerie Su Yin Ko MD,&nbsp;Nisha Angela Dominic FRCOG,&nbsp;Ravichandran Jeganathan M.Med (O&G),&nbsp;Shamala Devi Karalasingam M.Med (O&G),&nbsp;Valliammai Jayanthi Thirunavuk Arasoo FRCOG","doi":"10.1111/birt.12819","DOIUrl":"10.1111/birt.12819","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Small for gestational age (SGA) and large for gestational age (LGA) are designations given to neonates based solely on birthweight, with no distinction made for maternal height. However, there is a possibility that maternal height is significantly correlated with neonatal birthweight, and if so, SGA and LGA cutoffs specific to maternal height may be a more precise and useful tool for clinicians.&lt;/p&gt;\u0000 \u0000 &lt;p&gt;To explore this possibility, we analyzed the association between maternal height and ethnicity and neonate birthweight in women with low-risk, 37- to 40-week gestation, singleton pregnancies who gave birth vaginally between 2010 and 2017 (&lt;i&gt;n&lt;/i&gt; = 354,488). For this retrospective cohort study, we used electronic obstetric records obtained from the National Obstetrics Registry in Malaysia.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;National Obstetric Registry (NOR) data were used to calculate the 10th and 90th birthweight percentiles for each maternal height group by gestational age and neonatal sex. Multiple linear regression models, adjusted for maternal age, weight, parity, gestational age, and neonatal sex, were used to examine the association between neonate birthweight and maternal ethnicity and height. The following main outcome measures were assessed: small for gestational age (&lt;10th percentile), large for gestational age (&gt;90th percentile), and birthweight.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The median height was 155 cm (IQR, 152–159), with mothers of Chinese descent being the tallest (median (IQR): 158 cm (154–162)) and mothers of Orang Asli (Indigenous) descent the shortest (median (IQR): 151 cm (147–155)). The median birthweight was 3000 g (IQR, 2740–3250), with mothers of Malay and Chinese ethnicity and Others having, on average, the heaviest babies, followed by other Bumiputeras (indigenous) mothers, mothers of Indian ethnicity, and lastly, mothers of Orang Asli ethnicity. For infants, maternal age, height, weight, parity, male sex, and gestational age were positively associated with birthweight. Maternal height had a positive association with neonate birthweight (B = 7.08, 95% CI: 6.85–7.31). For ethnicity, compared with neonates of Malay ethnicity, neonates of Chinese, Indian, Orang Asli, and other Bumiputera ethnicities had lower birthweights.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Birthweight increases with maternal height among Malaysians of all ethnicities. SGA and LGA cutoffs specific to maternal height may be useful to guide pre","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":"51 3","pages":"620-628"},"PeriodicalIF":2.8,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/birt.12819","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140112298","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}