Assessing mental health during pregnancy: an exploratory qualitative study of midwives’ perceptions

: Mental health disorders are estimated to affect between 10% and 20% of women who access maternity services and can be defined as a public health issue due to the potential consequences for women, children and families. Detecting problems early in pregnancy can significantly improve outcomes for women and their families. However, mental health problems are not being consistently identified in routine midwifery practice and little is known from current literature about midwives’ practice in relation to current national guidelines or the impact models of care have on assessing maternal mental health.

Technology-supported lifestyle interventions to improve maternal-fetal outcomes in women with gestational diabetes mellitus: A meta-analysis

Gestational diabetes mellitus (GDM) is defined as abnormal glucose tolerance during pregnancy (ACOG Practice Bulletin, 2018). As one of the most common obstetric complications, GDM affects 6%-8% of pregnant women globally according to recent reports and its incidence continues to rise (Iftikhar et al., 2019, Lee et al., 2018), making GDM a major public health problem (Al Wattar, 2019). Multiple studies have confirmed that gestational diabetes is associated with adverse maternal and infant outcomes including preeclampsia, miscarriage, cesarean delivery, shoulder dystocia, macrosomia, neonatal hypoglycemia, and birth trauma (2018, Al Wattar, 2019, Blumberg et al., 2018, Schiavone et al., 2016).

The impact of psychosocial factors on breastfeeding duration in the BaBi-Study. Analysis of a birth cohort study in Germany

Breastfeeding is beneficial for both mother and child. A breastfed child can benefit from improved mental developments, protection against infectious diseases and infectious disease mortality, and a decreased risk of overweight and obesity(Whalen and Cramton 2010) (Regional Office for Europe (World Health Organisation) 2019). Furthermore, there is evidence on protection against type 1 and 2 diabetes, allergic rhinitis, asthma or wheezing, atopic dermatitis, childhood leukemia, hypercholesterolemia later in life, sudden infant death syndrome (Whalen and Cramton 2010) and malocclusion (Victora et al.

Cultural beliefs and Health-Seeking Practices: Rural Zambians' Views on Maternal-Newborn Care

In Zambia, the newborn mortality rate is 34 per 1,000 live births (UNICEF, 2017) and the infant mortality rate is 44 per 1,000 live births (UNICEF, 2018). To promote improved newborn health outcomes in rural Zambia, new knowledge is needed to enhance our understanding of newborn care and cultural factors influencing the ways mothers seek newborn care. Several studies from low- and middle-income countries (LMICs) show cultural beliefs strongly influence behavior during pregnancy, childbirth, and care-seeking (Lang-Baldé & Amerson, 2018; Lori & Boyle, 2011; Maimbolwa, Yamba, Diwan, & Ransjö-Arvidson, 2003; Raman, Nicholls, Ritchie, Razee, & Shafiee, 2016).

FIRST ASSESSED CERVICAL DILATATION: IS IT ASSOCIATED WITH OXYTOCIN AUGMENTATION DURING LABOUR? A RETROSPECTIVE COHORT STUDY IN A UNIVERSITY HOSPITAL IN SWITZERLAND.

The primary objective of this study was to examine the association between the first assessed cervical dilatation in a labourward and the use of oxytocin augmentation during labour. Further analysis was performed by examining the actual stage of labour at the point oxytocin was first administered to those women.

The development of Midwifery Unit Standards for Europe

The WHO Global Strategy for Women's, Children's and Adolescents’ Health 2016-2030 emphasises the importance of maternity services in preventing illness and promoting optimal clinical outcomes (Every Woman Every Child, 2015). Midwifery has been recognised as having huge potential for transformation; worldwide, over 50 health outcomes could be improved by expanding provision and access to quality midwifery care (Renfrew, et al., 2014). Midwifery care is also associated with efficient use of resources (Renfrew, et al., 2014).

Somali women's experiences of antenatal care: A qualitative interview study

To explore Somali women's experiences of antenatal care in Norway.

The initiation of Dutch newly qualified hospital-based midwives in practice, a qualitative study

In the Netherlands, a percentage of newly qualified midwives start work in maternity care as a hospital-based midwife, although prepared particularly for working autonomously in the community.

Why do community members believe mothers and babies are dying? Behavioral versus situational attribution in rural northern Ghana

Rates of maternal and neonatal death remain high in the Global South, especially in Sub-Saharan Africa. In addition, indicators vary significantly by geography. This study aimed to understand what communities in northern Ghana with frequent maternal and newborn deaths or near deaths (near-misses) perceive to be the causes. As part of a larger study, four communities in Ghana's Northern Region were identified as areas with high concentrations of deaths and near-misses of mothers and babies.

The impact of human trafficking in relation to maternity care: A literature review

Human trafficking is an international crime and violation of human rights defined as the recruitment and movement of people for the purposes of exploitation – using coercion, deception, and abuse of vulnerability (PROTECT Report for the Department of Health Policy Research Programme, 2015). Trafficking falls under the umbrella term of ‘Modern Slavery’ which additionally encompasses slavery, servitude and forced or compulsory labour (Department of Justice, 2019). In 2013, there were an estimated 10,000–13,000 potential victims of modern slavery in the UK (Department of Justice, 2019); its scale is gradually increasing due a number of social and economic factors (Wheaton et al., 2010).

Evidence and guidelines for trauma-informed doula care

Although trauma and trauma-related health conditions are increasingly common among childbearing people (Sperlich et al., 2017; Vignato et al., 2017), there is a dearth of published evidence and guidance on trauma-informed doula care. Trauma refers to an event(s) or circumstances that are experienced as physically or emotionally harmful or life threatening and that have lasting adverse effects on wellbeing (Substance Abuse and Mental Health Services Administration (SAMHSA, 2014)). This can include post-traumatic stress disorder (PTSD) and negative pregnancy-related outcomes such as substance use, prematurity, low birth weight, postpartum depression, difficulty bonding with the baby, children with PTSD, or even maternal and infant death (Sperlich et al., 2017; Kilpatrick 2017; Kendig et al., 2017).

Magnitude of disrespectful and abusive care among women during facility-based childbirth in Shambu town, Horro Guduru Wollega zone, Ethiopia

Disrespectful care during childbirth causes suffering and discourages women from seeking facility-based care. It is one of the silent causes of maternal mortality and morbidity worldwide, but not yet well recorded especially in developing countries. The aim of this study was to measure the magnitude of disrespect and abusive behaviors of health professionals during childbirth and associated factors.

El dueño del teatro. La vejez, la memoria y el cuidado

Este artículo describe la historia de Álvaro, un hombre de 80 años que vive desde hace varios años en una vivienda para personas ma-yores ubicada en una ciudad de Colombia. Esta narrativa pretende visibilizar y analizar el cuidado de enfermería al adulto mayor en condición de discapacidad en escenarios diferentes al ámbito clínico. La sociedad actual concibe la vejez con imaginarios asociados a enfermedades, discapacidad, dependencia y deterioro. La narrativa se analizó de acuerdo con la teoría del cuidado humano de Jean Watson que ve el cuidado como un ideal moral y ético de la enfermería. La enfermería tiene la necesidad de establecer una relación de cuidado transpersonal que facilite la comprensión del lenguaje no verbal de las personas.

Pequeñas historias, grandes personas: Familiares que cuidan a sus seres queridos en el hospital

Los familiares que acompañan y cuidan a sus seres queridos en el hospital son en muchas ocasiones invisibles para el sistema sanitario. Apenas se reconoce su insustituible papel en el cuidado de sus familiares hospitalizados, así como tampoco se valoran las consecuen-cias físicas y emocionales de su labor cuidadora. La finalidad de esta narrativa es ofrecer un retrato humano y profundo a través de la mirada de una enfermera, que constituya un reflejo de los sentimientos, las preocupaciones y las vivencias de un grupo de personas cuidadoras que permanecen al cuidado de sus familiares durante su estancia en el hospital.

Intervenciones de enfermería a Recién Nacido Extremadamente Prematuro con Síndrome de Distrés Respiratorio

Introducción: La prematuridad y el bajo peso al nacer son factores predictivos asociados a la morbilidad y la mortalidad neonatal y, por lo tanto, dan lugar a complicaciones como el Síndrome de Dificultad Respiratoria (SDR), que es la principal complicación de los recién naci-dos que ingresan en la Unidad de Cuidados Intensivos Neonatales (UCIN). Objetivo: implementar cuidados integrales de enfermería especializados e individualizados al recién nacido extremadamente prematuro basados en recomendaciones de evidencia científica e intervenciones NIC. Presentamos la valoración integral de una persona recién nacida de 23 SDG con un peso de 500 g. más SDR remitidos desde un hospital comunitario básico a un hospital de tercer nivel de atención, donde se aplica el proceso de enfermería. Métodos: Se seleccionó un paciente a conveniencia de la UCIN, aplicando la metodología del proceso de enfermería, la evaluación integral a tra-vés de los 13 dominios de la NANDA, los datos se obtuvieron del expediente clínico, la entrevista con la madre y el examen físico del recién nacido Se identifican las principales respuestas humanas para analizar datos objetivos y subjetivos, se hacen juicios clínicos para implementar planes de atención bajo recomendaciones de guías de práctica clínica e intervenciones de NIC. Resultados: Se implementa-ron cinco planes de atención con diagnóstico priorizado de enfermería, cuatro reales y uno en riesgo, se identificaron los dominios más alterados: nutrición, eliminación/intercambio, crecimiento/desarrollo y seguridad/protección. Conclusiones: se realizaron intervenciones independientes e interdependientes observando mejoría en los dominios alterados, sin embargo, el recién nacido se mantuvo en una incubadora y permaneció en la UCIN para seguir los planes terapéuticos especializados, Esto implica que la UCIN debe contar con personal multidisciplinario altamente capacitado con conocimientos actualizados en atención neonatal.

Intervenciones y cuidados de enfermería en la mejora del sueño/descanso de los pacientes hospitalizados

Introducción: los pacientes en el hospital están expuestos a factores clínicos, ambientales y emocionales que contribuyen a la inquietud, miedo, incertidumbre y a reducir y fragmentar el sueño/descanso. Por ello, una intervención y cuidados de enfermería adecuados por parte de los profesionales de la salud, llevando a cabo medidas específicas para atenuar el impacto del ingreso en el hospital, es funda-mental para mejorar el bienestar y la rápida recuperación de los pacientes. Objetivo: revisar cuales son las intervenciones y cuidados de enfermería más eficaces para mejorar el sueño/descanso. Material y métodos: se llevó a cabo una búsqueda bibliográfica en las princi-pales bases de datos primarias y secundarias como Google Académico®, Pubmed®, CINAHL®, Cochrane® y CUIDEN® de los últimos 10 años, fundamentalmente para conseguir una revisión reciente de la literatura, tanto a nivel nacional como internacional en relación al tema de estudio. El presente trabajo está enfocado como una revisión narrativa descriptiva crítica para aportar datos basados en la evi-dencia. Resultados: se obtuvo un gran número de artículos, de los cuales se seleccionaron los que fueron más relevantes según el obje-tivo de esta revisión narrativa crítica. Discusión y conclusiones: la literatura aporta que unas intervenciones y cuidados de enfermería específicos acordes a la actividad rutinaria en el hospital favorece el sueño/descanso de los pacientes teniendo incidencia en su recupe-ración.

The provision of midwife-led care in low-and middle-income countries: An integrative review

Addressing preventable maternal and newborn mortality and morbidity are major issues globally with low- and lower middle-income countries (LMICS) having the highest rates (Graham et al. 2016; UNFPA, WHO & ICM 2014; WHO, UNICEF & UNFPA 2014). Each day, approximately 830 women die from preventable causes related to pregnancy and childbirth (Alkema et al. 2016). In addition, approximately 2.5 million newborn babies die each year (UN 2018) and a further 2.6 million are stillborn (Lawn et al. 2011). Most deaths are from LMICS which account for 95% of maternal and 90% of all child deaths globally (Boerma et al.

How are decisions made to access a planned epidural in labour? Midwife-woman interactions in antenatal consultations

The purpose of this study was to examine the ways in the decision to access a planned epidural in labour was topicalised and negotiated between pregnant women and midwives.

Improvisation and harm avoidance: An ethnographic study of adherence to postnatal care protocols in two hospitals in Southern Ghana

Postnatal care (PNC) is the skilled care given to mothers and babies immediately after delivery and for six weeks thereafter (WHO, 2013). The aim is to detect, manage or refer maternal and newborn health problems and life-threatening complications. (Ronsmans and Graham, 2006; Nadisauskiene et al., 2014; Singh et al., 2014; WHO and UNICEF, 2014). Protocols and guidelines are “statements to assist healthcare practitioners to make appropriate decisions about the right care in specific conditions and circumstances” (Woolf et al., 1999:527).

Effect of stay in a postpartum care institution on postpartum depression in women

Childbirth is a major life experience for women. From conception to arrival of the newborn, the physical and mental experience has a great impact and influence on mothers (Swanson et al., 2011), which may lead to emotional or mental disorders post partum (Dolatian et al., 2013; Roy-Byrne et al., 2016). Postpartum depression is a common problem in women (Motzfeldt et al., 2013). In the 6 weeks after birth, serious intentions or behaviours that can harm the mother or baby may have adverse effects on child growth and development (O'Hara and McCabe, 2013; Bennett et al., 2016).