Midwifery

Arabic-speaking women's experiences of communication at antenatal care in Sweden using a tablet application – part of development and feasibility study

The purpose of this study was to explore Arabic-speaking women´s experiences of communication at antenatal care in Sweden when using a tablet application (app).

Midwifery

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.

Midwifery

Project 20: Midwives’ insight into continuity of care models for women with social risk factors: What works, for whom, in what circumstances, and how

Women with social risk factors such as those living in poverty and social isolation, seeking asylum or refugee status, experiencing domestic abuse, mental illness, learning difficulties, and substance abuse problems, have significantly higher rates of poor birth outcomes compared to their more advantaged counterparts (Draper, 2019, Biro, 2017, Lindquist, 2015, Blumenshine, 2010, Smith 2009). In both the UK and the US women from black and minority ethnic backgrounds [BME] also experience unacceptably high rates of morbidity and mortality compared to their white counterparts, regardless of their socio-economic status (Knight et al, 2018).

Midwifery

Methamphetamine use in pregnancy, child protection, and removal of infants: Tertiary centre experience from Western Australia

The Women and Newborn Drug and Alcohol Service (WANDAS) is a specialist antenatal service at King Edward Memorial Hospital, Perth Western Australia, that provides multidisciplinary care to pregnant women who use or have a history of alcohol and other drugs (AOD) misuse. Illicit methamphetamine use along with polysubstance use is a significant health problem in Australia and within the WANDAS population.

Midwifery

Benchmarking outcomes in maternity care: Peripartum incontinence - a framework for standardised reporting

To evaluate a framework to facilitate standardised reporting of perinatal incontinence.

Midwifery

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.

Midwifery

Developing and introducing a post birth care plan (PBCP): An action research project

The concept of ‘postnatal’ is open to interpretation both in terminology and meaning and referred to in several ways such as ‘post-birth’ and ‘postpartum’ and in some contexts refers to ‘…the period from childbirth to the 42nd day following delivery…’ (World Health Organization, 2014), and elsewhere extending to 8 weeks post-birth. Generally greater emphasis is placed on pregnancy and less on women's postnatal individual needs and wishes (Kleppel et al., 2016). Post-birth care continues to receive the least focus (Declercq et al., 2013; Zadoroznyi et al., 2015).

Midwifery

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).

Midwifery

Womens’ experiences of living with obstetric fistula in Ghana–time for the establishment of a fistula centre of excellence

To explore the experiences of women living with Obstetric Fistula in Ghana.

Midwifery

Recently graduated midwives in Uganda: Self-perceived achievement, wellbeing and work prospects

to investigate how recent graduates from a combined work/study midwifery degree programme in Uganda viewed its effects on their wellbeing and work prospects.

Midwifery

Acceptability of dietary or nutritional supplementation in pregnancy (ADONS) – Exploring the consumer's perspective on introducing creatine monohydrate as a pregnancy supplement

Pre-clinical studies suggest maternal dietary creatine supplementation during pregnancy could protect babies against hypoxic intrapartum events, however creatine has not been used as a supplement in pregnancy. The aim of this study was to explore pregnant women and healthcare professional's general knowledge, behaviours, and attitudes toward nutritional supplements, and their thoughts on introducing creatine as a pregnancy supplement.

Midwifery

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).

Midwifery

Incidence of maternal near miss among women in labour admitted to hospitals in Ethiopia

To assess the incidence of maternal near miss and contributing factors among hospitals in Ethiopia. The study also assessed the ability of hospitals to provide signal functions of emergency obstetric care and its regional distribution.

Midwifery

The characteristics and prevalence of phobias in pregnancy

The primary objective was to estimate the population prevalence of specific phobias (including pregnancy related specific phobias) and associated mental disorders. The secondary objective was to investigate the effectiveness of routinely collected screening tools (depression and anxiety screens, Whooley and GAD-2 respectively) in identifying specific phobias. Specific phobias are the most common anxiety disorder to occur during pregnancy, but studies on prevalence and clinical correlates of specific phobias, including pregnancy related specific phobias are lacking.

Midwifery

Editorial Board

Midwifery

INTERNATIONAL NEWS - February 2020

Midwifery

The role and outcomes of music listening for women in childbirth: An integrative review

To synthesise primary research on the role and use of music listening for women in childbirth.

Midwifery

Women's information needs, decision-making and experiences of membrane sweeping to promote spontaneous labour

UK policy currently recommends membrane sweeping to avoid prolonged pregnancy and reduce the need for formal induction. Guidance from the National Institute for Health and Care Excellence (NICE, 2008) on induction of labour recommends that at 40- and 41-week antenatal visits, nulliparous women should be offered membrane sweeping prior to formal induction and additional membrane sweeping may be offered if labour does not start spontaneously. Updates to the guideline are expected in July 2020. NICE Quality Standard [QS22] (NICE, 2016) for antenatal care additionally recommends that women having their second or later baby are offered membrane sweeping.

Midwifery

The lived experience of women with a high-risk pregnancy: A phenomenology investigation

Pregnancy is a time of transformation, hope, expectation, and worry for women and their families – none more so than when the pregnancy is at-risk. The objective of this study was to describe the lived experience of women during high-risk pregnancy.

Midwifery

An antenatal wish list: A qualitative systematic review and thematic synthesis of UK dietary advice for weight management and food borne illness

To understand UK women's experiences of antenatal dietary advice for risk of food borne illness and weight gain.