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

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

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.

Evidentia

Aplicación web como estrategia para la enseñanza de la presión arterial en enfermería

Objetivo: analizar el proceso de enseñanza-aprendizaje de la medición de la presión arterial, a través de una aplicación web, desde la perspectiva de los estudiantes de enfermería. Método: estudio cualitativo con 19 estudiantes de enfermería. Los datos se recopilaron en 2017, en dos etapas: presentación y uso de la aplicación web y realización del grupo focal. Se utilizó el análisis del benchmark de Análisis Temático. Resultados: a partir del análisis de los datos, se elaboró un tema central: la construcción del conocimiento sobre la medición de la presión arterial a través de una aplicación web y dos subtemas, La mirada en la tecnología y La mirada en diferentes formas de aprendizaje. Conclusión: la educación mediada por el uso de la aplicación web contribuyó al proceso de enseñanza del aprendizaje, tanto en relación con el contenido teórico como práctico sobre la medición de la presión arterial. La aplicación web se consideró dinámica, innovadora y favoreció la incautación del conocimiento y la actualización a una práctica clínica más segura.

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

“After having a waterbirth, I feel like it's the only way people should deliver babies”: The decision making process of women who plan a waterbirth

To explore the decision making process of women who seek to give birth in water

Midwifery

Evaluation of women's worries in different strategies for the prevention of early onset group B streptococcal disease in neonates

: Early onset group B streptococcal (EOGBS) disease is an important cause of neonatal morbidity and mortality. EOGBS preventive strategies aim to reduce the risk of neonatal complications. Two new strategies to prevent EOGBS were implemented in two regions in the Netherlands: a risk-based and a combination strategy and were compared to the Dutch strategy in a third region. Little is known how women feel about preventive EOGBS strategies, the consequences for management during labour, side effects such as harm caused by over prescribing of antibiotics or anxiety caused by screening.

Midwifery

Exploring the validity of allostatic load in pregnant women

The theory of allostatic load has gained momentum in perinatal research to understand the biological pathways of the impact of maternal chronic stress on adverse perinatal outcomes. However, due to physiological changes of pregnancy, including large variations across gestation, the extent to which allostatic load measured in pregnancy is valid has not been queried in depth.

Midwifery

Breastfeeding support in low and middle-income countries: Secondary analysis of national survey data

Early initiation of breastfeeding and exclusive breastfeeding can reduce infant mortality. Breastfeeding support interventions such as counselling may improve adherence to recommended practices. However, it is not known if these interventions work at the population level.

Midwifery

Dimensions in women's experience of the perinatal period

A positive experience of the perinatal period is significant for women in midwifery care. The literature on women's experiences of the care in this period is extensive. However, a clear overview of the dimensions important for women's experiences is lacking. Consequently, care providers and researchers may ignore aspects significant to women's experience. In this short communication, we present a framework identifying the dimensions relevant for women's experiences of the perinatal period.

Midwifery

Barriers and facilitators in antenatal settings to screening and referral of pregnant women who use alcohol or other drugs: A qualitative study of midwives’ experience

Screening pregnant women for substance use is highly recommended in antenatal care settings. Although midwives provide routine screening for substance use and referral for treatment in pregnancy, little is known about the barriers and facilitators they experience.

Midwifery

Health professionals’ views of newborn pulse oximetry screening in a midwifery-led maternity setting. “It's a good thing to do, but fund it!”

Congenital heart defects in infants are the commonest congenital abnormality but even critical lesions can be difficult to identify clinically in the first days after birth during the period of physiological transition and while the ductus arteriosus remains patent (Wren et al., 2008). Accordingly, clinical assessment of newborns with congenital heart disease (CHD) within the first 24 h often yields normal findings (Abu-Harb et al., 1994; Saxena et al., 2015). Failure to make an early diagnosis of critical CHD leads to clinical compromise prior to infants receiving major surgery and is associated with increased infant mortality (Eckersley et al., 2016; Franklin et al., 2002).

Midwifery

Development and psychometric properties of the maternal health needs scale in Chinese maternal women

There is very limited research on maternal health needs and no reliable validated research tools have been developed. The purpose of this study was to develop and test a Maternal Health Needs Scale (MHNS) in Chinese maternal women.

Midwifery

Health care providers’ perception of facilitators and barriers for the practice of skin-to-skin contact in Saudi Arabia: A qualitative study

To identify Health Care Providers’ (HCPs’) perceived facilitators, barriers and requirements for implementing the practice of Skin-to-Skin Contact (SSC) immediately after vaginal birth.