Commentary on: Liang C, Chung HF, Dobson AJ, Cade JE, Greenwood DC, Hayashi K, Hardy R, Kuh D, Schouw YTV, Sandin S, Weiderpass E, Mishra GD. Is there a link between infertility, miscarriage, stillbirth, and premature or early menopause? Results from pooled analyses of 9 cohort studies. Am J Obstet Gynecol. 2023 Jul;229(1):47.e1-47.e9. doi: 10.1016/j.ajog.2023.04.009. Epub 2023 Apr 13.
Women with a history of recurrent miscarriages, infertility, or stillbirths should be informed of their increased risk of early or premature or menopause. Future studies should aim to evaluate whether a tailored counselling and management strategies considering this risk can improve patient outcomes and overall quality of care.
Menopause is a significant milestone for women, marking the permanent cessation of menstruation after 12 months of amenorrhoea. The onset of menopause is influenced by various factors, including genetics, lifestyle and...
Commentary on: Shorey S, Jarašiūnaite-Fedosejeva G, Akik BK, Holopainen A, Isbir GG, Chua JS, Wayt C, Downe S, Lalor J. Trends and motivations for freebirth: A scoping review. Birth. 2023 Mar;50(1):16-31. doi: 10.1111/birt.12702. Epub 2023 Jan 4.Commentary
Providing maternity care that is trauma informed, respectful, supportive and promotes patient autonomy, agency and cultural beliefs may encourage lower rates of freebirth.
More research is needed to articulate motivations for freebirth among diverse populations and translate trauma informed and respectful maternity care principles across systems and service providers.
Unassisted childbirth (outside a hospital facility with no professional attendant) is common in low-income and middle-income countries (LMICs), where barriers to access and poverty delimit engagement in maternity healthcare services. However, even in high-income countries (HICs) where maternity healthcare services are more attainable, a small percentage of birthing people are choosing unassisted birth, a...
Commentary on: Kopp SJ, Kelly EA, DeFranco EA. Influence of social determinants of health on breastfeeding intent in the USA. Birth. 2023 Jul 3. doi: 10.1111/birt.12740. Epub ahead of print.
Healthcare providers should focus on improving knowledge around breastfeeding guidelines and the benefits of breast feeding for mothers in low socioeconomic status (SES) groups. Focusing research on breastfeeding intention (rather than rates) in low SES groups may help to improve breastfeeding outcomes as breastfeeding intentions are a significant predictor of breastfeeding initiation.
Breastfeeding sets the foundation for healthy growth and development, with many recognised benefits for both infant and maternal health. Thus, socioeconomic disparities in breastfeeding—which are widely reported in the USA and many other Western countries
Commentary on: Paynter M, Heggie C, Low C, McKibbon S, Martin-Misener R. Community-based models of health care for women, trans and nonbinary people released from prisons: An international scoping review with implications for Canada. J Clin Nurs. 2023 Jul;32(13-14):3277-3294. doi: 10.1111/jocn.16464. Epub 2022 Aug 8.
Women, transgender and non-binary people who experience incarceration often have complex healthcare needs and require dynamic, trauma-informed care in the community. Research is needed to understand how to address the diverse health needs of women, transgender and non-binary people leaving prison.
On any given day, approximately 740 000 women and girls
Commentary on: Rosman AN, van der Vliet-Torij HWH, Hilberink SR. Trends in perinatal outcomes of women with chronic medical conditions: a 10-year population-based study in the Netherlands. Midwifery. 2023 Mar;118:103572. doi: 10.1016/j.midw.2022.103572. Epub 2022 Dec 13.
Due to the heightened risk of preterm birth, caesarean deliveries, NICU admission of neonates and increased perinatal mortality among pregnant women with chronic medical conditions, it is essential that midwives and nurses receive comprehensive training to deliver personalised care for these women. To enhance perinatal outcomes among pregnant women with chronic medical conditions, future research should prioritise identifying the contributing factors to such outcomes and developing novel interventions targeted at optimising perinatal outcomes during both the prepregnancy and pregnancy periods.
Chronic diseases can impact pregnancy and lead to long-term consequences for women during and after childbirth, causing anxiety. However, medical advancements and...
Commentary on: Chee RM, Capper TS, Muurlink OT. The impact of social media influencers on pregnancy, birth, and early parenting experiences: A systematic review. Midwifery. 2023 May;120:103623. doi: 10.1016/j.midw.2023.103623. Epub 2023 Feb 19.
Social media is one of the fastest growing commercial determinants of health. Healthcare professionals need a better understanding of social media and its impact.
Social media has rapidly become a key source of advice and support for women during childbirth. The growth of influencers, popular users credited with knowledge and expertise, can be seen in the numerous social posts, blogs, podcasts and videos about pregnancy, birth and parenting. Social media influencers provide responsive and relatable content to their network of followers; but there are concerns about the potential to spread misinformation.
This systematic literature review
Commentary on: Abbott L, Scott T, Thomas H. Experiences of midwifery care in English prisons. Birth. 2023 Mar;50(1):244-251. doi: 10.1111/birt.12692. Epub 2022 Nov 12.
Incarceration presents barriers to best midwifery practices, restricting patient choice in care provider and place of birth. Midwives play an important role advocating for incarcerated patients. Prison staff misunderstand midwifery and conceptualise access to care as a reward for good behaviour. Future research should assess outcomes of alternatives to incarceration.
Women continue to be one of the fastest growing populations experiencing incarceration, with significant consequences for their newborns and children. Despite international and national requirements for equivalent care to what is available in community, existing research in the field of prison perinatal health has found delays and gaps in care and poor neonatal outcomes associated with pregnancy in prison.
Commentary on: Eggleton EJ, McMurrugh KJ, Aiken CE. Maternal pregnancy outcomes in women with cardiomyopathy: a systematic review and meta-analysis. Am J Obstet Gynecol. 2022 Oct;227(4):582–592. doi: 10.1016/j.ajog.2022.05.039. Epub 2022 May 2021
Pregnant patients with cardiomyopathy have a risk of complications and should be advised accordingly. Prospective data focusing on pregnancy outcomes in patients with various subtypes of cardiomyopathies are warranted to ensure proper counselling of these patients.
Haemodynamic changes, especially blood volume, heart rate and cardiac output augmentation, during pregnancy can exacerbate symptoms in patients with cardiomyopathy or unmask a preexisting asymptomatic condition.
Commentary on: Williamson SP, Moffitt RL, Broadbent J, Neumann DL, Hamblin PS. Coping, wellbeing, and psychopathology during high-risk pregnancy: A systematic review. Midwifery. 2023 Jan;116:103556. doi: 10.1016/j.midw.2022.103556. Epub 2022 Nov 14.
Awareness of negative impacts of high-risk pregnancies on mental health will help to identify women in need of support. Strategies can be created to improve coping and well-being for high-risk pregnant women.
Pregnancy is a period of major physiological changes. Psychological adjustments occur, more so with a high-risk diagnosis in pregnancy. In their systematic review, the authors outlined the state of the science of pregnant women’s psychopathology, coping and well-being when high-risk conditions including hypertension, diabetes and kidney disease develop during pregnancy. Pregnant women with these conditions can experience ineffective coping, poor well-being, anxiety and depression among other negative symptoms. Provider’s awareness, culturally appropriate education and support can reduce...
Commentary on: Toprak FÜ, Erenel AS. The effect of kangaroo care practice after caesarean section on paternal-newborn interaction: A mixed-methods study in Turkey. Midwifery. 2022 Dec; 115:103489. doi: 10.1016/j.midw.2022.103489. Epub 2022 Sep 15.
Turkish fathers should be encouraged to hold their infants by kangaroo care (KC) after maternal caesarean section. Future research in Turkey could focus on the facilitators and barriers to paternal skin-to-skin holding.
Newborns, when consoled with skin-to-skin holding, or KC, are better able to adapt physiologically after caesarean delivery. KC in Turkey is a desired practice, but when the mother has caesarean section, this delays the practice. In Turkey, fathers are not routinely offered KC. Since there is a high rate of caesarean sections in Turkey, the nursing staff do not offer KC to many infants. There are two hypotheses in this study: (1) newborns...
Commentary on: Madeley AM, Earle S, O'Dell L. Challenging norms: Making non-normative choices in childbearing. Results of a meta ethnographic review of the literature. Midwifery. 2023 Jan;116:103532. doi: 10.1016/j.midw.2022.103532. Epub 2022 Oct 30
Nurses should strive to understand women’s needs, past experiences and sociocultural background as a basis for discussing their choices in a non-judgemental way. Research on non-normative choices in childbearing should include ethnic and sexual minorities, and evaluate protocols for sensitive, women-centred discussion of birthing choices.
Preferences about childbirth range along a wide continuum from physiological, sometimes even unassisted births, to caesarean sections by maternal request. Despite this wide range, most births in the western world take place in medical settings, making it in practice a medical event, reflecting society’s and health professionals’ views of risk and safety that define birth choices which are considered normative....
Commentary on: Todhunter-Brown A, Hazelton C, Campbell P, Elders A, Hagen S, McClurg D. Conservative interventions for treating urinary incontinence in women: an Overview of Cochrane systematic reviews. Cochrane Database Syst Rev. 2022 Sep 2;9(9):CD012337. doi: 10.1002/14651858.CD012337.pub2.
Pelvic floor muscle training is an effective conservative treatment option for managing all types of urinary incontinence (UI) in women in isolation or combined with other measures and should be considered first-line treatment in women with UI. Further research is needed on long-term outcomes of conservative interventions and their impact on quality of life.
Urinary incontinence (UI) is a highly prevalent condition affecting nearly 25% of women, especially in older age groups.