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Midwifery

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https://www.readbyqxmd.com/read/28624665/protecting-the-public-an-investigation-of-midwives-perceptions-of-regulation-and-the-regulator
#1
Jacqueline Wier
OBJECTIVE: to investigate the perceptions of a group of midwifery registrants about the influence of regulation and the regulatory body, the Nursing and Midwifery Council, on the practice of midwives in the United Kingdom DESIGN: quantitative and qualitative research using an online survey and semi-structured interviews SETTING: The South East of England, which covers both urban and rural practice settings. PARTICIPANTS: (a) 132 (n=70%) midwives responded to the online survey, and (b) 20 midwives participated in the semi-structured interviews FINDINGS: midwives were generally supportive of the need to regulate practice; however, some participants had an uneasy relationship with the Nursing and Midwifery Council and claimed to practice defensively, due to a fear that they could be removed from the register, and believed the regulator to be remote and punitive...
June 6, 2017: Midwifery
https://www.readbyqxmd.com/read/28579155/corrigendum-to-midwifery-continuity-of-carer-in-an-area-of-high-socio-economic-disadvantage-in-london-a-retrospective-analysis-of-albany-midwifery-practice-outcomes-using-routine-data-1997-2009-midwifery-48-2017-1-10
#2
https://www.readbyqxmd.com/read/28600971/remote-rural-women-s-choice-of-birthplace-and-transfer-experiences-in-rural-otago-and-southland-new-zealand
#3
Jean Patterson, Maralyn Foureur, Joan Skinner
BACKGROUND: Birth in primary midwife-led maternity units has been demonstrated to be a safe choice for well women anticipating a normal birth. The incidence of serious perinatal outcomes for these women is comparable to similarly low risk women, who choose to birth in hospital. New Zealand women have a choice of Lead Maternity Carer (LMC) and birthplace; home, primary birthing unit, or a base hospital, though not all women may have all these choices available locally. Women in rural and rural remote areas can also choose to birth in their rural primary maternity unit...
May 29, 2017: Midwifery
https://www.readbyqxmd.com/read/28577422/midwifery-continuity-the-use-of-social-media
#4
Rose McCarthy, Lesley Choucri, Paula Ormandy, Alison Brettle
BACKGROUND: Continuity models of midwifery care improve women's experiences of care and clinical outcomes, but organisationally driven working practices do not facilitate a continuity model and the midwifery care received by most women is fragmented (Sandall et al., 2016, NHS England, 2016). Little is known about the potential for continuity of midwifery care to be achieved using an electronic platform. This paper examines the experiences of women accessing known midwives through a social media platform and their experiences and perception of continuity of care...
May 25, 2017: Midwifery
https://www.readbyqxmd.com/read/28599136/antenatal-and-postnatal-care-practices-among-mothers-in-rural-bangladesh-a-community-based-cross-sectional-study
#5
Md Shahjahan, Hasina Akhter Chowdhury, Ahmed Y Al-Hadhrami, Golam Dostogir Harun
BACKGROUND: appropriate utilization of antenatal and postnatal care can prevent complications and ensures better maternal and child health care. Although under-five mortality in South Asia, including Bangladesh, has reduced substantially, the rate of neonatal mortality is still high. The study aims to identify factors associated with the practice of antenatal and/or postnatal care amongst mothers of newborns from a healthcare facility in a selected area of rural Bangladesh. RESEARCH DESIGN/SETTING: a community-based cross-sectional study was conducted among 360 postnatal mothers, who were within 42 days of delivery...
May 22, 2017: Midwifery
https://www.readbyqxmd.com/read/28570857/-even-when-you-are-afraid-you-stay-provision-of-maternity-care-during-the-ebola-virus-epidemic-a-qualitative-study
#6
Susan Jones, Betty Sam, Florence Bull, Steven Bagie Pieh, Jaki Lambert, Florence Mgawadere, Somasundari Gopalakrishnan, Charles A Ameh, Nynke van den Broek
OBJECTIVE: to explore nurse-midwives understanding of their role in and ability to continue to provide routine and emergency maternity services during the time of the Ebola virus disease epidemic in Sierra Leone. DESIGN: a hermenuetic phenomenological approach was used to discover the lived experiences of nurse-midwives through 66 face to face interviews. Following verbatim transcription, an iterative approach to data analysis was adopted using framework analysis to discover the essence of the lived experience...
May 22, 2017: Midwifery
https://www.readbyqxmd.com/read/28570858/chronological-narratives-from-smoking-initiation-through-to-pregnancy-of-indigenous-australian-women-a-qualitative-study
#7
Gillian S Gould, Michelle Bovill, Marilyn J Clarke, Maree Gruppetta, Yvonne Cadet-James, Billie Bonevski
OBJECTIVE: One in two Indigenous Australian pregnant women smoke, yet little is known about their trajectory of smoking. This study aimed to explore Aboriginal women's narratives from starting smoking through to pregnancy. METHODS: A female Aboriginal Researcher conducted individual face-to-face interviews with 20 Aboriginal women from New South Wales, Australia. Recruitment, through Aboriginal services and community networks, continued until saturation was reached...
May 19, 2017: Midwifery
https://www.readbyqxmd.com/read/28544989/impact-of-mediolateral-episiotomy-on-incidence-of-obstetrical-anal-sphincter-injury-diagnosed-by-endoanal-ultrasound
#8
Kristina Drusany Staric, Adolf Lukanovic, Petra Petrocnik, Vita Zacesta, Corrado Cescon, Miha Lucovnik
OBJECTIVE: to examine potential association between mediolateral episiotomy and reduced incidence of obstetrical anal sphincter injuries (OASIS) diagnosed by endoanal ultrasound. DESIGN: prospective cohort study. SETTING: tertiary referral university hospital. PARTICIPANTS: sixty nulliparous women at 28-33 weeks of gestation with singleton pregnancies were included between 2010 and 2012. MEASUREMENTS AND FINDINGS: participants were examined with endoanal ultrasound at 28-33 weeks gestation and at 6-7 weeks post-partum...
May 18, 2017: Midwifery
https://www.readbyqxmd.com/read/28528239/the-experiences-of-women-midwives-and-obstetricians-when-women-decline-recommended-maternity-care-a-feminist-thematic-analysis
#9
Bec Jenkinson, Sue Kruske, Sue Kildea
BACKGROUND: pregnant women, like all competent adults, have the right to refuse medical treatment, although concerns about maternal and fetal safety can make doing so problematic. Empirical research about refusal of recommended maternity care has mostly described the attitudes of clinicians, with women's perspectives notably absent. DESIGN: feminist thematic analysis of in-depth, semi-structured interviews with women's (n=9), midwives' (n=12) and obstetricians' (n=9) about their experiences of refusal of recommended maternity care...
May 11, 2017: Midwifery
https://www.readbyqxmd.com/read/28505580/factors-affecting-perceived-change-in-physical-activity-in-pregnancy
#10
Astrid Merkx, Marlein Ausems, Luc Budé, Raymond de Vries, Marianne J Nieuwenhuijze
OBJECTIVE: reduction of physical activity (PA) during pregnancy is common but undesirable, as it is associated with negative outcomes, including excessive gestational weight gain. Our objective was to explore changes in five types of activity that occurred during pregnancy and the behavioural determinants of the reported changes in PA. DESIGN: we performed a secondary analysis of a cross sectional survey that was constructed using the ASE-Model - an approach to identifying the factors that drive behaviour change that focuses on Attitude, Social influence, and self-Efficacy...
May 9, 2017: Midwifery
https://www.readbyqxmd.com/read/28558259/exploring-the-concept-of-continuous-midwifery-led-care-and-its-dimensions-in-the-prenatal-perinatal-and-postnatal-periods-in-iran-kashan
#11
Azam Bagheri, Masoumeh Simbar, Mansoureh Samimi, Fatemeh Nahidi, Hamid Alavi Majd
AIM: to explore the concept of continuous care and its dimensions in the prenatal, perinatal, and postnatal periods based on the experiences of midwives, gynaecologists, obstetricians, pregnant women and their husbands. DESIGN: a qualitative study that was part of a large scale action research which aimed to develop, use and test a continuous midwifery-led care model. Data collection and analysis were performed concurrently through undertaking semi-structured interviews and using the conventional content analysis approach...
May 8, 2017: Midwifery
https://www.readbyqxmd.com/read/28528179/factors-related-to-a-negative-birth-experience-a-mixed-methods-study
#12
Lena Henriksen, Elisabeth Grimsrud, Berit Schei, Mirjam Lukasse
OBJECTIVE: this study aimed to explore factors associated with a negative childbirth experience including descriptions from women themselves. DESIGN: we performed a mixed methods study based on data from the Norwegian cohort of the Bidens study, including a total of 1352 multiparous women. Quantitative information was analysed in addition to thematic analysis of 103 free-text comments provided by women with a prior negative childbirth experience. KEY FINDINGS: the total prevalence of a negative birth experience was 21...
May 8, 2017: Midwifery
https://www.readbyqxmd.com/read/28500866/presence-of-eating-disorders-and-its-relationship-to-anxiety-and-depression-in-pregnant-women
#13
Amanda Maihara Dos Santos, Gláucia Rosana Guerra Benute, Niraldo Oliveira Dos Santos, Roseli Mieko Yamamoto Nomura, Mara Cristina Souza de Lucia, Rossana Pulcineli Vieira Francisco
BACKGROUND: women who have inadequate nutrient intake are more likely to develop a risky pregnancy. The purpose of this study was to determine the presence of eating disorders and its association with anxiety and depression symptomatology in high-risk pregnancies. METHODS: this is a cross-sectional and prospective study conducted at the tertiary university hospital in the city of São Paulo, Brazil. 913 pregnant women waiting for the Obstetrics' outpatient appointment were invited to participate in the study on their 2nd and 3rd trimester of pregnancy...
May 8, 2017: Midwifery
https://www.readbyqxmd.com/read/28494388/skills-based-childbirth-preparation-reduces-stress-for-midwives
#14
Anne M Howarth, Kate M Scott, Nicola R Swain
OBJECTIVE: to explore the potential benefits of skills-based childbirth preparation on the work related stress levels of midwives. DESIGN: a questionnaire was sent out to midwives who had clients participating in an RCT of an education package for childbirth preparation (The Pink Kit (PK) Method for Birthing Better®) delivered to parents. SETTING: midwives were in private practice and acted as lead maternity carers to New Zealand first time mothers...
May 3, 2017: Midwifery
https://www.readbyqxmd.com/read/28494225/what-about-me-the-loss-of-self-through-the-experience-of-traumatic-childbirth
#15
Veronica Byrne, Jonathan Egan, Pádraig Mac Neela, Kiran Sarma
BACKGROUND AND OBJECTIVE: birth trauma has become an increasingly recognised maternal mental health issue and has important implications for both mother and infant. The importance of subjective birth experience in the development of birth trauma has been identified and may mediate the lack of theoretical consistency in this area. The current study aims to explore the subjective experience of birth trauma among first time mothers in Ireland. It aims to separate the potential effects of peripartum depression (PPD) from this in limiting this qualitative investigation to women who reported birth trauma, without PPD...
May 1, 2017: Midwifery
https://www.readbyqxmd.com/read/28527301/exploration-of-dietary-patterns-and-alcohol-consumption-in-pregnant-women-in-the-uk-a-mixed-methods-study
#16
Victoria Coathup, Lesley Smith, Mary Boulton
BACKGROUND: fetal Alcohol Spectrum Disorders is a term used to describe a range of physical, cognitive and behavioural deficits in the offspring of women who drank alcohol during pregnancy. A growing body of evidence suggests alcohol consumption in the presence of poor maternal nutrition may increase the risk of harm to the developing fetus. OBJECTIVE: to investigate relationships between maternal dietary patterns and alcohol consumption, and explore which factors influence women's decisions about what to eat and drink during pregnancy...
April 27, 2017: Midwifery
https://www.readbyqxmd.com/read/28505479/women-s-self-reported-experience-of-unplanned-caesarean-section-results-of-a-swedish-study
#17
Annika Karlström
BACKGROUND: women´s experience of emergency caesarean section is often described as less positive compared to a vaginal birth or a planned caesarean section. Midwifery care for women where deviations from a normal birth process are present is a challenge. The aim of study was to compare self-reported birth outcomes for women undergoing birth through spontaneous onset of labour between those who actually had a vaginal birth and those who eventually had an emergency caesarean section. DESIGN AND SETTING: the study was part of a prospective longitudinal cohort study of parents' experiences, attitudes, and beliefs related to childbirth...
April 27, 2017: Midwifery
https://www.readbyqxmd.com/read/28494389/breastfeeding-support-and-opiate-dependence-a-think-aloud-study
#18
Sonya MacVicar, Tracy Humphrey, Katrina E Forbes-McKay
OBJECTIVE: international guidelines recommend the promotion and protection of breastfeeding for the substance exposed mother and baby. Yet few studies have explored the facilitators, moderators and barriers to successful breastfeeding for women enrolled on opiate maintenance treatment, or suggested targeted support strategies. The aim of this study was to explore the views of women with opiate dependence on proposed elements for inclusion in a breastfeeding support intervention. DESIGN: a qualitative study using think aloud technique...
April 27, 2017: Midwifery
https://www.readbyqxmd.com/read/28478375/actively-preparing-for-pregnancy-is-associated-with-healthier-lifestyle-of-women-during-the-preconception-period
#19
Marjolein Poels, Henk F van Stel, Arie Franx, Maria P H Koster
OBJECTIVE: To assess whether actively preparing for pregnancy by women is associated with lifestyle changes during the preconception period. DESIGN: retrospective cross-sectional study. SETTING: primary care community midwifery practice in the Netherlands. PARTICIPANTS: convenience sample of 283 women who received antenatal care. MEASUREMENTS AND FINDINGS: the association between pregnancy preparation (defined as searching for information and/or consulting a healthcare provider) and preconception lifestyle changes (healthier diet, folic acid, alcohol and tobacco cessation) was measured and adjusted for age, body mass index and educational level...
April 27, 2017: Midwifery
https://www.readbyqxmd.com/read/28472741/working-fulltime-throughout-pregnancy-the-norwegian-women-s-perspectives-a-qualitative-approach
#20
Siv-Tonje Selboe, Ann-Karin Skogås
OBJECTIVE: the purpose of this study was to gain a deeper understanding of aspects that influence healthy women's ability to work fulltime throughout the pregnancy, considering women's experiences and individual perspectives, as well as understanding health resources available to them. DESIGN/SETTING: a qualitative approach was selected for the data collection, and the data presented is derived from in-depth interviews. Ten pregnant Norwegian women with uncomplicated pregnancies, aged 24-40, working fulltime throughout their pregnancies with no sick leave, were interviewed during pregnancy week 37-39...
April 27, 2017: Midwifery
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