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Hanna Ulfsdottir, Sissel Saltvedt, Marie Ekborn, Susanne Georgsson
OBJECTIVE: To describe women´s experiences and perceptions of giving birth in water. DESIGN: A qualitative study with in-depth interviews three to five months after the birth. A content analysis of the interviews was made. SETTING: One city-located hospital in Stockholm, offering waterbirth to low risk women. PARTICIPANTS: 20 women, 12 primiparas and 8 multiparas, aged 27-39. MEASUREMENTS AND FINDINGS: The overall theme emerging from the analysis was, "Like an empowering micro-home", which describes the effect of being strengthened, enabled and authorized in the birth process...
September 8, 2018: Midwifery
Leslie Molina-Velásquez, José M Belizán, Cristhian Pérez-Villalobos, Yolanda Contreras-García
The active incorporation of men in the process of childbirth is an increasingly common practice internationally. However, there are no validated instruments for Latin America. OBJECTIVE: To validate an instrument to assess new fathers' experiences during childbirth in Latin America. DESIGN: Prospective validation study. SETTING: Talcahuano, Chile. POPULATION: Fathers who participated in the birth of their first child (n = 220) between September 2015 to May 2016, in a public hospital in Chile...
September 7, 2018: Midwifery
Jennifer Akuamoah-Boateng, Rachael Spencer
No abstract text is available yet for this article.
September 5, 2018: Midwifery
Nynke de Groot, Hilmar H Bijma, Gouke J Bonsel, Mijke P Lambregtse-van den Berg
INTRODUCTION: Vulnerable clients (i.e. clients reporting psychopathology, psychosocial problems, or substance use, and/or features of deprivation) represent a challenge in perinatal care, both in term of care process and outcome. Adhering to a structured care process (i.e. structured Antenatal Risk Management [sARM]) has shown to benefit professionals in supporting vulnerable clients, but its effect on client experiences is yet to be determined. As better processes are assumed to benefit outcome, we investigated the relationship between vulnerable clients' experiences with antenatal care in perinatal units adhering to differing degrees of sARM...
September 5, 2018: Midwifery
Deborah Fox, Athena Sheehan, Caroline Se Homer
OBJECTIVE: The aim of the study was to explore how women and midwives prepare, during the antenatal period, for the possibility of intrapartum transfer from planned home birth. DESIGN: A Constructivist Grounded Theory approach was taken in order to focus upon the social interactions and processes that emerged. SETTING: Urban and regional areas in four states of south eastern Australia. PARTICIPANTS: Thirty-one semi-structured interviews were conducted with women and midwives...
August 30, 2018: Midwifery
Julie Kep Kampblijambi, Jed Montayre, Padmapriya Saravanakumar, Eleanor Holroyd
No abstract text is available yet for this article.
August 28, 2018: Midwifery
Bharati Sharma, Ingegerd Hildingsson, Eva Johansson, Kyllike Christensson
OBJECTIVE: There are two integrated pre-service education programmes for nurses and midwives in India; a diploma in General Nursing and Midwifery (GNM) and bachelor's in nursing (B.Sc. nursing). This study assessed and compared confidence of final-year students from these two programmes for selected midwifery skills from the list of midwifery competencies given by the International Confederation of Midwives (ICM). DESIGN: A cross-sectional survey. PARTICIPANTS: 633 final-year students, from 25 educational institutions randomly selected, stratified by the type of programme (diploma/bachelor), and ownership (private/government) from the Gujarat province...
August 27, 2018: Midwifery
Marion Hunter, Elizabeth Smythe, Deborah Spence
The aim of this study was to reveal what enables, safeguards and sustains midwives to provide labour care in freestanding midwifery-led units. DESIGN: A hermeneutic phenomenological study was undertaken in the Auckland region of New Zealand. In-depth interviews were conducted with 14 participants: 11 midwives who provide care in freestanding midwifery-led units and three obstetricians who provide antenatal consultations on site in midwifery-led units. MAIN FINDINGS: Confidence is necessary to provide intrapartum care in freestanding midwifery units...
August 24, 2018: Midwifery
Estela Arcos, Antonia Vollrath, Ximena Sánchez, Christine Bailey
BACKGROUND: The adverse impact of poverty and migration in pregnant women is expressed in diverse results in reproductive, mental and child health, all of which are related to lack of documentation to reside in the country, absence of health insurance and no economic resources to pay private services, or either not understanding the administrative procedures. OBJECTIVE: To understand the experience of immigrant women in the process of motherhood and rearing infants under 6 months, in the context of social vulnerability in an urban area of Santiago de Chile...
August 23, 2018: Midwifery
Martha Jane Paynter, Lisa Goldberg
OBJECTIVE: Driven by a growing body of research demonstrating the health benefits of human milk over substitute feeding preparations, the demand for human milk donations in North America is rapidly increasing. In the context of an increasingly institutionalized and commercialized human milk market, informal peer-to-peer milk sharing networks are commonplace. Race, class, gender and sexual orientation are intersecting aspects of identity and power that influence participation in breastfeeding and the domain of milk exchange...
August 22, 2018: Midwifery
Sarange B Nyakang'o, Andrew Booth
BACKGROUND: In Kenya, uptake of skilled care during birth remains lower in rural areas when compared to urban areas, despite efforts by the government to encourage facility-based births by abolishing maternity fees in public health facilities. OBJECTIVE: To synthesise published and unpublished qualitative research that explores women's perceived barriers to facility-based birth in rural Kenya. DESIGN: Qualitative evidence synthesis DATA SOURCES: Multiple electronic databases (MEDLINE, EMBASE, PsycINFO, POPLINE, CINAHL, Web of Science and ProQuest), grey literature searches, citation chaining and checking of reference lists...
August 19, 2018: Midwifery
Shannon I Maloney, Mohammad Siahpush, Danae Dinkel, Paraskevi A Farazi, Jithin Jose, Rohini Dutta
OBJECTIVE: High rates of maternal mortality persist in Low and Middle Income countries, despite increasing rates of facility-based births, suggesting a need to focus on quality of maternity care. The purpose of the current study was to evaluate provider perspectives on the implementation of material taught during an evidence-based medical education session aimed at reducing common causes of maternal death in government hospitals in India. DESIGN: Several months after the training, labor room nurses and physicians from twenty-two hospitals participated in semi-structured focus group discussions...
August 18, 2018: Midwifery
Michelle M Butler, Judith T Fullerton, Cheryl Aman
OBJECTIVE: To obtain consensus amongst midwifery experts globally about the essential competencies for basic midwifery practice. DESIGN: A modified Delphi approach, involving a three-round online survey. PARTICIPANTS: Midwifery leaders, educators and regulators in all ICM regions, along with representatives of organisations affiliated to ICM. METHODS: The research team worked closely with a Core Working Group and a Task Force...
August 17, 2018: Midwifery
Christophe Clesse, Joëlle Lighezzolo-Alnot, Sylvie de Lavergne, Sandrine Hamlin, Michèle Scheffler
First described at the beginning of the 1970s, the concept of birth medicalisation has experienced a theoretical and ideological evolution influenced by the lines of research that have been associated with it. This evolution has given rise to different schools of thought concerning medicalisation, but also various methodologies used in different scientific fields. It seems relevant to propose a global synthesis of the various lines of thought related to birth medicalisation. To do this, the authors conducted a systematic literature review based on the PRISMA method...
August 17, 2018: Midwifery
Ruben Alfaro Blazquez, Esperanza Ferrer Ferrandiz, Sonia Pardo Moya, Vicente Gea Caballero, Silvia Corchon
BACKGROUND: Preterm labour and birth are two of the most important issues in perinatal care. The birth of a preterm baby is often a stressful and traumatic time for parents. Assessment of satisfaction with maternity services is crucial and questionnaires are the most common method as long as they are well-constructed. Only one, The Preterm Birth Experience and Satisfaction Scale (P-BESS), developed in United Kingdom, has been designed for this specific birth type. OBJECTIVES: To translate, transculturally adapt and assess the psychometric properties of the P-BESS into Spanish...
August 17, 2018: Midwifery
Paloma Martínez-Serrano, Ana María Palmar-Santos, Montserrat Solís-Muñoz, Consuelo Álvarez-Plaza, Azucena Pedraz-Marcos
AIM: To explore the experiences of midwives regarding the attention given during labour in late foetal death. DESIGN: Qualitative research using a hermeneutic-interpretative phenomenological approach was carried out. Data were collected through focus groups, audio-recorded, transcribed verbatim, and analyzed using the van Manen approach. SETTING AND PARTICIPANTS: Three focus group with a purposive sample of 18 midwives from 10 public hospitals and 1 primary health centre in Madrid, Spain were conducted...
August 15, 2018: Midwifery
María Del Mar Pastor-Bravo, Pilar Almansa-Martínez, Ismael Jiménez-Ruiz
INTRODUCTION: Female genital mutilation is a health and human rights issue which extends to western countries. It is estimated that there are some seventeen thousand women and girls living in Spain who have either been mutilated or are at risk of being so. Healthcare professionals face the challenge of providing adequate care in response to this emerging problem. AIM: To discover the repercussions of female genital mutilation on the health of sub-Saharan women residing in Spain, as well as the healthcare received...
August 15, 2018: Midwifery
Xiu Zhu, Jiasi Yao, Jianyu Lu, Ruyan Pang, Hong Lu
OBJECTIVE: This study aims to outline the progress of midwifery-related policies in contemporary and modern China as well as the obstacles in this process, and to provide recommendations for policy makers in the establishment of Chinese midwifery policies, ultimately promoting the development of midwifery in China. BACKGROUND AND INTRODUCTION: Policy plays an increasingly important role in midwifery development, particularly needed in modern China. A review of policies of midwifery could help policy makers develop effective strategies to address current problems in China, including the insufficient numbers of midwives, the shrinking of responsibility and the degradation of midwives' competency...
August 15, 2018: Midwifery
Denise O'Brien, Mary Casey, Michelle M Butler
OBJECTIVE: To explore women's experiences of the concept of informed choice during pregnancy and childbirth. METHODS: A three-phase action research approach. In the second phase of the study (reported in this paper), 15 women were interviewed to establish their experiences of informed choice. SETTING: Dublin, Ireland in a large maternity hospital. FINDINGS: We found that multiple factors influence how women experience informed choice including; their sense of self and the quality of their relationships with maternity care professionals...
August 14, 2018: Midwifery
Régine Goemaes, Jill Shawe, Dimitri Beeckman, Elsie Decoene, Sofie Verhaeghe, Ann Van Hecke
OBJECTIVE: To explore factors influencing the implementation of advanced midwife practitioner roles. DESIGN: Semi-structured individual face-to-face and focus group interviews were conducted. Data analysis was performed using the Framework Method. SETTING AND PARTICIPANTS: A purposive sample (n = 32) included chief nursing officers, middle managers, head midwives/nurses, primary care team leaders, midwives with and without advanced midwife practitioner roles, heads of midwifery educations, and obstetricians...
August 11, 2018: Midwifery
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