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Women and Birth: Journal of the Australian College of Midwives

Ingegerd Hildingsson, Annika Karlström, Christine Rubertsson, Helen Haines
AIM: Having a known midwife at birth is valued by women across the world, however it is unusual for women with fear of childbirth to have access to this model of care. The aim of this study was to describe the prevalence and factors related to having access to a known midwife for women referred to counseling due to childbirth fear. We also wanted to explore if women's levels of childbirth fear changed over time. METHODS: A pilot study of 70 women referred to counseling due to fear of birth in 3 Swedish hospitals, and where the counseling midwife, when possible, also assisted during labour and birth...
May 14, 2018: Women and Birth: Journal of the Australian College of Midwives
J Toohill, J Fenwick, M Sidebotham, J Gamble, D K Creedy
BACKGROUND: Relatively little is known about the extent of trauma and birth-related fear in midwives and how this might affect practice. AIM: (1) Determine prevalence of birth related trauma and fear in midwives and associations with midwives' confidence to advise women during pregnancy of their birth options and to provide care in labour. (2) Describe midwives' experiences of birth related trauma and/or fear. METHOD: A mixed methods design...
May 11, 2018: Women and Birth: Journal of the Australian College of Midwives
Aurora Fernández-Cañadas Morillo, Modesto Durán Duque, Ana B Hernández López, Cristina Muriel Miguel, Pilar Pérez Riveiro, Angel Salcedo Mariña, Ana Royuela Vicente, María L Casillas Santana, Miguel A Marín Gabriel
BACKGROUND: Some studies have suggested an association between synthetic oxytocin administration and type of birth with the initiation and consolidation of breastfeeding. AIM: This study aimed to test whether oxytocin administration and type of birth are associated with cessation of exclusive breastfeeding at different periods. A second objective was to investigate whether the administered oxytocin dose is associated with cessation of exclusive breastfeeding. METHODS: We conducted a prospective cohort study (n=529) in a tertiary hospital...
May 10, 2018: Women and Birth: Journal of the Australian College of Midwives
Heidi Preis, Michal Eisner, Rony Chen, Yael Benyamini
PROBLEM: Birth preferences, such as mode and place of birth and other birth options, have important individual and societal implications, yet few studies have investigated the mechanism which predicts a wide range of childbirth options simultaneously. BACKGROUND: Basic beliefs about birth as a natural and as a medical process are both predictive factors for childbirth preferences. Studies investigating birth beliefs, preferences, and actual birth are rare. AIM: To test a predictive model of how these beliefs translate into birth preferences and into actual birth related-options...
May 9, 2018: Women and Birth: Journal of the Australian College of Midwives
Wan-Lin Pan, Meei-Ling Gau, Tzu-Ying Lee, Hei-Jen Jou, Chieh-Yu Liu, Tzung-Kuen Wen
PROBLEM: Preparation of psychological well-being is an important component of antenatal education for childbirth, but few courses focus on this component. BACKGROUND: The psychosocial health of pregnant women is known to affect perinatal outcomes. Psychosocial stress in women has been associated with increased obstetric interventions and has been shown to affect the health of both mother and child. AIM: To explore the efficacy of an eight-week Mindfulness-Based Childbirth and Parenting programme on reducing prenatal stress, depression, mindfulness, and childbirth self-efficacy...
May 8, 2018: Women and Birth: Journal of the Australian College of Midwives
Robyn Brunton, Rachel Dryer, Anthony Saliba, Jane Kohlhoff
BACKGROUND: Recognition of pregnancy-related anxiety as a distinct anxiety is supported by evidence differentiating it from general anxiety and depression. Adverse associations with pregnancy-related anxiety further support this distinction. An influential study by Huizink et al. (2004), demonstrated that anxiety and depression contribute little to the variance of pregnancy-related anxiety, yet this study has not been replicated. Further, addressing limitations of the original study will provide further clarity to the findings...
May 7, 2018: Women and Birth: Journal of the Australian College of Midwives
Catherine Kilgour, Fiona Elizabeth Bogossian, Leonie Callaway, Cindy Gallois
PROBLEM: The reasons for low postnatal screening rates for women with gestational diabetes mellitus are not well understood. Multiple care providers, settings and changes to diagnostic criteria, may contribute to confusion over postnatal care. Quality of communication between clinicians may be an important influence for the completion of postnatal gestational diabetes mellitus follow-up. AIM: Describe and analyse communication processes between hospital clinicians (midwives, medical, allied staff) and general practitioners who provide postnatal gestational diabetes mellitus care...
May 4, 2018: Women and Birth: Journal of the Australian College of Midwives
Lindsay Cole, Amanda LeCouteur, Rebecca Feo, Hannah Dahlen
PROBLEM: Studies of women's childbirth preferences repeatedly show that natural birth remains highly valued, yet the majority of births involve some form of medical intervention. Reasons for this lack of correspondence have typically been investigated through interviews and focus-groups with women. Relatively little research explores the ways in which women describe their experiences of childbirth outside of such research settings. BACKGROUND: Most maternity services promote woman-centred care, whereby women are encouraged to take active roles in deciding how to give birth...
May 3, 2018: Women and Birth: Journal of the Australian College of Midwives
C Begley, K Guilliland, L Dixon, M Reilly, C Keegan, C McCann, V Smith
BACKGROUND: The perineum stretches during birth to allow passage of the baby, but 85% of women sustain some degree of perineal trauma during childbirth, which is painful post-partum. Episiotomy rates vary significantly, with some countries having rates of >60%. Recent Irish and New Zealand studies showed lower severe perineal trauma and episiotomy rates than other countries. AIM: To explore expert Irish and New Zealand midwives' views of the skills that they employ in preserving the perineum intact during spontaneous vaginal birth...
May 2, 2018: Women and Birth: Journal of the Australian College of Midwives
Christine A Marsh, Jenny Browne, Jan Taylor, Deborah Davis
BACKGROUND: Being involved in any child protection system is complex and multifaceted and none more so than in non-voluntary Assumption of Care which occurs in New South Wales when, for child protection concerns, the Department of Family and Community Services removes a newborn baby from her/his mother. OBJECTIVE: This research studied childbearing women's and professionals' experiences of Assumption of Care at birth to increase understanding of individual participants' stories, how they made sense of meanings and how these experiences framed their lives...
April 28, 2018: Women and Birth: Journal of the Australian College of Midwives
Malin Hansson, Ingela Lundgren, Gunnel Hensing, Ing-Marie Carlsson
BACKGROUND: Midwives' professional role has been changing drastically over time, from handling births in home settings to being part of a team in labour wards in hospitals. This demands a greater effort of interprofessional collaboration in childbirth care. AIM: Explore midwives' work in a hospital-based labour ward from the perspectives of other professions, working in the same ward. METHOD: Classical grounded theory, using a constant comparative analysis, was applied to focus group interviews with obstetricians, assistant nurses and managers to explore their views of midwifery work during childbirth...
April 27, 2018: Women and Birth: Journal of the Australian College of Midwives
Birgitta Larsson, Ingegerd Hildingsson, Elin Ternström, Christine Rubertsson, Annika Karlström
BACKGROUND: Women with childbirth fear have been offered counseling by experienced midwives in Sweden for decades without evidence for its effectiveness, in terms of decrease in childbirth fear. Women are usually satisfied with the counselling. However, there is a lack of qualitative data regarding women's views about counselling for childbirth fear. AIM: To explore women's experiences of midwife-led counselling for childbirth fear. METHOD: A qualitative interview study using thematic analysis...
April 27, 2018: Women and Birth: Journal of the Australian College of Midwives
Donna Weetra, Karen Glover, Roxanne Miller, Rikki Wilson, Cathy Leane, Deanna Stuart-Butler, Amanda Mitchell, Deirdre Gartland, Stephanie Brown
BACKGROUND: Aboriginal women and families are under-represented in Australian research on pregnancy and childbirth. The Aboriginal Families Study aimed to investigate the views and experiences of a representative sample of women giving birth to an Aboriginal baby in South Australia between July 2011 and June 2013, using methods designed to respect Aboriginal culture and communities. METHODS: A team of 12 Aboriginal researchers facilitated community engagement and recruitment of Aboriginal and non-Aboriginal mothers of Aboriginal infants in urban, regional and remote areas of South Australia over a two-year period...
April 23, 2018: Women and Birth: Journal of the Australian College of Midwives
Yat Yin Eric Wah, Margaret McGill, Jencia Wong, Glynis P Ross, Anna-Jane Harding, Ines Krass
BACKGROUND: Gestational diabetes mellitus is one of the most common complications of pregnancy. Women with Gestational diabetes are at increased risk of serious health outcomes, such as pre-eclampsia, obstructed labor, and the development of Type 2 diabetes later in life. Chinese migrants, the third largest cultural group in Australia, are more likely to develop Gestational diabetes than Australian-born women. However, to date, Gestational diabetes self-management has not been investigated in this population...
April 21, 2018: Women and Birth: Journal of the Australian College of Midwives
Susan Crowther, Ruth Deery, Rea Daellenbach, Lorna Davies, Andrea Gilkison, Mary Kensington, Jean Rankin
BACKGROUND: Globally there are challenges meeting the recruitment and retention needs for rural midwifery. Rural practice is not usually recognised as important and feelings of marginalisation amongst this workforce are apparent. Relationships are interwoven throughout midwifery and are particularly evident in rural settings. However, how these relationships are developed and sustained in rural areas is unclear. AIM: To study the significance of relationships in rural midwifery and provide insights to inform midwifery education...
April 21, 2018: Women and Birth: Journal of the Australian College of Midwives
Laura Y Whitburn, Lester E Jones, Mary-Ann Davey, Susan McDonald
BACKGROUND: The pain experience associated with labour is complex. Literature indicates psychosocial and environmental determinants of labour pain, and yet methods to support women usually target physiological attributes via pharmacological interventions. AIM: To provide an update of our understanding of labour pain based on modern pain science. The review aims to help explain why women can experience labour pain so differently - why some cope well, whilst others experience great suffering...
April 20, 2018: Women and Birth: Journal of the Australian College of Midwives
Shao Jia Zhou, Rebecca L Greco, Rosalie Grivell, Jennie Louise, Andrea Deussen, Jodie Dodd, Lisa J Moran
BACKGROUND: Awareness of Listeriosis and Methylmercury toxicity recommendations are associated with decreased intake of high-risk foods. Whether awareness of the recommendations affect dietary quality of pregnant women in Australian is unknown. AIM: To evaluate awareness of Listeriosis and Methylmercury toxicity recommendations during pregnancy and its impact on dietary quality. METHODS: Pregnant women (n=81) were recruited from antenatal clinics...
April 17, 2018: Women and Birth: Journal of the Australian College of Midwives
Kiri A Latuskie, Naomi C Z Andrews, Mary Motz, Tom Leibson, Zubin Austin, Shinya Ito, Debra J Pepler
BACKGROUND: Substance use during pregnancy is a major public health concern, stemming from potential physical and psychosocial harms to both the mother and child. PURPOSE: To understand women's experiences using substances during pregnancy and the reasons that women continue and/or discontinue using substances. METHODS: Focus groups were conducted with women who attended an early intervention program for pregnant or parenting women with substance use issues...
April 16, 2018: Women and Birth: Journal of the Australian College of Midwives
Samantha J Charlick, Lois McKellar, Andrea L Gordon, Jan Pincombe
BACKGROUND: Exclusive breast milk provides complete nutrition for a baby's first six months of life. In Australia, breastfeeding initiation rates are high, however duration rates are low. Although numerous studies have explored the reasons behind low levels of breastfeeding, few have examined the experiences of women who maintain exclusive breastfeeding for the recommended six-month duration. AIM: This paper will present an in-depth, idiographic interpretation of first-time mothers' experience of exclusive breastfeeding for six months in Australia...
April 11, 2018: Women and Birth: Journal of the Australian College of Midwives
Usman Ghani, Susan Crowther, Yasir Kamal, Muhammad Wahab
BACKGROUND: In the interests of improving maternal health care and survival, the issue of birth preparedness and complication readiness has been much debated and has remained a priority for the international health community. The provision of birth preparedness and complications readiness is determined by a range of different factors. AIM: The main aim of this study is to identify and measure the influence of husbands and other family relationships on birth preparedness and complications readiness in the Khyber Pakhtunkhwa province of Pakistan...
March 29, 2018: Women and Birth: Journal of the Australian College of Midwives
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