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community midwifery

Minerva Kyei-Onanjiri, Mary Carolan-Olah, John Koku Awoonor-Williams, Terence V McCann
BACKGROUND: Maternal morbidity and mortality is most prevalent in resource-poor settings such as sub-Saharan Africa and southern Asia. In sub-Saharan Africa, Ghana is one of the countries still facing particular challenges in reducing its maternal morbidity and mortality. Access to emergency obstetric care (EmOC) interventions has been identified as a means of improving maternal health outcomes. Assessing the range of interventions provided in health facilities is, therefore, important in determining capacity to treat obstetric emergencies...
March 15, 2018: BMC Health Services Research
Nicola Heslehurst, Judith Rankin, Catherine McParlin, Falko F Sniehotta, Denise Howel, Stephen Rice, Elaine McColl
Background: Weight management in pregnancy guidelines exist, although dissemination alone is an ineffective means of implementation. Midwives identify the need for support to overcome complex barriers to practice. An evaluation of an intervention to support midwives' guideline implementation would require a large-scale cluster randomised controlled trial. A pilot study is necessary to explore the feasibility of delivery and evaluation prior to a definitive trial. The GestationaL Obesity Weight management: Implementation of National Guidelines (GLOWING) trial aims to test whether it is feasible and acceptable to deliver a behaviour change intervention to support midwives' implementation of weight management guidelines...
2018: Pilot and Feasibility Studies
Shawn Walker, Laura Batinelli, Lucia Rocca-Ihenacho, Christine McCourt
OBJECTIVES: to gain understanding about how participants perceived the value and effectiveness of 'Keeping Birth Normal' training, barriers to implementing it in an along-side midwifery unit, and how the training might be enhanced in future iterations. DESIGN: exploratory interpretive. SETTING: inner-city maternity service. PARTICIPANTS: 31 midwives attending a one-day training package on one of three occasions. METHODS: data were collected using semi-structured observation of the training, a short feedback form (23/31 participants), and focus groups (28/31 participants)...
February 2, 2018: Midwifery
Karen M Lawford, Audrey R Giles, Ivy L Bourgeault
BACKGROUND: Aboriginal peoples in Canada are comprised of First Nations, Métis, and Inuit. Health care services for First Nations who live on rural and remote reserves are mostly provided by the Government of Canada through the federal department, Health Canada. One Health Canada policy, the evacuation policy, requires all First Nations women living on rural and remote reserves to leave their communities between 36 and 38 weeks gestational age and travel to urban centres to await labour and birth...
February 10, 2018: Women and Birth: Journal of the Australian College of Midwives
Catherine Henshall, Beck Taylor, Laura Goodwin, Albert Farre, Miss Eleanor Jones, Sara Kenyon
OBJECTIVE: Women's planned place of birth is gaining increasing importance in the UK, however evidence suggests that there is variation in the content of community midwives' discussions with low risk women about their place of birth options. The objective of this study was to develop an intervention to improve the quality and content of place of birth discussions between midwives and low-risk women and to evaluate this intervention in practice. DESIGN: The study design comprised of three stages: (1) The first stage included focus groups with midwives to explore the barriers to carrying out place of birth discussions with women...
January 31, 2018: Midwifery
Paula M Schulz, Carmel L Dunne, Denise Burdett-Jones, Natalie S Gamble, Machellee M Kosiak, Joclyn M Neal, Gail E Baker
BACKGROUND: A strategy to close the gap in relation to Indigenous health is the employment of more Indigenous health professionals. However, despite government reviews, research studies and educational initiatives, Indigenous students' retention and completion rates of tertiary education remains below those of non-Indigenous Australians. OBJECTIVE: To evaluate two enhancements to an Away-from-Base Bachelor of Midwifery program for Indigenous students, namely the appointment of an Indigenous Academic Liaison Midwife to provide academic and cultural support and an additional clinical placement in a high-volume tertiary hospital...
January 31, 2018: Nurse Education Today
Marjolein Poels, Henk F van Stel, Arie Franx, Maria P H Koster
PURPOSE: The objective of this study was to investigate the effect of a local promotional campaign on preconceptional lifestyle changes and the use of preconception care (PCC). MATERIAL AND METHODS: This quasi-comparative study was carried out between February 2015 and February 2016 at a community midwifery practice in the Netherlands. The intervention consisted of a dual track approach (i) a promotional campaign for couples who wish to conceive and (ii) a PCC pathway for health care providers...
January 29, 2018: European Journal of Contraception & Reproductive Health Care
Andrea Gilkison, Jean Rankin, Mary Kensington, Rea Daellenbach, Lorna Davies, Ruth Deery, Susan Crowther
OBJECTIVE: the complex and challenging nature of rural midwifery is a global issue. New Zealand and Scotland both face similar ongoing challenges in sustaining a rural midwifery workforce, and understanding the best preparation for rural midwifery practice. This study aimed to explore the range of skills, qualities and professional expertise needed for remote and rural midwifery practice. DESIGN: online mixed methods: An initial questionnaire via a confidential SurveyMonkey® was circulated to all midwives working with rural women and families in New Zealand and Scotland...
December 19, 2017: Midwifery
Jody R Lori, Cheryl A Moyer, Veronica Dzomeku, Emmanuel Kweku Nakua, Peter Agyei-Baffour, Sarah Rominski
OBJECTIVE: the objective of this study is to understand the barriers final year midwifery students face when deciding to practice in a rural, deprived area. DESIGN: a cross-sectional study design using a computer based structured survey. SETTING: 15 of the 16 publicly funded midwifery colleges across all ten regions in Ghana. PARTICIPANTS: a national sample of final-year midwifery students from publically funded midwifery colleges in Ghana...
December 15, 2017: Midwifery
Sophie Witter, Justine Namakula, Haja Wurie, Yotamu Chirwa, Sovanarith So, Sreytouch Vong, Bandeth Ros, Stephen Buzuzi, Sally Theobald
It is well known that the health workforce composition is influenced by gender relations. However, little research has been done which examines the experiences of health workers through a gender lens, especially in fragile and post-conflict states. In these contexts, there may not only be opportunities to (re)shape occupational norms and responsibilities in the light of challenges in the health workforce, but also threats that put pressure on resources and undermine gender balance, diversity and gender responsive human resources for health (HRH)...
December 1, 2017: Health Policy and Planning
Jennifer C Stearns, Julia Simioni, Elizabeth Gunn, Helen McDonald, Alison C Holloway, Lehana Thabane, Andrea Mousseau, Jonathan D Schertzer, Elyanne M Ratcliffe, Laura Rossi, Michael G Surette, Katherine M Morrison, Eileen K Hutton
Early life microbial colonization and succession is critically important to healthy development with impacts on metabolic and immunologic processes throughout life. A longitudinal prospective cohort was recruited from midwifery practices to include infants born at full term gestation to women with uncomplicated pregnancies. Here we compare bacterial community succession in infants born vaginally, with no exposure to antibiotics (n = 53), with infants who were exposed to intrapartum antibiotic prophylaxis (IAP) for Group B Streptococcus (GBS; n = 14), and infants born by C-section (n = 7)...
November 28, 2017: Scientific Reports
Gert A Klabbers, Klaas Wijma, K Marieke Paarlberg, Wilco H M Emons, Ad J J M Vingerhoets
OBJECTIVE: To evaluate the effect of haptotherapy on severe fear of childbirth in pregnant women. DESIGN: Randomized controlled trial. SETTING: Community midwifery practices and a teaching hospital in the Netherlands. POPULATION OR SAMPLE: Primi- and multigravida, suffering from severe fear of childbirth (N = 134). METHODS: Haptotherapy, psycho-education via Internet and care as usual were randomly assigned at 20-24 weeks of gestation and the effects were compared at 36 weeks of gestation and 6 weeks and 6 months postpartum...
November 20, 2017: Journal of Psychosomatic Obstetrics and Gynaecology
Carine Sangaleti, Mariana Cabral Schveitzer, Marina Peduzzi, Elma Lourdes Campos Pavone Zoboli, Cassia Baldini Soares
BACKGROUND: During the last decade, teamwork has been addressed under the rationale of interprofessional practice or collaboration, highlighted by the attributes of this practice such as: interdependence of professional actions, focus on user needs, negotiation between professionals, shared decision making, mutual respect and trust among professionals, and acknowledgment of the role and work of the different professional groups. Teamwork and interprofessional collaboration have been pointed out as astrategy for effective organization of health care services as the complexity of healthcare requires integration of knowledge and practices from differente professional groups...
November 2017: JBI Database of Systematic Reviews and Implementation Reports
Elizabeth Nethery, Wendy Gordon, Marit L Bovbjerg, Melissa Cheyney
BACKGROUND: Approximately 22% of women in the United States live in rural areas with limited access to obstetric care. Despite declines in hospital-based obstetric services in many rural communities, midwifery care at home and in free standing birth centers is available in many rural communities. This study examines maternal and neonatal outcomes among planned home and birth center births attended by midwives, comparing outcomes for rural and nonrural women. METHODS: Using the Midwives Alliance of North America Statistics Project 2...
November 13, 2017: Birth
Erin M Wright, Maude Theo Matthai, Nicole Warren
INTRODUCTION: Work-related stress and exposure to traumatic birth have deleterious impacts on midwifery practice, the midwife's physiologic well-being, and the midwifery workforce. This is a global phenomenon, and the specific sources of this stress vary dependent on practice setting. This scoping review aims to determine which, if any, modalities help to reduce stress and increase resilience among a population of midwives. METHODS: A scoping review of the literature published between January 2011 and September 2016 using PubMed, CINAHL, Embase, PsycINFO, and Cochrane databases was performed...
October 25, 2017: Journal of Midwifery & Women's Health
Heshmatolah Heydari, Zahra Rahnavard, Fatemeh Ghaffari
BACKGROUND: Community-based nursing focuses on providing health services to families and communities in the second and third levels of prevention and this can improve the individuals, families and communities' quality of life, and reduce the healthcare costs. The aim of this study was to explore the status of community-based nursing in Iran. METHODS: This qualitative study was conducted from March to November 2015, in Tehran, Iran, using the content analysis approach...
October 2017: International Journal of Community Based Nursing and Midwifery
Kate S Deacon, Andrea Baldwin, Karen A Donnelly, Pauline Freeman, Angela P Himsworth, Sheila M Kinoulty, Melanie Kynaston, Julie Platten, Ann M Price, Neville Rumsby, Nicola Witton
In the years following the abolition of the English National Board for Nursing, Midwifery and Health Visiting in 2002, concerns were raised within the Critical Care nursing community about a lack of consistency in post-registration education programmes. In response to this, the Critical Care Network National Nurse Leads (CC3N) formed a sub-group, the Critical Care Nurse Education Review Forum (CCNERF) to address these concerns. A review of UK course provision confirmed marked inconsistency in the length, content and associated academic award...
May 2017: Journal of the Intensive Care Society
Laura Goodwin, Billie Hunter, Aled Jones
BACKGROUND: In 2015, 27.5% of births in England and Wales were to mothers born outside of the UK. Compared to their White British peers, minority ethnic and migrant women are at a significantly higher risk of maternal and perinatal mortality, along with lower maternity care satisfaction. Existing literature highlights the importance of midwife-woman relationships in care satisfaction and pregnancy outcomes; however, little research has explored midwife-woman relationships for migrant and minority ethnic women in the UK...
September 29, 2017: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
Judith Ball
The Royal College of Nursing (RCN) Bazian report (2015a) explored international mentorship models that focus less on 1:1 mentorship than on an increased ratio of students to a mentor, and this was used to inform the RCN (2015b) mentorship recommendations document to the Nursing and Midwifery Council (NMC). The need to examine new models for mentorship and make recommendations for future practice was identified, despite the Bazian report ( RCN, 2015a ) stating that among developed countries and national regulators and professional bodies, the UK seemed to possess the most detailed policy and guidance on student nurse mentoring...
October 2, 2017: British Journal of Community Nursing
M Poels, M P H Koster, A Franx, H F van Stel
BACKGROUND: The attention for Preconception Care (PCC) has grown substantially in recent years, yet the implementation of PCC appears challenging as uptake rates remain low. The objective of this study was to assess parental perspectives on how PCC should be provided. METHODS: Recruitment of participants took place among couples who received antenatal care at a Dutch community midwifery practice. Between June and September 2014, five focus group sessions were held with 29 women and one focus group session with 5 men...
September 26, 2017: BMC Pregnancy and Childbirth
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