PurposeThe purpose of this study was to clarify the characteristics of midwifery care for foreign Muslim women living in Japan.MethodsA qualitative descriptive study was conducted with five midwives ...who had experience providing midwifery care to Muslim women in obstetric outpatient clinics and hospital wards in Japan. Data were collected through semi-structured interviews using an interview guide and analyzed qualitatively and inductively.ResultsUpon analysis we identified 34 subcategories, 14 categories and three core categories as characteristics of midwifery care for Muslim women. Midwives who provided care to Muslim women focused more on the religious background of the patient than on the background of the patient, such as country of origin or linguistic communication level, which is usually the focus when caring for foreigners, and they were “aware that the patient was a Muslim”. From the early stage, the midwives were “practicing religious considerations based on one's nursing perspective” as professionals, while giving “informed consent and sharing information on religious considerations” with the patient, family members, and medical staff.ConclusionReligious considerations were found to be a significant characteristic of midwifery care for Muslim women. Midwives gave informed consent for religious considerations to Muslim women and their families from the early stages of midwifery care, and they practiced religious considerations through trial and error based on one's own nursing perspectives. However, as religion is a sensitive issue, midwives tended to hesitate in addressing the individual needs of Muslim women, even though they were aware of the diversity and uniqueness of each woman's needs. As a result, midwives tended to give Muslim women only uniform consideration. Our study showed that in order to improve midwifery care for Muslim women, it is necessary to factor in the diverse needs of each individual woman and connect them to more culturally appropriate care.
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Background/Aims
In Indonesia, 26% of postpartum mothers experience perinatal mental health issues. Midwives have a vital role in supporting postpartum mothers with their mental health. The aim of ...this study was to determine midwives’ perceptions and experiences of providing postpartum mental healthcare.
Methods
This phenomenological qualitative study took place between November 2020 and January 2021. Data were collected through in-depth online interviews with 20 midwives working in healthcare settings in Surabaya, Indonesia, who had provided postpartum care for at least 3 years.
Results
The data were split into midwives’ perceptions and midwives’ experiences. The four themes for midwives’ perceptions were ‘a midwife's role as a companion and supporter’, ‘mental health needs to be addressed during pregnancy’, ‘a midwife's important role providing mental healthcare for postpartum mothers’, and ‘providing holistic care, not just physical’. The six sub-themes for midwives’ experiences were ‘identifying issues by examining attitude’, ‘an intensive approach to initial treatment’, ‘collaborative care or referrals for patients who need further treatment’, ‘openness and a co-operative attitude determine success’, ‘physical and social aspects of successful healthcare’ and ‘midwives need standard guidelines’.
Conclusions
Midwives have an essential role in postpartum mental healthcare, and adopt an intensive approach. There is a need for national guidelines to assist midwives in providing mental healthcare.
Families living in rural communities need to relocate, be transferred or travel long distances to access specialist maternal and neonatal care, leading to isolation from their support networks.
...High-risk maternal and neonatal complexities in rural maternity units results in more transfers and retrievals to metropolitan services. There is limited understanding of the physical and psychological impacts for women and their families when they are transferred or displaced from their rural communities during pregnancy.
To investigate the lived experience of relocation for specialist pregnancy, birthing, postnatal and neonatal care on women and families.
Women (n=5) and partners (n=4) from rural South Australia, participated in semi-structured interviews on their experiences of transfer from local maternity providers. Couples interviewed together, interactions were recorded, transcribed verbatim and thematically analysed to identify overarching and sub-themes.
The overarching theme was ‘mismatched expectations’, with three identified sub-themes: ‘communication’, ‘compassion’ and ‘safety’. Discrepancies between expectations and realities during relocation left participants feeling isolated, alone and needing to self-advocate during this vulnerable period. Despite receiving specialist care, women and partners encountered unique hardships when separated from their rural community. Their social needs were poorly understood and seldom addressed in specialist units, resulting in poor experiences.
Consideration regarding the impact of attending specialist maternity services for women and partners from rural areas is required. The ‘one size fits all’ approach for maternity care is unrealistic and research is needed to improve the experiences for those uprooted from rural communities for higher levels of care.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UILJ, UL, UM, UPCLJ, UPUK, ZAGLJ, ZRSKP
•Available research suggests midwives can be willingly facilitative or reluctantly accepting of women's unconventional birth choices.•Differing attitudes were informed by differing values towards ...women's autonomy.•Some midwives faced vulnerabilities associated with fear of reprisals or litigation.•Self-employed midwives appeared to be more likely to be willingly facilitative.•All midwives reported that relationships with women were central to their care.
Women can face opposition when exerting autonomous decision-making regarding their birth choices, particularly when the decisions involve going against medical advice and/or outside of national guidelines. Termed ‘unconventional birth choices’, some research has explored women’s reasons and experiences of making such choices, but less is known about the midwives caring for them.
To synthesize existing qualitative literature on the views, attitudes, and experiences of midwives caring for women who make unconventional birth choices.
A systematic search and meta-ethnography informed by Noblit and Hare and Schutz was undertaken. Eight databases were searched using predetermined search terms, alongside author, reference, citation chasing, and hand searching. Searches were conducted in July 2016 and updated in October 2017. Qualitative studies published since 1993 in English were included. Included studies were subjected to quality appraisal, conducted independently by two reviewers. Analysis was informed by the interpretative meta-ethnography methods.
Five studies met the inclusion criteria. Eight subthemes emerged. These resulted in three higher level interpretative themes emerged: perceptions of women’s decision making, conflicting tensions as caregivers, ways of working with-woman.
Midwives can play a pivotal role in ensuring that respectful maternity care includes supporting women in their birthing decisions. Whilst limited research has been undertaken in this area, available insights suggest that midwives’ views in this area are situated along a spectrum from ‘willingly facilitative’ to ‘reluctantly accepting’. Views were influenced by context, as well as prior philosophies and values. While further research is needed, this study offers insights into the challenges women can face in seeking unconventional birth choices if they require support from midwives to do so.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UILJ, UL, UM, UPCLJ, UPUK, ZAGLJ, ZRSKP
Purpose
This study was conducted to determine the effect of solution‐focused psychoeducation (SFP) and childbirth preparation training (CPT) on women's fear of childbirth and self‐efficacy.
Methods
...This randomized controlled trial was carried out at the family health center in Turkey. The sample of the study consisted of a total of 119 healthy primigravid women. These women were randomized into the SFP group (n = 39), CPT group (n = 40), and control group care (n = 40).
Findings
After the intervention, the women in the experiment groups had decreased fear of childbirth and increased self‐efficacy.
Practice Implications
Midwifery care based on education and counseling provided by online synchronous video conferencing method during the pandemic period is an effective and safe method in reducing fear of childbirth in women and increasing their self‐efficacy.
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DOBA, FZAB, GIS, IJS, IZUM, KILJ, NLZOH, NUK, OILJ, PILJ, PNG, SAZU, SBCE, SBMB, SIK, UILJ, UKNU, UL, UM, UPUK, VSZLJ
Interprofessional collaboration of physicians and midwives is essential for appropriate and safe care of pregnant and parturient women as well as their newborns. The complexity of woman-centered care ...settings requires the continuous exchange of information and the coordinated implementation of multi-and interprofessional care concepts. To analyze the midwives' perspective on the multi-and interprofessional care process during pregnancy, birth and postpartum period, we aimed to adapt and psychometrically evaluate the Interprofessional Collaboration Scale (ICS).
The ICS (13 items) was answered by 299 midwives for (i) prenatal and postpartum care as well as (ii) perinatal care. Three items on equitable communication (EC) identified in qualitative interviews with
= 6 midwives were added as further aspects of quality in collaborative midwifery care. Confirmatory factor analysis was used to test competing theoretically hypothesized factorial model structures, including both care settings simultaneously, i.e., birth and prenatal/postpartum.
A two-dimensional structure assuming the 13 original ICS items and the 3 items on EC as psychometric distinct item groups accounts for the data best. After deleting 5 ICS items with insufficient indicator reliability, a very good-fitting model structure was obtained for both prenatal/postpartum as well as perinatal care:
= 226.35,
= 0.045, CFI = 0.991, RMSEA = 0.025 (90%CI: 0.004; 0.037). Both the reduced ICS-R and the EC scale (standardized response mean = 0.579/1.401) indicate significantly higher interprofessional collaboration in the birth setting. Responsibility in consulting, attitudes toward obstetric care and frequency of collaboration with other professional groups proved to be associated with the ICS-R and EC scale as expected.
For the adapted ICS-R and the EC scale a good construct validity could be confirmed. Thus, the scales can be recommended as a promising assessment for recording the collaboration of midwives with physicians working in obstetric care from the perspective of midwives. The instrument provides a validated assessment basis in midwifery and obstetric care to identify potentially divergent perspectives within interprofessional care teams in woman's centered care.
Purpose: This study is aimed at describing midwifery care provided for women with cancer diagnosed in pregnancy and their families.Methods: Unstructured interviews were conducted with seven midwives ...who had experience of assisting women diagnosed with cancer. The data was analyzed using the narrative approach.Results: Concerning 15 episodes, we found subthemes, based on which one theme per one episode was identified. Having analyzed the episodes, subthemes, and the themes in a cross sectional manner, we clarified that there are four themes that represent midwifery care: Supporting women so they can make the best decision based on a wide range of information that provides a balanced perspective, when debating with themselves whether or not to continue a pregnancy, to undergo cancer treatment, or to breastfeed; perceiving the women as mothers who would or would not undergo cancer treatment during their pregnancy; understanding their thoughts during the continuous span of cancer treatment, pregnancy, delivery to as far as the period of childcare and dealing with the women and their families considering the impact on the whole family; and taking care of the women and their families, while working with multiple departments and professions and going in the same direction.Conclusion: Midwives’ practice was characterized by viewing women as mothers, based on the midwifery care values of maternal and newborn care. Their perspective and practice of having regard for women as mothers is important to further support the women and families through enhanced collaboration and cooperation among multiple departments and professions.
Background: In dealing with the current condition of the Covid-19 pandemic, the education system finds the alternative and changes the regular learning to an online system. This online system depends ...on vital aspects such as well-structured, interactive, and substantive programs. Consequently, educators are challenged to be more frequently innovative and active in assessing and evaluating learning needs. Implementing a proper learning method helps to encourage students' willingness to learn since they are the core of the learning process. Therefore, this research considered Problem-based Learning as a suitable learning method to implement and improve clinical skills. By learning from a problem, students are indirectly instructed to learn how to collect and integrate new knowledge.
Objectives: This study focuses on determining the implementation of Problem-Based Learning methods on the Leopold maneuver antenatal midwifery care subject in the diploma midwifery students.
Methods: This study uses a quasi-experimental design with a one group pretest-posttest design. The samples in this study are 30 students from Megarezky University. Data are analyzed by univariate and bivariate with chi-square test. This study uses a questionnaire to measure students' interest and motivation in participating in learning in antenatal care courses, and to measure skills in performing the Leopold maneuver using a standardized checklist from the Antenatal Care Module of the Ministry of Health. This research is conducted within two months (December to January 2022).
Results: The result reveals that the Problem-Based Learning Method (PBL) effectively increases the score of students' clinical skills with a p-value: 0.000 < 0.05.
Conclusion: Problem-Based Learning Method (PBL) effectively improves the clinical skills of Leopold maneuver Antenatal care.
This study aimed to examine why mothers with midwifery-led vaginal births recommend giving birth vaginally.
This qualitative study was conducted with 14 mothers who had a vaginal birth with midwives ...and recommended it to other women. The data were collected using an in-depth interview form and analysed with the thematic analysis technique.
The reasons why these mothers recommend vaginal birth (VB) are discussed under five main themes: 'positive birth experience, postpartum comfort, beliefs and values, body image, and sexual life'. VB is mainly recommended to other women for emotional, medical, religious, and socio-cultural reasons, including pleasure/excitement related to the birth, newborn, and maternity, birth satisfaction, absence of interventions, early physical activity, early discharge from the hospital, beliefs and values, body image (easy weight loss, no incision, etc.), and early and safe sex life in the postpartum period.
Vaginal birth is mainly recommended to other women for emotional, medical, religious, and socio-cultural reasons. To support similar favourable views of vaginal birth, it is necessary to prioritise midwifery care that upholds the physiology of childbirth, minimises unnecessary medical interventions, ensures ongoing physical and emotional support, and respects socio-cultural beliefs and values.
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