IntroductionIn Chile, sexually transmitted infections (STIs) are a public health problem and require a comprehensive approach for effective control. Although the provision of clinical services has ...improved; the incidence and prevalence of STIs such as HIV, syphilis and gonorrhoea have remained stable over the last decade. In this study, we investigated healthcare providers’ (HCP) understanding of patients’ perceptions of STIs and explored which strategies might improve STI control locally.Methods48 semi-structured face-to-face interviews were conducted with HCP. A third of the interviews were transcribed verbatim and translated from Spanish to English for thematic analysis, which followed an inductive approach based on grounded theory. Following the identification of themes, remaining interviews were coded utilising a method of constant comparison to highlight concordance and dissonance of participant views.ResultsParticipants perceived that the majority of patients were not concerned about STIs other than HIV, as campaigns are regularly launched in Chile principally focused on improving HIV awareness. Participants also recognised that symptoms are the primary impetus for patients attending health services and they are less likely to attend for STI prevention. However, HCP in this study also highlighted their work in schools which focuses on primary prevention by improving the sexual health knowledge of young people. There was strong agreement by participants that this was the most appropriate strategy to disseminate STI information to this cohort. Participants proposed that midwives could play a key role by working closely with young people at schools as part of a comprehensive sexual health educational program.ConclusionWe recommend strengthening STI control through continuation of existing activities at PHC centres and enhancing current interventions in schools through a greater investment of resources focused on improving the sexual health literacy of Chilean young people.
Cílem naší studie bylo prozkoumat dopad nepřenosných nemocí a fyzické zátěže na rozhodnutí opustit povolání porodní asistentky. Průřezová korelační studie byla provedena u 231 porodních asistentek v ...porodnicích v Maďarsku. Pro statistickou analýzu byly použity Spearmanovy korelační koeficienty, Mann-Whitneyův test a lineární regrese. Prevalence nepřenosných nemocí byla u nejčastějších pěti onemocnění více než 30 %. Křečové žíly a muskuloskeletální problémy patřily mezi dominantní příznaky. Kouření a konzumace alkoholu (často/někdy) dosáhly větších rozměrů (18,2 % / 12,6 % v kontextu kouření; 0,4 % / 49,4 % v kontextu užívání alkoholu). Aspekty fyzické zátěže spojené s prací byly v pozitivní korelaci se záměrem odejít. Fyzická zátěž a nepřenosné nemoci byly příčinou záměru opustit povolání u jedné čtvrtiny porodních asistentek (26,2 %). Nejčastější příčinou nepřenosného onemocnění byla cukrovka. Intervence zaměřené na snížení odchodů porodních asistentek by měly řešit fyzickou zátěž této práce a také dopad chronických příznaků vzniklých v důsledku vysoké pracovní zátěže.
The psychological problem felt by the mother during labor is anxiety. Anxiety is a feeling disorder characterized by feelings of fear and deep concern. Pregnant women who experience labor anxiety ...have a high risk of labor complications, namely preeclampsia and prolonged labor. This study aims to determine the factors influencing the anxiety level of 1st time maternity at Eka Sriwahyuni Clinic Medan Denai 2019. This study is a descriptive correlation study with a cross sectional approach. The populations are all 1st time maternity mothers who come to Eka Sriwahyuni Clinic in March-May 2019. The sample size is 21 respondents who are determined using the accidental sampling method. This study uses primary data and then processed with IBM SPSS Statistics 20 for Windows computer programs and presented in the form of an open table. Of the 21 respondents, the majority of respondents have moderate anxiety levels. Based on the results of the study, it is found that out of the 4 variables studied, only the knowledge variable could prove a significant relationship with the level of anxiety of the first childbearing mother labor.
Midwives, Society and Childbirth is the first book to examine midwives' lives and work in the nineteenth and twentieth centuries on a national and international scale. Focusing on six countries from ...Europe, the approach is interdisciplinary with the studies written by a diverse team of social, medical and midwifery historians, sociologists, and those with experience in delivering childbirth services. Questioning for the first time many conventional historical assumptions, this book is fundamental to a better understanding of the effect on midwives of the unprecedented progress of science in general and obstetric science in particular from the late nineteenth century. The contributors challenge the traditional bleak picture of midwives' decline in the face of institutional obstetrics, medical technology, and the growing power of the medical profession, while stressing the importance of regional influences and locality. Dr Anne Marie Rafferty, Philadelphia, Dr Hilary Marland, Erasmus Universiteit Rotterdam, Dr Irvine Louden, Oxfordshire, Joan Mottram, Wellcome Unit for the History of Medic
Une revue des études publiées autour de l’attachement des femmes en période périnatale nous fait remarquer la double position de ces dernières. Dans cette période sensible, elles sont à la fois ...vulnérables et responsables. Nous proposons l’idée d’une activation synchrone et complémentaire des systèmes motivationnels de l’attachement et du caregiving, et nous soulignons le rôle des professionnels investis dans cette période clé.
Bayern hat als letztes Bundesland die Vollakademisierung des Hebammenberufs umgesetzt. Diese Umbruchsphase beschreibt die Studie HebSzen im vorliegenden Band. Die Autorin geht dabei der Frage nach ...dem Verhältnis von außerklinischem Hebammenwissen und akademischer Lehre nach. Empirisch erforscht sie, wie praktisch konserviertes Wissen bisher in die Lehre eingeflossen ist und in Zukunft im Hochschulkontext weitergegeben werden kann.
Bavaria was the last federal state to implement the full academization of the midwifery profession. The study HebSzen describes this phase of change in the present volume. The author investigates the relationship between non-clinical midwifery knowledge and academic teaching. Empirically, she explores how practically conserved knowledge has been incorporated into teaching to date and how it can be passed on in the university context in the future.