Pub Date : 2018-12-01DOI: 10.12784/NZCOMJNL54.2018.7.51-57
L. Dann, Jennifer Hill
{"title":"Recognising and responding to acutely deteriorating women in New Zealand maternity wards: A literature and environmental scan","authors":"L. Dann, Jennifer Hill","doi":"10.12784/NZCOMJNL54.2018.7.51-57","DOIUrl":"https://doi.org/10.12784/NZCOMJNL54.2018.7.51-57","url":null,"abstract":"","PeriodicalId":137118,"journal":{"name":"New Zealand College of Midwives Journal","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115159503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-01DOI: 10.12784/nzcomjnl54.2018.5.38-43
Sachiyo Nakamura, S. Horiuchi
INTRODUCTION In Japanese culture, a cold sensation known as “hie” is an important symptom in traditional medicine. Hiesho is considered to be a condition in which the sympathetic nervous system becomes dominant, resulting in poor circulation in the extremities due to contraction of the peripheral blood vessels. In Nakamura, Ichisato, Horiuchi, Mori, and Momoi’s (2011) analysis of the concept of hiesho, it is defined as a condition in which “there is a difference between core temperature and peripheral temperature and a delay in the rise of the peripheral temperature even when the individual is in a warm environment, resulting in a ‘chilly feeling’ in many cases” (p.2).
{"title":"Is hiesho in pregnant women a risk factor for postpartum haemorrhage?","authors":"Sachiyo Nakamura, S. Horiuchi","doi":"10.12784/nzcomjnl54.2018.5.38-43","DOIUrl":"https://doi.org/10.12784/nzcomjnl54.2018.5.38-43","url":null,"abstract":"INTRODUCTION In Japanese culture, a cold sensation known as “hie” is an important symptom in traditional medicine. Hiesho is considered to be a condition in which the sympathetic nervous system becomes dominant, resulting in poor circulation in the extremities due to contraction of the peripheral blood vessels. In Nakamura, Ichisato, Horiuchi, Mori, and Momoi’s (2011) analysis of the concept of hiesho, it is defined as a condition in which “there is a difference between core temperature and peripheral temperature and a delay in the rise of the peripheral temperature even when the individual is in a warm environment, resulting in a ‘chilly feeling’ in many cases” (p.2).","PeriodicalId":137118,"journal":{"name":"New Zealand College of Midwives Journal","volume":"122 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134396492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-01DOI: 10.12784/nzcomjnl54.2018.0.4
L. Dixon, Eva Neely, Ruth Martis
{"title":"Editorial: Consumer representation on the editorial board","authors":"L. Dixon, Eva Neely, Ruth Martis","doi":"10.12784/nzcomjnl54.2018.0.4","DOIUrl":"https://doi.org/10.12784/nzcomjnl54.2018.0.4","url":null,"abstract":"","PeriodicalId":137118,"journal":{"name":"New Zealand College of Midwives Journal","volume":"53 11","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113989221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-01DOI: 10.12784/NZCOMJNL54.2018.6.44-50
Deb Beatson, Anna Seiuli, J. Patterson, Christine Griffiths, Kerrie Wilson
{"title":"Pasifika student experience in a Bachelor of Midwifery programme","authors":"Deb Beatson, Anna Seiuli, J. Patterson, Christine Griffiths, Kerrie Wilson","doi":"10.12784/NZCOMJNL54.2018.6.44-50","DOIUrl":"https://doi.org/10.12784/NZCOMJNL54.2018.6.44-50","url":null,"abstract":"","PeriodicalId":137118,"journal":{"name":"New Zealand College of Midwives Journal","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131814603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-01DOI: 10.12784/nzcomjnl54.2018.3.22-29
R. Hay, J. Patterson
A Corresponding Author: rebecca@ osbornehay.co.nz B Liggins Institute, The University of Auckland; Warkworth Birthing Centre; self-employed midwife C Otago Polytechnic, Dunedin Background: Anecdotal evidence suggests midwives recognise that pregnancy and birth may be affected by cervical scarring caused by excisional procedures in the treatment of cervical intraepithelial neoplasia (CIN2 and 3). Affected women seeking information about the effect on their pregnancy and labour must rely on the knowledge of maternity care providers or take guidance from consumer publications. A literature review was undertaken with the objective of exploring pregnancy and birth outcomes following cervical excisional procedures. Method: CINAHL, ProQuest, Pubmed, Google Scholar and Cochrane databases were searched for full text, peer-reviewed articles discussing either original research or systematic reviews, published from 2001-2016. Inclusion criteria were applied and comparative analysis was used to identify and compare outcomes. Findings: Seventeen articles were included for review. Fifteen articles discuss the relationship of cervical excisional procedures to an increased incidence of preterm birth. Other outcomes include the increased incidence of preterm, pre-labour rupture of membranes, or consideration of associated low birthweight related to the method or depth of excision. No articles were found which considered the provision of intrapartum care to women with a history of cervical excision procedures. Conclusion: Current research regarding the effect of cervical excision procedure history on pregnancy and birth is largely limited to quantifying the incidence of preterm birth and preterm, pre-labour rupture of membranes, or in discussing the impact of the method and depth of excision. Research to identify, describe, or best clinically manage the experience of birthing at term with cervical scarring appears to be absent. Further research is needed to extend midwifery knowledge regarding the provision of care during pregnancy and labour to affected women at term.
{"title":"Effects of cervical excisional procedures for cervical intraepithelial neoplasia on pregnancy and birth: A literature review","authors":"R. Hay, J. Patterson","doi":"10.12784/nzcomjnl54.2018.3.22-29","DOIUrl":"https://doi.org/10.12784/nzcomjnl54.2018.3.22-29","url":null,"abstract":"A Corresponding Author: rebecca@ osbornehay.co.nz B Liggins Institute, The University of Auckland; Warkworth Birthing Centre; self-employed midwife C Otago Polytechnic, Dunedin Background: Anecdotal evidence suggests midwives recognise that pregnancy and birth may be affected by cervical scarring caused by excisional procedures in the treatment of cervical intraepithelial neoplasia (CIN2 and 3). Affected women seeking information about the effect on their pregnancy and labour must rely on the knowledge of maternity care providers or take guidance from consumer publications. A literature review was undertaken with the objective of exploring pregnancy and birth outcomes following cervical excisional procedures. Method: CINAHL, ProQuest, Pubmed, Google Scholar and Cochrane databases were searched for full text, peer-reviewed articles discussing either original research or systematic reviews, published from 2001-2016. Inclusion criteria were applied and comparative analysis was used to identify and compare outcomes. Findings: Seventeen articles were included for review. Fifteen articles discuss the relationship of cervical excisional procedures to an increased incidence of preterm birth. Other outcomes include the increased incidence of preterm, pre-labour rupture of membranes, or consideration of associated low birthweight related to the method or depth of excision. No articles were found which considered the provision of intrapartum care to women with a history of cervical excision procedures. Conclusion: Current research regarding the effect of cervical excision procedure history on pregnancy and birth is largely limited to quantifying the incidence of preterm birth and preterm, pre-labour rupture of membranes, or in discussing the impact of the method and depth of excision. Research to identify, describe, or best clinically manage the experience of birthing at term with cervical scarring appears to be absent. Further research is needed to extend midwifery knowledge regarding the provision of care during pregnancy and labour to affected women at term.","PeriodicalId":137118,"journal":{"name":"New Zealand College of Midwives Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128399547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-01DOI: 10.12784/nzcomjnl54.2018.2.15-21
Judith McAra-Couper, A. Farry, Ngatepaeru Marsters, Dinah Otukolo, J. Clemons, L. Smythe
A Corresponding Author: jmcaraco@ aut.ac.nz B Auckland University of Technology, Auckland C Midwife, Auckland Background: Birth is a socially constructed experience for Pasifika living in New Zealand that is shaped by their community and maternity provider’s influences. Pasifika women in the Counties Manukau region predominantly choose to birth in a tertiary facility despite there being primary facilities available. Aim: This study asked Pasifika women about their choices for place of birth within the Counties Manukau District Health Board region. Method: Six healthy, low risk Pasifika women, who had given birth in the Counties Manukau District Health Board region, participated in this study. All women were interviewed individually and conversations were analysed using thematic analysis, followed by a hermeneutic interpretation. Findings: The women shared a culture of “we birth at Middlemore [Hospital] and that is where you have babies”. Their data surprised us as researchers. Those who had been transferred postnatally to primary units tended to still prefer Middlemore. We use the word “prejudice” in recognising that we thought (backed by research evidence) that they would be more likely to have a normal birth in a primary unit, and would prefer that experience. They told us that Middlemore Hospital was close to home; it was a place they knew; and it was where they preferred to give birth. The Pasifika women’s understanding of choice of birthplace was influenced by their community and, perhaps, by their midwife. While they seemed to have minimal understanding of why they would choose to birth at a primary birthing unit, there was a sense that even if they had this knowledge, they would not have changed their minds. They had a trust of, and familiarity with, Middlemore Hospital that held firm. They had their prejudice; we had ours. Recognising these different views offers a different space for conversation. Conclusion: It is important that any new or re-designed birthing unit be planned in collaboration with Pasifika women if it is intended for their use. Further, it is important that midwives take the time to listen to Pasifika women, and those from other cultures, to understand their point of view.
{"title":"Pasifika women's choice of birthplace","authors":"Judith McAra-Couper, A. Farry, Ngatepaeru Marsters, Dinah Otukolo, J. Clemons, L. Smythe","doi":"10.12784/nzcomjnl54.2018.2.15-21","DOIUrl":"https://doi.org/10.12784/nzcomjnl54.2018.2.15-21","url":null,"abstract":"A Corresponding Author: jmcaraco@ aut.ac.nz B Auckland University of Technology, Auckland C Midwife, Auckland Background: Birth is a socially constructed experience for Pasifika living in New Zealand that is shaped by their community and maternity provider’s influences. Pasifika women in the Counties Manukau region predominantly choose to birth in a tertiary facility despite there being primary facilities available. Aim: This study asked Pasifika women about their choices for place of birth within the Counties Manukau District Health Board region. Method: Six healthy, low risk Pasifika women, who had given birth in the Counties Manukau District Health Board region, participated in this study. All women were interviewed individually and conversations were analysed using thematic analysis, followed by a hermeneutic interpretation. Findings: The women shared a culture of “we birth at Middlemore [Hospital] and that is where you have babies”. Their data surprised us as researchers. Those who had been transferred postnatally to primary units tended to still prefer Middlemore. We use the word “prejudice” in recognising that we thought (backed by research evidence) that they would be more likely to have a normal birth in a primary unit, and would prefer that experience. They told us that Middlemore Hospital was close to home; it was a place they knew; and it was where they preferred to give birth. The Pasifika women’s understanding of choice of birthplace was influenced by their community and, perhaps, by their midwife. While they seemed to have minimal understanding of why they would choose to birth at a primary birthing unit, there was a sense that even if they had this knowledge, they would not have changed their minds. They had a trust of, and familiarity with, Middlemore Hospital that held firm. They had their prejudice; we had ours. Recognising these different views offers a different space for conversation. Conclusion: It is important that any new or re-designed birthing unit be planned in collaboration with Pasifika women if it is intended for their use. Further, it is important that midwives take the time to listen to Pasifika women, and those from other cultures, to understand their point of view.","PeriodicalId":137118,"journal":{"name":"New Zealand College of Midwives Journal","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128822751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-01DOI: 10.12784/nzcomjnl54.2018.8.58-62
Alan Chapman
INTRODUCTION Competence comes in various forms and is identified as a core component of professional clinicians (Hodges & Lingard, 2012), with maintaining competence identified as a vital characteristic of the professional midwife (Calvert, Smythe, & McKenzieGreen, 2017). The Midwifery Council of New Zealand (2005) defines competence as, “the ongoing capacity to integrate knowledge, skills, understanding, attitudes, and values within the professional framework of the Midwifery Scope of Practice” (p.6). Within midwifery there is an expectation that midwives can work competently in all areas at all times (Edwards et al., 2016); however, the need and motivation to maintain overall competence depends on the midwife (Calvert et al., 2017).
{"title":"Developing confidence in competence: My experience of the Midwifery First Year of Practice programme","authors":"Alan Chapman","doi":"10.12784/nzcomjnl54.2018.8.58-62","DOIUrl":"https://doi.org/10.12784/nzcomjnl54.2018.8.58-62","url":null,"abstract":"INTRODUCTION Competence comes in various forms and is identified as a core component of professional clinicians (Hodges & Lingard, 2012), with maintaining competence identified as a vital characteristic of the professional midwife (Calvert, Smythe, & McKenzieGreen, 2017). The Midwifery Council of New Zealand (2005) defines competence as, “the ongoing capacity to integrate knowledge, skills, understanding, attitudes, and values within the professional framework of the Midwifery Scope of Practice” (p.6). Within midwifery there is an expectation that midwives can work competently in all areas at all times (Edwards et al., 2016); however, the need and motivation to maintain overall competence depends on the midwife (Calvert et al., 2017).","PeriodicalId":137118,"journal":{"name":"New Zealand College of Midwives Journal","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124085764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-01DOI: 10.12784/NZCOMJNL54.2018.1.5-14
L. Dixon, E. Gray, C. Macdonald, J. Gullam, R. Powell
A Corresponding Author: practice@ nzcom.org.nz B New Zealand College of Midwives C Lead Maternity Carer, Christchurch D Christchurch Womens's Hospital, New Zealand E University of Canterbury, New Zealand Background: Over the last few decades the management of a breech baby at term has been immersed in controversy. It is important that New Zealand midwives and doctors have sufficient understanding of the evidence to be able to effectively counsel women to make an informed decision when a baby presents in a breech position at term. Aims: To review the evidence and international guidance related to mode of birth for singleton breech presentation at term, identify the current evidence and gaps in knowledge and highlight how the evidence can be used to support women within the New Zealand context of maternity care. Method: We searched Scopus, PubMed and the Cochrane Database of Systematic Reviews for peer reviewed publications about term breech presentation. The search terms used were "breech presentation" and "term". Limiters were set for the time period between 2000 and 2015, English language, human pregnancies, and peer reviewed journals. Findings: We found 456 published papers covering breech presentation related to clinical outcomes, professional commentaries, professional guidelines and the woman’s perspectives. We identified and retrieved 37 papers as relevant to our search criteria. We report specifically on the papers that provided professional commentary (detailed critique of the evidence), clinical studies, systematic reviews, meta-analyses and professional guidelines. Following the publication of the Term Breech Trial there was a change in practice to that of recommending planned caesarean section for term breech presentation. Subsequent critiques and reviews have identified concerns with the study which undermine its reliability. Further retrospective/ prospective studies, a systematic review and a meta-analysis have demonstrated equivocal results and suggest that perinatal mortality during vaginal breech births can be reduced when strict criteria are applied and an experienced clinician is involved. Many professional guidelines now advise that offering women the option of a vaginal breech birth is reasonable. Conclusion: New Zealand midwives and doctors need to be in a position to inform women with breech presenting babies about factors that support the safety of vaginal breech birth, as well as about the benefits and potential harms of both caesarean section and vaginal breech birth, to support their decision making.
{"title":"Singleton breech presentation at term: Review of the evidence and international guidelines for application to the New Zealand context","authors":"L. Dixon, E. Gray, C. Macdonald, J. Gullam, R. Powell","doi":"10.12784/NZCOMJNL54.2018.1.5-14","DOIUrl":"https://doi.org/10.12784/NZCOMJNL54.2018.1.5-14","url":null,"abstract":"A Corresponding Author: practice@ nzcom.org.nz B New Zealand College of Midwives C Lead Maternity Carer, Christchurch D Christchurch Womens's Hospital, New Zealand E University of Canterbury, New Zealand Background: Over the last few decades the management of a breech baby at term has been immersed in controversy. It is important that New Zealand midwives and doctors have sufficient understanding of the evidence to be able to effectively counsel women to make an informed decision when a baby presents in a breech position at term. Aims: To review the evidence and international guidance related to mode of birth for singleton breech presentation at term, identify the current evidence and gaps in knowledge and highlight how the evidence can be used to support women within the New Zealand context of maternity care. Method: We searched Scopus, PubMed and the Cochrane Database of Systematic Reviews for peer reviewed publications about term breech presentation. The search terms used were \"breech presentation\" and \"term\". Limiters were set for the time period between 2000 and 2015, English language, human pregnancies, and peer reviewed journals. Findings: We found 456 published papers covering breech presentation related to clinical outcomes, professional commentaries, professional guidelines and the woman’s perspectives. We identified and retrieved 37 papers as relevant to our search criteria. We report specifically on the papers that provided professional commentary (detailed critique of the evidence), clinical studies, systematic reviews, meta-analyses and professional guidelines. Following the publication of the Term Breech Trial there was a change in practice to that of recommending planned caesarean section for term breech presentation. Subsequent critiques and reviews have identified concerns with the study which undermine its reliability. Further retrospective/ prospective studies, a systematic review and a meta-analysis have demonstrated equivocal results and suggest that perinatal mortality during vaginal breech births can be reduced when strict criteria are applied and an experienced clinician is involved. Many professional guidelines now advise that offering women the option of a vaginal breech birth is reasonable. Conclusion: New Zealand midwives and doctors need to be in a position to inform women with breech presenting babies about factors that support the safety of vaginal breech birth, as well as about the benefits and potential harms of both caesarean section and vaginal breech birth, to support their decision making.","PeriodicalId":137118,"journal":{"name":"New Zealand College of Midwives Journal","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134527300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.12784/nzcomjnl59.2023.3.21-28
T. Jackson, A. Gilkison, Judith McAra-Couper, S. Miller, L. Dixon, Jeanine Tamati-Elliffe, Christine Griffiths
Introduction: The initial COVID-19 lockdown in Aotearoa New Zealand (Aotearoa NZ) in 2020, likely resulted in significant disruption to maternity care and midwifery education. Therefore, we asked the question, “What was the experience of student midwives studying and providing maternity care during the COVID-19 pandemic in Aotearoa NZ?” Aim: Our aim was to explore the impact of the 2020 lockdown phase of the COVID-19 pandemic for student midwives in Aotearoa NZ. Method: This qualitative descriptive study used semi-structured interviews to explore the impact of alert levels 3 and 4 COVID-19 lockdowns in 2020. Inductive thematic analysis was used to identify codes and generate themes and sub-themes from the interview transcripts. Findings: Seven midwifery students described their experiences from which two overall themes were identified. The first of these was Uncertainty in which participants described insecurity, loss of control, isolation and constant worry. On the positive side they described Flexibility and Resilience – the ability to be flexible as they moved to more frequent use of online platforms, which provided connection with their peers; and resilience where the pandemic was considered beneficial by some for the future as it built their ability to face unanticipated challenges in their midwifery practice. Conclusion: During a pandemic, anxiety, isolation and insecurity are common and our participants felt additional institutional support for student midwives was required. We concluded that it is essential to acknowledge the anxiety and individual needs of all students and check in with them regarding their physical and mental wellbeing. Setting up online platforms and facilitating connections between tutors and peers may provide more structural support.
{"title":"Uncertainty and Flexibility: Midwifery students' experience during the COVID-19 pandemic in Aotearoa New Zealand","authors":"T. Jackson, A. Gilkison, Judith McAra-Couper, S. Miller, L. Dixon, Jeanine Tamati-Elliffe, Christine Griffiths","doi":"10.12784/nzcomjnl59.2023.3.21-28","DOIUrl":"https://doi.org/10.12784/nzcomjnl59.2023.3.21-28","url":null,"abstract":"Introduction: The initial COVID-19 lockdown in Aotearoa New Zealand (Aotearoa NZ) in 2020, likely resulted in significant disruption to maternity care and midwifery education. Therefore, we asked the question, “What was the experience of student midwives studying and providing maternity care during the COVID-19 pandemic in Aotearoa NZ?” Aim: Our aim was to explore the impact of the 2020 lockdown phase of the COVID-19 pandemic for student midwives in Aotearoa NZ. Method: This qualitative descriptive study used semi-structured interviews to explore the impact of alert levels 3 and 4 COVID-19 lockdowns in 2020. Inductive thematic analysis was used to identify codes and generate themes and sub-themes from the interview transcripts. Findings: Seven midwifery students described their experiences from which two overall themes were identified. The first of these was Uncertainty in which participants described insecurity, loss of control, isolation and constant worry. On the positive side they described Flexibility and Resilience – the ability to be flexible as they moved to more frequent use of online platforms, which provided connection with their peers; and resilience where the pandemic was considered beneficial by some for the future as it built their ability to face unanticipated challenges in their midwifery practice. Conclusion: During a pandemic, anxiety, isolation and insecurity are common and our participants felt additional institutional support for student midwives was required. We concluded that it is essential to acknowledge the anxiety and individual needs of all students and check in with them regarding their physical and mental wellbeing. Setting up online platforms and facilitating connections between tutors and peers may provide more structural support.","PeriodicalId":137118,"journal":{"name":"New Zealand College of Midwives Journal","volume":"520 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132415582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.12784/nzcomjnl59.2023.1.5-13
L. Dixon, T. Jackson, Jeanine Tamati-Elliffe, Judith McAra-Couper, Christine Griffiths, S. Miller, A. Gilkison
Introduction: In Aotearoa New Zealand the COVID-19 pandemic in 2020 resulted in a four-week lockdown in March and April of 2020 with ongoing restrictions for several weeks. Aim: To explore the experiences of women who were pregnant, giving birth and/or managing the early weeks of motherhood during the 2020 COVID-19 alert levels 3 and 4 in Aotearoa New Zealand. Method: This qualitative study used semi-structured interviews to explore childbirth experiences during the COVID-19 alert level restrictions. Reflexive, inductive, thematic analysis was used to identify codes, subthemes and themes. Findings: Seventeen women participated in the study. Analysis of the qualitative interviews revealed four themes. The first of these was: Relationship with my midwife, in which participants described the importance of the midwifery continuity of care relationship, with midwives often going above and beyond usual care and filling the gaps in service provision. In the Disruption to care theme the participants described feeling anxious and uncertain, with concerns about the hospital restrictions and changing rules. The participants also described their Isolation during postnatal care in a maternity facility due to separation from their partners/whānau; they describe receiving the bare necessities of care, feeling they were on their own, and working towards their release home; all of which took an emotional and mental toll. The final theme, Undisturbed space, describes the positive aspects of the lockdown of being undisturbed by visitors, being better able to bond with the baby and being able to breastfeed in peace. Conclusion: Midwifery continuity of care appears to have supported these women and their families/whānau during the service restrictions caused by the COVID-19 lockdown. The partner, or other primary support person, and whānau should be considered essential support and should not be excluded from early postpartum hospital care.
{"title":"Birth under restrictions: Exploring women's experiences of maternity care in Aotearoa New Zealand during the COVID-19 lockdown of 2020","authors":"L. Dixon, T. Jackson, Jeanine Tamati-Elliffe, Judith McAra-Couper, Christine Griffiths, S. Miller, A. Gilkison","doi":"10.12784/nzcomjnl59.2023.1.5-13","DOIUrl":"https://doi.org/10.12784/nzcomjnl59.2023.1.5-13","url":null,"abstract":"Introduction: In Aotearoa New Zealand the COVID-19 pandemic in 2020 resulted in a four-week lockdown in March and April of 2020 with ongoing restrictions for several weeks. Aim: To explore the experiences of women who were pregnant, giving birth and/or managing the early weeks of motherhood during the 2020 COVID-19 alert levels 3 and 4 in Aotearoa New Zealand. Method: This qualitative study used semi-structured interviews to explore childbirth experiences during the COVID-19 alert level restrictions. Reflexive, inductive, thematic analysis was used to identify codes, subthemes and themes. Findings: Seventeen women participated in the study. Analysis of the qualitative interviews revealed four themes. The first of these was: Relationship with my midwife, in which participants described the importance of the midwifery continuity of care relationship, with midwives often going above and beyond usual care and filling the gaps in service provision. In the Disruption to care theme the participants described feeling anxious and uncertain, with concerns about the hospital restrictions and changing rules. The participants also described their Isolation during postnatal care in a maternity facility due to separation from their partners/whānau; they describe receiving the bare necessities of care, feeling they were on their own, and working towards their release home; all of which took an emotional and mental toll. The final theme, Undisturbed space, describes the positive aspects of the lockdown of being undisturbed by visitors, being better able to bond with the baby and being able to breastfeed in peace. Conclusion: Midwifery continuity of care appears to have supported these women and their families/whānau during the service restrictions caused by the COVID-19 lockdown. The partner, or other primary support person, and whānau should be considered essential support and should not be excluded from early postpartum hospital care.","PeriodicalId":137118,"journal":{"name":"New Zealand College of Midwives Journal","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123440449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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