Midwifery最新文献

{"title":"Perceptions of care providers on the implementation of an antenatal psychosocial clinical decision support system: the Born in Belgium Professionals platform","authors":"Amuli Kelly ,&nbsp;Decabooter Kim ,&nbsp;Germanes Caroline ,&nbsp;Van Parys An-Sofie ,&nbsp;Verschelde Sabine ,&nbsp;Saey Emilie ,&nbsp;Moulin Manon ,&nbsp;Cornu Pieter ,&nbsp;Delvaux Nicolas ,&nbsp;Van den Berghe Steven ,&nbsp;Feijen-de Jong Esther ,&nbsp;Beeckman Katrien","doi":"10.1016/j.midw.2025.104610","DOIUrl":"10.1016/j.midw.2025.104610","url":null,"abstract":"<div><h3>Background</h3><div>Clinical decision support systems (CDSS) can enhance care processes and clinical outcomes. Adoption depends not only on perceived usefulness but also on contextual human, organisational, and technical factors. Understanding care providers’ perception and how these factors influence adoption is essential for implementing systems that can be embedded in routine perinatal practice.</div></div><div><h3>Aim</h3><div>To examine the real-world adoption (or uptake) of the Born in Belgium Professionals antenatal psychosocial decision-support platform, describing how and why care providers use it and identifying facilitators and barriers to sustained implementation.</div></div><div><h3>Methods</h3><div>A cross-sectional survey of all active users (March–July 2024) captured frequency of use, motivations, and perceptions. Frequent versus non-frequent users were compared with chi-square and Mann–Whitney tests (p &lt; .05).</div></div><div><h3>Findings</h3><div>Of 313 users, 127 responded; most were midwives working in large organisations. About 46% were frequent users. Motivators were the psychosocial questionnaire, continuity of care and preventive benefit. Frequent users more often attended training (64.4% vs 30.9%; p &lt; 0.001), perceived greater patient benefit (median 4.5 vs 4.0; p = .046) and rated the platform’s integration in electronic health record (EHR) higher (median 5.5 vs 5.0; p = .002). Non-frequent users cited time pressure and interoperability issues.</div></div><div><h3>Discussion</h3><div>Positive perceptions of benefits, adequate training, and seamless workflow integration promote sustained use. Organisational support and robust interoperability further facilitate uptake, whereas time pressures and suboptimal EHR embedding hinder regular use.</div></div><div><h3>Conclusion</h3><div>Implementation strategies that emphasise training, interoperability, and alignment with existing workflows are essential to optimise adoption of antenatal psychosocial decision-support systems.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"151 ","pages":"Article 104610"},"PeriodicalIF":2.5,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145248048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions of fear of childbirth and the needs for mindfulness-based intervention among Chinese women planned for normal birth: A qualitative study","authors":"Ruohan Wang ,&nbsp;Yue Huang ,&nbsp;Junyan Zhou ,&nbsp;Ka Ming Chow","doi":"10.1016/j.midw.2025.104604","DOIUrl":"10.1016/j.midw.2025.104604","url":null,"abstract":"<div><h3>Background</h3><div>Fear of childbirth (FOC) is a common experience for pregnant women, leading to both physiological and psychological consequences. Mindfulness-based intervention is a potential approach to addressing FOC, yet the perceptions and needs of Chinese women regarding this intervention remain unexplored.</div></div><div><h3>Aim</h3><div>To explore Chinese women’s perceptions of FOC, and the needs for developing mindfulness-based interventions.</div></div><div><h3>Methods</h3><div>A descriptive qualitative approach was employed. Semi-structured interviews were conducted with women in their third trimester or within six weeks postpartum, all were planning for or had a normal birth. Thematic analysis was conducted using NVivo version 12 for data management and analysis.</div></div><div><h3>Findings</h3><div>Thirty participants, including 15 antenatal and 15 postnatal women, were recruited. Overall, FOC was common among pregnant women, with labour-related pain being the primary source. Due to FOC, some women hold catastrophic beliefs about normal birth and express a preference for caesarean section without medical indication or request an epidural analgesia before experiencing the pain, indicating the needs to address FOC. Regarding mindfulness-based intervention, limited knowledge has emerged as the primary barrier to adoption. All four participants who were familiar with mindfulness expressed positive attitudes towards the intervention.</div></div><div><h3>Conclusion</h3><div>This study highlights the substantial needs for mindfulness-based interventions to address FOC, thereby improving women’s overall childbirth experience. Future interventions should be developed to address these needs.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"150 ","pages":"Article 104604"},"PeriodicalIF":2.5,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145080949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Motivations, challenges, and practices of pelvic floor rehabilitation in postpartum women with urinary incontinence under China’s proactive health framework: a qualitative research","authors":"Shuxian Li ,&nbsp;Jiarong Xu ,&nbsp;Zhentong Zhong ,&nbsp;Jie Li ,&nbsp;Wenjun Tang ,&nbsp;Wenzhi Cai","doi":"10.1016/j.midw.2025.104605","DOIUrl":"10.1016/j.midw.2025.104605","url":null,"abstract":"<div><h3>Background</h3><div>Urinary incontinence is a common form of pelvic floor dysfunction among postpartum women worldwide, imposing significant physical, psychological, and socioeconomic burdens. Current research primarily focuses on clinical interventions while giving insufficient attention to integrated care models combining medical treatment with self-management strategies. The emerging literature underscores the importance of proactive health behaviours. Within China's Proactive Health framework, the mechanisms through which postpartum women engage in comprehensive rehabilitation remain underexplored.</div></div><div><h3>Introduction and hypothesis</h3><div>This qualitative study explores the motivations, challenges, and practices of postpartum women with urinary incontinence as they engage in proactive pelvic floor rehabilitation.</div></div><div><h3>Methods</h3><div>A descriptive, qualitative design was employed in this study. Face-to-face semi-structured interviews were conducted with postpartum women with urinary incontinence in a treatment room between September and October 2024. Participant interviews were transcribed verbatim and analysed thematically using NVivo software, which is widely used for qualitative data analysis.</div></div><div><h3>Results</h3><div>Postpartum women with urinary incontinence (<em>n</em> = 22) were interviewed by trained interviewers to investigate the motivations, challenges, and practices of proactive pelvic floor rehabilitation under China’s Proactive Health framework. The motivations included three subthemes: seeking pelvic recovery, reducing life impact, and social-family effects; The challenges included four subthemes: health competency demands, limited postpartum care, parenting load, and financial burdens; The practices encompassed four main domains: health literacy, healthy lifestyle, initiative healthcare engagement, social support acquisition.</div></div><div><h3>Conclusions</h3><div>This study identifies key motivations and challenges of postpartum women’s engagement in proactive pelvic floor rehabilitation and documents the diverse practices they adopt in daily life. These findings offer theoretical and practical insights for healthcare providers and multi-sectoral collaborations targeting postpartum rehabilitation improvement and pelvic floor health promotion within China’s Proactive Health framework.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"150 ","pages":"Article 104605"},"PeriodicalIF":2.5,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the maternal perception of neonatal jaundice: Insights from a hospital in Uruguay","authors":"Pablo Lores ,&nbsp;Victoria Beñarán ,&nbsp;Agustina Dodino ,&nbsp;Guadalupe Gonçalves ,&nbsp;Antonela Pigazzini ,&nbsp;Teresa Freire","doi":"10.1016/j.midw.2025.104607","DOIUrl":"10.1016/j.midw.2025.104607","url":null,"abstract":"<div><h3>Background</h3><div>Neonatal jaundice (NJ) is a common condition affecting new-borns worldwide. Despite its high prevalence, misconceptions about its causes, severity, and treatment persist among mothers, influencing the recognition and management. In Uruguay, no studies have previously assessed maternal knowledge and perceptions of NJ.</div></div><div><h3>Objective</h3><div>This study aimed to evaluate maternal understanding of NJ, identify sociodemographic, obstetric and gynecological factors influencing perception, and assess sources of information.</div></div><div><h3>Methods</h3><div>A descriptive, cross-sectional study was conducted at the Pereira Rossell Hospital Centre in Uruguay. A total of 201 postpartum mothers were surveyed using structured interviews and self-administered questionnaires. Data were collected on sociodemographic factors, prior exposure to NJ, general knowledge, and maternal attitudes towards its recognition and management.</div></div><div><h3>Results</h3><div>While most participants had heard about NJ, only 31 % believed they knew what it was. The overall accuracy rate for knowledge-based questions was 25 %, with a high frequency of \"I don't know\" responses. Medical appointments were the primary source of information, yet considerable knowledge gaps remained. Notably, 98 % of mothers stated they would seek medical attention if their new-born exhibited signs of NJ, but misconceptions regarding severity and treatment remained.</div></div><div><h3>Conclusion</h3><div>This study highlights substantial deficiencies in maternal knowledge and awareness of NJ in Uruguay. Despite high healthcare access, inadequate guidance was evident across all sociodemographic groups. Enhancing perinatal education and implementing targeted awareness initiatives are crucial for improving the early recognition and management of NJ.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"150 ","pages":"Article 104607"},"PeriodicalIF":2.5,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bridging communities and classrooms: citizen involvement in midwifery education","authors":"Sandra Patrícia Souto ,&nbsp;Sónia Brandão ,&nbsp;Andreia Soares Goncalves ,&nbsp;Rosa Silva","doi":"10.1016/j.midw.2025.104602","DOIUrl":"10.1016/j.midw.2025.104602","url":null,"abstract":"","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"150 ","pages":"Article 104602"},"PeriodicalIF":2.5,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sustaining continuity of carer in practice: a service evaluation of a local maternity system in Northwest England","authors":"Anna Byrom ,&nbsp;Gill Thomson ,&nbsp;Naseerah Akooji ,&nbsp;Claire Feeley","doi":"10.1016/j.midw.2025.104603","DOIUrl":"10.1016/j.midw.2025.104603","url":null,"abstract":"<div><div>Where midwifery is integrated fully into health systems, evidence demonstrates that relational, midwifery-led continuity of carer (MCoC) improves biopsychosocial outcomes for birthing women, people and babies. MCoC is where one or a small team of midwives are the lead carer throughout the childbearing continuum regardless of place of birth, pre-existing or emerging risk factors; working with multidisciplinary professionals if required. In England, wide-scale system changes and implementation were underway to scale up MCoC. However, this was halted due to multiple complexities following the pandemic and ongoing staffing issues. Our mixed method study carried out in 2021 was an external research evaluation across a region of four NHS sites who were at different stages of MCoC implementation. Here we report qualitative insights capturing the successes and challenges in four different contexts to help guide the reintroduction of MCoC services. Recruitment was conducted via stakeholder events and social media; included 123 survey participants (68 providing qualitative data) and 28 interview participants. Thematic analysis was carried out with a global thematic network approach to interpret the data. One global theme of ‘Making it Work: Sustaining MCoC’ was developed comprising of four organising themes - ‘making a difference’, ‘making a start’, ‘making it count’, and ‘making it fit’. Collectively, these findings highlight what works well for staff, families, and the service, alongside MCoC challenges and how to overcome them. These findings offer practical insights to support successful implementation - ‘making it work: future transformations’ – critical to the ongoing sustainability of a service wide transformation.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"150 ","pages":"Article 104603"},"PeriodicalIF":2.5,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Re-imagining obstetric triage in Kenya: Effects of a novel structured obstetric triage model on nurse-midwives’ competencies and patient waiting time - A quasi experimental study","authors":"Carolyne K. Nyariki ,&nbsp;Grace W. Mbuthia ,&nbsp;Erick K. Yegon ,&nbsp;Cyprian M.N. Magangi ,&nbsp;Kenneth O. Owino","doi":"10.1016/j.midw.2025.104601","DOIUrl":"10.1016/j.midw.2025.104601","url":null,"abstract":"<div><h3>Problem</h3><div>Maternal and perinatal mortality and morbidity remains high in Kenya, partly attributable to the third delay.</div></div><div><h3>Background</h3><div>Structured frameworks for obstetric triage have been shown to improve maternal and neonatal outcomes globally, and anecdotal evidence suggests that there is no formal framework for obstetric triage in Kenya.</div></div><div><h3>Aim</h3><div>To pilot a Structured Integrated Obstetric Triage Model (SIOTEL) in Kiambu County Kenya and assess its effect on nurse-midwives obstetric triage competencies and patient waiting time.</div></div><div><h3>Methods</h3><div>A quasi-experimental design was applied. Study population included 40 nurse-midwives and 455 patient files from labour wards of the two hospitals. The intervention was a 3-scale client assessment tool. A baseline survey was conducted to explore the nurse-midwives’ competencies on obstetric triage, as well as the patient waiting time. The model was then developed, training was conducted for the nurse-midwives, and the tool implemented. An end line survey was conducted to assess effect of the model on the study variables. Quantitative data was analysed using STATA &amp; <em>t</em>-test was used to check for differences between the means and the data presented using tables and graphs.</div></div><div><h3>Findings</h3><div>Implementing the SIOTEL resulted in improved midwives’ obstetric triage knowledge, practices and patient waiting time with no effect noted on their attitudes in the intervention facility.</div></div><div><h3>Conclusion</h3><div>The study highlights the significant improvement in competencies and patient waiting time resulting from structured obstetric triage.</div></div><div><h3>Reporting method</h3><div>The authors have adhered to SQUIRE 2.0 Guidelines</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"150 ","pages":"Article 104601"},"PeriodicalIF":2.5,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145046772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Insights from women and healthcare professionals about preventing pregnancy-related pelvic girdle pain: A qualitative content analysis","authors":"Atefe Ashrafi ,&nbsp;Daniel Thomson ,&nbsp;Dragana Ceprnja ,&nbsp;Darren Beales ,&nbsp;Amitabh Gupta","doi":"10.1016/j.midw.2025.104600","DOIUrl":"10.1016/j.midw.2025.104600","url":null,"abstract":"<div><h3>Problem</h3><div>Pregnancy-related pelvic girdle pain (PPGP) is a common complication during pregnancy, affecting woman’s physical, emotional, and occupational well-being. Despite this burden, there is limited evidence for prevention strategies.</div></div><div><h3>Background</h3><div>PPGP prevention has received less attention compared to symptom management. Existing antenatal care lacks standardised prevention guidance for PPGP.</div></div><div><h3>Aim</h3><div>This study aimed to explore the perceptions and beliefs of pregnant women and healthcare professionals (HCPs) on PPGP prevention, using the Health Belief Model (HBM) as a guiding framework.</div></div><div><h3>Methods</h3><div>A qualitative content analysis study using semi-structured interviews with purposively sampled participants, including pregnant women (with and without PPGP) and HCPs (midwives, general practitioners, physiotherapists, and researchers) was conducted from May to August 2024. Data saturation was reached with 28 participants. Interview transcripts were analysed using directed content analysis to identify themes corresponding to HBM constructs.</div></div><div><h3>Findings</h3><div>Eight key themes emerged. Women reported limited awareness and inconsistent guidance on PPGP prevention, however, they expressed willingness to engage in preventative behaviours. HCPs highlighted systemic gaps, including limited access to physiotherapy and insufficient information about PPGP prevention. Both groups identified physical activity, early education, and multidisciplinary care as critical to prevention. Barriers included occupational demands, cultural stigma, financial concerns, and lack of confidence in self-management.</div></div><div><h3>Discussion</h3><div>This study highlighted the need for early, structured, and multidisciplinary interventions aligned with women’s beliefs and needs to effectively prevent PPGP.</div></div><div><h3>Conclusion</h3><div>Women and HCPs insights highlighted that addressing key barriers in antenatal care could reduce PPGP burden and promote PPGP prevention.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"150 ","pages":"Article 104600"},"PeriodicalIF":2.5,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145046773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of midwives in shaping postnatal care after perineal trauma: Women's perspectives on midwifery support – A qualitative study","authors":"Beata Gidaszewski ,&nbsp;Laura Tan ,&nbsp;Jennifer King ,&nbsp;Seng Chua ,&nbsp;Dharmintra Pasupathy ,&nbsp;Mary Steen ,&nbsp;Marjan Khajehei","doi":"10.1016/j.midw.2025.104590","DOIUrl":"10.1016/j.midw.2025.104590","url":null,"abstract":"<div><h3>Background</h3><div>Postnatal care following perineal trauma is crucial, yet many women report unmet physical, emotional, and educational needs during recovery.</div></div><div><h3>Aim</h3><div>To explore women’s experiences and perceptions of postnatal care after perineal trauma, with a focus on midwifery support.</div></div><div><h3>Design</h3><div>This qualitative study was part of the Yoni Study, which assessed effectiveness of a perineal pain management guideline.</div></div><div><h3>Methods</h3><div>The study was conducted in a large tertiary hospital in Australia, and recruited women who sustained perineal trauma after vaginal birth. Participants completed surveys at 24–48 h, 7 days, and 12 weeks postnatal. Free text comments were analysed using reflexive thematic analysis, with a focus on negative comments, revealing 88 coding instances that highlighted unmet needs.</div></div><div><h3>Results</h3><div>The analysis revealed an overarching theme of unmet needs and expectations, underpinned by five interrelated subthemes: lack of postnatal support and education, overlooked physical recovery needs, emotional isolation, judgment around newborn care, and inconsistent advice. While many women reported positive care experiences, systemic constraints such as early discharge and understaffing limited personalised support, intensifying anxiety and reducing confidence in self-care.</div></div><div><h3>Conclusion</h3><div>Addressing systemic limitations and enhancing personalised midwifery support are critical for improving postnatal outcomes. Proactive, culturally sensitive education and emotional care are essential to meet the diverse needs of women recovering from perineal trauma.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"150 ","pages":"Article 104590"},"PeriodicalIF":2.5,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145154910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Then they’re not there. Women’s experiences following admission of their newborn to a neonatal intensive care unit","authors":"Laura Stedman ,&nbsp;Catherine Angell ,&nbsp;Vanora A Hundley","doi":"10.1016/j.midw.2025.104587","DOIUrl":"10.1016/j.midw.2025.104587","url":null,"abstract":"<div><h3>Background</h3><div>Gestational diabetes mellitus (GDM) is a complication of pregnancy associated with neonatal morbidities including admission to Neonatal Intensive Care Units (NICU). Previous research highlights a lack of birth satisfaction and trauma for women following admission of their baby. Previously, research has focussed on a pre-term population. This study aimed to explore the experiences of women, diagnosed with GDM, whose babies were admitted to NICU at any gestation.</div></div><div><h3>Methods</h3><div>A 24-item, fully qualitative online survey was launched through JISC on 28th July 2023, shared through social media and online platforms. Inclusion criteria specified women who had been diagnosed with GDM, lived and received care in the UK and whose baby was admitted to NICU at or shortly after birth. Ethical approval was granted by Bournemouth University.</div></div><div><h3>Results</h3><div>18 women participated in the survey. Two primary themes were identified: ‘experience’ and ‘understanding’, further separated into five and three sub-themes respectively. A lack of understanding and knowledge was identified, with calls for enhanced education and joint decision making. Women recalled feelings of grief, isolation and stress as a result of the admission. For many, this experience was traumatic with lasting effects. For babies born at term, feelings of surprise and separation were paramount, in contrast to those born pre-term.</div></div><div><h3>Conclusion</h3><div>There is need to increase education and improve current material to support women who find themselves facing this outcome. Future research should also focus on reducing the incidence of admission to NICU for women who have received a diagnosis of GDM.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"150 ","pages":"Article 104587"},"PeriodicalIF":2.5,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145046771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}