Pub Date : 2024-10-24DOI: 10.1016/j.midw.2024.104220
Elliesha O'Reilly, Kate Buchanan, Sara Bayes
Background
Safety in maternity care is a priority, and a broadened view of safety (e.g., emotional, psychological, cultural) is evident in scientific literature and in lay discourse. ‘Emotional safety’ is being referred to with increasing frequency in this context; however, there is a lack of clarity in its use and meaning.
Aim
The aim of this concept analysis was to examine the concept of emotional safety in maternity care.
Methods
The evolutionary approach was used for this concept analysis.
Data sources
This concept analysis was literature-based, with a systematic search conducted of CINAHL, MIDIRS, and MEDLINE databases. Ten articles published between 2006 and 2024 met our criteria for inclusion.
Results
Identified attributes of emotional safety in maternity care included ‘feeling secure’, ‘feeling heard and well taken care of’, experiencing ‘supportive and respectful care’, and being in a ‘calm care environment’. Antecedents to emotional safety in maternity care were ‘having care needs met’, enacting ‘personal agency’, and engaging in ‘trusting relationships’. The consequences of emotional safety for maternity care recipients were ‘positive impact on experience’, ‘feeling empowered’, and ‘improved outcomes’. A conceptual definition and model resulted that clarify and illustrate the concept of emotional safety in the context of receiving maternity care.
Conclusion
This concept analysis contributes to the current body of knowledge of care recipients’ views and experiences of safe maternity care and provides a foundation for future concept use in research, education, policy, and clinical practice.
{"title":"Emotional safety in maternity care: An evolutionary concept analysis","authors":"Elliesha O'Reilly, Kate Buchanan, Sara Bayes","doi":"10.1016/j.midw.2024.104220","DOIUrl":"10.1016/j.midw.2024.104220","url":null,"abstract":"<div><h3>Background</h3><div>Safety in maternity care is a priority, and a broadened view of safety (e.g., emotional, psychological, cultural) is evident in scientific literature and in lay discourse. ‘Emotional safety’ is being referred to with increasing frequency in this context; however, there is a lack of clarity in its use and meaning.</div></div><div><h3>Aim</h3><div>The aim of this concept analysis was to examine the concept of emotional safety in maternity care.</div></div><div><h3>Methods</h3><div>The evolutionary approach was used for this concept analysis.</div></div><div><h3>Data sources</h3><div>This concept analysis was literature-based, with a systematic search conducted of CINAHL, MIDIRS, and MEDLINE databases. Ten articles published between 2006 and 2024 met our criteria for inclusion.</div></div><div><h3>Results</h3><div>Identified attributes of emotional safety in maternity care included ‘feeling secure’, ‘feeling heard and well taken care of’, experiencing ‘supportive and respectful care’, and being in a ‘calm care environment’. Antecedents to emotional safety in maternity care were ‘having care needs met’, enacting ‘personal agency’, and engaging in ‘trusting relationships’. The consequences of emotional safety for maternity care recipients were ‘positive impact on experience’, ‘feeling empowered’, and ‘improved outcomes’. A conceptual definition and model resulted that clarify and illustrate the concept of emotional safety in the context of receiving maternity care.</div></div><div><h3>Conclusion</h3><div>This concept analysis contributes to the current body of knowledge of care recipients’ views and experiences of safe maternity care and provides a foundation for future concept use in research, education, policy, and clinical practice.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104220"},"PeriodicalIF":2.6,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-22DOI: 10.1016/j.midw.2024.104217
Shelley O'Connor
{"title":"The forgotten patient. Do we really care what the birthing mother thinks, feels, and needs?","authors":"Shelley O'Connor","doi":"10.1016/j.midw.2024.104217","DOIUrl":"10.1016/j.midw.2024.104217","url":null,"abstract":"","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104217"},"PeriodicalIF":2.6,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142525999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-22DOI: 10.1016/j.midw.2024.104219
Sara D.C. Paz , Andreia Soares Goncalves , Conceição Moreira Freitas , Filipa Sampaio , Ana Paula Prata
Problem
The identification of midwifery theories will contribute to the identification of a midwifery model of care for women experiencing low-risk pregnancies, and to support its implementation in Portugal.
Background
Previous research has explored the concept of woman-centredness as the core principle underpinning midwifery practice, mapped existing midwifery models of care, synthesized multiple theories and the scope of midwifery to achieve conceptual integration, and identified the aspects of midwifery care that most significantly contribute to the quality of care for women and their babies. However, to the best of the authors’ knowledge, no other review has mapped the theories that underpin midwifery practice.
Aim
This study aims to map and summarise the theories that underpin midwifery practice.
Methods
The JBI methodology for scoping reviews was used to conduct this review.
Findings
A total of 16 documents were included in this review. Sixteen theories were identified and the differences between them vary in both underpinning philosophical ideas and the methodology used to develop them.
Discussion
The four concepts of the nursing-midwifery metaparadigm were identified in all documents and a fifth concept, midwife's self-knowledge, should be included in the characterisation of a midwifery theory, once it has a strong presence in all four concepts, underpinning them.
Conclusion
This scoping review identified the theories underpinning midwifery practice. The compilation of these theories can be used to strengthen the scientific area and profession: development of theoretical knowledge as professional autonomy and power, internal control for the profession, guidance to professional practice, practice standardization, inter and intra-professional communication, and outcomes assessment and improvement.
{"title":"Midwifery theories: A scoping review","authors":"Sara D.C. Paz , Andreia Soares Goncalves , Conceição Moreira Freitas , Filipa Sampaio , Ana Paula Prata","doi":"10.1016/j.midw.2024.104219","DOIUrl":"10.1016/j.midw.2024.104219","url":null,"abstract":"<div><h3>Problem</h3><div>The identification of midwifery theories will contribute to the identification of a midwifery model of care for women experiencing low-risk pregnancies, and to support its implementation in Portugal.</div></div><div><h3>Background</h3><div>Previous research has explored the concept of woman-centredness as the core principle underpinning midwifery practice, mapped existing midwifery models of care, synthesized multiple theories and the scope of midwifery to achieve conceptual integration, and identified the aspects of midwifery care that most significantly contribute to the quality of care for women and their babies. However, to the best of the authors’ knowledge, no other review has mapped the theories that underpin midwifery practice.</div></div><div><h3>Aim</h3><div>This study aims to map and summarise the theories that underpin midwifery practice.</div></div><div><h3>Methods</h3><div>The JBI methodology for scoping reviews was used to conduct this review.</div></div><div><h3>Findings</h3><div>A total of 16 documents were included in this review. Sixteen theories were identified and the differences between them vary in both underpinning philosophical ideas and the methodology used to develop them.</div></div><div><h3>Discussion</h3><div>The four concepts of the nursing-midwifery metaparadigm were identified in all documents and a fifth concept, midwife's self-knowledge, should be included in the characterisation of a midwifery theory, once it has a strong presence in all four concepts, underpinning them.</div></div><div><h3>Conclusion</h3><div>This scoping review identified the theories underpinning midwifery practice. The compilation of these theories can be used to strengthen the scientific area and profession: development of theoretical knowledge as professional autonomy and power, internal control for the profession, guidance to professional practice, practice standardization, inter and intra-professional communication, and outcomes assessment and improvement.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104219"},"PeriodicalIF":2.6,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142560521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-22DOI: 10.1016/j.midw.2024.104216
Rebecca Fischbein , Hannah Welsh , Stephanie Ernst , Amy Adik , Lauren Nicholas
Problem
Monochorionic-diamniotic (MCDA) twin pregnancies are high-risk, requiring specialized monitoring and procedures to screen for and treat potential complications.
Aim
This study examined decisions to use social media among those who have experienced MCDA pregnancies and how these groups influenced treatment and management decisions for these rare, complicated pregnancies.
Methods
An online mixed-methods, retrospective survey, was completed in 2021 by 624 participants who experienced MCDA pregnancies within 5 years of the study; participants were recruited from online MCDA pregnancy groups on Facebook and Twitter. Data was analyzed using descriptive statistics and thematic analysis.
Findings
Sixty-nine percent of participants used social media to communicate during their MCDA pregnancies, an 18 increase from before pregnancy, and most (74.2 %) used online support groups during pregnancy. Thematic analysis revealed participants used social media primarily to find others with similar experiences, learn more about MCDA pregnancies, and obtain guidance. Most would also recommend joining social media during a similar pregnancy. Nearly half indicated that social media influenced MCDA pregnancy management and treatment decisions - like decisions regarding birth plans, providers, and MCDA-related complications. Several participants cautioned that support groups can be triggering when negative stories are shared.
Conclusion
Social media can provide information, support, and improve advocacy for those experiencing MCDA pregnancies. Providers may consider online groups as another source of support for pregnant people and be prepared to address questions that may arise. This study also reveals opportunities for increased and/or improved patient educational materials and patient-provider communication related to MCDA pregnancies.
{"title":"Like and share: A mixed-methods cross-sectional survey of social media use during monochorionic diamniotic twin pregnancies","authors":"Rebecca Fischbein , Hannah Welsh , Stephanie Ernst , Amy Adik , Lauren Nicholas","doi":"10.1016/j.midw.2024.104216","DOIUrl":"10.1016/j.midw.2024.104216","url":null,"abstract":"<div><h3>Problem</h3><div>Monochorionic-diamniotic (MCDA) twin pregnancies are high-risk, requiring specialized monitoring and procedures to screen for and treat potential complications.</div></div><div><h3>Aim</h3><div>This study examined decisions to use social media among those who have experienced MCDA pregnancies and how these groups influenced treatment and management decisions for these rare, complicated pregnancies.</div></div><div><h3>Methods</h3><div>An online mixed-methods, retrospective survey, was completed in 2021 by 624 participants who experienced MCDA pregnancies within 5 years of the study; participants were recruited from online MCDA pregnancy groups on Facebook and Twitter. Data was analyzed using descriptive statistics and thematic analysis.</div></div><div><h3>Findings</h3><div>Sixty-nine percent of participants used social media to communicate during their MCDA pregnancies, an 18 increase from before pregnancy, and most (74.2 %) used online support groups during pregnancy. Thematic analysis revealed participants used social media primarily to find others with similar experiences, learn more about MCDA pregnancies, and obtain guidance. Most would also recommend joining social media during a similar pregnancy. Nearly half indicated that social media influenced MCDA pregnancy management and treatment decisions - like decisions regarding birth plans, providers, and MCDA-related complications. Several participants cautioned that support groups can be triggering when negative stories are shared.</div></div><div><h3>Conclusion</h3><div>Social media can provide information, support, and improve advocacy for those experiencing MCDA pregnancies. Providers may consider online groups as another source of support for pregnant people and be prepared to address questions that may arise. This study also reveals opportunities for increased and/or improved patient educational materials and patient-provider communication related to MCDA pregnancies.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104216"},"PeriodicalIF":2.6,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142522305","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}
Pub Date : 2024-10-20DOI: 10.1016/j.midw.2024.104210
Angela Bragg, Sophie Markcrow, Sean Monk, Michelle Minehan, Catherine R. Knight-Agarwal
Problem
Poor nutrition during the antenatal period can contribute to adverse health outcomes for both mother and baby.
Background
Despite the importance of nutrition during pregnancy, there is limited research exploring the attitudes and experiences pregnant women possess towards nutrition care, particularly within the Australian context. Existing literature has indicated that pregnant women lack knowledge of and are not adhering to pregnancy related nutrition recommendations. Furthermore, although pregnant women rely on many health professionals for nutrition care, there are deficiencies in both the quality and quantity of care provided.
Aim
The aim of this meta-aggregative review was to explore the experiences and attitudes pregnant women in Australia have towards nutrition care.
Methods
Meta-aggregation was used to synthesise qualitative studies. A search strategy was applied to four electronic databases in May 2023.The findings were extracted and synthesised via the JBI approach.
Findings
A total of 719 studies were identified in the initial database search with seven eligible studies included in the meta-aggregation. From 11 categories, three synthesised findings were developed: (i) approaches to nutrition care delivery matters, (ii) quality and quantity of nutrition care is insufficient, and (iii) pregnant women value nutrition care.
Conclusion
This review highlights pregnant women's desires for better nutrition care in Australia, with current provision of nutrition care lacking in quality and quantity. Improved antenatal dietetics services and increased health professional nutrition training is necessary to address these concerns.
{"title":"Unveiling the Craving: A systematic review of pregnant women's desires for expert nutrition care in Australia","authors":"Angela Bragg, Sophie Markcrow, Sean Monk, Michelle Minehan, Catherine R. Knight-Agarwal","doi":"10.1016/j.midw.2024.104210","DOIUrl":"10.1016/j.midw.2024.104210","url":null,"abstract":"<div><h3>Problem</h3><div>Poor nutrition during the antenatal period can contribute to adverse health outcomes for both mother and baby.</div></div><div><h3>Background</h3><div>Despite the importance of nutrition during pregnancy, there is limited research exploring the attitudes and experiences pregnant women possess towards nutrition care, particularly within the Australian context. Existing literature has indicated that pregnant women lack knowledge of and are not adhering to pregnancy related nutrition recommendations. Furthermore, although pregnant women rely on many health professionals for nutrition care, there are deficiencies in both the quality and quantity of care provided.</div></div><div><h3>Aim</h3><div>The aim of this meta-aggregative review was to explore the experiences and attitudes pregnant women in Australia have towards nutrition care.</div></div><div><h3>Methods</h3><div>Meta-aggregation was used to synthesise qualitative studies. A search strategy was applied to four electronic databases in May 2023.The findings were extracted and synthesised via the JBI approach.</div></div><div><h3>Findings</h3><div>A total of 719 studies were identified in the initial database search with seven eligible studies included in the meta-aggregation. From 11 categories, three synthesised findings were developed: (i) approaches to nutrition care delivery matters, (ii) quality and quantity of nutrition care is insufficient, and (iii) pregnant women value nutrition care.</div></div><div><h3>Conclusion</h3><div>This review highlights pregnant women's desires for better nutrition care in Australia, with current provision of nutrition care lacking in quality and quantity. Improved antenatal dietetics services and increased health professional nutrition training is necessary to address these concerns.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104210"},"PeriodicalIF":2.6,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142586209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-19DOI: 10.1016/j.midw.2024.104215
Li-Li Chen , Yu-Ying Lu , Meei-Ling Gau , Pei-Chun Chien , Kok-Min Seow , Hui-Ling Ku
Background
Previous research has shown that women's perceptions of their childbirth environment are critical in ensuring that they feel supported and in facilitating physiological childbirth.
Aim
To develop and validate the Perception of Childbirth Environment Scale (PCES) for expectant mothers.
Methods
The PCES was developed based on findings from a scoping review and a qualitative study on childbirth environments conducted by the authors. The scale underwent expert review to ensure relevance, clarity, and content validity, followed by face validity testing with five women. A total of 193 participants, recruited from two medical institutions, completed the PCES within 48 h after childbirth. Reliability was assessed using Cronbach's α for internal consistency. Construct validity was evaluated through exploratory and confirmatory factor analyses.
Results
The PCES comprised 10 items divided into two dimensions: comfort and control. “Comfort” factors included privacy, homeliness, familiarity, relaxation facilitation, and a sense of continuity in the room, while “Control” factors were reflected in elements like a birth companion, empowerment, and safety. The model demonstrated a good fit following exploratory and confirmatory factor analyses, as well as adjustments based on modification indices.
Conclusions
The PCES displayed strong reliability and validity, making it a suitable tool for assessing women's perceptions of their labor and childbirth environment.
{"title":"Development and psychometric testing of the Perception of Childbirth Environment Scale in Taiwan","authors":"Li-Li Chen , Yu-Ying Lu , Meei-Ling Gau , Pei-Chun Chien , Kok-Min Seow , Hui-Ling Ku","doi":"10.1016/j.midw.2024.104215","DOIUrl":"10.1016/j.midw.2024.104215","url":null,"abstract":"<div><h3>Background</h3><div>Previous research has shown that women's perceptions of their childbirth environment are critical in ensuring that they feel supported and in facilitating physiological childbirth.</div></div><div><h3>Aim</h3><div>To develop and validate the Perception of Childbirth Environment Scale (PCES) for expectant mothers.</div></div><div><h3>Methods</h3><div>The PCES was developed based on findings from a scoping review and a qualitative study on childbirth environments conducted by the authors. The scale underwent expert review to ensure relevance, clarity, and content validity, followed by face validity testing with five women. A total of 193 participants, recruited from two medical institutions, completed the PCES within 48 h after childbirth. Reliability was assessed using Cronbach's α for internal consistency. Construct validity was evaluated through exploratory and confirmatory factor analyses.</div></div><div><h3>Results</h3><div>The PCES comprised 10 items divided into two dimensions: comfort and control. “Comfort” factors included privacy, homeliness, familiarity, relaxation facilitation, and a sense of continuity in the room, while “Control” factors were reflected in elements like a birth companion, empowerment, and safety. The model demonstrated a good fit following exploratory and confirmatory factor analyses, as well as adjustments based on modification indices.</div></div><div><h3>Conclusions</h3><div>The PCES displayed strong reliability and validity, making it a suitable tool for assessing women's perceptions of their labor and childbirth environment.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104215"},"PeriodicalIF":2.6,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142553971","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}
Pub Date : 2024-10-19DOI: 10.1016/j.midw.2024.104213
Kirstie Coxon, Lucia Rocca-Ihenacho
{"title":"Where are we with place of birth? Call for papers for a special issue.","authors":"Kirstie Coxon, Lucia Rocca-Ihenacho","doi":"10.1016/j.midw.2024.104213","DOIUrl":"https://doi.org/10.1016/j.midw.2024.104213","url":null,"abstract":"","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":" ","pages":"104213"},"PeriodicalIF":2.6,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142546264","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}
Pub Date : 2024-10-19DOI: 10.1016/j.midw.2024.104214
Hui Huang , Olivia Ceavers , María C Pinzón-Iregui , Melissa M. Howard
Background
Pregnant people are often introduced to fetal movement counting to monitor the health of their fetus. This study aims to examine the impacts of app-based fetal movement counting on experiences during pregnancy and birth.
Method
This study used two types of secondary data including individual user's app use and their end of pregnancy survey data collected on the Count the Kicks (CTK) app. CTK is a free mobile app providing a virtual platform for pregnant people to conduct their daily kick counting. The study sample includes 1,147 pregnant people. Descriptive analyses were used to examine the number of kick counts using CTK and pregnant women's experiences with the app, their pregnancy, and childbirth. Bivariate analyses were used to examine the relationships between the frequency of kick counts and pregnant people's experience with their pregnancy and birth. Logistic regressions were used to model pregnant people's experiences: anxiety level related to their pregnancy and bonding with their baby.
Findings
The study found that there is inadequate compliance with daily fetal movement counting recommendations in third trimester among pregnant people. However, results showed that frequent use of fetal movement counting is associated with lower anxiety level related to their pregnancy, and more bonding with their baby. These positive pregnancy experiences are associated with healthy birth.
Conclusion
To benefit from the impacts of fetal movement counting on positive pregnancy and birth experience, the app developers and public health agencies need to develop strategies to increase daily use of fetal movement counting.
{"title":"Connecting with fetus: The use of app-based fetal movement counting and experiences during pregnancy and birth","authors":"Hui Huang , Olivia Ceavers , María C Pinzón-Iregui , Melissa M. Howard","doi":"10.1016/j.midw.2024.104214","DOIUrl":"10.1016/j.midw.2024.104214","url":null,"abstract":"<div><h3>Background</h3><div>Pregnant people are often introduced to fetal movement counting to monitor the health of their fetus. This study aims to examine the impacts of app-based fetal movement counting on experiences during pregnancy and birth.</div></div><div><h3>Method</h3><div>This study used two types of secondary data including individual user's app use and their end of pregnancy survey data collected on the Count the Kicks (CTK) app. CTK is a free mobile app providing a virtual platform for pregnant people to conduct their daily kick counting. The study sample includes 1,147 pregnant people. Descriptive analyses were used to examine the number of kick counts using CTK and pregnant women's experiences with the app, their pregnancy, and childbirth. Bivariate analyses were used to examine the relationships between the frequency of kick counts and pregnant people's experience with their pregnancy and birth. Logistic regressions were used to model pregnant people's experiences: anxiety level related to their pregnancy and bonding with their baby.</div></div><div><h3>Findings</h3><div>The study found that there is inadequate compliance with daily fetal movement counting recommendations in third trimester among pregnant people. However, results showed that frequent use of fetal movement counting is associated with lower anxiety level related to their pregnancy, and more bonding with their baby. These positive pregnancy experiences are associated with healthy birth.</div></div><div><h3>Conclusion</h3><div>To benefit from the impacts of fetal movement counting on positive pregnancy and birth experience, the app developers and public health agencies need to develop strategies to increase daily use of fetal movement counting.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104214"},"PeriodicalIF":2.6,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142553970","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}
Over the past two decades, there has been a dramatic increase in the use of digital technologies within healthcare and also in midwifery. However, scarce literature exist on the use of digital technologies and applications in midwifery practice particularly in the Belgian setting.
Aim
To map the use of digital technologies and applications by midwives in various settings, encompassing hospitals, primary care, and educational institutions in Belgium.
Among respondents, 58% reported the use of digital technologies and applications, with electronic health records (89.6%), electronic prescriptions (65.6%), and remote patient monitoring (51.2%) commonly utilized. Sensor technology (7.2%), mixed care (3.8%), care robots (2.5%), and wearable devices (1.9%) were very rarely used. The target groups for these digital technologies and applications generally encompass all stages of the perinatal period. Midwives felt overall highly confident with these technologies. Younger participants and those with a Master's or PhD degree exhibited greater comfort scores in digital technology use. No significant relationships were observed between socio-demographic characteristics and the adoption of digital technology.
Conclusion
The results highlight the potential for incorporating digital technologies and applications into various midwifery care settings. Addressing barriers and enhancing usability can optimize technology integration, contributing to personalized high-quality care, ultimately improving perinatal health outcomes.
Women with symptoms of post-trauma are vulnerable during childbirth and often lack trust in the medical staff in the delivery rooms. They are therefore in need of a sensitive intervention to prevent the formation or exacerbation of trauma in the perinatal period. This study evaluated the feasibility and efficacy of a “Woman Friendly” (WF)intervention for women with a history of trauma. During this intervention, the women were informed about childbirth and prepared for the delivery. Fourteen mothers aged 28–41 with symptoms of post-trauma who had participated in the WF intervention were interviewed about their experience within six months after giving birth. Interviews were transcribed and analyzed using thematic analysis. Thematic analysis yielded six themes. One theme was during the pre-delivery period: 1) Preparation of the WF document. Four themes were during the delivery: 1) The WF document as an advocate; 2) security and safety; 3) Controlling the situation; and 4) Respect and kindness from the medical staff. The final theme was limitations of the WF intervention. It seems that a birth preparation intervention adapted to the needs of emotionally vulnerable women can help them to have positive birth experience. Childbirth preparation for these women should focus on their sensitivities rather than trauma-processing. The WF intervention holds promise for women with symptoms of post-trauma and should be further evaluated in future research.
{"title":"Women Friendly: The effectiveness of a woman-centered childbirth intervention in Israel","authors":"Racheli Haim-Dahan , Rachel Bachner-Melman , Hila Lev-Ran","doi":"10.1016/j.midw.2024.104212","DOIUrl":"10.1016/j.midw.2024.104212","url":null,"abstract":"<div><div>Women with symptoms of post-trauma are vulnerable during childbirth and often lack trust in the medical staff in the delivery rooms. They are therefore in need of a sensitive intervention to prevent the formation or exacerbation of trauma in the perinatal period. This study evaluated the feasibility and efficacy of a “Woman Friendly” (WF)intervention for women with a history of trauma. During this intervention, the women were informed about childbirth and prepared for the delivery. Fourteen mothers aged 28–41 with symptoms of post-trauma who had participated in the WF intervention were interviewed about their experience within six months after giving birth. Interviews were transcribed and analyzed using thematic analysis. Thematic analysis yielded six themes. One theme was during the pre-delivery period: 1) Preparation of the WF document. Four themes were during the delivery: 1) The WF document as an advocate; 2) security and safety; 3) Controlling the situation; and 4) Respect and kindness from the medical staff. The final theme was limitations of the WF intervention. It seems that a birth preparation intervention adapted to the needs of emotionally vulnerable women can help them to have positive birth experience. Childbirth preparation for these women should focus on their sensitivities rather than trauma-processing. The WF intervention holds promise for women with symptoms of post-trauma and should be further evaluated in future research.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104212"},"PeriodicalIF":2.6,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142503587","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}
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