Midwifery最新文献

{"title":"International news March 2026","authors":"","doi":"10.1016/j.midw.2026.104708","DOIUrl":"10.1016/j.midw.2026.104708","url":null,"abstract":"","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"154 ","pages":"Article 104708"},"PeriodicalIF":2.5,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078297","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":"Making the invisible visible: Exploring women’s and maternity care providers’ views on an antenatal screening tool to identify women with previous traumatic birth experience and or a current fear of birth in a subsequent pregnancy","authors":"Deborah Pidd ,&nbsp;Christine East ,&nbsp;Catina Adams ,&nbsp;Michelle Newton","doi":"10.1016/j.midw.2026.104710","DOIUrl":"10.1016/j.midw.2026.104710","url":null,"abstract":"<div><h3>Background</h3><div>A traumatic or distressing childbirth experience may contribute to fear of birth in a subsequent pregnancy. These experiences are not always visible to clinicians, and some women may not disclose them. Early identification may help prevent re-traumatisation and improve maternity care experiences.</div></div><div><h3>Aims</h3><div>To use a modified Delphi co-designed Subsequent Pregnancy Screening Tool to establish the prevalence of previously experienced traumatic birth and/or current fear of birth, and evaluate the acceptability and feasibility of using the tool in an antenatal clinic.</div></div><div><h3>Methods</h3><div>This was phase 2 of a multi-method research program. Clinicians asked multiparous women the two-question screening tool in a tertiary antenatal clinic. Women who indicated previous negative birth/maternity care experience and/or a current fear of birth, and the clinicians, were invited to complete an online survey. Data were analysed using descriptive statistics and thematic analysis.</div></div><div><h3>Findings</h3><div>Of 235 women screened, 130 (55%) reported a previous negative birth/maternity experience and/or a current fear of birth. Survey responses from 57 women indicated that 96.5% felt comfortable answering the questions, with 26 (46%) unsure or unwilling to disclose a prior negative experience unless asked. Women appreciated acknowledgment and validation. Thirty-nine clinicians responded: 82% agreed that the SPST imposed no time burden, and 75% reported that it identified and helped acknowledge otherwise undisclosed experiences, to commence shared decision-making.</div></div><div><h3>Conclusion</h3><div>Women found the screening tool acceptable and valued acknowledgment of their experiences and current feelings, which made the invisible visible. Clinicians confirmed the SPST’s acceptability and feasibility in antenatal settings.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"154 ","pages":"Article 104710"},"PeriodicalIF":2.5,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146034368","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":"Is breastfeeding education in midwifery programs sufficient to equip future midwives? Phase 1: A curriculum mapping study","authors":"Sabine Pangerl,&nbsp;Gail Ross-Adjie,&nbsp;Sadie Geraghty,&nbsp;Leanne Monterosso","doi":"10.1016/j.midw.2026.104707","DOIUrl":"10.1016/j.midw.2026.104707","url":null,"abstract":"<div><h3>Problem/Background/Aims</h3><div>Extensive global research confirms the wide-ranging health and psychological benefits of exclusive breastfeeding for both infants and mothers, yet global breastfeeding rates remain low. This paper reports Phase 1 findings from a multiphase national breastfeeding study. The aim is to explore where midwives and midwifery students acquire their breastfeeding knowledge, to better understand contributing factors to inconsistent advice provided to breastfeeding mothers, an issue associated with early breastfeeding cessation.</div></div><div><h3>Design</h3><div>A quantitative descriptive design was used to map the timing and frequency of breastfeeding related content in Australian midwifery curricula, specifically in relation to the national midwifery accreditation standards.</div></div><div><h3>Results</h3><div>Curricular mapping across 14 universities revealed considerable variation, which included inconsistencies in prioritising specific breastfeeding standards, lack of early and consistent exposure of breastfeeding and lactation content as well as implementation gaps.</div></div><div><h3>Conclusion</h3><div>Findings support the need for nationally consistent, evidence-based midwifery curricula to reduce variability in breastfeeding education and the support provided to mothers. Although accreditation standards require the inclusion of breastfeeding and lactation content in midwifery curricula, implementation remains inconsistent. Addressing these gaps through standardised competencies and ongoing curriculum evaluation would better prepare midwives to deliver breastfeeding support and reduce conflicting advice for families.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"154 ","pages":"Article 104707"},"PeriodicalIF":2.5,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978058","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":"Beyond the birthing body: Towards a relational and inclusive understanding of birth trauma. A commentary on Donegan et al. (2025)","authors":"Camilla Kolath Mortensen ,&nbsp;Cecilie Louise Valentiner Jokinen ,&nbsp;Christiane Laura Hulthin Sørensen ,&nbsp;Sille Schandorph Løkkegaard","doi":"10.1016/j.midw.2026.104705","DOIUrl":"10.1016/j.midw.2026.104705","url":null,"abstract":"<div><div>In their recent scoping review, Donegan, Zhao, and Mansu (2025) provide a valuable synthesis of international best practice guidelines on birth trauma support for birthing women. While several reviews have explored fathers’ experiences of traumatic or complicated births and proposed recommendations for improved care, systematic implementation and empirical evaluation remain limited. In this commentary, we broaden Donegan et al.’s focus on birthing women by extending the scope of trauma-informed perinatal care to also include non-birthing parents. Drawing on findings from a Danish qualitative study conducted in spring 2025, as well as existing research and theoretical perspectives, we explore how non-birthing parents can be profoundly affected by traumatic births - often without recognition or adequate support. We conclude by offering six recommendations for practice and future research aimed at broadening the scope of trauma-informed perinatal care to meaningfully include non-birthing parents and thereby reduce the triadic impact of birth trauma and support individual and family functioning.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"154 ","pages":"Article 104705"},"PeriodicalIF":2.5,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978751","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":"What factors influence the knowledge and attitudes of UK university students towards breastfeeding?","authors":"Maryam Malekian,&nbsp;Michelle Irving,&nbsp;Vanora A. Hundley","doi":"10.1016/j.midw.2026.104706","DOIUrl":"10.1016/j.midw.2026.104706","url":null,"abstract":"<div><div>Background Breastfeeding provides substantial benefits for individuals, families, and society, yet rates in the UK remain lower than in comparable countries. Early knowledge and attitudes, formed before pregnancy and breastfeeding experiences, strongly influence future feeding practices. As future parents and societal influencers, university students are a key population for fostering informed attitudes and understanding of breastfeeding.</div><div>Aim This study assessed breastfeeding knowledge and attitudes among university students, comparing health and non-health disciplines, and exploring associated factors.</div><div>Methods A cross-sectional survey of 114 students at a UK university was conducted using an online self-administered questionnaire. Convenience sampling recruited participants across health and non-health disciplines. Data were analysed descriptively and inferentially, with regression analyses identifying predictors of knowledge and attitudes.</div><div>Results Intention to breastfeed was high in both groups. However, students overall had neutral attitudes, and knowledge was at the threshold between low and high. Health students showed significantly greater knowledge and more positive attitudes than non-health students (<em>p</em> &lt; 0.001). Regression analyses indicated that prior breastfeeding education and field of study were the strongest predictors of knowledge and attitudes, while male gender and urban residence were linked to slightly lower knowledge.</div><div>Discussion Despite high intentions, overall knowledge and attitudes were limited. Findings suggest targeted interventions emphasising breastfeeding education and exposure could improve knowledge and attitudes, supporting informed and confident breastfeeding practices.</div><div>Conclusion Universities are strategic settings for interventions to enhance breastfeeding knowledge and attitudes in advance of personal experience. Public health strategies should also address social, cultural, and community factors to foster supportive breastfeeding environments.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"154 ","pages":"Article 104706"},"PeriodicalIF":2.5,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939685","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 effect of perceptions of respectful maternity care on postpartum experience and birth memory: a cross-sectional study","authors":"Ayşenur Turan Tercan ,&nbsp;Mustafa Kilavuz","doi":"10.1016/j.midw.2026.104704","DOIUrl":"10.1016/j.midw.2026.104704","url":null,"abstract":"<div><h3>Problem</h3><div>Respectful maternity care is recognized as an important component of childbirth, yet its specific impact on postpartum psychological outcomes and birth memory remains insufficiently explored. This gap in the literature underscores the need for studies such as the present research.</div></div><div><h3>Background</h3><div>Respectful Maternity Care (RMC), recognized as a fundamental human right, is associated with improved maternal psychological outcomes and satisfaction with birth.</div></div><div><h3>Aim</h3><div>This study aimed to examine the effect of women’s perceptions of RMC on postpartum experience (fear of child birth) and birth memory.</div></div><div><h3>Methods</h3><div>A descriptive, correlational, and cross-sectional study was conducted in a private university hospital in Istanbul, Turkey, between April and August 2024. A total of 410 postpartum women meeting inclusion criteria were recruited. Data were collected using a sociodemographic questionnaire, the Respectful Maternity Care Scale, the Birth Memory and Recall Scale, and the Wijma Delivery Expectancy/Experience Questionnaire (Version B). Data were analyzed using <em>t</em>-tests, ANOVA, Pearson correlation, and multiple linear regression.</div></div><div><h3>Findings</h3><div>Higher perceptions of RMC were significantly associated with lower birth-related fear and more positive birth memories. Women attended by midwives reported significantly more respectful care, lower fear, and better birth memory scores. First-time mothers and those with unplanned pregnancies reported higher levels of fear and more negative birth memories.</div></div><div><h3>Discussion</h3><div>Perceived RMC plays a protective role in women’s psychological well-being by reducing birth fear and shaping birth memories positively. Quality of care during childbirth affects not only immediate satisfaction but also long-term maternal mental health.</div></div><div><h3>Conclusion</h3><div>Enhancing respectful maternity care practices, particularly through midwifery-led support and informed, woman-centered care, may improve birth experiences and reduce postpartum psychological distress. Although being conducted in a single private hospital limits the generalizability of the findings, this study is one of the few in Türkiye to simultaneously examine respectful maternity care, birth memory, and fear of childbirth, providing a unique and comprehensive perspective on women’s postpartum experiences.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"154 ","pages":"Article 104704"},"PeriodicalIF":2.5,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978581","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":"Women’s experiences of unexpected situations during childbirth: A qualitative study","authors":"Jaana Loukasmäki ,&nbsp;Heli Kerimaa ,&nbsp;Mariaana Mäki-Asiala ,&nbsp;Mervi Hakala ,&nbsp;Minna Manninen ,&nbsp;Tarja Pölkki","doi":"10.1016/j.midw.2026.104703","DOIUrl":"10.1016/j.midw.2026.104703","url":null,"abstract":"<div><h3>Background</h3><div>An unexpected situation during childbirth is a significant risk for a negative or traumatic birth experience. Existing knowledge of such situations is fragmented, and research has tended to focus on medical problems, interventions, or women's expectations rather than on their overall experience.</div></div><div><h3>Objective</h3><div>To describe women's experiences of unexpected situations during childbirth.</div></div><div><h3>Methods</h3><div>This qualitative descriptive study used purposive sampling to recruit participants by posting an invitation on two social media sites popular among mothers of newborns. Eighteen women who had given birth 2 to 12 months prior were interviewed remotely in their homes during the years 2023–24, focusing on their childbirth experiences. Data was collected through semi-structured interviews and analysed using inductive content analysis.</div></div><div><h3>Findings</h3><div>The data consisted of 50 subcategories, organised into 12 upper categories and four main categories. During childbirth, women encounter unexpected situations related to a changing course of childbirth, unforeseen physical experiences, changes in mental state, or surprises in the woman-childbirth professional relationships.</div></div><div><h3>Conclusions</h3><div>In unexpected situations, a woman evaluates her experience through her mind and body in various ways. A positive childbirth experience is possible despite unexpected events. Women expect a continuous, supportive relationship with professionals throughout their childbirth experience.</div></div><div><h3>Implications for practice</h3><div>The study provides new insights into identifying the characteristics of unexpected situations during childbirth. This woman-centred knowledge enables healthcare professionals to recognise these situations and to provide timely support that enhances the childbirth experience.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"154 ","pages":"Article 104703"},"PeriodicalIF":2.5,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978059","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":"Association between previous perinatal death and subsequent pregnancy outcomes in Low-and Middle-Income Countries: A systematic review and meta-analysis","authors":"Bekalu Getnet Kassa ,&nbsp;Yvonne Karen Parry ,&nbsp;Molla Mesele Wassie ,&nbsp;Lauren Elizabeth Lines","doi":"10.1016/j.midw.2025.104696","DOIUrl":"10.1016/j.midw.2025.104696","url":null,"abstract":"<div><h3>Background</h3><div>Perinatal death is a significant public health concern affecting millions of women globally. It is a crucial indicator for evaluating the health status of a woman. There is limited evidence on how prior perinatal death influences subsequent pregnancy outcomes.</div></div><div><h3>Aim</h3><div>This systematic review examines the association between perinatal death and subsequent adverse pregnancy outcomes among women in Low-and Middle-Income Countries.</div></div><div><h3>Methods</h3><div>This study followed PRISMA guidelines, and a systematic search was conducted using eight databases (Scopus, Emcare, Medline, Cochrane Library, ProQuest for dissertations, CINAHL, Web of Science, and PsycINFO) from inception to 2nd May 2024. Data were extracted using the standard Joanna Briggs Institute tool for observational studies, assessed for quality using the GRADE criteria, and analysed using STATA 18 statistical software. A random-effect model was used to pool the estimates of the association between perinatal death and subsequent adverse outcomes.</div></div><div><h3>Findings</h3><div>A total of 3674 articles were screened, and fifty full-text manuscripts were included in the systematic review and meta-analysis. The finding showed that the rate of perinatal loss among women who had a history of perinatal death was 29.7 deaths per 1000 births. The risk of preterm birth, low birth weight, preeclampsia, perinatal death, stillbirth, miscarriage, and early neonatal death were increased after perinatal death.</div></div><div><h3>Conclusions</h3><div>A significant number of women in LMICs are suffering due to perinatal death. Similarly, this review demonstrated that women with a history of perinatal death face an increased risk of adverse pregnancy outcomes. Thus, these findings are vital for healthcare professionals to offer effective counselling, monitoring, support, and interventions for women with such a history. Moreover, informing relevant stakeholders is essential for designing and implementing appropriate care strategies.</div></div><div><h3>Review registration</h3><div>CRD42024541357</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"154 ","pages":"Article 104696"},"PeriodicalIF":2.5,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145842508","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":"International News February 2026","authors":"Elizabeth Duff (International News Editor)","doi":"10.1016/j.midw.2025.104694","DOIUrl":"10.1016/j.midw.2025.104694","url":null,"abstract":"","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"153 ","pages":"Article 104694"},"PeriodicalIF":2.5,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145924628","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":"Shared decision-making ability among women with postpartum urinary incontinence: A mixed-methods study to inform midwifery practice","authors":"Jie Li ,&nbsp;Yingying Zhang ,&nbsp;Wenjun Tang ,&nbsp;Shurong Huang ,&nbsp;Quanlei Li ,&nbsp;Wenzhi Cai","doi":"10.1016/j.midw.2025.104693","DOIUrl":"10.1016/j.midw.2025.104693","url":null,"abstract":"<div><h3>Problem</h3><div>Pelvic floor physical therapy (PFPT) is the first-line treatment for postpartum urinary incontinence (PPUI), but barriers such as limited access and low engagement in decision-making reduce adherence.</div></div><div><h3>Background</h3><div>Shared decision-making empowers women to participate in care and improve adherence. Variations in shared decision-making ability may limit engagement.</div></div><div><h3>Aim</h3><div>To measure shared decision-making ability regarding PFPT and identify its influencing factors among women with PPUI through a quantitative phase, and derive midwifery support strategies based on qualitative insights.</div></div><div><h3>Methods</h3><div>This mixed-methods study collected quantitative and qualitative data to explore shared decision-making among women with PPUI using the Capability, Opportunity, Motivation-Behavior model. Surveys on illness perception, e-health literacy, social support, decision self-efficacy, and shared decision-making ability were completed by 528 participants. Structural equation modeling and bootstrapped mediation analyses were performed. Fourteen participants were then interviewed about their PFPT decision-making experiences.</div></div><div><h3>Findings</h3><div>Participants had moderate shared decision-making ability. Illness perception, e-health literacy, social support, and decision self-efficacy were positively associated with shared decision-making ability. Decision self-efficacy partially mediated these relationships: illness perception, e-health literacy, and perceived social support. Qualitative findings revealed diverse decision-making models, from shared to midwife-led approaches, and suggested strategies to enhance shared decision-making.</div></div><div><h3>Discussion</h3><div>Shared decision-making ability is associated with interrelated psychosocial and behavioral factors. Enhancing illness perception, e-health literacy, social support, and decision self-efficacy may be related to greater engagement of women in PFPT decisions.</div></div><div><h3>Conclusion</h3><div>Midwives can foster shared decision-making through tailored education, resource facilitation, family engagement, and confidence-building, potentially improving PFPT participation and outcomes.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"154 ","pages":"Article 104693"},"PeriodicalIF":2.5,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145834496","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}