Midwifery最新文献

{"title":"Tailoring midwifery care to women's needs in early labour: The cultivation of relational care in free-standing birth centres","authors":"Nancy I. Stone ,&nbsp;Gill Thomson ,&nbsp;Dorothea Tegethoff","doi":"10.1016/j.midw.2024.104202","DOIUrl":"10.1016/j.midw.2024.104202","url":null,"abstract":"<div><h3>Aim</h3><div>To understand and interpret the lived experience of newly qualified midwives in their first year in a free standing birth centre caring for women in early labour.</div></div><div><h3>Background</h3><div>Women who present in hospital labour wards in early labour are encouraged by hospital staff to go home. This leaves women to navigate early labour without professional care, leaving them on their own to manage the transition from early to active labour. However, some women request care for this transition.</div></div><div><h3>Design</h3><div>This is a Heideggerian hermeneutic phenomenology study.</div></div><div><h3>Methods</h3><div>Three unstructured interviews were conducted with 15 newly qualified midwives in their first year working in a free-standing birth centre. This paper focuses on the research participants’ lived experience offering care to women in early labour. The study was conducted from 2021-2024.</div></div><div><h3>Findings</h3><div>Three themes were revealed in analysis: “<em>Paving the way into labour</em>”: Tailoring care to women's needs in early labour; “<em>Perhaps it was intuition</em>.”: Experiencing deeper knowing as a newly qualified midwife; and “<em>She locked the door and wouldn't let me in</em>.”: Navigating uncomfortable situations in early labour.</div></div><div><h3>Conclusions</h3><div>The lived experience of newly qualified midwives offering care in early labour shows potential for midwives to build trusting relationships with women in this phase.</div></div><div><h3>Relevance to clinical practice</h3><div>Prioritizing relational care over interventions in early labor can enhance trust and confidence between midwives and birthing women, particularly in settings where policies discourage early admissions.</div></div><div><h3>Issue</h3><div>Women presenting in hospital labour wards in early labour who are sent home are often discouraged, feeling that their concerns and embodied experiences have not been heard.</div></div><div><h3>What is already known</h3><div>When labouring women are admitted to hospitals in early labour, they are prone to receive a cascade of interventions.</div></div><div><h3>What this paper adds</h3><div>When newly qualified midwives began working in free-standing birth centres, they acquired skills and knowledge to accompany women in early labour who requested care. Relational care in early labour builds women's trust in their ability to give birth and does not rely on interventions to augment labour.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104202"},"PeriodicalIF":2.6,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142432710","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}

{"title":"Midwives’ perceptions and experiences of recommending and delivering vaccinations to pregnant women following the Covid-19 pandemic: a qualitative study","authors":"Dr Catherine Grimley ,&nbsp;Professor Helen Atherton ,&nbsp;Professor Debra Bick ,&nbsp;Louise Clarke ,&nbsp;Dr Sarah Hillman ,&nbsp;Dr Jo Parsons","doi":"10.1016/j.midw.2024.104206","DOIUrl":"10.1016/j.midw.2024.104206","url":null,"abstract":"<div><h3>Background</h3><div>Pregnant women and their unborn babies are at an increased risk of hospitalisation, morbidity, and mortality from illness. However, uptake of influenza, pertussis and Covid-19 vaccinations offered during pregnancy is below the desired rate. This research aims to explore UK midwives’ experiences of approaching and discussing vaccinations with pregnant women, and their perceived role in pregnant women's vaccination decisions.</div></div><div><h3>Methods</h3><div>Midwives in the West Midlands, UK were recruited via participating hospitals and midwife specific social media groups. Interviews were conducted remotely from April to July 2023 and analysed with a deductive codebook coding strategy using thematic analysis.</div></div><div><h3>Findings</h3><div>Semi-structured interviews were conducted with 16 midwives identifying the following key themes: Recommendations to have vaccinations reported on the contents of recommendations and how they are communicated; Messages and guidance included the importance of up-to-date informational needs for midwives to administer vaccinations and the barriers caused by uncertainty and conflicting messages about the Covid-19 vaccine during pregnancy; Delivery of vaccinations included the convenience of offering vaccinations during standard antenatal appointments; and Midwives’ barriers explored the pandemic specific and other barriers midwives face in the administering of vaccinations.</div></div><div><h3>Discussion</h3><div>These findings contribute to the understanding of how midwives discuss the topic of vaccinations with pregnant women. This research highlights the importance for midwives to receive clear and consistent information. A strong emphasis on why vaccines are important when recommending to pregnant women in addition to standard information on the availability and timing may have a bearing in helping women to make informed decisions about accepting vaccinations.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104206"},"PeriodicalIF":2.6,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142391717","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}

{"title":"Identifying common conditions of pregnancy for women, including women from culturally and linguistically diverse backgrounds, at an Australian hospital: A survey","authors":"Kate M. Levett ,&nbsp;Janice Louis ,&nbsp;Kerry L. Sutcliffe ,&nbsp;Gisselle Gallego","doi":"10.1016/j.midw.2024.104195","DOIUrl":"10.1016/j.midw.2024.104195","url":null,"abstract":"<div><h3>Problem</h3><div>Research that explores the prevalence and range of treatments sought for common conditions of pregnancy is limited, particularly for culturally and linguistically diverse (CALD) women.</div></div><div><h3>Background</h3><div>During pregnancy, physical and psychological conditions affect participation in the home, workplace, and community. However, treatment options may be limited, particularly for CALD women.</div></div><div><h3>Aim</h3><div>To establish the prevalence of physical and psychological conditions experienced during pregnancy, and ascertain treatments options sought by women attending a hospital in a multicultural area of Sydney (Australia), including medical, allied health and complementary medicines.</div></div><div><h3>Methods</h3><div>A cross-sectional survey of pregnant women attending an outpatient antenatal clinic (July-December 2019). The survey was conducted in the most common language groups, English, Arabic and traditional Chinese (inclusive of Cantonese and Mandarin). Univariate and bivariate analysis was conducted.</div></div><div><h3>Findings</h3><div>A total of 154 women participated. CALD women most frequently reported lower-back pain (41.5 %), constipation (34 %), nausea (28 %), and anxiety (7.5 %) . English-speaking women reported lower-back pain (43.5 %), difficulty sleeping (37 %), severe tiredness (35 %), and anxiety (15.8 %), and were more likely to seek treatment (<em>p</em> &lt; 0.01). Practitioners most consulted were massage therapists, physiotherapists, community nurses and counsellors. Doctors were least consulted overall.</div></div><div><h3>Conclusions</h3><div>Pregnant women most commonly reported lower-back pain, however conditions were reported and treated less frequently by CALD women, including psychological conditions. It is vital that women can access hospital-based treatment for common physical and psychological conditions of pregnancy. The implication for clinicians is to establish routine asking, adequate care provision and referral to culturally safe and appropriate services.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104195"},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142391716","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}

{"title":"Women's satisfaction with intrapartum fetal surveillance: A mixed-method study within the STan Australian randomised controlled trial (START)","authors":"Madeleine Benton ,&nbsp;Amy Salter ,&nbsp;Chris Wilkinson ,&nbsp;Bronni Simpson ,&nbsp;Deborah Turnbull","doi":"10.1016/j.midw.2024.104193","DOIUrl":"10.1016/j.midw.2024.104193","url":null,"abstract":"<div><h3>Background</h3><div>Childbirth satisfaction can impact short and long‐term health outcomes. In an Australian-first randomised controlled trial (RCT) (<span><span>ACTRN1261800006268</span><svg><path></path></svg></span>), two techniques for intrapartum fetal surveillance were compared; ST analysis (STan) as an adjunct to cardiotocography (CTG) compared to CTG alone. The aim was to determine if CTG+STan can reduce emergency caesarean section rates whilst maintaining or improving neonatal outcomes. This study compared women's experiences of and satisfaction with the two techniques of intrapartum fetal surveillance.</div></div><div><h3>Methods</h3><div><em>N</em> = 970 women were recruitment to the RCT between 2018 and 2021. We invited a consecutive sub-set of women (approximately the first half of the trial participants, <em>n</em> = 527) to complete a questionnaire at eight weeks postnatal. The analysis principle was intention to treat.</div></div><div><h3>Results</h3><div>Of the <em>n</em> = 527 invited women, <em>n</em> = 207 completed the questionnaire (<em>n</em> = 113/265, CTG+STan; <em>n</em> = 94/265, CTG alone). Birth satisfaction was similar in both arms. Women in the CTG+STan arm reported higher satisfaction with staff competency in monitoring and more likely to disagree that they would prefer different monitoring methods in future labours. Qualitative findings highlighted, the main perceived difference between techniques was the use of the fetal scalp electrode (FSE), always used with CTG+STan and when clinically necessary utilised with CTG. Women viewed the FSE positively, as it allowed for greater mobility.</div></div><div><h3>Conclusions</h3><div>CTG+STan, provides comparable outcomes in terms of satisfaction with labour experience and monitoring. Findings should inform consumer-based information on electronic fetal surveillance, addressing common misconceptions among women and care providers about the potential use of a FSE.</div></div><div><h3>Trial registration</h3><div>ANZCTR, ACTRN1261800006268. Registered on 19 January 2018.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104193"},"PeriodicalIF":2.6,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142445336","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}

{"title":"Breastfeeding self-efficacy in mothers: The body image and emotional intelligence perspective","authors":"Hilal Bülbül ,&nbsp;Dilek Menekşe","doi":"10.1016/j.midw.2024.104199","DOIUrl":"10.1016/j.midw.2024.104199","url":null,"abstract":"<div><h3>Background</h3><div>Breastfeeding is a dynamic and complex process. Due to its complex nature, many reasons affect one another. Recent studies have focused on breastfeeding rates and factors that affect the early termination of breastfeeding. However, studies evaluating the relationship of body image and emotional intelligence concepts with breastfeeding self-efficacy have remained limited to date, resulting in a significant gap in the literature.</div></div><div><h3>Aim</h3><div>The present study was carried out to determine the relationship between breastfeeding self-efficacy, body image, and emotional intelligence of postpartum mothers.</div></div><div><h3>Methods</h3><div>The descriptive and cross-sectional study was conducted with 400 mothers. The data were collected using the Descriptive Information Form, the Body Image Scale (BIS), Schutte Emotional Intelligence Scale (SEIS), and the Breastfeeding Self-Efficacy Scale (BSES). The data were evaluated with the SPSS program, using percentages, mean values, independent <em>t</em>-test,One-Way ANOVA, and Pearson's correlation and regression.</div></div><div><h3>Results</h3><div>The mothers’ mean age was 29.99±5.46 years. The mean total scores that mothers obtained from the scales were found to be 123.47±23.45 for the BIS, 144.46±13.11 for the SEIS, 51.81±9.46 for the BSES-SF. In the correlation analysis results, there was no correlation between the BSES-SF and SEIS. A statistically significant positive correlation was determined between the BIS and BSES-SF. Considering the regression analysis, it is seen that 7.4% of the change in mothers’ breastfeeding self-efficacy is explained by body image (R^2 = 0.074)</div></div><div><h3>Conclusion</h3><div>The study found that positive body image increases breastfeeding self-efficacy. There is a need for additional longitudinal research examining the body image and emotional intelligence perspective of breastfeeding self-efficacy.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"139 ","pages":"Article 104199"},"PeriodicalIF":2.6,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142349772","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":"Perspectives of health care providers on obstetric point-of-care ultrasound in lower-level health facilities in Kenya","authors":"Lister N. Onsongo ,&nbsp;Sarah C. Bett ,&nbsp;Grace W. Gachuiri ,&nbsp;Stephen N. Njuguna ,&nbsp;Jacob W. Masika ,&nbsp;George O. Otieno ,&nbsp;Anthony K. Wanyoro ,&nbsp;Matthew S. Haldeman ,&nbsp;Dilys Walker ,&nbsp;Nicole Santos ,&nbsp;Grace K. Githemo","doi":"10.1016/j.midw.2024.104196","DOIUrl":"10.1016/j.midw.2024.104196","url":null,"abstract":"<div><h3>Background</h3><div>Ultrasound technology has become integral in antenatal care for its diagnostic effectiveness and potential to improve maternal and neonatal outcomes. Despite its proven benefits, challenges persist in its widespread adoption, particularly in low-resource settings like Kenya. Aim: The aim of this study was to explore the perspectives of healthcare providers regarding the integration of obstetric point-of-care ultrasound into routine maternal services in low-level facilities Kenya.</div></div><div><h3>Methods</h3><div>Using a descriptive qualitative study embedded in a large scale implementation study 76 healthcare providers who had undergone obstetric point-ofcare ultrasound training and were providing maternal services were purposively sampled from healthcare facilities across eight counties. Data was collected using structured audiotaped interviews, which were transcribed, and analyzed using thematic analysis.</div></div><div><h3>Results</h3><div>Five main themes with several subthemes emerged from the analysis: (1) Clinical Decision-Making (2) Quality of Services, (3) Training, (4)Technology Issues, and (5) Sustainability.</div></div><div><h3>Discussion</h3><div>Findings from this study suggest that use of obstetric Point-of-Care Ultrasound in resource-limited primary care settings, can enhance clinical decision making and influence patient management, ultimately resulting in significant health outcomes.</div></div><div><h3>Conclusion</h3><div>Equipping health care providers with skills to conduct obstetric point of care ultrasound can lead to better-informed clinical decisions and ultimately contribute to improved health outcomes in underserved populations.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104196"},"PeriodicalIF":2.6,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365803","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}

{"title":"Clinical decision-making during childbirth in health facilities from the perspectives of labouring women, relatives, and health care providers: A scoping review","authors":"Signe Egenberg ,&nbsp;Gry Skogheim ,&nbsp;Margrethe Tangerud ,&nbsp;Anne-Marie Sluijs ,&nbsp;Yolentha M. Slootweg ,&nbsp;Heidi Elvemo ,&nbsp;Mariam Barabara ,&nbsp;Ingela Lundgren","doi":"10.1016/j.midw.2024.104192","DOIUrl":"10.1016/j.midw.2024.104192","url":null,"abstract":"<div><h3>Problem</h3><div>For health care providers to ensure appropriate decision-making in clinical settings during childbirth, facilitators and barriers must be identified.</div></div><div><h3>Background</h3><div>Women who experience a sense of control by participating in the decision-making process, are more likely to have a positive birth experience. However, decision-making may involve hierarchies of close observation and control.</div></div><div><h3>Aim</h3><div>The aim of the scoping review was to map and summarise existing literature on the process of clinical decision-making during childbirth from the perspective of labouring women, relatives and health care providers.</div></div><div><h3>Methods</h3><div>We carried out a scoping review in line with Joanna Briggs Institute scoping review methodology. The search identified studies in Scandinavian or English languages from 2010 - Jan 2023 comprising evidence at different levels of the pyramid, resulting in 18.227 hits. Following the PRISMA checklist, the final inclusion comprised 62 papers.</div></div><div><h3>Findings</h3><div>Four main categories summarized the importance of the following factors: 1) Woman-caregiver relationship, with sub-categories The importance of communication and Midwifery care, 2) Consent and legal issues, 3) Organization, with sub-categories Medicalization, Working atmosphere, and Complexity, and 4) Decision-making tools and models, with sub-categories Shared decision-making, and Other tools and models for decision-making.</div></div><div><h3>Conclusion</h3><div>Balancing intuition and expertise of caregivers with evidence-based practices, is crucial to ensure women's participation in decision-making. Furthermore, a trusting relationship between the mother, partner, and health care provider is of utmost importance. Shared decision-making, which appeared to be the primary model for clinical decision-making regardless context, requires reflective practice and is a communication strategy.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104192"},"PeriodicalIF":2.6,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142375609","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}

{"title":"Effectiveness of the mom supports mom peer support intervention in treating antenatal mental health difficulties in women","authors":"Anna Horakova ,&nbsp;Marie Kuklova ,&nbsp;Kristyna Hrdlickova ,&nbsp;Hana Nemcova ,&nbsp;Pavel Knytl ,&nbsp;Lenka Kostylkova ,&nbsp;Antonin Sebela","doi":"10.1016/j.midw.2024.104198","DOIUrl":"10.1016/j.midw.2024.104198","url":null,"abstract":"<div><h3>Problem</h3><div>Up to 75 % of at-risk perinatal women do not receive treatment in Czechia.</div></div><div><h3>Background</h3><div>Pregnant women with mental health difficulties are more likely to undergo less controversial nonpharmaceutical treatment during pregnancy, but structural and psychological barriers interfere with their capacity to seek professional help.</div></div><div><h3>Aim</h3><div>We tested the effectiveness of the telephone-based peer support intervention Mom Supports Mom (MSM) in Czech pregnant women at risk of mental disorder.</div></div><div><h3>Methods</h3><div>The Edinburgh Postnatal Depression Scale (EPDS) was used to assess risk in women (EPDS ≥ 10). Women at risk were randomized into two groups; the intervention group received the MSM, while the control group received the care as usual, which did not contain any psychological support intervention. One month after completing the EPDS, the women's mental statuses were again measured and compared, this time with data before and after the intervention, using the Perinatal Anxiety Screening Scale (PASS) to measure anxiety, the EPDS to measure depression, the Prenatal Psychosocial Profile (PPP) to measure stress, and the Prenatal Attachment Inventory – Revised (PAI-R) to measure attachment. The trial was registered under the name Pregnancy without psychosocial stress (ClinicalTrials.gov ID NCT04853693).</div></div><div><h3>Findings</h3><div>A total of 167 women were included in the study and randomized into two groups. Depressive symptoms did not decrease (Cohen´s d; 95 % CI = 0.48; 0.17–0.79; <em>p</em> = .002), but levels of anxiety (Cohen´s d; 95 % CI = 0.44; 0.13–0.75; <em>p</em> = .005) and psychosocial stress (Cohen´s d; 95 % CI = 0.55; 0.20–0.82; <em>p</em> = .002) were reduced in women in the intervention group compared with women in the control. In addition, prenatal attachment increased among intervened women (Cohen´s d; 95 % CI = 0.48; 0.17–0.79; <em>p</em> = .002).</div></div><div><h3>Discussion</h3><div>The telephone-based peer support intervention MSM is effective in reducing stress and anxiety and increasing prenatal attachment but does not reduce depression among high-risk women.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"139 ","pages":"Article 104198"},"PeriodicalIF":2.6,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142349773","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":"Involving women with limited English proficiency in group antenatal care: Findings from the integrated process evaluation of the Pregnancy Circles pilot trial","authors":"Octavia Wiseman ,&nbsp;Christine McCourt ,&nbsp;Anita Mehay ,&nbsp;Giordana da Motta ,&nbsp;Helliner Robinson ,&nbsp;Kade Mondeh ,&nbsp;Lorna Sweeney ,&nbsp;Meg Wiggins ,&nbsp;Mary Sawtell ,&nbsp;Angela Harden ,&nbsp;REACH Research Team","doi":"10.1016/j.midw.2024.104197","DOIUrl":"10.1016/j.midw.2024.104197","url":null,"abstract":"<div><div>Problem In the United Kingdom, poor experiences and outcomes of antenatal care among women with limited English proficiency (LEP) are widely documented.</div></div><div><h3>Background</h3><div>Group antenatal care aims to address some limitations of traditional care by combining health assessment, information sharing and peer support, but the inclusion of women with LEP in mixed-language groups has not been explored.</div></div><div><h3>Aim</h3><div>This qualitative study used observations and interviews to explore whether linguistic diversity could be incorporated into group antenatal care (Pregnancy Circles). Women with LEP were invited to take part in mixed-language groups in a large urban NHS trust as part of the Pregnancy Circles pilot trial (ISRCTN66925258 Retrospectively registered 03 April 2017; North of Scotland Research Ethics Service 16/NS/0090).</div></div><div><h3>Findings</h3><div>Three Pregnancy Circles including women with LEP were implemented. Linguistically integrated groups required additional resources (time, interpreters, midwifery skills). Four themes emerged: ‘Interpreting as helping’, ‘Enhanced learning’, ‘Satisfaction and belonging’ and ‘Complex lives’.</div></div><div><h3>Discussion</h3><div>Women with LEP accessing interpreting in Pregnancy Circles reported high levels of satisfaction, contrasting with reported experiences in traditional care. Three theories of effect emerged as relevant for women with LEP: social support.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"139 ","pages":"Article 104197"},"PeriodicalIF":2.6,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142349775","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}

{"title":"Perceived stress and prenatal depression symptoms among couples with gestational diabetes mellitus: The mediating role of dyadic coping","authors":"Yu Ding ,&nbsp;Rong-rong Han ,&nbsp;Jun Hao Pan ,&nbsp;Hao Bin Yuan ,&nbsp;Ling-ling Gao","doi":"10.1016/j.midw.2024.104190","DOIUrl":"10.1016/j.midw.2024.104190","url":null,"abstract":"<div><h3>Problem</h3><div>No studies have been conducted to examine the relationships between perceived stress, positive/negative dyadic coping, and prenatal depression symptoms in Chinese couples with gestational diabetes mellitus (GDM).</div></div><div><h3>Background</h3><div>GDM is a stressful event for pregnant women and their partners, which may result in clinically significant prenatal depression symptoms in couples.</div></div><div><h3>Aim</h3><div>This study aims to examine the relationships and differences in perceived stress, positive/negative dyadic coping, and prenatal depression symptoms between Chinese pregnant women with GDM and their partners and to explore the mediating role of positive/negative dyadic coping.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted in Guangzhou, China, from January to October 2021. 402 pairs of GDM couples completed the questionnaires, including the Edinburgh Postnatal Depression Scale, the Chinese version of the Dyadic Coping Inventory, and the Perceived Stress Scale. Dyadic data was analyzed using the actor-partner interdependence mediation model.</div></div><div><h3>Findings</h3><div>37.6 % of pregnant women with GDM and 24.6 % of their partners experienced clinically significant prenatal depression symptoms. Depression symptoms in couples mutually influence each other. Perceived stress was directly or indirectly related to their and partners’ prenatal depression symptoms in GDM couples, with negative dyadic coping acting as a mediator. Maternal negative dyadic coping was also a partner-mediator.</div></div><div><h3>Discussion</h3><div>The findings of the present study may provide healthcare professionals with a better understanding of the effect of the interpersonal interaction between the couples as a dyad on prenatal depression symptoms in Chinese context.</div></div><div><h3>Conclusion</h3><div>There were intrapersonal and interpersonal associations among perceived stress, negative dyadic coping, and prenatal depression symptoms in pregnant women with GDM and their partners. It suggests a need for screening clinically significant prenatal depression symptoms and decreasing perceived stress and negative dyadic coping among couples with GDM with a focus on pregnant women with GDM.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"139 ","pages":"Article 104190"},"PeriodicalIF":2.6,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142326355","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}