Midwifery最新文献

{"title":"Operationalizing companion of choice during childbirth in the Philippines: Lessons from a qualitative evidence synthesis","authors":"Aaron A. Funa, Renz Alvin E. Gabay, Olive Mancera","doi":"10.1016/j.midw.2025.104671","DOIUrl":"10.1016/j.midw.2025.104671","url":null,"abstract":"","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"152 ","pages":"Article 104671"},"PeriodicalIF":2.5,"publicationDate":"2025-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145564605","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":"Development of a perinatal bereavement counselling training for midwives: A Delphi methodology study","authors":"Ayse Irem Gokcek ,&nbsp;Neslihan Keser Ozcan","doi":"10.1016/j.midw.2025.104670","DOIUrl":"10.1016/j.midw.2025.104670","url":null,"abstract":"<div><h3>Background</h3><div>In many countries, including Turkey, midwives lack formal training in perinatal bereavement care despite their central role in supporting grieving families.</div></div><div><h3>Aim</h3><div>This study was conducted using the Delphi method to determine the content and scope of perinatal bereavement counselling training for midwives.</div></div><div><h3>Methods</h3><div>Thirty-eight experts (midwives, psychologists, nurses, and academics) participated in the first round of the three-stage Delphi study, and 30 experts participated in the second and third rounds. In the first round, expert opinions were collected through open-ended questions; the data were analysed using IRaMuTeQ software, and four main themes were identified. Based on these themes, six module proposals were developed. In the second and third rounds, experts rated the modules and subheadings using a 5-point Likert scale. The consensus criterion was set as median ≥4 and interquartile range (IQR) ≤1.</div></div><div><h3>Results</h3><div>In the first round of analysis, the themes of ‘concepts of bereavement,’ ‘communication strategies,’ ‘perinatal care practices,’ and ‘health worker support’ emerged. The six modules and 40 subheadings created based on these themes were approved by experts in the second and third rounds with a high level of consensus. In the third round, the median value for all modules was 5, and the IQR value was 0 for five modules.</div></div><div><h3>Conclusion</h3><div>This study presents the first Delphi-based perinatal bereavement counselling training content for midwives in Turkey. The training programme includes both parent-focused and caregiver-focused approaches and offers an adaptable and proposes a consensus-based training content that may be adapted to pre-graduation and in-service training; however, implementation in clinical settings was not tested in this study and will require piloting.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"153 ","pages":"Article 104670"},"PeriodicalIF":2.5,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145588186","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":"Improving perinatal mental health outcomes: The role of support in assisting breastfeeding experiences following birth trauma","authors":"Abigail Wheeler ,&nbsp;Fay Sweeting ,&nbsp;Andrew Mayers ,&nbsp;Amy Brown ,&nbsp;Shanti Farrington","doi":"10.1016/j.midw.2025.104668","DOIUrl":"10.1016/j.midw.2025.104668","url":null,"abstract":"<div><h3>Background</h3><div>Experiencing any traumatic event can have long lasting impacts on mental health. In the context of childbirth, a traumatic experience could directly or indirectly impact a mother’s ability to successfully breastfeed and affect her long-term mental health. Being able to breastfeed successfully is known to improve mental health outcomes for mothers.</div></div><div><h3>Aim</h3><div>To explore how self-reported birth-related trauma symptoms affect breastfeeding and the role of support in shaping these experiences, to inform trauma-informed breastfeeding support services.</div></div><div><h3>Methods</h3><div>A convenience sample of 93 mothers responded to this study and took part in an online survey. Qualitative questions were used to explore participants’ breastfeeding experiences, whether they felt a traumatic birth had contributed to this experience, and what support they received to subsequently breastfeed. Participants also completed the Posttraumatic Stress Disorder Checklist, or PCL-5 as part of the online survey, which is a standardised screening tool used in the assessment of PTSD symptoms. Participants who self-reported a traumatic birth and scored 32 or above on the PCL-5 were analysed further (<em>N</em> = 50).</div></div><div><h3>Findings</h3><div>Results showed that mothers had both positive and negative experiences of healthcare staff support with breastfeeding. Positive support, such as encouragement and advice from healthcare staff, was shown to be beneficial after birth trauma, enabling mothers to heal and recover from their experiences and supported bonding with their infant. Negative experiences, such as pressure from healthcare staff or challenges when breastfeeding, were reported to have had a detrimental perceived impact on mental health outcomes, leading mothers to seek further breastfeeding and wellbeing support following a traumatic birth.</div></div><div><h3>Conclusion</h3><div>Trauma-informed breastfeeding support is required to enable more positive mental health outcomes of mothers, following a traumatic birth.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"152 ","pages":"Article 104668"},"PeriodicalIF":2.5,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145557233","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":"Domains of maternal knowledge and practices in essential newborn care in Urban Ghana: A factor analysis","authors":"Alhassan Sibdow Abukari ,&nbsp;Emmanuel Kwame Korsah ,&nbsp;Eva Fusser Okworu ,&nbsp;Linda Mensah ,&nbsp;Ibrahim Sadik Haruna","doi":"10.1016/j.midw.2025.104666","DOIUrl":"10.1016/j.midw.2025.104666","url":null,"abstract":"<div><h3>Background</h3><div>Neonatal mortality remains a major public health concern in low- and middle-income countries, including Ghana. Maternal knowledge and practices of essential newborn care (ENC) influence neonatal outcomes but remain inconsistent in many urban settings.</div></div><div><h3>Aim</h3><div>This study aimed to describe maternal knowledge and practices of ENC and to identify underlying domains of these practices using factor analysis, guided by the Health Belief Model (HBM).</div></div><div><h3>Methods</h3><div>A descriptive community-based cross-sectional study was conducted among 148 mothers in the Accra Metropolis. Data were collected through interviewer-administered electronic surveys with a pretested questionnaire. Descriptive statistics summarized reported practices, while exploratory and confirmatory factor analyses identified and validated underlying domains.</div></div><div><h3>Findings</h3><div>Most mothers adhered to key newborn care practices, including early breastfeeding, colostrum feeding, exclusive breastfeeding, delayed bathing, cord care, and vaccination, all of which demonstrated high compliance of &gt;90 % mean score, though lower % mean scores were present for handwashing before breastfeeding (77.6 %), burping (84.2 %), and alcohol rub before newborn care (87.6 %) practices. Factor analysis revealed three domains: hygiene and safety practices, breastfeeding and thermal care, and cord and delivery practices, explaining 51.7 % of total variance. Sampling adequacy (KMO = 0.850; Bartlett’s test, <em>p</em> &lt; .001), and model fit indices (CFI = 0.913) supported the three-factor structure, although the RMSEA suggested some limitations.</div></div><div><h3>Discussion/Conclusion</h3><div>Mothers demonstrated generally strong ENC practices, particularly in breastfeeding and cord care, but gaps persisted in hand hygiene, immunization knowledge, and burping. Interpreted through the HBM, these gaps reflect perceived barriers and limited cues to action. Strengthening community-based health education within antenatal and postnatal services could address these gaps, improve ENC adherence, and contribute to reducing neonatal mortality.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"152 ","pages":"Article 104666"},"PeriodicalIF":2.5,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145518050","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":"Spheres of influence on contraceptive decision-making: qualitative interviews with postpartum mothers and providers","authors":"Liane M. Ventura ,&nbsp;Alicia A. Dahl ,&nbsp;Maimouna Issoufou Kapran ,&nbsp;Kate E. Beatty","doi":"10.1016/j.midw.2025.104665","DOIUrl":"10.1016/j.midw.2025.104665","url":null,"abstract":"<div><h3>Background</h3><div>Biological and behavioral factors influence interpregnancy intervals. Individualized family planning goals and preferences regarding contraception must be supported through shared decision-making approaches. Contraceptive counseling throughout the perinatal period is multifaceted whereby intersecting health-related choices including breastfeeding are co-occurring. This study explores multi-level factors influencing postpartum contraceptive decision-making among women and perinatal care providers in a rural region of the Southeast United States.</div></div><div><h3>Methods</h3><div>The qualitative study triangulated perspectives of postpartum mothers (<em>n</em>=16) and perinatal care providers (<em>n</em>=8). Perinatal care providers included a range of professionals including midwives, lactation consultants, and doulas. Interviews were conducted via phone, audio recorded, and transcribed. An inductive content analysis was applied to coding and analysis.</div></div><div><h3>Results</h3><div>Participants from both groups discussed the importance of knowledge about contraceptive method options, including safe methods for while breastfeeding. Although, perceptions about the impact of contraception on milk supply varied among both mothers and providers. Mothers and providers elevated the importance of provider support for individualized decisions given personal preferences and family planning goals. Multiple points of access to contraception were noted, including in-hospital provision, which can facilitate access. Providers emphasized the influence of complex social risk factors such as limited financial resources and challenges with access to housing, food, and transportation.</div></div><div><h3>Conclusions</h3><div>Postpartum contraceptive decision-making is an ongoing process based on individualized preferences. Mothers can be supported, in part, through providers acknowledging social, economic, and historical forces impacting decision-making. Future research to investigate the role of interdisciplinary care teams to enhance perinatal healthcare service provision is warranted.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"152 ","pages":"Article 104665"},"PeriodicalIF":2.5,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145518049","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":"Adaptation and psychometric evaluation of the postpartum partner support scale among Arab women in the United Arab Emirates","authors":"Hadia Radwan ,&nbsp;Gabriel John Dusing ,&nbsp;Godfred O. Boateng ,&nbsp;Randa Fakhry ,&nbsp;Nivine Hanach ,&nbsp;Wegdan Bani Issa ,&nbsp;MoezAlIslam E. Faris ,&nbsp;Reyad Shaker Obaid ,&nbsp;Tareq Osaili ,&nbsp;Cindy-Lee Dennis","doi":"10.1016/j.midw.2025.104662","DOIUrl":"10.1016/j.midw.2025.104662","url":null,"abstract":"<div><h3>Problem</h3><div>Poor maternal mental health during the postpartum period is a significant global concern, with a lack of partner support being a well-established risk factor for postpartum depression and anxiety. However, few validated instruments exist to assess postpartum partner support in Arabic-speaking populations.</div></div><div><h3>Background</h3><div>The Postpartum Partner Support Scale (PPSS) was developed to measure partner support specific to the postpartum period. While validated in Canadian and Persian-speaking populations, its applicability in Arabic-speaking contexts remains unexplored.</div></div><div><h3>Aim</h3><div>To evaluate the reliability, validity, and factor structure of the Arabic version of the PPSS among postpartum women in the United Arab Emirates (UAE).</div></div><div><h3>Methods</h3><div>A six-month prospective cohort study (February 2017–September 2018) recruited 457 postpartum women from ten hospitals across Dubai, Sharjah, Al Ain, and Fujairah, UAE, with 399 women followed-up at 3 and 6 months postpartum. The Arabic PPSS was translated following World Health Organization guidelines. The psychometric evaluation included exploratory and confirmatory factor analysis (EFA/CFA), internal consistency (Cronbach’s alpha), test-retest reliability, and validity assessments (predictive, divergent, and known-group comparisons). Convergent validity was assessed using the Edinburgh Postnatal Depression Scale (EPDS) and State-Trait Anxiety Inventory (STAI).</div></div><div><h3>Findings</h3><div>The Arabic PPSS demonstrated high internal consistency (Cronbach’s alpha = 0.96) and test-retest reliability. EFA and CFA confirmed a unidimensional factor structure, with strong item loadings (0.40–0.94) and acceptable model fit indices (CFI = 0.98–0.99, TLI = 0.98, RMSEA = 0.09, SRMR = 0.03). The PPSS was significantly correlated with EPDS (<em>r</em> = -0.11 to -0.14) and STAI (<em>r</em> = -0.21 to -0.28), indicating that higher levels of partner support were associated with fewer symptoms of depression and anxiety, supporting predictive validity. Known-group comparisons showed higher PPSS scores among working women and those who exercised.</div></div><div><h3>Discussion</h3><div>Findings support the PPSS as a reliable and valid measure of postpartum partner support in Arabic-speaking populations. The scale captures culturally relevant aspects of partner support, addressing a gap in maternal mental health research in the UAE.</div></div><div><h3>Conclusion</h3><div>The Arabic PPSS demonstrates strong psychometric properties, supporting its use in both research and clinical settings. Its integration into routine postpartum care, particularly within midwifery and broader maternity care practice, may facilitate early identification of psychosocial risks and inform targeted interventions to improve maternal mental health outcomes in Arabic-speaking populations.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"153 ","pages":"Article 104662"},"PeriodicalIF":2.5,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145550088","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":"Midwifery in a Transformative Era: A Vision for the Future","authors":"Shefaly Shorey","doi":"10.1016/j.midw.2025.104652","DOIUrl":"10.1016/j.midw.2025.104652","url":null,"abstract":"","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"152 ","pages":"Article 104652"},"PeriodicalIF":2.5,"publicationDate":"2025-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145505630","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}