Midwifery最新文献_第7页

Shared learning and reflections from the MuM study: An online antenatal music programme for maternal wellbeing co-designed by midwives, music therapists and women with lived experience. 来自MuM研究的共享学习和反思：一个由助产士、音乐治疗师和有生活经验的妇女共同设计的在线产前音乐课程，旨在改善产妇的健康。

IF 2.5 3区医学 Q1 NURSING

Midwifery

Pub Date : 2025-10-01 Epub Date: 2025-08-06 DOI: 10.1016/j.midw.2025.104560

Tríona McCaffrey, Pui Sze Cheung, Kyriaki Pantelidou, Cathy McGlynn, Laoise FitzGerald, Mairéad Morales, Noelle O'Riordan, Anna Papyan, Sylvia Murphy-Tighe

引用次数: 0

Effects of breastfeeding during pregnancy on maternal and newborn health and breast milk composition: Meta-analysis. 妊娠期母乳喂养对母婴健康和母乳成分的影响：meta分析

IF 2.5 3区医学 Q1 NURSING

Midwifery

Pub Date : 2025-10-01 Epub Date: 2025-08-07 DOI: 10.1016/j.midw.2025.104550

Ozlem Sinan, Döndü Kurnaz

Background: Breastfeeding is essential health behavior for the health of the mother and child. The duration of breastfeeding often affects the likelihood of overlapping between breastfeeding and subsequent pregnancies.

Aim: This meta-analysis evaluated the effects of breastfeeding during pregnancy on maternal and newborn health outcomes and the composition of breast milk based on previous studies.

Methods: The study protocol was developed, and the article was written following the PRISMA guidelines. The screening was conducted in September 2024, and the study was registered with PROSPERO. A comprehensive search was performed using PubMed, Google Scholar, the Cochrane Library, EBSCO, Embase, the National Thesis Center, and the TR Index. The methodological quality of the included studies was assessed using the JBI quality assessment tools. Data were pooled through meta-analysis, and a GRADE evidence profile was generated.

Findings: The meta-analysis revealed that breastfeeding during pregnancy did not significantly affect birth weight, the incidence of miscarriage, preterm labor, or pregnancy complications. However, it was associated with an increased incidence of low birth weight and intrauterine growth retardation. Regarding breast milk composition, breastfeeding during pregnancy did not change the total protein or lactose content but resulted in a reduction in fat content. Subgroup analyses indicated that the effects of breastfeeding during pregnancy on maternal and newborn health were influenced by the level of development of the country in which the studies were conducted.

Key conclusions: Breastfeeding during pregnancy may impact breast milk composition and maternal and neonatal health.

背景：母乳喂养是母亲和儿童健康的基本健康行为。母乳喂养的持续时间往往影响母乳喂养和随后怀孕之间重叠的可能性。目的：本荟萃分析在以往研究的基础上评估孕期母乳喂养对孕产妇和新生儿健康结局和母乳成分的影响。方法：制定研究方案，并按照PRISMA指南撰写文章。筛选于2024年9月进行，该研究已在PROSPERO注册。利用PubMed、谷歌Scholar、Cochrane Library、EBSCO、Embase、National Thesis Center和TR Index进行综合检索。采用JBI质量评估工具对纳入研究的方法学质量进行评估。通过荟萃分析汇总数据，生成GRADE证据概况。研究结果：荟萃分析显示，怀孕期间母乳喂养对出生体重、流产、早产或妊娠并发症的发生率没有显著影响。然而，它与低出生体重和宫内生长迟缓的发生率增加有关。关于母乳成分，怀孕期间的母乳喂养不会改变总蛋白质或乳糖含量，但会减少脂肪含量。亚组分析表明，怀孕期间母乳喂养对孕产妇和新生儿健康的影响受到进行研究的国家发展水平的影响。主要结论：孕期母乳喂养可能影响母乳成分以及孕产妇和新生儿健康。

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引用次数: 0

Transforming breastfeeding outcomes: The power of antenatal breastmilk expression, a retrospective cohort study in Ireland 改变母乳喂养结果：产前母乳表达的力量，爱尔兰的一项回顾性队列研究。

IF 2.5 3区医学 Q1 NURSING

Midwifery

Pub Date : 2025-09-30 DOI: 10.1016/j.midw.2025.104625

Gemma McMonagle , Elaine Mooney , Kristian Mallon , Amanda McCloat , Roisin Lydon , Lynne Cunningham , Marla Kennedy , Roisin Lennon , Margaret McLoone

Background

Antenatal breast milk expression is safe and effective in diabetic women at low risk of complications. Antenatal breast milk expression is associated with higher breastfeeding rates at birth and postpartum.

Aim. This research aimed to evaluate the impact of antenatal breast milk expression on breastfeeding outcomes in an Irish cohort.

Methods

Mothers were offered antenatal breast milk expression support packs at 36 weeks' gestation if they met one or more criteria: insulin dependent diabetic; elective section; multiparity pregnancy; previous feeding issues; or planned separation. Women at risk of complications were excluded. Data was extracted from maternity records of women who gave birth between November 2022 - April 2023 at a regional hospital. Chi-square (χ2) or Fisher’s exact tests and Independent t-tests or Mann-Whitney U tests compared differences in categorical and continuous data respectively.

Findings

Of mothers who received antenatal breast milk expression support packs (n = 63), 76.2 % (n = 48) expressed antenatal colostrum and 70.8 % (n = 34) brought colostrum to hospital. Most mothers who expressed antenatal colostrum also exclusively breastfeeding at birth (95.8 %, n = 46; χ2(1) = 13.237, p < 0.001), timepoint 2: <48 h post birth (89.6 %, n = 43; χ2(1) = 4.495, p = 0.034) and at discharge (75 %, n = 36; χ2(1) = 6.300, p = 0.012).

Conclusion

Antenatal breast milk expression was high when provided with a support pack. Antenatal breast milk expression had a positive impact on initiation and continuation of breastfeeding in this cohort. Therefore, a longitudinal intervention to assess exclusive breastfeeding duration is warranted.

背景：产前母乳表达对糖尿病妇女安全有效，并发症风险低。产前母乳表达与出生时和产后较高的母乳喂养率有关。目的：本研究旨在评估爱尔兰队列中产前母乳表达对母乳喂养结果的影响。方法：孕妇在妊娠36周时提供产前母乳表达支持包，如果她们符合一个或多个标准：胰岛素依赖型糖尿病；选修部分;多胎产怀孕;以前的喂养问题；或者有计划的分离。排除有并发症风险的妇女。数据取自2022年11月至2023年4月期间在一家地区医院分娩的妇女的产妇记录。卡方（χ2）或Fisher精确检验和独立t检验或Mann-Whitney U检验分别比较了分类数据和连续数据的差异。结果：接受产前母乳表达支持包的母亲（n = 63）中，76.2% （n = 48）的母亲表达了产前初乳，70.8% （n = 34）的母亲将初乳带到医院。绝大多数表达产前初乳的母亲在出生时也完全母乳喂养（95.8%,n = 46; χ2(1) = 13.237, p < 0.001），时间点2。结论：在提供支持包的情况下，产前母乳表达较高。在这个队列中，产前母乳表达对母乳喂养的开始和继续有积极的影响。因此，纵向干预评估纯母乳喂养持续时间是必要的。

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引用次数: 0

Women’s experiences of local hydrotherapy in labour receiving epidural analgesia: A qualitative study 妇女在分娩时接受硬膜外镇痛的局部水疗法的经验：一项定性研究。

IF 2.5 3区医学 Q1 NURSING

Midwifery

Pub Date : 2025-09-26 DOI: 10.1016/j.midw.2025.104623

Lingling Huang , Huimin Lin , Dan Zheng , Dandan Zheng , Yiting Jiang , Xiaoshan Zhang , Shengli Jiang

Problem

Although epidural analgesia is widely used for pain relief during labour, some women continue to experience breakthrough pain and psychological distress.

Background

Hydrotherapy is a longstanding, non-pharmacological pain relief method used during labour that is known to offer both physiological and psychological benefits. However, due to procedural constraints, its integration alongside epidural analgesia during labour remains limited.

Aim

This study aimed to explore the experiences and perceptions of women in labour who received epidural analgesia alongside local hydrotherapy to provide a theoretical foundation and practical guidance for its broader implementation and application.

Methods

The study was conducted between March and May 2024 and used a descriptive, qualitative design. Semi-structured interviews were conducted with 11 women who had received epidural analgesia during labour alongside local hydrotherapy that targeted the perineum, inguinal areas, and legs. Transcripts were subsequently analysed using conventional content analysis.

Findings

Three overarching themes emerged: (1) information asymmetry and passive participation in decision-making, (2) dual mechanism of physical and psychological benefits, and (3) demand-oriented optimisation pathways.

Discussion

Local hydrotherapy provided pain relief, an enhanced sense of privacy and dignity during labour, and improved overall comfort without compromising the integrity of the epidural. The findings highlight the importance of individualised care and enhanced antenatal education to promote informed choices.

Conclusion

Broader clinical implementation of local hydrotherapy during labour requires personalised support to ensure maternal and neonatal safety as well as awareness-raising efforts.

问题：尽管硬膜外镇痛在分娩过程中被广泛用于缓解疼痛，但一些妇女继续经历突破性疼痛和心理困扰。背景：水疗法是一种长期使用的，用于分娩期间的非药物疼痛缓解方法，已知可提供生理和心理上的益处。然而，由于程序上的限制，它与分娩时硬膜外镇痛的结合仍然有限。目的：本研究旨在探讨分娩妇女硬膜外镇痛配合局部水疗的经验和体会，为其更广泛的实施和应用提供理论基础和实践指导。方法：研究于2024年3月至5月进行，采用描述性定性设计。对11名在分娩过程中接受硬膜外镇痛的妇女进行了半结构化访谈，并对会阴、腹股沟区域和腿部进行了局部水疗。随后使用常规内容分析对转录本进行分析。研究发现：主要有三个主题：(1)信息不对称和被动参与决策；(2)生理和心理利益的双重机制；(3)需求导向的优化路径。讨论：局部水疗法可以缓解疼痛，增强分娩过程中的隐私和尊严感，并在不损害硬膜外完整性的情况下提高整体舒适度。研究结果强调了个性化护理和加强产前教育对促进知情选择的重要性。结论：在产程中更广泛地实施局部水疗法需要个性化的支持，以确保孕产妇和新生儿的安全，并提高认识。

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引用次数: 0

Strengthening Philippine midwifery curricula with planetary health competencies: A call for action 以全球卫生能力加强菲律宾助产课程：行动呼吁。

IF 2.5 3区医学 Q1 NURSING

Midwifery

Pub Date : 2025-09-26 DOI: 10.1016/j.midw.2025.104619

Artemio M. Gonzales Jr., Arnold Jann L. Cariaso

引用次数: 0

Investigation of the validity and reliability of the Turkish version of the Comprehensive Breastfeeding Knowledge Scale 土耳其语版母乳喂养综合知识量表的效度和信度调查。

IF 2.5 3区医学 Q1 NURSING

Midwifery

Pub Date : 2025-09-26 DOI: 10.1016/j.midw.2025.104624

Merve Yazar Renkyorgancı , Emel Ege , Emine Geçkil , Jennifer Abbass-Dick , Cindy-Lee Dennis

Objective

This study was conducted to test the validity and reliability of the Turkish version of the Comprehensive Breastfeeding Knowledge Scale.

Method

This methodological study was carried out between July 1, 2023, and May 1, 2024, in the Department of Obstetrics and Gynecology at a university hospital. Approvals were obtained from the original scale author, the ethics committee, the institution where data were collected, and the participants. The study sample comprised 350 participants, including 200 primiparous pregnant women and 150 postpartum women. For validity, the Content Validity Ratio (CVR) and Content Validity Index (CVI) were used to assess language and content validity, and Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) were performed to evaluate construct validity. For reliability, item analyses were conducted, and the Intraclass Correlation Coefficient (ICC) and Paired t-Test were used to determine test-retest reliability, while Cronbach’s alpha coefficient was employed to assess internal consistency.

Results

Of the women who participated in the study, 57.1 % were pregnant and 42.9 % were in the postpartum period. Among the participants, 39.7 % were between the ages of 18 and 25, 38.9 % were high school graduates, and 51.4 % had received breastfeeding education. EFA results revealed that the scale maintained a three-factor structure consistent with the original scale, the items were distributed across the factors in a similar manner, factor loadings ranged from 0.50 to 0.65, and the explained variance was 37.3 %. The CFA results indicated excellent model fit with a chi-square/df ratio of 1.912, and good fit indices, including GFI (0.904), RMSEA (0.051), and CFI (0.894).

Conclusion

The findings of this study demonstrate that the Turkish version of the Comprehensive Breastfeeding Knowledge Scale is a valid and reliable measurement tool for assessing breastfeeding knowledge among primiparous pregnant and postpartum women. The scale can be utilized in descriptive studies evaluating breastfeeding knowledge and in experimental studies aimed at improving breastfeeding knowledge, as a pre-test and post-test assessment tool.

目的：本研究对土耳其版母乳喂养综合知识量表的效度和信度进行检验。方法：本方法学研究于2023年7月1日至2024年5月1日在某大学附属医院妇产科进行。获得原始量表作者、伦理委员会、数据收集机构和参与者的批准。研究样本包括350名参与者，其中包括200名初产妇和150名产后妇女。效度方面，采用内容效度比（CVR）和内容效度指数（CVI）评估语言和内容效度，采用探索性因子分析（EFA）和验证性因子分析（CFA）评估构念效度。信度采用项目分析，采用类内相关系数（Intraclass Correlation Coefficient， ICC）和配对t检验确定重测信度，采用Cronbach’s alpha系数评估内部一致性。结果：参与研究的妇女中，57.1%为孕妇，42.9%为产后。在参与者中，39.7%的人年龄在18 - 25岁之间，38.9%的人高中毕业，51.4%的人接受过母乳喂养教育。结果表明，该量表与原量表保持一致的三因子结构，各因子之间的分布基本一致，因子负荷范围为0.50 ~ 0.65，解释方差为37.3%。CFA结果表明，模型拟合良好，卡方/df比为1.912，拟合指数良好，包括GFI（0.904）、RMSEA（0.051）和CFI（0.894）。结论：本研究结果表明，土耳其版母乳喂养综合知识量表是评估初产妇和产后妇女母乳喂养知识的有效和可靠的测量工具。该量表可用于评价母乳喂养知识的描述性研究和旨在提高母乳喂养知识的实验性研究，作为测试前和测试后的评估工具。

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引用次数: 0

Cross-cultural adaptation and validation of the “AprendeLact” questionnaire to Portuguese “AprendeLact”问卷对葡萄牙语的跨文化适应与验证。

IF 2.5 3区医学 Q1 NURSING

Midwifery

Pub Date : 2025-09-25 DOI: 10.1016/j.midw.2025.104621

Cristian Martín-Vázquez , Agueda Cervera-Gasch , Rosa María Dos Santos Moreira , Marta Arias-Crespo , Cláudia Patricia Da Costa Brás , Cristina Liébana-Presa

Background

Breast milk is the optimal nourishment a mother can provide for her child. Although many mothers aspire to breastfeed, such efforts necessitate support and guidance from qualified healthcare professionals.

Aim

Translation and Cross-Cultural Adaptation of the “AprendeLact” Questionnaire on Breastfeeding Knowledge into Portuguese

Methods

A cross-sectional validation study involving translation, content validity, test-retest reliability, and internal consistency was conducted. Descriptive and bivariate analyses were performed on sociodemographic variables and questionnaire outcomes. Fifty-seven undergraduate nursing and postgraduate maternal and obstetric health students from the Coimbra School of Nursing were randomly selected through cluster sampling.

Findings

The results demonstrated high internal consistency (Kuder–Richardson formula 20 [KR-20] = 0.87) and excellent test-retest reliability (intraclass correlation coefficient [ICC] = 0.899). The average score achieved was 12.246 ± 5.23 points. The highest-scoring item was number 6, related to “colostrum,” while the lowest-scoring item was number 5, which assessed the “utility of the e-lactancia website.”

Conclusions

The “AprendeLact” questionnaire was cross-culturally adapted and validated into Portuguese for undergraduate nursing and postgraduate maternal and obstetric health students. Findings revealed limited breastfeeding knowledge among the students, particularly regarding practical aspects. Factors associated with higher levels of knowledge included being female, being in the final years of a bachelor’s degree, participating in clinical placements related to breastfeeding, attending training activities, engaging in breastfeeding support groups, or having been breastfed as a child.

背景：母乳是母亲能为孩子提供的最佳营养。虽然许多母亲渴望母乳喂养，但这种努力需要合格的保健专业人员的支持和指导。目的：“AprendeLact”母乳喂养知识问卷的葡萄牙语翻译与跨文化适应方法：采用横断面验证研究，包括翻译、内容效度、重测信度和内部一致性。对社会人口学变量和问卷结果进行描述性和双变量分析。通过整群抽样随机抽取科英布拉护理学院的57名护理本科和研究生产妇和产科保健专业学生。结果表明：研究结果具有较高的内部一致性（Kuder-Richardson公式20 [KR-20] = 0.87）和良好的重测信度（类内相关系数[ICC] = 0.899）。平均得分为12.246±5.23分。得分最高的是第6项，与“初乳”有关，而得分最低的是第5项，评估的是“e-lactancia网站的实用性”。结论：“AprendeLact”问卷经跨文化改编并验证为葡萄牙语，适用于本科护理专业和研究生孕产妇和产科健康专业的学生。调查结果显示，学生的母乳喂养知识有限，特别是在实践方面。与知识水平较高相关的因素包括：女性、在本科学位的最后几年、参加与母乳喂养有关的临床实习、参加培训活动、参加母乳喂养支持小组或在儿童时期接受过母乳喂养。

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引用次数: 0

The PRIMROSE project: What is ‘physiological birth’? Exploring the perceptions of care providers and birthing persons in Australia: A qualitative descriptive study 樱草花项目：什么是“生理出生”？探索澳大利亚护理人员和分娩人员的看法：一项定性描述性研究。

IF 2.5 3区医学 Q1 NURSING

Midwifery

Pub Date : 2025-09-24 DOI: 10.1016/j.midw.2025.104617

Brooke.I. Henshall , Heather.A. Grimes , Jennifer Davis , Christine.E. East

Background

‘Physiological birth’ as a term, lacks consistency, and the current definition from the World Health Organization in 1997 does not consider the viewpoint of women/birthing persons. Differences in individual interpretations of physiological birth may complicate care provision and the advocation of physiological birth.

Aim

To explore the contemporary understanding of physiological birth from the perspective of women/birthing persons, midwives, obstetric doctors, and doulas in the Australian setting, and identify important elements to include in a consensus statement of ‘physiological birth’.

Methods

A qualitative descriptive study was undertaken using focus groups and interview. Data was audio-recorded, transcribed verbatim, and was thematically analysed using NVivo software.

Results

Ten participants took part in this study. Three aggregate themes were identified: (1) Connection to the natural process of birth, (2) Elements of decision, and (3) Challenges in the birthing setting. Participants agreed that ‘spontaneous onset’ and ‘vaginal birth’ were important terms to include in a consensus statement of physiological birth. Women/birthing persons, midwives and doulas believed physiological birth was a natural process, uninterrupted by intervention; however, the use of the term ‘intervention’ was amorphous. Antenatal education about physiological birth was identified as lacking, and physiological birth was considered not to be a ‘woman’s term’. Participants acknowledged a fear-based narrative around childbirth, and that ‘red tape’ within the hospital setting could challenge maternal choice.

Conclusion

Trusting in instinctive labour and birth is an important element of physiological birth. Multiple understandings of the term ‘physiological birth’ extend into the terms used to define it.

背景：“生理性分娩”作为一个术语缺乏一致性，世界卫生组织1997年的现行定义没有考虑到妇女/分娩人的观点。个体对生理性分娩的不同理解可能会使护理提供和生理性分娩的倡导复杂化。目的：从澳大利亚妇女/分娩人员、助产士、产科医生和助产师的角度探讨当代对生理性分娩的理解，并确定“生理性分娩”共识声明中包括的重要因素。方法：采用焦点小组法和访谈法进行定性描述性研究。数据录音，逐字转录，并使用NVivo软件进行主题分析。结果：10名参与者参加了本研究。确定了三个总体主题：(1)与出生自然过程的联系，(2)决策要素，(3)分娩环境中的挑战。与会者一致认为，“自然分娩”和“顺产”是重要的术语，应纳入关于生理分娩的共识声明。妇女/接生人员、助产士和助产师认为生理分娩是一个自然过程，不受干预；然而，“干预”一词的使用是模糊的。关于生理分娩的产前教育被认为是缺乏的，生理分娩被认为不是一个“女性术语”。参与者承认，人们对分娩有一种基于恐惧的说法，医院环境中的“繁文缛节”可能会挑战产妇的选择。结论：相信本能分娩是生理分娩的重要因素。对“生理出生”一词的多种理解延伸到用来定义它的术语。

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引用次数: 0

Multidimensional sleep health and breastfeeding self-efficacy: A cross-sectional study 多维睡眠健康与母乳喂养自我效能：一项横断面研究

IF 2.5 3区医学 Q1 NURSING

Midwifery

Pub Date : 2025-09-22 DOI: 10.1016/j.midw.2025.104618

Sha Li , Xianyan Hao , Yanzhe Wang , Xingchen Shang , Qingyu Wang , Jiayin Ruan

Background

Breastfeeding is recommended for new mothers. However, the rate of breastfeeding is far below the recommendation, and researchers have devoted themselves to exploring the associated factors to promote breastfeeding.

Aim

To explore the association between maternal multidimensional sleep health and prenatal breastfeeding self-efficacy.

Methods

A cross-sectional survey was conducted among pregnant women attending obstetrics departments at three hospitals in Jiangsu, China. The RU_SATED 2.0, Prenatal Breastfeeding Self-efficacy Scale, Maternity Social Support Scale, 7-item Generalized Anxiety Disorder Scale, and 9-item Patient Health Questionnaire were administered to evaluate multidimensional sleep health, prenatal breastfeeding self-efficacy, social support, and anxiety and depression symptoms of pregnant women, respectively. Independent t-tests and multiple linear regression were applied to explore the association between multidimensional sleep health and prenatal breastfeeding self-efficacy.

Findings

A total of 349 pregnant women completed the survey, with a mean age of 30.59 years (SD=3.96, Range: 20–45). The scores of sleep health and prenatal breastfeeding self-efficacy were 15.07±3.65 and 56.96±15.31, respectively. Independent t-tests revealed that pregnant women with better sleep health demonstrated significantly higher scores in prenatal breastfeeding self-efficacy, including the skills and needs and information acquisition domains (Cohen’s d ranging from 0.330 to 0.435). Moreover, the linear regression model showed that better sleep health (B=0.58, P=0.011), more social support (B=0.65, P=0.022), and current children (B=14.05, P<0.001) were associated with higher prenatal breastfeeding self-efficacy, while gestational age was negatively associated with prenatal breastfeeding self-efficacy (B=−0.21, P=0.027) after adjusting for covariates.

Conclusion

Optimal multidimensional sleep health is associated with better prenatal breastfeeding self-efficacy, and targeted sleep health interventions should be implemented to enhance maternal sleep health and promote better breastfeeding outcomes.

背景：建议新妈妈母乳喂养。然而，母乳喂养的比率远远低于建议，研究人员一直致力于探索促进母乳喂养的相关因素。目的探讨产妇多维睡眠健康与产前母乳喂养自我效能感的关系。方法对江苏省三所医院产科孕妇进行横断面调查。采用RU_SATED 2.0量表、产前母乳喂养自我效能感量表、产妇社会支持量表、7项广泛焦虑障碍量表和9项患者健康问卷，分别对孕妇的多维睡眠健康、产前母乳喂养自我效能感、社会支持和焦虑抑郁症状进行评估。采用独立t检验和多元线性回归探讨多维睡眠健康与产前母乳喂养自我效能的关系。共349名孕妇完成调查，平均年龄30.59岁（SD=3.96，范围：20 ~ 45岁）。睡眠健康和产前母乳喂养自我效能得分分别为15.07±3.65分和56.96±15.31分。独立t检验显示，睡眠健康状况较好的孕妇在产前母乳喂养自我效能感得分显著较高，包括技能和需求以及信息获取领域（Cohen’s d范围为0.330 ~ 0.435）。校正协变量后，线性回归模型显示，较好的睡眠健康（B=0.58， P=0.011）、较多的社会支持（B=0.65， P=0.022）和现有子女（B=14.05, P<0.001）与较高的产前母乳喂养自我效能感相关，而胎龄与产前母乳喂养自我效能感呈负相关（B= - 0.21， P=0.027）。结论优化的多维睡眠健康与更好的产前母乳喂养自我效能感相关，应实施有针对性的睡眠健康干预措施，以改善产妇的睡眠健康，促进更好的母乳喂养效果。

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引用次数: 0

“Being on the edge, longing for the hand that shows the way”- A meta-synthesis of women's experiences of midwife support during the latent phase “处于边缘，渴望得到指引道路的手”——对女性在潜伏期助产士支持经历的综合分析

IF 2.5 3区医学 Q1 NURSING

Midwifery

Pub Date : 2025-09-18 DOI: 10.1016/j.midw.2025.104616

Karin Glad , Lena Miberg , Viola Nyman

Background

Women admitted to hospital during the latent phase are at higher risk of various interventions. Maternity care should enable informed decision-making and provide continuous support throughout the different labour phases.

Aim

To synthesise available research on women's experiences of labour ward midwife support during the latent phase.

Methods

A meta-synthesis as outlined by Walsh and Downe was conducted to generate a nuanced understanding of the findings from qualitative studies. A search using key words was undertaken in the following databases: PubMed, Cinahl, Scopus, Web of science and Psycinfo. Papers were included if published since 2014, in the English language and contained qualitative data addressing the study aim.

Findings

A total of nine studies were included. The result was divided into three themes: Telephone calls - being listened to or not, Video calls - seeing and being seen, In-person meeting – trying to pass the admission test. Women could feel either satisfied or dissatisfied after a phone call, video call, or visit to the labour ward; hence the form of contact was not the most significant factor, but how the midwife met and treated the woman.

Synthesis

Women who sought professional support, emphasized the need for a sensitive and individualized approach. The midwife—via phone, video, or in person—held the authority to decide on admission.

Conclusion

This meta-synthesis clearly highlights the gap in available care between the late stage of pregnancy and the active phase of labour, as well as the focus of midwives in labour ward care.

背景：潜伏期住院的妇女接受各种干预措施的风险更高。产妇保健应使产妇能够作出明智的决策，并在整个分娩阶段提供持续的支持。目的综合现有研究资料，探讨产房助产人员对产妇潜伏期支持的体会。方法采用Walsh和Downe概述的综合方法，对定性研究的结果进行细致入微的理解。使用关键词在PubMed、Cinahl、Scopus、Web of science和Psycinfo等数据库中进行检索。纳入2014年以后发表的英文论文，并包含针对研究目的的定性数据。研究结果共纳入9项研究。测试结果被分为三个主题：电话通话——被监听或不监听；视频通话——看到和被看到；面对面会议——试图通过入学考试。妇女可以通过电话、视频通话或访问产房来感到满意或不满意；因此，接触的形式并不是最重要的因素，重要的是助产士如何认识和对待妇女。寻求专业支持的妇女强调需要一种敏感和个性化的方法。助产士——通过电话、视频或亲自——有权决定是否入院。结论本综合研究明确了妊娠晚期和产程活跃期可获得护理的差距，以及助产士在产程病房护理中的重点。

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引用次数: 0