Women and Birth最新文献

“I have to be strong”: A qualitative study of parental bereavement experiences in Uganda following the death of their baby

IF 4.4 2区医学 Q1 NURSING

Women and Birth

Pub Date : 2025-03-01 DOI: 10.1016/j.wombi.2025.101890

Georgia Stevenson , Stella Namukwaya , Joseph Katongole , Victor Tumukunde , Hannah Blencowe , Janet Seeley , Cally J. Tann , Joy E. Lawn , Diana Elbourne , Melissa M. Medvedev

Background

The death of a child is profoundly distressing for parents, often leading to acute grief and psychological complications. Most bereavement research is from high-income countries, with limited generalisability to low- and middle-income contexts where 98 % of newborn deaths occur. We explore the experiences of parents in Uganda following the death of their baby.

Methods

Qualitative interviews were conducted with 11 bereaved parents whose newborn participated in the OMWaNA trial and died while enrolled or shortly thereafter. In-depth interviews explored the experience of bereavement, the psychosocial impact, and economic consequences. Data were analysed using a deductive thematic approach.

Results

The death of a baby was consistently associated with parental stress, information delays, and uncertainty regarding the cause of death. While respondents reported a period of acute grief, many relied on their faith and social support to cope. Expectations for bereavement care from health professionals were low and instead parents focused on health professionals’ efforts to keep their baby alive and advice regarding future pregnancies. Despite financial precarity, costs and loss of income, many parents appeared comforted that they had done all they could to ensure the baby’s survival.

Conclusion

These findings illustrate the importance of understanding parental bereavement in different settings and circumstances. Rather than health worker-led models of active bereavement care, respondents relied on social support, their faith, and a focus on future pregnancies to ‘become strong.’ Further research to understand the longer-term impact of bereavement, men’s experiences and coping strategies could inform more contextually appropriate bereavement care.

{"title":"“I have to be strong”: A qualitative study of parental bereavement experiences in Uganda following the death of their baby","authors":"Georgia Stevenson , Stella Namukwaya , Joseph Katongole , Victor Tumukunde , Hannah Blencowe , Janet Seeley , Cally J. Tann , Joy E. Lawn , Diana Elbourne , Melissa M. Medvedev","doi":"10.1016/j.wombi.2025.101890","DOIUrl":"10.1016/j.wombi.2025.101890","url":null,"abstract":"<div><h3>Background</h3><div>The death of a child is profoundly distressing for parents, often leading to acute grief and psychological complications. Most bereavement research is from high-income countries, with limited generalisability to low- and middle-income contexts where 98 % of newborn deaths occur. We explore the experiences of parents in Uganda following the death of their baby.</div></div><div><h3>Methods</h3><div>Qualitative interviews were conducted with 11 bereaved parents whose newborn participated in the OMWaNA trial and died while enrolled or shortly thereafter. In-depth interviews explored the experience of bereavement, the psychosocial impact, and economic consequences. Data were analysed using a deductive thematic approach.</div></div><div><h3>Results</h3><div>The death of a baby was consistently associated with parental stress, information delays, and uncertainty regarding the cause of death. While respondents reported a period of acute grief, many relied on their faith and social support to cope. Expectations for bereavement care from health professionals were low and instead parents focused on health professionals’ efforts to keep their baby alive and advice regarding future pregnancies. Despite financial precarity, costs and loss of income, many parents appeared comforted that they had done all they could to ensure the baby’s survival.</div></div><div><h3>Conclusion</h3><div>These findings illustrate the importance of understanding parental bereavement in different settings and circumstances. Rather than health worker-led models of active bereavement care, respondents relied on social support, their faith, and a focus on future pregnancies to ‘become strong.’ Further research to understand the longer-term impact of bereavement, men’s experiences and coping strategies could inform more contextually appropriate bereavement care.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 2","pages":"Article 101890"},"PeriodicalIF":4.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143520343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Who is in the centre? A qualitative study on midwives’ experience of working with central fetal monitoring system

IF 4.4 2区医学 Q1 NURSING

Women and Birth

Pub Date : 2025-03-01 DOI: 10.1016/j.wombi.2025.101891

Helga Gottfreðsdóttir , Kirsten Small , Brynja Pála Helgadóttir , Jenny Gamble

Background

Central fetal monitoring systems are widely used and assumed to improve perinatal outcomes. However, there is a lack of studies focusing on midwives’ experiences in maternity services where central fetal monitoring technologies have been introduced.

Aim

The aim is to describe midwives’ experiences of working in a birthing service where a central fetal monitoring system had been recently introduced.

Method

Qualitative descriptive design. Three focus groups interviews were conducted with 18 midwives in a birthing service of a teaching hospital in Iceland. Content analysis was used to analyse the data set.

Findings

The main themes were 'the screen affects everything' and 'the technology has come to stay'. Midwives experienced a sense of being under surveillance, and modified their documentation to meet the information needs of staff at the central monitoring station. Experiencing unrequested visits from obstetric staff challenged midwives’ self-confidence, particularly if they were new to practice. Midwives reported tension in balancing the conflicting demands of being continuously present with the labouring woman and freedom to leave the room. Feeling that CTG interpretation was now a shared responsibility with medical staff was perceived as positive, but also altered the way midwives and doctors collaborated.

Conclusions

Introducing central fetal monitoring technology affected the culture of the birthing service in ways that may shape midwives’ perception of being a “good midwife”. The relationship between midwifery professional standards and the beliefs embedded in birth technology should be considered critically, rather than accepting that the “technology has come to stay”.

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引用次数: 0

“How are you going to remove that cobweb?” Midwifery Services Framework implementation in Zambia: A case study

IF 4.4 2区医学 Q1 NURSING

Women and Birth

Pub Date : 2025-03-01 DOI: 10.1016/j.wombi.2025.101889

Kirsty Hughes , Bwalya Mabo , Shree Mandke , Andrea Nove

Background

The Midwifery Services Framework (MSF) was devised by the International Confederation of Midwives (ICM) as an evidence-based tool to guide the process of improving sexual, reproductive, maternal, and newborn health services through strengthening and developing the midwifery workforce. The MSF was updated in 2020 and implemented in Zambia in 2020–2023. This study examined the process of MSF implementation in Zambia from the perspectives of individuals and organisations involved in implementation.

Methods

We used an Appreciative Inquiry approach to collect qualitative data from nine stakeholders via semi-structured interviews, including representatives of all organizations involved in implementation. Guided by a process evaluation framework, a content analysis was undertaken on the data.

Results

The process of MSF implementation achieved or contributed to positive results at a policy and health system level. This study identified factors that contributed to these successes, including: political will, alignment with national planning cycles and existing health system structures, broad stakeholder engagement, and intentional efforts to ensure contextualisation and local ownership of the process. Still more could have been achieved with: even broader stakeholder engagement, better understanding of key midwifery and health system concepts, and stronger data systems.

Conclusion

Future efforts to implement the MSF and other investments in strengthening the midwifery workforce should take note of these key success factors and intentionally ‘design them in’ from the outset.

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引用次数: 0

Barriers and facilitators for implementation of continuity of midwife care: A review of reviews

IF 4.4 2区医学 Q1 NURSING

Women and Birth

Pub Date : 2025-03-01 DOI: 10.1016/j.wombi.2025.101892

Gila Zarbiv , Saritte Perlman , Moriah E. Ellen

Background

Continuity of Midwife Care (CoMC) significantly improves maternal and neonatal outcomes, including reducing mortality. However, global implementation remains limited, hindered by various barriers and facilitators across healthcare settings. This review of reviews synthesizes existing evidence on barriers and facilitators to CoMC implementation using the Consolidated Framework for Implementation Research (CFIR) as an analytical tool.

Methods

Following the Joanna Briggs Institute (JBI) methodology, a review of reviews was conducted. Comprehensive searches of Embase, Medline, CINAHL, and grey literature identified reviews published between 2013 and 2024 that addressed CoMC implementation. Data were categorized by CFIR 2.0 domains: innovation characteristics, outer setting, inner setting, characteristics of individuals, and implementation processes.

Results

Six reviews met inclusion criteria. Barriers to CoMC were systemic and included hierarchical power dynamics, limited midwife autonomy, workforce shortages, and inadequate policy support. Facilitators were more context-specific, influenced by healthcare infrastructure and resources. Key facilitators included supportive leadership, collaborative care models, and national guidelines promoting CoMC.

Conclusion

Barriers to CoMC are deeply embedded in healthcare systems, while facilitators are highly dependent on local contexts. Bridging the evidence-practice gap requires applying implementation science methodologies, such as CFIR, to inform policy and intervention strategies. Collaboration between countries with similar healthcare systems can foster knowledge-sharing and adaptation of successful CoMC models. These findings offer actionable insights for policymakers and healthcare professionals to advance CoMC integration globally.

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引用次数: 0

Are the birth outcomes from a midwifery antenatal and postnatal service (MAPS) comparable to midwifery group caseload practice: A retrospective cohort study

IF 4.4 2区医学 Q1 NURSING

Women and Birth

Pub Date : 2025-02-18 DOI: 10.1016/j.wombi.2025.101870

Lyndall Mollart , Alison Gibberd , Elysse Prussing , Nicole Hainsworth , Katharine Gillett , Allison Cummins

Midwifery continuity of care has demonstrated improved outcomes for mothers and babies including higher rates of spontaneous vaginal birth and more positive birth experiences, with health services cost savings, than non-continuity of care. However, midwives report challenges with continuity of care, such as on-call for labour/birth. Health services have responded with a new model, Midwifery Antenatal and Postnatal Service (MAPS), with care from a known midwife only during pregnancy and the early postnatal period. Women in the MAPS model have intrapartum care by rostered birth suite midwives (potentially unknown to the woman) whereas Midwifery Group Practice have a known midwife.

Aim

To determine if MAPS is associated with similar perinatal outcomes for women and babies as the Midwifery Group Practice (MGP) model.

Methods

A retrospective study was undertaken using de-identified routinely collected maternity data. All women who booked in and gave birth with MGP or MAPS at one hospital in New South Wales, Australia between April 2022 - April 2023. Descriptive and inferential statistics were used to describe the data.

Results

A total of 1303 births were analysed (MGP=349, MAPS =954). The MGP cohort were more likely to experience spontaneous labour (< 0.001) with local anaesthesia or no analgesia, vaginal births without instruments (<0.001), and exclusive breastfeeding at discharge (0.004) compared to MAPS births.

Conclusion

Continuity of care with a known midwife (antenatal, labour/birth, and postnatal) was associated with less intervention and improved breastfeeding rates as supported by international literature. Future research is needed comparing MAPS to standard fragmented midwifery care.

{"title":"Are the birth outcomes from a midwifery antenatal and postnatal service (MAPS) comparable to midwifery group caseload practice: A retrospective cohort study","authors":"Lyndall Mollart , Alison Gibberd , Elysse Prussing , Nicole Hainsworth , Katharine Gillett , Allison Cummins","doi":"10.1016/j.wombi.2025.101870","DOIUrl":"10.1016/j.wombi.2025.101870","url":null,"abstract":"<div><div>Midwifery continuity of care has demonstrated improved outcomes for mothers and babies including higher rates of spontaneous vaginal birth and more positive birth experiences, with health services cost savings, than non-continuity of care. However, midwives report challenges with continuity of care, such as on-call for labour/birth. Health services have responded with a new model, Midwifery Antenatal and Postnatal Service (MAPS), with care from a known midwife only during pregnancy and the early postnatal period. Women in the MAPS model have intrapartum care by rostered birth suite midwives (potentially unknown to the woman) whereas Midwifery Group Practice have a known midwife.</div></div><div><h3>Aim</h3><div>To determine if MAPS is associated with similar perinatal outcomes for women and babies as the Midwifery Group Practice (MGP) model.</div></div><div><h3>Methods</h3><div>A retrospective study was undertaken using de-identified routinely collected maternity data. All women who booked in and gave birth with MGP or MAPS at one hospital in New South Wales, Australia between April 2022 - April 2023. Descriptive and inferential statistics were used to describe the data.</div></div><div><h3>Results</h3><div>A total of 1303 births were analysed (MGP=349, MAPS =954). The MGP cohort were more likely to experience spontaneous labour (< 0.001) with local anaesthesia or no analgesia, vaginal births without instruments (<0.001), and exclusive breastfeeding at discharge (0.004) compared to MAPS births.</div></div><div><h3>Conclusion</h3><div>Continuity of care with a known midwife (antenatal, labour/birth, and postnatal) was associated with less intervention and improved breastfeeding rates as supported by international literature. Future research is needed comparing MAPS to standard fragmented midwifery care.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 2","pages":"Article 101870"},"PeriodicalIF":4.4,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143436398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Midwives experience of working with maternity assistants: A qualitative study

IF 4.4 2区医学 Q1 NURSING

Women and Birth

Pub Date : 2025-02-13 DOI: 10.1016/j.wombi.2025.101885

Carol Crevacore , Annie De Leo , Peta Fisher , Sara Bayes

Introduction

The midwifery workforce is essential for delivering safe, high-quality maternity care, however, global staffing shortages pose significant challenges. To address these issues, incorporating midwifery assistants, including undergraduate midwifery students into the model of care has been proposed as a strategy to support midwives and maintain effective service delivery.

Aim

This study explores the Registered Midwives' experiences working with Midwifery Assistants (MAs) in an Australian tertiary maternity service.

Methods

This study employed a qualitative exploratory design and was conducted using semi-structured interviews with 9 midwives who had experienced working with MAs in the tertiary maternity care setting.

Results

The discussion highlighted three main themes from the experiences of these midwives working with MAs in tertiary maternity settings. Firstly, all types of MAs are valuable, though their scope of practice and initial knowledge base vary. Secondly, MAs enable midwives to focus on midwifery care, though their potential could be expanded. Finally, undergraduate midwifery student working as MAs gain valuable professional experience, benefiting both themselves and the midwives they assist, despite concerns about role blurring.

Discussion

Midwives are essential in maternal and newborn care, however, declining numbers in Australia, result in maternity care models needing review. Maternity assistants can be integrated into care models, providing vital support. While MAs help midwives focus on clinical tasks, role blurring, and limited numbers can be challenges. Expanding MA roles, especially for midwifery students, may enhance care quality and reduce midwives' workload.

{"title":"Midwives experience of working with maternity assistants: A qualitative study","authors":"Carol Crevacore , Annie De Leo , Peta Fisher , Sara Bayes","doi":"10.1016/j.wombi.2025.101885","DOIUrl":"10.1016/j.wombi.2025.101885","url":null,"abstract":"<div><h3>Introduction</h3><div>The midwifery workforce is essential for delivering safe, high-quality maternity care, however, global staffing shortages pose significant challenges. To address these issues, incorporating midwifery assistants, including undergraduate midwifery students into the model of care has been proposed as a strategy to support midwives and maintain effective service delivery.</div></div><div><h3>Aim</h3><div>This study explores the Registered Midwives' experiences working with Midwifery Assistants (MAs) in an Australian tertiary maternity service.</div></div><div><h3>Methods</h3><div>This study employed a qualitative exploratory design and was conducted using semi-structured interviews with 9 midwives who had experienced working with MAs in the tertiary maternity care setting.</div></div><div><h3>Results</h3><div>The discussion highlighted three main themes from the experiences of these midwives working with MAs in tertiary maternity settings. Firstly, all types of MAs are valuable, though their scope of practice and initial knowledge base vary. Secondly, MAs enable midwives to focus on midwifery care, though their potential could be expanded. Finally, undergraduate midwifery student working as MAs gain valuable professional experience, benefiting both themselves and the midwives they assist, despite concerns about role blurring.</div></div><div><h3>Discussion</h3><div>Midwives are essential in maternal and newborn care, however, declining numbers in Australia, result in maternity care models needing review. Maternity assistants can be integrated into care models, providing vital support. While MAs help midwives focus on clinical tasks, role blurring, and limited numbers can be challenges. Expanding MA roles, especially for midwifery students, may enhance care quality and reduce midwives' workload.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 2","pages":"Article 101885"},"PeriodicalIF":4.4,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143403247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The preparedness and readiness of rural and remote primary care midwives working in low- and middle-income countries: A scoping review

IF 4.4 2区医学 Q1 NURSING

Women and Birth

Pub Date : 2025-02-13 DOI: 10.1016/j.wombi.2024.101866

Kristen Graham , Samantha Colquhoun , Christine LaBond , Tambri Housen , Hlengiwe Mohale , Sai Campbell , Linda Sweet

Background

A well-prepared and supported midwifery workforce is essential to providing quality maternal and neonatal health care in rural and remote communities in low- and middle-income countries.

Aim

To identify the extent and type of research related to the preparedness and readiness of primary care midwives working in rural and remote settings in low- and middle-income countries.

Methods

We conducted a scoping review of primary research literature published between 2010 and 2023.

Findings

We identified 62 papers for inclusion, reported in two sections. Section 1 scopes the 52 papers discussing midwives' preparedness and readiness challenges, enablers and recommendations for the rural and remote context in low- and middle-income countries. We report the findings under four categories: 1). Professional preparation and competence; 2). Supportive work environments; 3). Ready, willing, and able; and 4). Governance, policy, and regulation. Section 2 scopes the 16 papers that evaluated strategies to strengthen midwives' preparedness and readiness in rural and remote contexts of low- and middle-income countries. We report these findings under three categories: 1). Education, training, and mentoring; 2). Readiness through technology: and 3). Midwifery workforce. Six papers are relevant to both sections.

Discussion

There is limited research evidence on primary care midwives' rural and remote preparedness and readiness in low- and middle-income countries. However, the existing literature demonstrates that midwives need contextually relevant education, training, and support in providing quality care in rural and remote health care environments in low- and middle-income countries.

Conclusion

Further investments are required to improve primary care midwives' preparedness and readiness for rural and remote low- and middle-income country settings.

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引用次数: 0

Who plans to give birth with a doula? Demographic factors and perceptions of birth

IF 4.4 2区医学 Q1 NURSING

Women and Birth

Pub Date : 2025-02-11 DOI: 10.1016/j.wombi.2025.101880

Yael Benyamini , Selen Tovim , Heidi Preis

Problem

Research has demonstrated the benefits of continuous care during childbirth, particularly with doula support. However, much less is known about the factors underlying pregnant women’s plans to have doula support.

Background

Doulas provide one-on-one continuous care, emotional support, and advocacy, in a culturally sensitive way.

Aim and questions

We aimed to investigate the characteristics of pregnant women who consider doula support and whether it is related to their birth experiences, beliefs and concerns, including fear of childbirth and of the staff, beliefs about birth as a natural and as a medical process, and expectations of motherhood.

Method

A cross-sectional study, in which pregnant women (N = 1593) recruited in prenatal clinics completed questionnaires regarding socio-demographics, obstetric history, beliefs and concerns about birth, maternal expectations, and their plans for mode and place of birth and for having doula care.

Findings

Women who planned to have doula care were more likely to be nulliparous and to plan a more natural birth. A doula plan was more prevalent among recent immigrants, religious women, women who viewed birth as natural and not as medical, and were concerned about the staff’s attitude and control during birth.

Discussion

In a medicalised maternity care system, women who view birth as natural birth and who have concerns regarding the care they will receive, are more likely to plan doula care.

Conclusion

Understanding the factors related to a doula plan may uncover unmet needs, particularly the need for culturally sensitive care and support for women’s personal choices.

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引用次数: 0

Impact of baby-friendly hospital initiatives on breastfeeding outcomes: Systematic review and meta-analysis

IF 4.4 2区医学 Q1 NURSING

Women and Birth

Pub Date : 2025-02-06 DOI: 10.1016/j.wombi.2025.101881

Ying Wei Fan , Heidi Sze Lok Fan , Jeffery Sheung Yu Shing , Hoi Lam Ip , Daniel Yee Tak Fong , Kris Yuet Wan Lok

Background

The Baby-Friendly Hospital Initiative (BFHI) is a global effort promoting the Ten Steps to support breastfeeding in maternity-care facilities.

Aim

This study examined the effect of BFHI on breastfeeding outcomes, focusing on initiation rates, exclusive breastfeeding durations, and factors influencing its effectiveness.

Methods

A systematic review and meta-analysis were conducted by searching nine databases (1991 to February 2024). Included studies were experimental, quasi-experimental, or observational studies, with sites implementing the full BFHI or at least three steps. Two reviewers independently screened studies, assessed risk of bias, and extracted data. Random-effects models were used for pooled results, with subgroup analyses based on BFHI status and country income level.

Discussion

Eighty-six studies were included. Infants in BFHI hospitals were more likely to be exclusively breastfed at ≤ 3 months (OR= 1.77; 95 % CI: 1.37–2.29) and 3–6 months (OR= 1.82; 95 % CI: 1.26–2.61). Higher rates of any breastfeeding were observed at ≤ 3 months (OR= 1.48; 95 % CI: 1.17–1.87), 3–6 months (OR= 1.75; 95 % CI: 1.18–2.61) and at > 6 months (OR= 2.34; 95 % CI: 1.04–5.27).

Conclusions

BFHI implementation positively impacts breastfeeding outcomes, with both short- and long-term effects. Partial implementation also correlates with higher exclusive breastfeeding rates. Insignificant differences across income levels may reflect the limited number of studies in low-and middle- income countries. Further research with longer-term follow up is needed to confirm long-term effects.

{"title":"Impact of baby-friendly hospital initiatives on breastfeeding outcomes: Systematic review and meta-analysis","authors":"Ying Wei Fan , Heidi Sze Lok Fan , Jeffery Sheung Yu Shing , Hoi Lam Ip , Daniel Yee Tak Fong , Kris Yuet Wan Lok","doi":"10.1016/j.wombi.2025.101881","DOIUrl":"10.1016/j.wombi.2025.101881","url":null,"abstract":"<div><h3>Background</h3><div>The Baby-Friendly Hospital Initiative (BFHI) is a global effort promoting the Ten Steps to support breastfeeding in maternity-care facilities.</div></div><div><h3>Aim</h3><div>This study examined the effect of BFHI on breastfeeding outcomes, focusing on initiation rates, exclusive breastfeeding durations, and factors influencing its effectiveness.</div></div><div><h3>Methods</h3><div>A systematic review and meta-analysis were conducted by searching nine databases (1991 to February 2024). Included studies were experimental, quasi-experimental, or observational studies, with sites implementing the full BFHI or at least three steps. Two reviewers independently screened studies, assessed risk of bias, and extracted data. Random-effects models were used for pooled results, with subgroup analyses based on BFHI status and country income level.</div></div><div><h3>Discussion</h3><div>Eighty-six studies were included. Infants in BFHI hospitals were more likely to be exclusively breastfed at ≤ 3 months (OR= 1.77; 95 % CI: 1.37–2.29) and 3–6 months (OR= 1.82; 95 % CI: 1.26–2.61). Higher rates of any breastfeeding were observed at ≤ 3 months (OR= 1.48; 95 % CI: 1.17–1.87), 3–6 months (OR= 1.75; 95 % CI: 1.18–2.61) and at > 6 months (OR= 2.34; 95 % CI: 1.04–5.27).</div></div><div><h3>Conclusions</h3><div>BFHI implementation positively impacts breastfeeding outcomes, with both short- and long-term effects. Partial implementation also correlates with higher exclusive breastfeeding rates. Insignificant differences across income levels may reflect the limited number of studies in low-and middle- income countries. Further research with longer-term follow up is needed to confirm long-term effects.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 2","pages":"Article 101881"},"PeriodicalIF":4.4,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143215516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Enhancing Midwifery and lactation support for women in natural disasters and humanitarian crises

IF 4.4 2区医学 Q1 NURSING

Women and Birth

Pub Date : 2025-02-05 DOI: 10.1016/j.wombi.2025.101884

Qorinah Estiningtyas Sakilah Adnani , Maeve Anne O'Connell , Jodine Chase , Neha Mankani , Guldane Damla Kaya , Caroline SE Homer

引用次数: 0