Astrid Van Damme, Vlorian Molliqaj, K. Beeckman, Marsha Orgill, Octavia Wiseman
Centering-based group antenatal and postnatal care (gAPNC) can improve quality of care. Implementation benefi ts from enthusiasts and careful planning. A steering committee to oversee planning, implementation and evaluation keeps the fi re alive and can provide support for the whole implementation team. gAPNC can be adapted to the local needs to fit as best as possible with the implementing organisation and its population. Sustainability requires ongoing training and support for practitioners. This article provides insights, tips and tricks for those that are wishing to implement gAPNC.
{"title":"Implementing Group Care","authors":"Astrid Van Damme, Vlorian Molliqaj, K. Beeckman, Marsha Orgill, Octavia Wiseman","doi":"10.55975/gllp9867","DOIUrl":"https://doi.org/10.55975/gllp9867","url":null,"abstract":"Centering-based group antenatal and postnatal care (gAPNC) can improve quality of care. Implementation benefi ts from enthusiasts and careful planning. A steering committee to oversee planning, implementation and evaluation keeps the fi re alive and can provide support for the whole implementation team. gAPNC can be adapted to the local needs to fit as best as possible with the implementing organisation and its population. Sustainability requires ongoing training and support for practitioners. This article provides insights, tips and tricks for those that are wishing to implement gAPNC.","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"63 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141697606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
To improve pregnancy outcomes, group antenatal care (gANC) was introduced in the Netherlands and is now offered by a third of midwifery practices. So far it has shown improved outcomes and better care satisfaction. However, uptake varies, particularly among populations in vulnerable conditions. If upscaling of the gANC model is to be undertaken, more knowledge is needed on implementation challenges. The aim of this study was to investigate implementation of gANC amongst midwifery practices. Results show that gANC is available to women, but not all. Scaleup of the model is needed to allow all pregnant women and people to access gANC.
{"title":"GANC In The Netherlands: Implementation Results","authors":"M. Rijnders, S. Jans, Matty Crone","doi":"10.55975/sbeb4422","DOIUrl":"https://doi.org/10.55975/sbeb4422","url":null,"abstract":"To improve pregnancy outcomes, group antenatal care (gANC) was introduced in the Netherlands and is now offered by a third of midwifery practices. So far it has shown improved outcomes and better care satisfaction. However, uptake varies, particularly among populations in vulnerable conditions. If upscaling of the gANC model is to be undertaken, more knowledge is needed on implementation challenges. The aim of this study was to investigate implementation of gANC amongst midwifery practices. Results show that gANC is available to women, but not all. Scaleup of the model is needed to allow all pregnant women and people to access gANC.","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"11 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141715938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joanne Cull, G. Thomson, Soo Downe, Michelle Fine, A. Topalidou
This review brings together the views of women and maternity care professionals on routine discussion of previous trauma in the perinatal period. We included 25 papers, from five countries, published between 2001 and 2022. Women and clinicians generally felt trauma discussions were valuable provided there was adequate time and resources. Women were more likely to disclose trauma when they had a trusting relationship with the clinician, but some women chose not to share their histories regardless. Hearing trauma disclosures could be emotionally difficult for clinicians. National guidelines are needed to help midwives navigate discussions with pregnant women about past traumas.
{"title":"ASKING IN PREGNANCY ABOUT PREVIOUS TRAUMA","authors":"Joanne Cull, G. Thomson, Soo Downe, Michelle Fine, A. Topalidou","doi":"10.55975/ghmk9434","DOIUrl":"https://doi.org/10.55975/ghmk9434","url":null,"abstract":"This review brings together the views of women and maternity care professionals on routine discussion of previous trauma in the perinatal period. We included 25 papers, from five countries, published between 2001 and 2022. Women and clinicians generally felt trauma discussions were valuable provided there was adequate time and resources. Women were more likely to disclose trauma when they had a trusting relationship with the clinician, but some women chose not to share their histories regardless. Hearing trauma disclosures could be emotionally difficult for clinicians. National guidelines are needed to help midwives navigate discussions with pregnant women about past traumas.","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"226 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141039754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
During pregnancy, women and birthing people build an entourage of support, including a birth companion of choice to provide individualised care by actively participating in the childbirth process. This article examines the Bradley Method, which teaches the birth companion (husband) to coach birthing people using hands-on approaches, including massages, breathing exercises, relaxation techniques and verbal encouragement and its effect on labour outcome, coping response and maternal satisfaction with the childbirth experience.
{"title":"EFFECTIVENESS OF THE BRADLEY METHOD ON LABOUR OUTCOME IN PRIMIGRAVIDA WOMEN","authors":"Joyce Robert Mathivanan, Dr Seeta Devi","doi":"10.55975/vykw2895","DOIUrl":"https://doi.org/10.55975/vykw2895","url":null,"abstract":"During pregnancy, women and birthing people build an entourage of support, including a birth companion of choice to provide individualised care by actively participating in the childbirth process. This article examines the Bradley Method, which teaches the birth companion (husband) to coach birthing people using hands-on approaches, including massages, breathing exercises, relaxation techniques and verbal encouragement and its effect on labour outcome, coping response and maternal satisfaction with the childbirth experience.","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141051149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
As a private midwife, alongside ‘normal’ full continuity care, I provide specialist care for those facing loss and in pregnancy after loss. Parents often report that the days following identification of their baby’s death passed in a blur. Later they think about things they might have chosen to do if they had the opportunity. This is an experience common with sudden bereavements.1 The following are a few issues to consider. Because the death of a baby before birth is such an unfamiliar event in our society, most parents will not know what to ask. They are likely to appreciate guidance about the choices and options are available to them. These are outlined in the National Bereavement Care Pathway2 for those living in the UK.
作为一名私人助产士，除了 "正常 "的连续性护理外，我还为面临丧子和丧子后怀孕的人提供专业护理。父母们经常会说，在确认婴儿死亡后的日子里，他们过得很模糊。后来他们会想，如果有机会的话，他们可能会选择做一些事情。这是突然失去亲人时常见的经历1。在我们的社会中，婴儿在出生前死亡是一件非常陌生的事情，因此大多数父母都不知道该问些什么。他们很可能会希望得到有关他们可以做出的选择和方案的指导。英国的《国家丧亲护理路径》（National Bereavement Care Pathway）2 对这些问题进行了概述。
{"title":"BIRTH PLANNING WHEN A BABY HAS DIED","authors":"Angie Bowles","doi":"10.55975/kfpk6531","DOIUrl":"https://doi.org/10.55975/kfpk6531","url":null,"abstract":"As a private midwife, alongside ‘normal’ full continuity care, I provide specialist care for those facing loss and in pregnancy after loss. Parents often report that the days following identification of their baby’s death passed in a blur. Later they think about things they might have chosen to do if they had the opportunity. This is an experience common with sudden bereavements.1 The following are a few issues to consider. Because the death of a baby before birth is such an unfamiliar event in our society, most parents will not know what to ask. They are likely to appreciate guidance about the choices and options are available to them. These are outlined in the National Bereavement Care Pathway2 for those living in the UK.","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"40 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141037058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article looks at my former role as a Practice Development Midwife and offers a reflective narrative of lessons learned. The most pertinent being the importance of facilitative teaching, application of knowledge in the workplace and critically reflective conversations. You may be reading this as a midwifery educator or a clinician who undertakes mandatory training and learning in the workplace. Either way, I would encourage you to reflect on your journey and development, either providing or attending training in the workplace.
{"title":"REFLECTIVE NARRATIVE OF A PRACTICE DEVELOPMENT MIDWIFE","authors":"Claire Stringer","doi":"10.55975/qjzh9456","DOIUrl":"https://doi.org/10.55975/qjzh9456","url":null,"abstract":"This article looks at my former role as a Practice Development Midwife and offers a reflective narrative of lessons learned. The most pertinent being the importance of facilitative teaching, application of knowledge in the workplace and critically reflective conversations. You may be reading this as a midwifery educator or a clinician who undertakes mandatory training and learning in the workplace. Either way, I would encourage you to reflect on your journey and development, either providing or attending training in the workplace.","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"403 2‐3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141028386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article is the first in an occasional series focusing on early pregnancy loss reviewing the underpinning aetiology, personal impact, evidence and associated care considerations for childbearing women and people experiencing ectopic pregnancy.
{"title":"Title EARLY PREGNANCY LOSS PERSPECTIVES 1: ECTOPIC PREGNANCY","authors":"Dr Anna Byrom","doi":"10.55975/urjw5831","DOIUrl":"https://doi.org/10.55975/urjw5831","url":null,"abstract":"This article is the first in an occasional series focusing on early pregnancy loss reviewing the underpinning aetiology, personal impact, evidence and associated care considerations for childbearing women and people experiencing ectopic pregnancy.","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"8 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141058131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Supporting students and qualified staff to provide care during perinatal bereavement is a challenge. In UK culture, death remains a taboo, while the death of a child is considered even more difficult to come to terms with. Conversely, pregnancy loss is often minimised. Bringing the expertise of experience to bear as part of educational approaches to supporting learners ensures that perinatal loss is viewed as a human life event, not simply a theoretical or clinical practice issue.
{"title":"Teaching Perinatal Loss Through Lived Experience","authors":"Dr Alys Einion","doi":"10.55975/gbtb1030","DOIUrl":"https://doi.org/10.55975/gbtb1030","url":null,"abstract":"Supporting students and qualified staff to provide care during perinatal bereavement is a challenge. In UK culture, death remains a taboo, while the death of a child is considered even more difficult to come to terms with. Conversely, pregnancy loss is often minimised. Bringing the expertise of experience to bear as part of educational approaches to supporting learners ensures that perinatal loss is viewed as a human life event, not simply a theoretical or clinical practice issue.","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"21 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141058319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The unexpected death of a baby through stillbirth is a tragic and traumatic event for parents and caregivers. For midwifery students, the emotional toll of caring for bereaved parents is significant. Many students feel unprepared, lost and helpless encountering grieving parents for the first time.1 These negative emotions pose a major barrier to parents receiving high-quality compassionate care. Key skills are needed to support effective care.
{"title":"SIMULATION-ENHANCED SKILLS IN PERINATAL BEREAVEMENT CARE","authors":"Dr Anne Leyland","doi":"10.55975/gxhp3048","DOIUrl":"https://doi.org/10.55975/gxhp3048","url":null,"abstract":"The unexpected death of a baby through stillbirth is a tragic and traumatic event for parents and caregivers. For midwifery students, the emotional toll of caring for bereaved parents is significant. Many students feel unprepared, lost and helpless encountering grieving parents for the first time.1 These negative emotions pose a major barrier to parents receiving high-quality compassionate care. Key skills are needed to support effective care.","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"11 S1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141050130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
From conception to the early postnatal period a mother and baby undergo a very specific and sequential cascade of neurohormones to ensure that maternal and fetal systems are aligned for a safe and effective labour and an optimum postpartum transition. This highly-evolved hormonal process is designed to enhance outcomes, initiate vital early attachments, support successful lactation and aid haemostasis following birth. Optimising birth physiology involves optimising the birth environment, using a philosophy of care that supports physiological birth processes.
{"title":"HOW IT WORKS 6: UNDERSTANDING AND PROMOTING PHYSIOLOGICAL LABOUR AND BIRTH","authors":"Sarah E Milnes","doi":"10.55975/fske3613","DOIUrl":"https://doi.org/10.55975/fske3613","url":null,"abstract":"From conception to the early postnatal period a mother and baby undergo a very specific and sequential cascade of neurohormones to ensure that maternal and fetal systems are aligned for a safe and effective labour and an optimum postpartum transition. This highly-evolved hormonal process is designed to enhance outcomes, initiate vital early attachments, support successful lactation and aid haemostasis following birth. Optimising birth physiology involves optimising the birth environment, using a philosophy of care that supports physiological birth processes.","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"36 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141037218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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