Pub Date : 2024-07-02DOI: 10.12968/bjom.2024.32.7.364
Afsha Bibi, Aana Khan
Breast self-examination allows women to check their breasts for changes or abnormalities, such as lumps, bumps and other irregularities. The purpose of this study was to evaluate understanding of performing a breast self-examination among lady health visitor and community midwifery students in Pakistan. This descriptive cross-sectional study was conducted from December 2022–April 2023 with 50 students recruited through convenient sampling. Data were collected using a structured questionnaire. Participants' understanding of breast self-examination was categorised as good (>70%), moderate (50–70%) or poor (<50%) based on their score. Only one participant had received any training on breast self-examination, and all participants reported that they would like training in future. Only 10.0% of participants had a moderate understanding of breast self-examination, while the remaining 90.0% had poor understanding. There is a significant lack of knowledge about breast self-examination among lady health visitors and midwifery students in Pakistan. There is a need for education and awareness campaigns on breast self-examination to improve understanding.
{"title":"Breast self-examination among community midwife and lady health visitor students in Pakistan","authors":"Afsha Bibi, Aana Khan","doi":"10.12968/bjom.2024.32.7.364","DOIUrl":"https://doi.org/10.12968/bjom.2024.32.7.364","url":null,"abstract":"Breast self-examination allows women to check their breasts for changes or abnormalities, such as lumps, bumps and other irregularities. The purpose of this study was to evaluate understanding of performing a breast self-examination among lady health visitor and community midwifery students in Pakistan. This descriptive cross-sectional study was conducted from December 2022–April 2023 with 50 students recruited through convenient sampling. Data were collected using a structured questionnaire. Participants' understanding of breast self-examination was categorised as good (>70%), moderate (50–70%) or poor (<50%) based on their score. Only one participant had received any training on breast self-examination, and all participants reported that they would like training in future. Only 10.0% of participants had a moderate understanding of breast self-examination, while the remaining 90.0% had poor understanding. There is a significant lack of knowledge about breast self-examination among lady health visitors and midwifery students in Pakistan. There is a need for education and awareness campaigns on breast self-examination to improve understanding.","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141684705","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}
Pub Date : 2024-07-02DOI: 10.12968/bjom.2024.32.7.380
Sam Chenery-Morris, Jo Divers
This series of six articles is inspired by themes arising from the Royal College of Midwives State of Midwifery Education report. The series explores the current landscape and challenges in educating the future midwifery workforce, particularly those that pertain to the higher education workforce. This third article highlights the lack of global majority midwifery academics, and charts the decisions and experiences of global majority applicants and students in midwifery higher education. The barriers these students face include systemic and individual racism. These experiences likely impact global majority midwives choosing academic careers, yet greater diversity and representation is needed in the education workforce. This article explores how this might be achieved by examining sources of systemic racism and how to decolonise midwifery curricula in order to tackle inequality not just for educators and professionals, but for women in midwifery care.
{"title":"The diversity debate: is midwifery higher education addressing the challenges of systemic racism?","authors":"Sam Chenery-Morris, Jo Divers","doi":"10.12968/bjom.2024.32.7.380","DOIUrl":"https://doi.org/10.12968/bjom.2024.32.7.380","url":null,"abstract":"This series of six articles is inspired by themes arising from the Royal College of Midwives State of Midwifery Education report. The series explores the current landscape and challenges in educating the future midwifery workforce, particularly those that pertain to the higher education workforce. This third article highlights the lack of global majority midwifery academics, and charts the decisions and experiences of global majority applicants and students in midwifery higher education. The barriers these students face include systemic and individual racism. These experiences likely impact global majority midwives choosing academic careers, yet greater diversity and representation is needed in the education workforce. This article explores how this might be achieved by examining sources of systemic racism and how to decolonise midwifery curricula in order to tackle inequality not just for educators and professionals, but for women in midwifery care.","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141687866","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}
Pub Date : 2024-07-02DOI: 10.12968/bjom.2024.32.7.341
Sadie Geraghty
{"title":"Supporting the older midwifery workforce","authors":"Sadie Geraghty","doi":"10.12968/bjom.2024.32.7.341","DOIUrl":"https://doi.org/10.12968/bjom.2024.32.7.341","url":null,"abstract":"","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141687120","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}
Pub Date : 2024-07-02DOI: 10.12968/bjom.2024.32.7.388
Nor Amal Hazirah Hassan, H. Rahman, Joe Knights, Sarena Hashim, Sharimawati Sharbini, Khadizah H. Abdul-Mumin
This article explores the critical role of incident reporting in enhancing women's safety in midwifery care. Given the inherently dynamic, and often unpredictable, nature of pregnancy and childbirth, midwives are frequently tasked with navigating complex clinical and emotional scenarios. As women place high expectations on midwives for safe and quality care, incident reporting serves as a vital mechanism for ongoing improvement and learning. The discussion highlights the barriers inhibiting effective incident reporting, including fear of reprisal and blame, lack of understanding of incident reporting and perceived futility. By overcoming these barriers, incident reporting not only identifies and rectifies safety concerns but also acts as a catalyst for cultivating a positive safety culture in midwifery.
{"title":"Cultivating patient safety culture in midwifery practices through incident reporting","authors":"Nor Amal Hazirah Hassan, H. Rahman, Joe Knights, Sarena Hashim, Sharimawati Sharbini, Khadizah H. Abdul-Mumin","doi":"10.12968/bjom.2024.32.7.388","DOIUrl":"https://doi.org/10.12968/bjom.2024.32.7.388","url":null,"abstract":"This article explores the critical role of incident reporting in enhancing women's safety in midwifery care. Given the inherently dynamic, and often unpredictable, nature of pregnancy and childbirth, midwives are frequently tasked with navigating complex clinical and emotional scenarios. As women place high expectations on midwives for safe and quality care, incident reporting serves as a vital mechanism for ongoing improvement and learning. The discussion highlights the barriers inhibiting effective incident reporting, including fear of reprisal and blame, lack of understanding of incident reporting and perceived futility. By overcoming these barriers, incident reporting not only identifies and rectifies safety concerns but also acts as a catalyst for cultivating a positive safety culture in midwifery.","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141686414","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}
Pub Date : 2024-07-02DOI: 10.12968/bjom.2024.32.7.342
Emily Ross, J. Ireson, Kamaljit Singh, Matthew C Winter
Molar pregnancy is a rare complication of pregnancy. Patients face surgery, human chorionic gonadotropin monitoring and potentially systemic treatment, resulting in unique support needs. This study's aim was to explore the impacts of gestational trophoblastic disease on embodied and emotional experience. This qualitative study considered stories of molar pregnancy from 20 women in the UK, US, Canada and Australia. These were drawn from 18 publicly available online blogs and eight semi-structured interviews, and analysed thematically. Three themes were developed: ‘loss’, describing women's responses to their pregnancy ending; ‘isolation’, comprising ‘rarity’, ‘lack of awareness’ and support seeking; and ‘alienation’, capturing the unfamiliarity of diagnosis, ‘failure’ and barriers to ‘moving forward’. Experiences are shaped by wider narratives of ‘typical’ pregnancy. Patient care requires an individualised and responsive approach, and non-specialist practitioners should feel confident in discussing molar pregnancy and have access to up-to-date guidance.
{"title":"Molar pregnancy: a qualitative study of personal experiences and societal narratives of loss","authors":"Emily Ross, J. Ireson, Kamaljit Singh, Matthew C Winter","doi":"10.12968/bjom.2024.32.7.342","DOIUrl":"https://doi.org/10.12968/bjom.2024.32.7.342","url":null,"abstract":"Molar pregnancy is a rare complication of pregnancy. Patients face surgery, human chorionic gonadotropin monitoring and potentially systemic treatment, resulting in unique support needs. This study's aim was to explore the impacts of gestational trophoblastic disease on embodied and emotional experience. This qualitative study considered stories of molar pregnancy from 20 women in the UK, US, Canada and Australia. These were drawn from 18 publicly available online blogs and eight semi-structured interviews, and analysed thematically. Three themes were developed: ‘loss’, describing women's responses to their pregnancy ending; ‘isolation’, comprising ‘rarity’, ‘lack of awareness’ and support seeking; and ‘alienation’, capturing the unfamiliarity of diagnosis, ‘failure’ and barriers to ‘moving forward’. Experiences are shaped by wider narratives of ‘typical’ pregnancy. Patient care requires an individualised and responsive approach, and non-specialist practitioners should feel confident in discussing molar pregnancy and have access to up-to-date guidance.","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141687365","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}
Increased rates of caesarean sections globally have potential short- and long-term impacts for mothers and babies. Research on models of care and mode of birth has reported varied results. The aim of this study was to analyse the relationship between the midwife-led model of care and mode of birth. This systematic review and meta-analysis searched PubMed, Scopus and Web of Science. Quantitative full-text open access research articles published between 2010 and 2023 in Indonesian or English were included. Research that assessed the relationship between the model and birth planning were excluded. A total of 16 articles were included. Two were experimental, and the remaining 14 were observational, with a total sample of 125 201 people. The midwife-led model supported spontaneous vaginal birth (odds ratio: 1.64, P=0.01) when compared to other models. Implementing the midwife-led model of care may increase the likelihood of physiological birth and reduce the incidence of caesarean section, especially in low-risk pregnancies.
全球剖腹产率的增加对母亲和婴儿都有潜在的短期和长期影响。有关护理模式和分娩方式的研究报告结果各不相同。本研究旨在分析助产士主导的护理模式与分娩方式之间的关系。本系统综述和荟萃分析检索了 PubMed、Scopus 和 Web of Science。纳入了 2010 年至 2023 年期间用印尼语或英语发表的定量全文开放存取研究文章。排除了评估模式与生育计划之间关系的研究。共纳入 16 篇文章。其中两篇为实验性文章，其余 14 篇为观察性文章，样本总数为 125 201 人。与其他模式相比，助产士主导模式支持自然阴道分娩（几率比：1.64，P=0.01）。实施以助产士为主导的护理模式可增加自然分娩的可能性，降低剖腹产的发生率，尤其是在低风险妊娠中。
{"title":"Impact of the midwife-led care model on mode of birth: a systematic review and meta-analysis","authors":"Farida Fitriana, Astika Gita Ningrum, Dwi Izzati, Euvanggelia Dwilda Ferdinandus, Lestari Sudaryanti, Visky Afrina, Nur Anisah Rahmawati, Marilou Pamintuan","doi":"10.12968/bjom.2024.32.7.370","DOIUrl":"https://doi.org/10.12968/bjom.2024.32.7.370","url":null,"abstract":"Increased rates of caesarean sections globally have potential short- and long-term impacts for mothers and babies. Research on models of care and mode of birth has reported varied results. The aim of this study was to analyse the relationship between the midwife-led model of care and mode of birth. This systematic review and meta-analysis searched PubMed, Scopus and Web of Science. Quantitative full-text open access research articles published between 2010 and 2023 in Indonesian or English were included. Research that assessed the relationship between the model and birth planning were excluded. A total of 16 articles were included. Two were experimental, and the remaining 14 were observational, with a total sample of 125 201 people. The midwife-led model supported spontaneous vaginal birth (odds ratio: 1.64, P=0.01) when compared to other models. Implementing the midwife-led model of care may increase the likelihood of physiological birth and reduce the incidence of caesarean section, especially in low-risk pregnancies.","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141688440","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}
Pub Date : 2024-07-02DOI: 10.12968/bjom.2024.32.7.352
Oladipupo Olalere, Clare Harley
Only 1% of UK mothers maintain exclusive breastfeeding for the first 6 months, as per global recommendations. Early breastfeeding cessation often involves complex issues, with nipple-related injuries being a common cause. This study aimed to develop an evidence-based tool for early identification and management of breastfeeding-related nipple injuries through expert consensus. A mixed method approach was used, including a 5-stage scoping review and a modified Delphi consensus technique with 26 UK-based maternal health experts and experienced breastfeeding mothers. Consensus (80% agreement) was reached on recommendations, including the provision of realistic information, early peer support engagement and Lanolin use. Some commonly recommended practices, such as letting the nipple air dry, did not reach consensus, highlighting a misalignment between expert consensus and published guidance. This study generated evidence-based, expert-validated self-management guidance, emphasising the need for improved stakeholder engagement in policy development.
{"title":"An evidence-based nipple care pathway for new breastfeeding mothers: a Delphi study","authors":"Oladipupo Olalere, Clare Harley","doi":"10.12968/bjom.2024.32.7.352","DOIUrl":"https://doi.org/10.12968/bjom.2024.32.7.352","url":null,"abstract":"Only 1% of UK mothers maintain exclusive breastfeeding for the first 6 months, as per global recommendations. Early breastfeeding cessation often involves complex issues, with nipple-related injuries being a common cause. This study aimed to develop an evidence-based tool for early identification and management of breastfeeding-related nipple injuries through expert consensus. A mixed method approach was used, including a 5-stage scoping review and a modified Delphi consensus technique with 26 UK-based maternal health experts and experienced breastfeeding mothers. Consensus (80% agreement) was reached on recommendations, including the provision of realistic information, early peer support engagement and Lanolin use. Some commonly recommended practices, such as letting the nipple air dry, did not reach consensus, highlighting a misalignment between expert consensus and published guidance. This study generated evidence-based, expert-validated self-management guidance, emphasising the need for improved stakeholder engagement in policy development.","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141685059","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}
Pub Date : 2024-06-02DOI: 10.12968/bjom.2024.32.6.282
Kirsty Knight
Kirsty Knight, founder of charity 4Louis, discusses the charity's work to support families and train healthcare professionals in the difficult times surrounding baby loss
{"title":"Supporting families with baby loss","authors":"Kirsty Knight","doi":"10.12968/bjom.2024.32.6.282","DOIUrl":"https://doi.org/10.12968/bjom.2024.32.6.282","url":null,"abstract":"Kirsty Knight, founder of charity 4Louis, discusses the charity's work to support families and train healthcare professionals in the difficult times surrounding baby loss","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141228909","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}
Pub Date : 2024-06-02DOI: 10.12968/bjom.2024.32.6.328
Emma Smith
Emma Smith discusses the effect of the current staffing crisis on low-risk birth environments, and explores how the challenges that they face may be overcome
艾玛-史密斯讨论了当前的人员危机对低风险分娩环境的影响，并探讨了如何克服这些环境所面临的挑战
{"title":"Threat to low-risk birth environments","authors":"Emma Smith","doi":"10.12968/bjom.2024.32.6.328","DOIUrl":"https://doi.org/10.12968/bjom.2024.32.6.328","url":null,"abstract":"Emma Smith discusses the effect of the current staffing crisis on low-risk birth environments, and explores how the challenges that they face may be overcome","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141228911","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}
Pub Date : 2024-06-02DOI: 10.12968/bjom.2024.32.6.281
Suzannah Allkins
{"title":"Moving talks at the Primary Care Show","authors":"Suzannah Allkins","doi":"10.12968/bjom.2024.32.6.281","DOIUrl":"https://doi.org/10.12968/bjom.2024.32.6.281","url":null,"abstract":"","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141228904","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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