Pub Date : 2023-09-02DOI: 10.12968/bjom.2023.31.9.496
Wahyul Anis, Erni Rosita Dewi, R. Ulhaq, S. R. Devy, Budi Prasetyo, Diah Indriani, Kasiati
The Indonesian family planning programme promotes contraceptive use to control population density. Counselling is widely used to improve contraceptive use. The aim of this study was to explore women's use of contraceptives before and after counselling. This cross-sectional study collected data from 10 790 women across 10 districts/cities in East Java. The data obtained were analysed using descriptive statistical analysis and paired t-tests. After counselling, use of contraceptives increased significantly (P<0.001), from 75.8% using contraceptives before counselling to 99.98% using them after counselling. Use of the contraceptive pill notably increased from 16.7% to 40.9%. Short-term contraceptives were most popular with women in this population. Counselling can contribute to increased use of long-term contraceptive methods.
{"title":"Use of contraceptives in a high-income population: a cross-sectional study in Indonesia","authors":"Wahyul Anis, Erni Rosita Dewi, R. Ulhaq, S. R. Devy, Budi Prasetyo, Diah Indriani, Kasiati","doi":"10.12968/bjom.2023.31.9.496","DOIUrl":"https://doi.org/10.12968/bjom.2023.31.9.496","url":null,"abstract":"The Indonesian family planning programme promotes contraceptive use to control population density. Counselling is widely used to improve contraceptive use. The aim of this study was to explore women's use of contraceptives before and after counselling. This cross-sectional study collected data from 10 790 women across 10 districts/cities in East Java. The data obtained were analysed using descriptive statistical analysis and paired t-tests. After counselling, use of contraceptives increased significantly (P<0.001), from 75.8% using contraceptives before counselling to 99.98% using them after counselling. Use of the contraceptive pill notably increased from 16.7% to 40.9%. Short-term contraceptives were most popular with women in this population. Counselling can contribute to increased use of long-term contraceptive methods.","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49432762","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 : 2023-09-02DOI: 10.12968/bjom.2023.31.9.534
Rebecca A Manning
Rebecca Alexandra Manning explores her experience of a year-long preceptorship experience and what she knows now
丽贝卡·亚历山德拉·曼宁（Rebecca Alexandra Manning）探索了她长达一年的导师经历，以及她现在所知道的
{"title":"Reflecting on the preceptorship year","authors":"Rebecca A Manning","doi":"10.12968/bjom.2023.31.9.534","DOIUrl":"https://doi.org/10.12968/bjom.2023.31.9.534","url":null,"abstract":"Rebecca Alexandra Manning explores her experience of a year-long preceptorship experience and what she knows now","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48648095","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 : 2023-09-02DOI: 10.12968/bjom.2023.31.9.502
Kimberley-Ann Crossan, S. Geraghty, Kirstie Balding
Midwives are vital healthcare professionals that are autonomous and passionate specialists on women, pregnancy, birthing and families. Staying up to date with contemporary issues enhances their ability to provide high-quality evidence-based care. One aspect of maternal care that is changing is the use of gender-neutral language. The aim of this review was to examine the use of gender-neutral language in maternity settings and collate the literature to expose any knowledge gaps. A narrative literature review was conducted, using primary research and literature reviews from the Cochrane Library, CINAHL and MEDLINE databases. A total of 106 articles were included. Data analysis yielded four themes: etymology and the origins of language in maternity, the effects of language in maternity, attitudes, and social media and language. The literature identified the perspective of the lesbian, gay, bisexual, transgender, intersex, queer or questioning, asexual and other sexually or gender diverse population who have accessed maternity and childcare services. Not all literature was maternity specific, but provided insight into how to improve maternity services. It is recommended that education be provided for healthcare professionals when working with the LGBTIQA+ community. Updating paperwork and policies at a structural level will have a vast impact holistically on LGBTIQA+ maternity consumers.
{"title":"The use of gender-neutral language in maternity settings: a narrative literature review","authors":"Kimberley-Ann Crossan, S. Geraghty, Kirstie Balding","doi":"10.12968/bjom.2023.31.9.502","DOIUrl":"https://doi.org/10.12968/bjom.2023.31.9.502","url":null,"abstract":"Midwives are vital healthcare professionals that are autonomous and passionate specialists on women, pregnancy, birthing and families. Staying up to date with contemporary issues enhances their ability to provide high-quality evidence-based care. One aspect of maternal care that is changing is the use of gender-neutral language. The aim of this review was to examine the use of gender-neutral language in maternity settings and collate the literature to expose any knowledge gaps. A narrative literature review was conducted, using primary research and literature reviews from the Cochrane Library, CINAHL and MEDLINE databases. A total of 106 articles were included. Data analysis yielded four themes: etymology and the origins of language in maternity, the effects of language in maternity, attitudes, and social media and language. The literature identified the perspective of the lesbian, gay, bisexual, transgender, intersex, queer or questioning, asexual and other sexually or gender diverse population who have accessed maternity and childcare services. Not all literature was maternity specific, but provided insight into how to improve maternity services. It is recommended that education be provided for healthcare professionals when working with the LGBTIQA+ community. Updating paperwork and policies at a structural level will have a vast impact holistically on LGBTIQA+ maternity consumers.","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43784805","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 : 2023-09-02DOI: 10.12968/bjom.2023.31.9.485
Suzannah Allkins
{"title":"Perinatal mental health support in the UK","authors":"Suzannah Allkins","doi":"10.12968/bjom.2023.31.9.485","DOIUrl":"https://doi.org/10.12968/bjom.2023.31.9.485","url":null,"abstract":"","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47296971","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 : 2023-09-02DOI: 10.12968/bjom.2023.31.9.512
K. Webb, Rose Rickford, Charlotte Edun, Anna Melamed
Research into the experiences of trans and non-binary users of maternity services in England was recently commissioned by the Health and Wellbeing Alliance. It was conducted by the LGBT Foundation, culminating in the ‘improving trans and non-binary experiences of maternity services’ report, which made a range of recommendations for the NHS. This article argues that there are substantial problems with the framing, data collection and interpretation of data in the report, and that its findings and recommendations should therefore be viewed with substantial caution, and not be used as the basis of NHS policy. The authors further argue that caution should be taken before using the experiences of a very small minority of service users, such as those who identify as trans and non-binary, to inform policy for all service users, and instead suggest that personalised care may be the most suitable approach to meeting the specific needs of trans and non-binary maternity service users.
{"title":"Trans and non-binary experiences of maternity services: cautioning against acting without evidence","authors":"K. Webb, Rose Rickford, Charlotte Edun, Anna Melamed","doi":"10.12968/bjom.2023.31.9.512","DOIUrl":"https://doi.org/10.12968/bjom.2023.31.9.512","url":null,"abstract":"Research into the experiences of trans and non-binary users of maternity services in England was recently commissioned by the Health and Wellbeing Alliance. It was conducted by the LGBT Foundation, culminating in the ‘improving trans and non-binary experiences of maternity services’ report, which made a range of recommendations for the NHS. This article argues that there are substantial problems with the framing, data collection and interpretation of data in the report, and that its findings and recommendations should therefore be viewed with substantial caution, and not be used as the basis of NHS policy. The authors further argue that caution should be taken before using the experiences of a very small minority of service users, such as those who identify as trans and non-binary, to inform policy for all service users, and instead suggest that personalised care may be the most suitable approach to meeting the specific needs of trans and non-binary maternity service users.","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49397803","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 : 2023-09-02DOI: 10.12968/bjom.2023.31.9.519
Vikki Park, N. Mclarnon, M. Hutchings, Alison Power, Sharron Blumenthal, L. Wetzlmair, M. Sy, J. McDermott, Louise Boyle, Chulani Herath, E. Anderson
This article concludes the interprofessional education series published by the Centre for the Advancement of Interprofessional Education Research Subgroup, and considers the lessons that can be learned from experiences of emergency remote teaching during the COVID-19 pandemic. Consideration is given to the practicalities of emergency remote teaching, including its preparation, delivery and proposed outcomes of using online platforms for interprofessional education. The article is written as a guide for others to draw on and includes considerations for future delivery and sustainability of interprofessional education in midwifery practice and other fields of health and social care.
{"title":"Interprofessional education after the pandemic: lessons learned and future considerations","authors":"Vikki Park, N. Mclarnon, M. Hutchings, Alison Power, Sharron Blumenthal, L. Wetzlmair, M. Sy, J. McDermott, Louise Boyle, Chulani Herath, E. Anderson","doi":"10.12968/bjom.2023.31.9.519","DOIUrl":"https://doi.org/10.12968/bjom.2023.31.9.519","url":null,"abstract":"This article concludes the interprofessional education series published by the Centre for the Advancement of Interprofessional Education Research Subgroup, and considers the lessons that can be learned from experiences of emergency remote teaching during the COVID-19 pandemic. Consideration is given to the practicalities of emergency remote teaching, including its preparation, delivery and proposed outcomes of using online platforms for interprofessional education. The article is written as a guide for others to draw on and includes considerations for future delivery and sustainability of interprofessional education in midwifery practice and other fields of health and social care.","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46540376","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 : 2023-08-02DOI: 10.12968/bjom.2023.31.8.468
Damia Hazimah Asnawi, D. R. Idris, L. Mckenna, Khadizah H. Abdul-Mumin
Extensive research focuses on the advantages and disadvantages of various positions throughout active second stage labour, but there is limited focus on midwives’ practice. This study aimed to explore midwives’ practice of maternal positions throughout the active phase of second stage labour. An integrative review of three databases was carried out for research papers published between 2015 and 2022. Thematic analysis was used for data analysis and synthesis. Five eligible research papers were included. There were four key findings: maternal positions practised by midwives, midwives as the prime decision maker, midwives’ personal convenience and comfort, and barriers to practising maternal positions. Midwives were seen as prime decision makers, who hindered informed decision making on maternal positions during active second stage labour. Inadequate knowledge, skills and confidence were barriers to practice and attributed to midwives adopting positions that were convenient and comfortable for themselves. Strategies are needed to enhance practice through review and evaluation of current clinical settings, regular updates to evidence-based practice and refreshing essential midwifery skills.
{"title":"Midwives’ practice of maternal positions throughout active second stage labour: an integrative review","authors":"Damia Hazimah Asnawi, D. R. Idris, L. Mckenna, Khadizah H. Abdul-Mumin","doi":"10.12968/bjom.2023.31.8.468","DOIUrl":"https://doi.org/10.12968/bjom.2023.31.8.468","url":null,"abstract":"Extensive research focuses on the advantages and disadvantages of various positions throughout active second stage labour, but there is limited focus on midwives’ practice. This study aimed to explore midwives’ practice of maternal positions throughout the active phase of second stage labour. An integrative review of three databases was carried out for research papers published between 2015 and 2022. Thematic analysis was used for data analysis and synthesis. Five eligible research papers were included. There were four key findings: maternal positions practised by midwives, midwives as the prime decision maker, midwives’ personal convenience and comfort, and barriers to practising maternal positions. Midwives were seen as prime decision makers, who hindered informed decision making on maternal positions during active second stage labour. Inadequate knowledge, skills and confidence were barriers to practice and attributed to midwives adopting positions that were convenient and comfortable for themselves. Strategies are needed to enhance practice through review and evaluation of current clinical settings, regular updates to evidence-based practice and refreshing essential midwifery skills.","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43270090","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 : 2023-08-02DOI: 10.12968/bjom.2023.31.8.428
Suchita Bahri, Kaveetha Kandiah, C. Maxwell-Armstrong, Rowena Pykett, C. Boereboom
The incidence of obstetric anal sphincter injury in the UK is rising. This condition leads to significant morbidity in otherwise healthy women. Significant long-term complications of obstetric anal sphincter injury include anal incontinence, ano-vaginal or recto-vaginal fistula and psychological distress. Current management of third and fourth degree perineal tears post-vaginal birth is primary repair. This article discusses the role of a defunctioning colostomy in women with severe perineal tears in the immediate postnatal period. A defunctioning colostomy is a surgical procedure to open a section of colon (large bowel) onto the abdominal wall; a stoma bag is then worn over this to collect faeces. The rectum and anal canal are not used (defunctioned), while the stoma is in place and the perineum is healing. This article describes the purpose and operative steps of colostomy formation and reviews current published evidence of outcomes in those with colostomy formation for obstetric anal sphincter injury. It also addresses the difference in clinical approach between obstetricians and colorectal surgeons in relation to the management of severe obstetric anal sphincter injury and highlight the need for multidisciplinary input.
{"title":"Obstetric anal sphincter injuries: are defunctioning colostomies required?","authors":"Suchita Bahri, Kaveetha Kandiah, C. Maxwell-Armstrong, Rowena Pykett, C. Boereboom","doi":"10.12968/bjom.2023.31.8.428","DOIUrl":"https://doi.org/10.12968/bjom.2023.31.8.428","url":null,"abstract":"The incidence of obstetric anal sphincter injury in the UK is rising. This condition leads to significant morbidity in otherwise healthy women. Significant long-term complications of obstetric anal sphincter injury include anal incontinence, ano-vaginal or recto-vaginal fistula and psychological distress. Current management of third and fourth degree perineal tears post-vaginal birth is primary repair. This article discusses the role of a defunctioning colostomy in women with severe perineal tears in the immediate postnatal period. A defunctioning colostomy is a surgical procedure to open a section of colon (large bowel) onto the abdominal wall; a stoma bag is then worn over this to collect faeces. The rectum and anal canal are not used (defunctioned), while the stoma is in place and the perineum is healing. This article describes the purpose and operative steps of colostomy formation and reviews current published evidence of outcomes in those with colostomy formation for obstetric anal sphincter injury. It also addresses the difference in clinical approach between obstetricians and colorectal surgeons in relation to the management of severe obstetric anal sphincter injury and highlight the need for multidisciplinary input.","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66713022","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 : 2023-08-02Epub Date: 2023-08-04DOI: 10.12968/bjom.2023.31.8.436
E Schneider, O Hamer, C Smith, J Hill
{"title":"Beyond body mass index: a synthesis of lifestyle factors that may influence in vitro fertilisation outcomes.","authors":"E Schneider, O Hamer, C Smith, J Hill","doi":"10.12968/bjom.2023.31.8.436","DOIUrl":"10.12968/bjom.2023.31.8.436","url":null,"abstract":"","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7616016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44061973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-02DOI: 10.12968/bjom.2023.31.8.454
D. Sarimin, Yourisna Pasambo, Ni Luh Jayanthi Desyani
The rate of exclusive breastfeeding among working mothers is low, and can be attributed to the perception of inadequate breast milk, lack of knowledge about expression, limited time to express and lack of support from workplace leaders. This study aimed to determine the effectiveness of educational videos on milk management in improving working women's knowledge, attitudes and self-efficacy in expressing breast milk. This study used a quasi-experimental design, with a sample of 100 participants selected for a cluster randomised trial. The intervention group (n=50) watched educational videos on expressed breast milk and were mentored through a WhatsApp group, while the control group (n=50) received regular education for pregnant women working in urban areas. Data on the participants knowledge, attitude and self-efficacy were collected via questionnaires both before and after the intervention. The data were analysed using the Mann-Whitney test. The intervention group had higher knowledge, attitude and self-efficacy scores after watching the educational videos and being mentored (P=0.001). Educational videos and mentoring can be used by healthcare professionals to provide education and support for working women, to encourage breast milk expression and exclusive breastfeeding.
{"title":"Trialling an expressed breast milk management video for pregnant women in Indonesia","authors":"D. Sarimin, Yourisna Pasambo, Ni Luh Jayanthi Desyani","doi":"10.12968/bjom.2023.31.8.454","DOIUrl":"https://doi.org/10.12968/bjom.2023.31.8.454","url":null,"abstract":"The rate of exclusive breastfeeding among working mothers is low, and can be attributed to the perception of inadequate breast milk, lack of knowledge about expression, limited time to express and lack of support from workplace leaders. This study aimed to determine the effectiveness of educational videos on milk management in improving working women's knowledge, attitudes and self-efficacy in expressing breast milk. This study used a quasi-experimental design, with a sample of 100 participants selected for a cluster randomised trial. The intervention group (n=50) watched educational videos on expressed breast milk and were mentored through a WhatsApp group, while the control group (n=50) received regular education for pregnant women working in urban areas. Data on the participants knowledge, attitude and self-efficacy were collected via questionnaires both before and after the intervention. The data were analysed using the Mann-Whitney test. The intervention group had higher knowledge, attitude and self-efficacy scores after watching the educational videos and being mentored (P=0.001). Educational videos and mentoring can be used by healthcare professionals to provide education and support for working women, to encourage breast milk expression and exclusive breastfeeding.","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46018633","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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