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British Journal of Midwifery最新文献

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Bouncing your way to labour and birth using biomechanics and fetal optimal positioning 利用生物力学和胎儿最佳定位,以弹跳方式分娩和生产
Q2 Nursing Pub Date : 2024-05-02 DOI: 10.12968/bjom.2024.32.5.226
Roisin Lennon
‘Labour hopscotch’ is a visual tool that encourages activity during pregnancy and childbirth. It has been used in one advanced midwife practitioner service since 2017 and more widely across in Ireland since 2020. The biomechanics for birth toolkit was added to advanced midwife practitioner care in 2022. This study's aim was to ascertain if the biomechanics for birth toolkit impacted gestation of spontaneous onset of labour rates and birth outcomes. A retrospective study of onset of labour and birth outcomes was conducted for women before (n=155) and after (n=154) the biomechanics for birth toolkit was incorporated into care. Before the toolkit was included, there was a 57.2% spontaneous onset of labour rate, with 33.2% birthing before 41 weeks. After the kit's inclusion, there was a 72.2% spontaneous onset of labour, with 91.8% birthing before 41 weeks. Induction rates dropped from 42.8% to 27.8%, with emergency caesarean section rates following induction dropping from 33.1% to 23.8%. Using the biomechanics for birth toolkit alongside the labour hopscotch tool could increase spontaneous onset of labour rates, optimise physiological birth, reduce inductions and emergency caesarean section following induction.
分娩跳房子 "是一种可视化工具,用于鼓励孕期和分娩期间的活动。自 2017 年起,该工具已在一项高级助产士服务中使用,并自 2020 年起在爱尔兰各地更广泛地使用。2022 年,高级助产士护理中增加了分娩生物力学工具包。本研究旨在确定分娩生物力学工具包是否会影响妊娠自发临产率和分娩结局。在将分娩生物力学工具包纳入护理之前(人数=155)和之后(人数=154),我们对产妇的临产率和分娩结果进行了回顾性研究。在纳入工具包之前,自然分娩率为 57.2%,其中 33.2% 在 41 周之前分娩。纳入工具包后,自然分娩率为 72.2%,91.8% 的产妇在 41 周前分娩。引产率从 42.8% 降至 27.8%,引产后的紧急剖腹产率从 33.1% 降至 23.8%。在使用 "分娩跳房子 "工具的同时使用 "分娩生物力学工具包",可以提高自然分娩率,优化生理性分娩,减少引产和引产后的紧急剖腹产。
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引用次数: 0
Improving specialist services for FGM 改善切割女性生殖器的专业服务
Q2 Nursing Pub Date : 2024-05-02 DOI: 10.12968/bjom.2024.32.5.270
Juliet Albert
Juliet Albert explores a new project, ACERS-UK, which is currently underway and aiming to improve specialist service provision for survivors of female genital mutilation
朱丽叶-艾伯特(Juliet Albert)探讨了一个新项目--英国 ACERS,该项目目前正在进行中,旨在改善为女性外阴残割幸存者提供的专业服务。
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引用次数: 0
Using a novel approach to explore women's caesarean birth experience 使用新方法探索妇女的剖腹产经历
Q2 Nursing Pub Date : 2024-05-02 DOI: 10.12968/bjom.2024.32.5.258
Linda J Deys, Valerie Wilson, Sara Bayes, Shahla Meedya
How a woman experiences birth is influenced by how she is treated, and who has power and control in the birthing environment. Focus on ‘delivery’ of an infant disregards the transformative event for the woman, with poorer physical and psychological outcomes. New evidence is needed to understand how to prevent trauma and improve maternal wellbeing. This paper presents a feminist methodology to view the lived experience of caesarean birth. Feminist birthing theories integrated with a phenomenological perspective provide insight for those working in maternity care and create a novel framework for researchers considering the position of women in a medicalised healthcare system. Feminist phenomenology with a theoretical feminist overlay refreshes the methodological framework for a new understanding of how this perinatal event impacts women.
妇女的分娩经历受其待遇以及分娩环境中谁拥有权力和控制权的影响。只关注婴儿的 "分娩",忽视了产妇的转变过程,其生理和心理结果都较差。我们需要新的证据来了解如何预防创伤和改善产妇的福祉。本文介绍了一种女性主义方法来观察剖腹产的生活体验。女性主义分娩理论与现象学视角相结合,为从事孕产妇护理工作的人员提供了深入的见解,并为研究人员提供了一个新颖的框架,以考虑妇女在医疗保健系统中的地位。女性主义现象学与女性主义理论的叠加刷新了方法论框架,使人们对这一围产期事件如何影响妇女有了新的认识。
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引用次数: 0
Qualitative service evaluation of a rural midwife-led ultrasound service: listening to women 对农村助产士主导的超声波服务进行定性服务评估:倾听妇女的心声
Q2 Nursing Pub Date : 2024-05-02 DOI: 10.12968/bjom.2024.32.5.233
Lynn Jones
Patient experience is needed to understand if a service is meeting the needs of the population it serves. In rural areas, accessing maternity services can be challenging for women. Local provision should be explored and consistently reviewed to adapt to changing social requirements and expectations. The aim of this study was to examine a rural midwifery-led ultrasound service 5 years after implementation and post COVID-19, to ascertain if the service provides a positive service user experience. A qualitative service evaluation was carried out using semi-structured interviews with four service users. Data were analysed using content analysis. Positive aspects of the service included continuity of care, communication, time to care, financial benefits and inclusivity in care and care decisions. It was noted that the ultrasound service was in the opposite direction from their homes to the obstetric service if participants needed to be referred for consultant opinion the same day. The significant underlying theme was the positive impact on mental wellbeing and patient experience in pregnancy when attending the service. There was a high level of satisfaction with the service. Engagement of a broader spectrum of women would provide deeper insight into the service and robust evidence for any service development.
要了解一项服务是否满足了所服务人群的需求,就需要患者的体验。在农村地区,妇女获得产科服务可能具有挑战性。应探索并不断审查当地提供的服务,以适应不断变化的社会要求和期望。本研究旨在考察一项由助产士主导的农村超声波服务在实施 5 年后和 COVID-19 后的情况,以确定该服务是否为用户提供了积极的服务体验。通过对四名服务使用者进行半结构化访谈,对服务进行了定性评估。采用内容分析法对数据进行了分析。服务的积极方面包括护理的连续性、沟通、护理时间、经济效益以及护理和护理决策的包容性。我们注意到,如果参加者需要在同一天转诊听取顾问的意见,超声波服务与他们的家和产科服务方向相反。一个重要的基本主题是,参加该服务对患者的心理健康和孕期体验产生了积极影响。患者对服务的满意度很高。让更多的妇女参与进来,可以让她们更深入地了解这项服务,并为任何服务发展提供有力的证据。
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引用次数: 0
Support for antenatal screening 支持产前筛查
Q2 Nursing Pub Date : 2024-05-02 DOI: 10.12968/bjom.2024.32.5.222
Katy MacWard
Katy MacWard, from Antenatal Results and Choices, discusses the charity's work to support parents throughout antenatal screening and diagnosis.
产前结果与选择 "组织的凯蒂-麦克沃德(Katy MacWard)讨论了该慈善组织在产前筛查和诊断过程中为父母提供支持的工作。
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引用次数: 0
Learning from bereaved parents 向失去双亲的父母学习
Q2 Nursing Pub Date : 2024-04-02 DOI: 10.12968/bjom.2024.32.4.170
Mehali Patel, Julia Clark
Mehali Patel and Julia Clark discuss the Sands Listening Project, and what was learnt from the experiences of Black and Asian bereaved parents
梅哈里-帕特尔(Mehali Patel)和朱莉娅-克拉克(Julia Clark)讨论了 "金沙倾听项目",以及从黑人和亚裔丧子父母的经历中学到的东西。
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引用次数: 0
The gender debate: is midwifery education ‘women's work’? 性别辩论:助产教育是 "妇女的工作 "吗?
Q2 Nursing Pub Date : 2024-04-02 DOI: 10.12968/bjom.2024.32.4.202
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 second article highlights some of the inequalities experienced by the majority female midwifery education workforce and their impact, exploring how these inequalities are symptomatic of many of the inequalities women experience more generally within patriarchal structures. The article examines if midwifery education is ‘women's work’, and how this can work to impede progression in leadership, research and scholarship for midwifery academics. How midwifery curricula can influence the future academic workforce in dismantling inequality is also considered.
本系列文章共六篇,灵感来源于英国皇家助产士学院助产士教育现状报告中的主题。该系列文章探讨了当前助产士队伍教育的现状和挑战,尤其是与高等教育队伍相关的挑战。第二篇文章强调了助产士教育队伍中大多数女性所经历的一些不平等现象及其影响,探讨了这些不平等现象如何体现了女性在父权制结构中普遍经历的许多不平等现象。文章探讨了助产士教育是否是 "女性的工作",以及这如何阻碍助产士学者在领导力、研究和学术方面的发展。文章还探讨了助产课程如何影响未来的学术队伍,以消除不平等。
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引用次数: 0
Autistic women's experiences of the antenatal, intrapartum and early postnatal periods 自闭症妇女在产前、产中和产后早期的经历
Q2 Nursing Pub Date : 2024-04-02 DOI: 10.12968/bjom.2024.32.4.180
Vikki Stuart, Ellen Kitson-Reynolds
Autism is a neurodevelopmental disability affecting interpersonal communication and interaction, and has a prevalence of more than 1% of the population. This review aimed to identify what midwives in England can learn from studies exploring the experiences of autistic women in the antenatal, intrapartum and early postnatal periods. A systematic literature search was conducted using seven electronic databases. Thematic analysis was performed, based on Braun and Clarke. Three themes were found: autism diagnosis and disclosure, communication and interaction with healthcare professionals, babies and groups, and sensory difficulties. Autistic women experience many challenges during the antenatal, intrapartum and early postnatal periods, and it is clear that midwives in England should treat all women as an individual, asking about their specific needs and any adjustments that can be made to provide inclusive care.
自闭症是一种影响人际沟通和互动的神经发育障碍,发病率超过人口的 1%。本综述旨在确定英格兰的助产士可以从探讨自闭症妇女在产前、产中和产后早期经历的研究中学到什么。我们使用七个电子数据库进行了系统的文献检索。在 Braun 和 Clarke 的基础上进行了主题分析。发现了三个主题:自闭症的诊断和披露,与医护人员、婴儿和群体的沟通和互动,以及感官障碍。自闭症产妇在产前、产中和产后早期会遇到许多挑战,显然,英国的助产士应将所有产妇视为个体,询问她们的特殊需求以及为提供包容性护理而可能做出的任何调整。
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引用次数: 1
The impact of rising neurodiversity awareness 提高神经多样性意识的影响
Q2 Nursing Pub Date : 2024-04-02 DOI: 10.12968/bjom.2024.32.4.169
Suzannah Allkins
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引用次数: 0
Postpartum haemorrhage: latest developments in prediction, drug treatment and monitoring 产后出血:预测、药物治疗和监测方面的最新进展
Q2 Nursing Pub Date : 2024-04-02 DOI: 10.12968/bjom.2024.32.4.190
Thuan Phan, Andrew D Weeks
With increasing global rates of postpartum haemorrhage, recent developments aim to ensure that birthing women are safe. This focused review will discuss developments in prediction of postpartum haemorrhage, blood loss measurement, uterotonic use and the thromboelastogram, aiming to improve prevention and treatment of postpartum haemorrhage. The unpredictable nature of postpartum haemorrhage is a significant hurdle, as all women must be considered at risk, imposing a heavy burden on healthcare services. Evidence-based tools have shown promise in improving prediction and management strategies. However, the lack of consensus and agreement on risk factors presents obstacles to developing accurate models. Ongoing research is exploring the development of an individual postpartum haemorrhage risk index, providing personalised care to pregnant women. Accurate blood loss quantification is essential for prompt postpartum haemorrhage diagnosis and appropriate interventions, but challenging in busy clinical settings. Recent advancements in prophylaxis and treatment using medication (uterotonics and tranexamic acid), as well as in monitoring using thromboelastograms, emphasise the need for effective prediction and management strategies. This critical review underscores the need for further research to enhance prediction tools, refine management protocols and address existing challenges to improve maternal outcomes.
随着全球产后出血率的不断上升,最近的发展旨在确保分娩妇女的安全。这篇重点综述将讨论产后出血预测、失血量测量、宫缩剂使用和血栓弹力图等方面的发展,旨在改善产后出血的预防和治疗。产后出血的不可预测性是一个重大障碍,因为必须将所有产妇都视为高危产妇,这给医疗服务带来了沉重负担。以证据为基础的工具已显示出改善预测和管理策略的希望。然而,由于缺乏对风险因素的共识和一致意见,准确模型的开发面临障碍。目前正在进行的研究正在探索开发个人产后出血风险指数,为孕妇提供个性化护理。准确量化失血量对于及时诊断产后出血和采取适当的干预措施至关重要,但在繁忙的临床环境中却极具挑战性。最近,在使用药物(子宫收缩剂和氨甲环酸)进行预防和治疗以及使用血栓弹力图进行监测方面取得的进展,强调了有效预测和管理策略的必要性。本评论强调了进一步研究的必要性,以加强预测工具、完善管理方案并应对现有挑战,从而改善孕产妇的预后。
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British Journal of Midwifery
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