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British Journal of Midwifery最新文献

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Digitally enabled perinatal mental health programmes' role in contemporary maternity care 数字化围产期心理健康计划在当代孕产妇护理中的作用
Q2 Nursing Pub Date : 2024-04-02 DOI: 10.12968/bjom.2024.32.4.208
Tom McEwan, Marie Balment, Lorraine Farrow, Chris Wright, M. C. Shankland
This article explores the use of digitally enabled programmes to support perinatal mental healthcare in the NHS. Focusing on the Perinatal Wellbeing Programme from SilverCloud® by Amwell®, participant experiences drawn from published case studies are considered. With mental health conditions recognised as a continued and significant cause of maternal death in the UK, the need for innovative, flexible and effective interventions and support has never been more important. Exploring the place of digitally enabled programmes in contemporary midwifery practice, and the need for further evidence of their efficacy, this article continues the discourse of a previously published article on digital mental health platforms.
这篇文章探讨了在国家医疗服务体系中使用数字化项目支持围产期心理保健的情况。文章以 Amwell® 公司 SilverCloud® 的围产期健康计划为重点,探讨了从已发表的案例研究中汲取的参与者经验。在英国,精神健康状况被认为是导致孕产妇死亡的一个持续而重要的原因,因此对创新、灵活、有效的干预和支持的需求从未像现在这样重要。本文探讨了数字化项目在当代助产实践中的地位,以及进一步证明其有效性的必要性,延续了之前发表的一篇关于数字化心理健康平台的文章的论述。
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引用次数: 0
Family decision making for Madurese women with pregnancy complications: a qualitative study 马都拉妇女妊娠并发症的家庭决策:一项定性研究
Q2 Nursing Pub Date : 2024-04-02 DOI: 10.12968/bjom.2024.32.4.172
Retnayu Pradanie, N. K. Armini, A. Nastiti, Tiyas Kusumaningrum, Mira Triharini, E. Yunitasari, Kristen Graham
A delay in referring women with pregnancy complications to medical care is a significant contributor to maternal mortality worldwide. In Madura, Indonesia, these delays can be exacerbated by the role of a woman's family in decision making. This study aimed to explore family decision making in seeking healthcare for women with pregnancy complications in Madura. Using a descriptive qualitative approach, in-depth interviews were conducted to explore the decision-making experiences of 12 pregnant women, 12 of their family members and 10 midwives. Three themes were identified: women empowerment issues, cultural factors, and important considerations in seeking healthcare for women with pregnancy complications. Continuous health education is needed to increase knowledge of appropriate maternal care for pregnant women and their families. The involvement of religious leaders in programmes to enhance referral decision making would be beneficial.
延误向患有妊娠并发症的妇女转诊是造成全球孕产妇死亡的一个重要原因。在印尼马都拉(Madura),妇女的家人在决策中扮演的角色可能会加剧这些延误。本研究旨在探讨马都拉地区患有妊娠并发症的妇女在寻求医疗保健时的家庭决策。采用描述性定性方法,对 12 名孕妇、12 名孕妇的家人和 10 名助产士进行了深入访谈,探讨他们的决策经验。访谈确定了三个主题:妇女赋权问题、文化因素和妊娠并发症妇女寻求医疗保健时的重要考虑因素。需要持续开展健康教育,以增加孕妇及其家人对适当孕产妇护理的了解。让宗教领袖参与加强转诊决策的方案将是有益的。
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引用次数: 0
De-stigmatising HIV in pregnancy 消除孕期感染艾滋病毒的耻辱感
Q2 Nursing Pub Date : 2024-03-02 DOI: 10.12968/bjom.2024.32.3.156
Nneka Nwokolo
Dr Nneka Nwokolo shares the experiences of Victoria Roscow, who was diagnosed with HIV while pregnant, and reflects on the need for all-encompassing care for pregnant women with HIV
Nneka Nwokolo 博士与大家分享了维多利亚-罗斯科夫(Victoria Roscow)的经历,她在怀孕期间被诊断出感染了艾滋病毒,并反思了为感染艾滋病毒的孕妇提供全方位护理的必要性。
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引用次数: 0
Simulation in midwifery: the role of motivation in designing an undergraduate experience 助产模拟:动机在设计本科生体验中的作用
Q2 Nursing Pub Date : 2024-03-02 DOI: 10.12968/bjom.2024.32.3.146
Janine Stockdale, Lorna Lawther, Mary Gillespie, Clare Hughes, Rebecca Murray, Debbie Cordner, Gail Anderson, Billie Joan Rice
Simulated learning is gaining momentum in midwifery education. Evidence shows that it offers multiple benefits for students, including improved decision making, empathy and interdisciplinary teamworking. Motivational theory can be used to design implementation of simulation at a curriculum level, which is an ongoing process of identifying and implementing appropriate design actions. Using motivational theory as a guide enables relevant actions to be identified for the implementation of simulated learning in midwifery, while also providing a theoretical basis for evaluating the impact of simulated learning in a midwifery curriculum. When implementing simulation, it is important to establish an expert working group, responsible for discussing the appropriate application of motivational learning theories when developing the key design actions. The aim of this article is to share how three main design actions were developed by a simulation expert working group, drawing on key motivational learning theories.
模拟学习在助产士教育中的发展势头日益强劲。有证据表明,模拟学习能为学生带来多种益处,包括提高决策能力、移情能力和跨学科团队合作能力。激励理论可用于设计课程层面的模拟实施,这是一个不断确定和实施适当设计行动的过程。以动机理论为指导,可以为助产模拟学习的实施确定相关行动,同时也为评估助产课程中模拟学习的影响提供了理论基础。在实施模拟学习时,必须成立一个专家工作组,负责讨论在制定关键设计行动时如何适当应用动机学习理论。本文旨在分享模拟专家工作组如何借鉴主要的动机学习理论,制定出三个主要的设计行动。
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引用次数: 0
Increased rates of perinatal mental illness following COVID-19: the call for sufficient midwifery provision COVID-19 后围产期精神疾病发病率增加:呼吁提供充足的助产服务
Q2 Nursing Pub Date : 2024-03-02 DOI: 10.12968/bjom.2024.32.3.136
Ruth Terry, Traci Hudson
The perinatal period is a known time of increased vulnerability to mental health illnesses, which are associated with significant morbidity and mortality. The COVID-19 pandemic saw rates of perinatal mental illness increase, remaining elevated ever since. In this article, postnatal depression is considered a specific perinatal mental health illness, which demonstrates the unique challenges in defining and diagnosing perinatal mental illness, and mitigating the long-term consequences to the infant. As public health practitioners, midwives are effective in preventing postnatal depression, yet may be limited in their ability to support women because of service constraints. Key drivers in the UK are mandating the parity of esteem of mental health and the improved provision of perinatal services, with the recruitment and retention of a sufficient midwifery service highlighted as priority.
众所周知,围产期是更容易患上精神疾病的时期,而精神疾病与严重的发病率和死亡率相关。在 COVID-19 大流行期间,围产期精神疾病的发病率有所上升,此后一直居高不下。在本文中,产后抑郁症被认为是一种特殊的围产期精神疾病,这表明在定义和诊断围产期精神疾病以及减轻对婴儿的长期影响方面存在着独特的挑战。作为公共卫生从业人员,助产士可以有效地预防产后抑郁症,但由于服务限制,她们为产妇提供支持的能力可能会受到限制。英国的主要推动力是规定精神健康的平等地位和改善围产期服务的提供,并将招聘和保留足够的助产士服务作为优先事项。
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引用次数: 0
Exploring experiences of maternity care 探讨产妇护理经验
Q2 Nursing Pub Date : 2024-03-02 DOI: 10.12968/bjom.2024.32.3.117
Suzannah Allkins
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引用次数: 0
Working with vulnerable women 与弱势妇女合作
Q2 Nursing Pub Date : 2024-03-02 DOI: 10.12968/bjom.2024.32.3.118
Sharon Belshaw
Sharon Belshaw explores a charity's work to support those who have experienced childhood sexual trauma, and how abuse trauma may affect women's experiences of pregnancy
莎伦-贝尔肖(Sharon Belshaw)探究了一家慈善机构为经历过童年性创伤的人提供支持的工作,以及虐待创伤如何影响妇女的怀孕经历
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引用次数: 0
Neonatal outcomes following one previous caesarean section 剖腹产后的新生儿结局
Q2 Nursing Pub Date : 2024-03-02 DOI: 10.12968/bjom.2024.32.3.120
Deniece Hardy, Ryan Essex
Vaginal birth following a previous caesarean section is considered a safe option for subsequent births following personal planning and counselling. The aim of this study was to compare neonatal outcomes for both elective caesarean and vaginal birth after a previous caesarean section to aid decision making for women/pregnant people. This quantitative study used retrospective data from low-risk pregnant people/women at term with one previous caesarean section (n=392). Logistic regression was used to determine the impact of mode of birth on neonatal outcomes. Further descriptive analyses were carried out to explore the results and reasons for admission to neonatal unit. Apgar scores were higher in the vaginal birth group compared to the elective repeat caesarean group. There were no differences in neonatal unit admissions by mode of birth. There is minimal difference in neonatal outcomes, regardless of intention for either vaginal birth following a previous caesarean section or elective repeat caesarean. To fully investigate the factors that impacted Apgar scores and neonatal unit admissions for these groups, a much larger sample is needed.
在个人规划和咨询后,剖腹产后阴道分娩被认为是以后分娩的安全选择。本研究旨在比较既往剖腹产后选择剖腹产和阴道分娩的新生儿结局,以帮助妇女/孕妇做出决策。这项定量研究使用了曾进行过一次剖腹产的低风险孕妇/足月妇女(n=392)的回顾性数据。研究采用逻辑回归法确定分娩方式对新生儿预后的影响。还进行了进一步的描述性分析,以探究结果和入住新生儿科的原因。与选择性再次剖腹产组相比,阴道分娩组的Apgar评分更高。不同分娩方式导致的新生儿入院率没有差异。无论是剖腹产后经阴道分娩还是选择再次剖腹产,新生儿结局的差异都很小。要全面研究影响这些群体的阿普加评分和新生儿入院情况的因素,需要更多的样本。
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引用次数: 0
Maternal and neonatal factors associated with neonatal jaundice in Jordan: a case-control study 约旦与新生儿黄疸相关的产妇和新生儿因素:病例对照研究
Q2 Nursing Pub Date : 2024-03-02 DOI: 10.12968/bjom.2024.32.3.126
K. Mohammad, Maram Al–Shdefat, Suhaila Halasa, Rachel Joseph, Mohammad Alafi, Mohammed Albashtawy, A. Alkhawaldeh, Asem Abdalrahim, Malakeh. Z. Malak, Debra Creedy, Jenny Gamble
Neonatal jaundice is a common cause of hospitalisation. This study aimed to identify maternal and neonatal factors associated with neonatal jaundice among hospitalised neonates in north Jordan. This was a case control study involving 312 mothers and their neonates (106 cases, 206 controls), recruited from two governmental hospitals in north Jordan. A structured interview was used to collect data. Neonatal medical records were accessed for clinical data. Maternal factors associated with higher risk of jaundice included having higher education, being employed and having had a caesarean section. Neonatal factors associated with higher risk of jaundice included being preterm, receiving <5 feeds per day and having ABO incompatibility. Using evidence-based guidelines for the assessment and management of risk factors helps to reduce the prevalence of jaundice requiring hospitalisation among neonates. Raising mothers' awareness of neonatal jaundice through interventions and education sessions during antenatal care, in particular for high-risk mothers, is also likely to help reduce its prevalence.
新生儿黄疸是住院治疗的常见原因。本研究旨在确定约旦北部住院新生儿中与新生儿黄疸相关的产妇和新生儿因素。这是一项病例对照研究,从约旦北部的两家政府医院招募了312名母亲及其新生儿(106名病例,206名对照)。研究采用结构化访谈法收集数据。此外,还查阅了新生儿医疗记录,以获取临床数据。与黄疸风险较高相关的母亲因素包括受过高等教育、有工作和曾进行过剖腹产。新生儿黄疸风险较高的相关因素包括早产、每天喂养次数少于 5 次以及 ABO 血型不相容。使用循证指南评估和管理风险因素有助于降低新生儿黄疸住院的发生率。在产前护理期间通过干预和教育课程提高母亲对新生儿黄疸的认识,尤其是针对高危母亲,也可能有助于降低新生儿黄疸的发病率。
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引用次数: 0
Risk assessments and ethnicity in maternity care: looking through the wrong end of the telescope? 孕产妇护理中的风险评估和种族问题:望远镜里的错误视角?
Q2 Nursing Pub Date : 2024-02-02 DOI: 10.12968/bjom.2024.32.2.98
Anna Melamed
Many Black and brown women are classified as ‘high risk’ and follow obstetric-led pathways. This may be the result of social determinants of health, or over pathologisation as a result of racial bias by healthcare providers and systems. There may be times when social determinants are mistaken for innate physiological differences, leading to iatrogenic harm. There is both over and underdiagnosis resulting from racial bias in midwifery care. Women with intermediate risk factors may benefit from midwifery-led care, especially Black and brown women. Community-based, relational, women-centred midwifery models of care can reduce the problems of pathologisation and redress some social inequalities.
许多黑人和棕色人种妇女被归类为 "高风险",并遵循产科主导的路径。这可能是健康的社会决定因素造成的,也可能是医疗保健提供者和系统的种族偏见导致的过度病理化。有时,社会决定因素会被误认为是先天性的生理差异,从而导致先天性伤害。助产护理中的种族偏见导致诊断过度和诊断不足。具有中等风险因素的妇女,尤其是黑人和棕色人种妇女,可能会从助产护理中受益。以社区为基础、以关系为纽带、以妇女为中心的助产护理模式可以减少病理化问题,并纠正一些社会不平等现象。
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British Journal of Midwifery
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