Pub Date : 2024-02-02DOI: 10.12968/bjom.2024.32.2.88
Elisa Giallongo, Angela C Webster
Persistent occiput posterior fetal position is the most common fetal malposition during labour. The aim of this study was to measure the magnitude of the effects of this labour dystocia on perinatal outcomes, as compared to anterior position. A systematic review of the literature included prospective and retrospective cohort studies of singleton term pregnancies, comparing the effect of occiput posterior fetal position with occiput anterior fetal position. Random-effect meta-analysis was performed. Overall, eight studies were included, for a total of 140 590 participants. Women with fetuses in occiput posterior position were more likely to give birth via caesarean section (odds ratio: 6.74, P<0.001), based on data from all eight studies. Newborns experienced an increased risk of admission to a neonatal intensive care unit (odds ratio: 1.60, P<0.001), based on data from five of the included studies. Persistent occiput posterior fetal position negatively affects maternal and neonatal outcomes. Future studies should reduce potential bias, include adjusted analysis and investigate the best clinical management for this labour dystocia.
{"title":"Perinatal outcomes in persistent occiput posterior fetal position: a systematic review and meta-analysis","authors":"Elisa Giallongo, Angela C Webster","doi":"10.12968/bjom.2024.32.2.88","DOIUrl":"https://doi.org/10.12968/bjom.2024.32.2.88","url":null,"abstract":"Persistent occiput posterior fetal position is the most common fetal malposition during labour. The aim of this study was to measure the magnitude of the effects of this labour dystocia on perinatal outcomes, as compared to anterior position. A systematic review of the literature included prospective and retrospective cohort studies of singleton term pregnancies, comparing the effect of occiput posterior fetal position with occiput anterior fetal position. Random-effect meta-analysis was performed. Overall, eight studies were included, for a total of 140 590 participants. Women with fetuses in occiput posterior position were more likely to give birth via caesarean section (odds ratio: 6.74, P<0.001), based on data from all eight studies. Newborns experienced an increased risk of admission to a neonatal intensive care unit (odds ratio: 1.60, P<0.001), based on data from five of the included studies. Persistent occiput posterior fetal position negatively affects maternal and neonatal outcomes. Future studies should reduce potential bias, include adjusted analysis and investigate the best clinical management for this labour dystocia.","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139870220","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}
{"title":"Second UK conviction for FGM","authors":"Juliet Albert","doi":"10.12968/bjom.2024.32.2.106","DOIUrl":"https://doi.org/10.12968/bjom.2024.32.2.106","url":null,"abstract":"Juliet Albert explores what the second UK conviction against female genital mutilation means for midwives, and the legislation surrounding this issue","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139809844","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}
{"title":"Second UK conviction for FGM","authors":"Juliet Albert","doi":"10.12968/bjom.2024.32.2.106","DOIUrl":"https://doi.org/10.12968/bjom.2024.32.2.106","url":null,"abstract":"Juliet Albert explores what the second UK conviction against female genital mutilation means for midwives, and the legislation surrounding this issue","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139869693","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 : 2024-01-02DOI: 10.12968/bjom.2024.32.1.46
Saul Beeson, Holly Vincent, Joe Frankland
Saul Beeson, Holly Vincent and Joe Frankland discuss addressing educational needs to combat female genital mutilation
索尔-比森、霍利-文森特和乔-弗兰克兰讨论如何满足教育需求，打击切割女性生殖器的行为
{"title":"Combating female genital mutilation","authors":"Saul Beeson, Holly Vincent, Joe Frankland","doi":"10.12968/bjom.2024.32.1.46","DOIUrl":"https://doi.org/10.12968/bjom.2024.32.1.46","url":null,"abstract":"Saul Beeson, Holly Vincent and Joe Frankland discuss addressing educational needs to combat female genital mutilation","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139124815","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 : 2024-01-02DOI: 10.12968/bjom.2024.32.1.38
Hadi Zulhiqman Abdul-Rahim, Sharimawati H Sharbini, Mursidi Ali, K. H. Abdul-Mumin
This article explores the importance of leadership and management for midwifery students in their preparation to become midwives. The article combines a review of the existing literature, reflection on the authors' experiences and feedback from midwifery students on leadership and management modules at a university in Brunei Darussalam. Leadership and management skills are essential, and a requisite for every midwife to ensure coordination of structured, safe and high-quality midwifery care. Some important leadership and management competencies include decision making, managing resources, teamwork, collaborating effectively with other healthcare professionals, delegating tasks appropriately and efficient time management. Stakeholders in midwifery education, including educational institutions, public and private healthcare systems and women using midwifery services, expect newly graduated midwives to possess these foundational leadership and management proficiencies so that they can immediately perform their duties when they begin their new role as qualified midwives.
{"title":"Building strong foundations in leadership and management for midwifery students","authors":"Hadi Zulhiqman Abdul-Rahim, Sharimawati H Sharbini, Mursidi Ali, K. H. Abdul-Mumin","doi":"10.12968/bjom.2024.32.1.38","DOIUrl":"https://doi.org/10.12968/bjom.2024.32.1.38","url":null,"abstract":"This article explores the importance of leadership and management for midwifery students in their preparation to become midwives. The article combines a review of the existing literature, reflection on the authors' experiences and feedback from midwifery students on leadership and management modules at a university in Brunei Darussalam. Leadership and management skills are essential, and a requisite for every midwife to ensure coordination of structured, safe and high-quality midwifery care. Some important leadership and management competencies include decision making, managing resources, teamwork, collaborating effectively with other healthcare professionals, delegating tasks appropriately and efficient time management. Stakeholders in midwifery education, including educational institutions, public and private healthcare systems and women using midwifery services, expect newly graduated midwives to possess these foundational leadership and management proficiencies so that they can immediately perform their duties when they begin their new role as qualified midwives.","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139124908","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 : 2024-01-02DOI: 10.12968/bjom.2024.32.1.14
Maria McNeill, E. Kitson-Reynolds
In addition to the high rate of attrition among registered midwives, student midwives are increasingly likely to choose to leave their programme, decreasing the projected number of midwives who would join the NHS. The aim of this study was to understand how students experience clinical practice and if these experiences affect their decision to enter the professional register. Seven student midwives who had experienced clinical placement as part of their pre-registration training were invited to attend semi-structured interviews. Data were analysed following an interpretive phenomonology approach, where descriptive, linguistic and conceptual comments on the transcripts were used to identify emergent themes. The 79 identified themes were categorised into five sub-themes within two super-ordinate themes: ‘kindness and compassion grows future midwives and strength’ and ‘resolve through COVID-19 and beyond’. The overarching theme from the participants' interviews was ‘I can be a good midwife when I qualify’. Students want to feel like they will be good midwives, which will be achieved with positive attitudes and behaviours towards them from senior staff during clinical placements. Staff involved with the care of women and newborns should ensure they show students civility and patience while teaching and supporting them. Understanding the level of knowledge that students possess can make it simpler for staff to recognise what each student may or may not have been exposed to.
{"title":"Student midwives' experiences of clinical placement and the decision to enter the professional register","authors":"Maria McNeill, E. Kitson-Reynolds","doi":"10.12968/bjom.2024.32.1.14","DOIUrl":"https://doi.org/10.12968/bjom.2024.32.1.14","url":null,"abstract":"In addition to the high rate of attrition among registered midwives, student midwives are increasingly likely to choose to leave their programme, decreasing the projected number of midwives who would join the NHS. The aim of this study was to understand how students experience clinical practice and if these experiences affect their decision to enter the professional register. Seven student midwives who had experienced clinical placement as part of their pre-registration training were invited to attend semi-structured interviews. Data were analysed following an interpretive phenomonology approach, where descriptive, linguistic and conceptual comments on the transcripts were used to identify emergent themes. The 79 identified themes were categorised into five sub-themes within two super-ordinate themes: ‘kindness and compassion grows future midwives and strength’ and ‘resolve through COVID-19 and beyond’. The overarching theme from the participants' interviews was ‘I can be a good midwife when I qualify’. Students want to feel like they will be good midwives, which will be achieved with positive attitudes and behaviours towards them from senior staff during clinical placements. Staff involved with the care of women and newborns should ensure they show students civility and patience while teaching and supporting them. Understanding the level of knowledge that students possess can make it simpler for staff to recognise what each student may or may not have been exposed to.","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139124744","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 : 2024-01-02DOI: 10.12968/bjom.2024.32.1.32
Sam Chenery-Morris, Jo Divers
This is the first article in a series of six inspired by themes arising from the Royal College of Midwives' State of Midwifery Education report. These articles will explore the current landscape and challenges in educating the future midwifery workforce, particularly those that pertain to the higher education workforce. This first article introduces the concept of a profession using sociological theories. It considers who we are individually, as authors, academics and midwives, and collectively considers our identity as a profession alongside those whom we teach. The aim is to ensure that staff and students are supported to succeed and thrive. Education can transform lives, so that current and future midwives can make a difference in providing safe, compassionate care for service users.
{"title":"Midwifery higher education: who are we and who do we teach?","authors":"Sam Chenery-Morris, Jo Divers","doi":"10.12968/bjom.2024.32.1.32","DOIUrl":"https://doi.org/10.12968/bjom.2024.32.1.32","url":null,"abstract":"This is the first article in a series of six inspired by themes arising from the Royal College of Midwives' State of Midwifery Education report. These articles will explore the current landscape and challenges in educating the future midwifery workforce, particularly those that pertain to the higher education workforce. This first article introduces the concept of a profession using sociological theories. It considers who we are individually, as authors, academics and midwives, and collectively considers our identity as a profession alongside those whom we teach. The aim is to ensure that staff and students are supported to succeed and thrive. Education can transform lives, so that current and future midwives can make a difference in providing safe, compassionate care for service users.","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139124749","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 : 2024-01-02DOI: 10.12968/bjom.2024.32.1.22
R. Pujihasvuty, Lilestina Nasution, D. N. Fajarningtiyas, M. Naibaho, Oktriyanto, Diah Puspita Sari, Hilma Amrullah, Aditya Rahmadhony, M. Muthmainnah, Y. Devi
A family's economic resilience can impact a child's wellbeing, particularly in relation to parenting practice. This study aimed to identify the effect of family economic resilience on early childhood parenting in Indonesia, for children age 0–6 years old. This study used cross-sectional data from a 2019 Indonesian survey. Simple and multiple logistic regression were used to analyse data for 20 413 families with children 0–6 years old in Indonesia. More than half of families had high economic function (56.2%) and demonstrated strong economic resilience (59.1%), although a similar proportion also demonstrated less effective parenting practices (63.3%). Families with high or moderate economic resilience were more likely to use more effective early childhood parenting practices than families with lower economic resilience (P=0.001 and P<0.001, respectively). Age, family type, number of family members and education significantly affected good parenting. Family economic resilience has a significant impact on early childhood parenting. Interventions should be designed to simultaneously to strengthen family economic resilience and increase engagement with early childhood parenting practices.
{"title":"Family economic resilience and early childhood parenting practices","authors":"R. Pujihasvuty, Lilestina Nasution, D. N. Fajarningtiyas, M. Naibaho, Oktriyanto, Diah Puspita Sari, Hilma Amrullah, Aditya Rahmadhony, M. Muthmainnah, Y. Devi","doi":"10.12968/bjom.2024.32.1.22","DOIUrl":"https://doi.org/10.12968/bjom.2024.32.1.22","url":null,"abstract":"A family's economic resilience can impact a child's wellbeing, particularly in relation to parenting practice. This study aimed to identify the effect of family economic resilience on early childhood parenting in Indonesia, for children age 0–6 years old. This study used cross-sectional data from a 2019 Indonesian survey. Simple and multiple logistic regression were used to analyse data for 20 413 families with children 0–6 years old in Indonesia. More than half of families had high economic function (56.2%) and demonstrated strong economic resilience (59.1%), although a similar proportion also demonstrated less effective parenting practices (63.3%). Families with high or moderate economic resilience were more likely to use more effective early childhood parenting practices than families with lower economic resilience (P=0.001 and P<0.001, respectively). Age, family type, number of family members and education significantly affected good parenting. Family economic resilience has a significant impact on early childhood parenting. Interventions should be designed to simultaneously to strengthen family economic resilience and increase engagement with early childhood parenting practices.","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139124918","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 : 2024-01-02DOI: 10.12968/bjom.2024.32.1.6
A. Fletcher, Triona Cowman, Hazel Cazzini, J. Fleming, Niamh P Healy
The extension of termination of pregnancy services in the Republic of Ireland represents a significant change to practice. As a result, education was provided to assist midwives and nurses to fulfil their expanded role. Using Kirkpatrick's framework, this study aimed to conduct an in-depth evaluation to ascertain if knowledge gained at a termination of pregnancy education programme was applied to clinical practice. Semi-structured interviews were conducted with a purposeful sample of seven midwives and nurses, 3 months after attending a termination of pregnancy education programme. Attendance at the programme prompted reflection on practice, with participants providing examples of how they applied the knowledge gained to the care they provide. The complexities of providing a termination of pregnancy service were highlighted, along with additional educational requirements. Knowledge gained from the education programme was applied to practice improving termination of pregnancy care. Additional education and training needs identified will guide the development of future programmes.
{"title":"Evaluation of a termination of pregnancy education programme in the Republic of Ireland: part 2","authors":"A. Fletcher, Triona Cowman, Hazel Cazzini, J. Fleming, Niamh P Healy","doi":"10.12968/bjom.2024.32.1.6","DOIUrl":"https://doi.org/10.12968/bjom.2024.32.1.6","url":null,"abstract":"The extension of termination of pregnancy services in the Republic of Ireland represents a significant change to practice. As a result, education was provided to assist midwives and nurses to fulfil their expanded role. Using Kirkpatrick's framework, this study aimed to conduct an in-depth evaluation to ascertain if knowledge gained at a termination of pregnancy education programme was applied to clinical practice. Semi-structured interviews were conducted with a purposeful sample of seven midwives and nurses, 3 months after attending a termination of pregnancy education programme. Attendance at the programme prompted reflection on practice, with participants providing examples of how they applied the knowledge gained to the care they provide. The complexities of providing a termination of pregnancy service were highlighted, along with additional educational requirements. Knowledge gained from the education programme was applied to practice improving termination of pregnancy care. Additional education and training needs identified will guide the development of future programmes.","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139124889","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 : 2024-01-02DOI: 10.12968/bjom.2024.32.1.5
Suzannah Allkins
{"title":"‘Looking forward’ to the new year","authors":"Suzannah Allkins","doi":"10.12968/bjom.2024.32.1.5","DOIUrl":"https://doi.org/10.12968/bjom.2024.32.1.5","url":null,"abstract":"","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139124896","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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