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mHealth interventions to improve self efficacy and exclusive breastfeeding: a scoping review 移动健康干预提高自我效能和纯母乳喂养:范围审查
Q2 Nursing Pub Date : 2023-10-02 DOI: 10.12968/bjom.2023.31.10.567
Agustina Desy Putri, Mekar Dwi Anggraeni
Background/Aims The exclusive breastfeeding rate in developed and developing countries is low, and is significantly affected by maternal breastfeeding self-efficacy. Mobile health (mHealth, using mobile devices to carry out public health interventions) may help increase self-efficacy and exclusive breastfeeding. The aim of this study was to explore the existing literature on mHealth interventions to increase self-efficacy and exclusive breastfeeding. Methods This scoping review included an electronic search of PubMed, Science Direct, ProQuest, Google Scholar and IJSR. Randomised controlled trials and quasi-experimental studies published in English between 2014 and 2023 about breastfeeding self-efficacy and exclusive breastfeeding were screened for eligibility. Results Overall, 12 studies were included. Thematic analysis showed that primary interventions were delivered using smartphone applications such as WhatsApp, Telegram or video, and most participants were women with infants of normal birth weight. Conclusions Delivering breastfeeding education using mHealth may increase self-efficacy and exclusive breastfeeding. Further research is needed to assess the effects of mHealth on breastfeeding self-efficacy and exclusive breastfeeding among women with infants who have health conditions, such as those born preterm or of low birth weight.
背景/目的发达国家和发展中国家纯母乳喂养率均较低,且受母亲母乳喂养自我效能感的显著影响。移动保健(mHealth,利用移动设备开展公共卫生干预)可能有助于提高自我效能和纯母乳喂养。本研究的目的是探索移动健康干预措施提高自我效能和纯母乳喂养的现有文献。方法:检索PubMed、Science Direct、ProQuest、谷歌Scholar和IJSR。筛选2014年至2023年间发表的关于母乳喂养自我效能和纯母乳喂养的随机对照试验和准实验研究的资格。结果共纳入12项研究。专题分析显示,主要干预措施是通过WhatsApp、Telegram或视频等智能手机应用程序进行的,大多数参与者是婴儿出生体重正常的妇女。结论使用移动健康进行母乳喂养教育可以提高自我效能感和纯母乳喂养。需要进一步研究评估移动健康对母乳喂养自我效能和有健康问题(如早产或出生体重过低)婴儿的妇女纯母乳喂养的影响。
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引用次数: 0
Where are you really from? Racial microaggressions and how to be an ally or active bystander 你到底是哪里人?种族微侵犯以及如何成为盟友或积极的旁观者
Q2 Nursing Pub Date : 2023-10-02 DOI: 10.12968/bjom.2023.31.10.584
Kwaku Baryeh, Lisa S Rasool
Racial microaggressions are often subtle and frequent occurences in the lives of people from marginalised racial groups. There is a broad lack of acknowledgement that they exist and when perpetrators are confronted, victims are often met with defensiveness or dismissal. However, the impacts on the physical and mental health of the victims make it essential that clinicians understand not only the concept of racial microaggressions but also how they may be challenged and addressed. There is no single way to address microaggressions, but the authors propose some ways to identify and tackle them in the medical setting and beyond. It is hoped that this will encourage allyship and empower those who are bystanders to become more actively involved.
种族微侵犯往往是微妙的,经常发生在边缘种族群体的生活中。人们普遍不承认它们的存在,当犯罪者面对时,受害者往往会受到辩护或不予理睬。然而,对受害者身心健康的影响使得临床医生不仅要了解种族微侵犯的概念,还要了解如何挑战和解决这些问题。没有单一的方法来解决微侵犯,但作者提出了一些方法来识别和解决他们在医疗环境和超越。希望这将鼓励结盟,并赋予那些旁观者更积极参与的权力。
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引用次数: 0
Healing hearts, strengthening lives 治愈心灵,强化生命
Q2 Nursing Pub Date : 2023-10-02 DOI: 10.12968/bjom.2023.31.10.546
Keji Moses
Keji Moses, founder and CEO of Mayah's Legacy, discusses the charity's work in supporting women and families after pregnancy loss
玛雅遗产的创始人兼首席执行官Keji Moses讨论了该慈善机构在支持怀孕失败的妇女和家庭方面的工作
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引用次数: 0
A brief overview of obstetric brachial plexus palsy 产科臂丛神经麻痹的简要概述
Q2 Nursing Pub Date : 2023-10-02 DOI: 10.12968/bjom.2023.31.10.576
Amy Swift
Obstetric brachial plexus palsy is an injury in newborn babies that is often associated with increased force on the neck during passage through the birth canal. This puts excessive strain on the brachial plexus and causes nerve injury. Obstetric brachial plexus palsy results from injury to the cervical roots C5–C8 and thoracic root T1. Although it has been known for patients to make a spontaneous recovery, there is a large subset who do not recover and require primary or secondary surgical intervention. This article discusses classification of the differing injuries within obstetric brachial plexus palsy, its prevalence and its aetiology. It also discusses the impact that the injury can have on individuals and the role of healthcare professionals involved in the diagnostic phases.
产科臂丛神经麻痹是新生儿的一种损伤,通常与通过产道时颈部受力增加有关。这会对臂丛造成过度的压力,导致神经损伤。产科臂丛神经麻痹是由颈根C5-C8和胸根T1损伤引起的。虽然已知患者可以自发恢复,但仍有很大一部分患者无法恢复,需要进行初级或二级手术干预。本文讨论了产科臂丛神经麻痹中不同损伤的分类、患病率和病因。它还讨论了影响,伤害可以对个人和参与诊断阶段的医疗保健专业人员的作用。
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引用次数: 0
Antenatal care in Indonesia: a nationwide study 印度尼西亚的产前保健:一项全国性研究
Q2 Nursing Pub Date : 2023-10-02 DOI: 10.12968/bjom.2023.31.10.558
Ocktariyana Ocktariyana, Ulfa Nur Rohmah, Sri Yulia, Rosnani Rosnani, Devi Mediarti, Setyowati Setyowati, Yati Afiyanti, Sirikanok Klankhajhon, Hidayat Arifin
Background/Aims Antenatal care is important for screening, monitoring and management of pregnancy risks. This study analysed determinants of antenatal care in Indonesia among women aged 18–24 years and older than 30 years, who are at greater risk of pregnancy and birth complications. Methods This cross-sectional study used secondary data from 4338 women in the 2017 Indonesian demographic health survey. Chi-square tests and binary logistic regression were used to explore the effects of individual, partner and social factors on antenatal care. Results Antenatal care attendance was associated with a younger age at first birth (adjusted odds ratio: 1.49; P<0.001), health insurance (adjusted odds ratio: 1.54; P=0.004) and the middle wealth quintile (adjusted odds ratio: 1.78; P=0.002). Conclusions Collaboration is needed to increase awareness of complications and the importance of antenatal care.
背景/目的产前保健对妊娠风险的筛查、监测和管理非常重要。这项研究分析了印度尼西亚18-24岁和30岁以上妇女产前保健的决定因素,这些妇女怀孕和分娩并发症的风险更高。方法本横断面研究使用2017年印度尼西亚人口健康调查中4338名妇女的辅助数据。采用卡方检验和二元logistic回归探讨个体、伴侣和社会因素对产前保健的影响。结果产前护理出勤率与初产年龄较低相关(校正优势比:1.49;P<0.001)、医疗保险(调整后优势比:1.54;P=0.004)和中等财富五分位数(调整后优势比:1.78;P = 0.002)。结论需要加强合作,提高对并发症的认识和产前保健的重要性。
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引用次数: 0
Women's experiences of induction of labour during the COVID-19 pandemic: a cross-sectional survey COVID-19大流行期间妇女引产经验:一项横断面调查
Q2 Nursing Pub Date : 2023-10-02 DOI: 10.12968/bjom.2023.31.10.548
Fiona Cross-Sudworth, Beck Taylor, Louisa Davidson, Laura Quinn, Joselle Wright, Ella Vitue, Sara Kenyon
Background/Aims Induction of labour is an increasingly common intervention. This study's aim was to explore women's experiences of induction, in particular of decision making and choice. Methods A cross-sectional study was carried out with women who were induced with live, term infant(s) in two urban trusts. Their experiences were assessed using a postal survey that included the birth satisfaction scale and open questions on women's experiences. Chi-squared and Fisher's exact tests were used to test for associations between aspects of the induction process and women's characteristics (age, parity, ethnic group). Qualitative data were analysed thematically. Results Half (52.9%) of the respondents reported waiting to start induction. The majority felt sufficiently involved in decision making (62.1%) and choice (59.6%). Most reported having enough information about the reason for (82%) and process of (83%) induction. The qualitative themes were emotional response, communication, feeling unheard, quality of care and the negative impact of COVID-19 policies. Conclusions Women's overall experiences were positive. Improvements should focus on reducing delays to induction.
背景/目的引产是一种越来越常见的干预措施。这项研究的目的是探讨妇女的感应经验,特别是决策和选择。方法采用横断面研究方法,对两家城市信托机构中引产足月活婴的妇女进行研究。他们的经历是通过邮政调查来评估的,其中包括生育满意度量表和关于女性经历的开放式问题。卡方检验和Fisher精确检验用于检验诱导过程的各个方面与女性特征(年龄、胎次、种族)之间的关联。对定性数据进行专题分析。结果有一半(52.9%)的受访者表示等待开始诱导。大多数人认为充分参与决策(62.1%)和选择(59.6%)。大多数人报告对诱导的原因(82%)和过程(83%)有足够的了解。定性主题是情绪反应、沟通、感觉被忽视、护理质量和COVID-19政策的负面影响。结论女性的整体体验是积极的。改进应侧重于减少诱导延迟。
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引用次数: 0
Why breast milk matters 为什么母乳很重要
Q2 Nursing Pub Date : 2023-10-02 DOI: 10.12968/bjom.2023.31.10.592
Rachel De Boer, Denise Gray, Gillian Harris, Pinki Sahota, Atul Singhal, Lucy Upton
Midwives understand the benefits of breastfeeding, both for the infant and mother. However, the biochemical and physiological reasons for the superiority of breast milk are less widely known. This is, in part, because of the extraordinary complexity of breast milk's composition. Its key components include nucleotides, which benefit gut and immune development, human milk oligosaccharides, which promote an optimal gut biome, lipids in the milk fat globule membrane, which promote gut health and brain development, immunoglobulins, which modulate the infant's immune system, and an optimum protein content, which is high in the first 2 weeks after birth but decreases thereafter. A greater awareness and understanding of the mechanisms behind the benefits of breastfeeding could help midwives to have informed discussions with parents and potentially contribute to improving the UK's breastfeeding rates. Growing understanding of breast milk's unique composition may also help infant formula manufacturers drive innovation and improve the formulation of their products.
助产士了解母乳喂养对婴儿和母亲的好处。然而,母乳优越性的生化和生理原因却鲜为人知。这在一定程度上是因为母乳的成分异常复杂。它的关键成分包括有利于肠道和免疫发育的核苷酸、促进最佳肠道生物群系的人乳低聚糖、促进肠道健康和大脑发育的乳脂球膜中的脂质、调节婴儿免疫系统的免疫球蛋白和最佳蛋白质含量(在出生后两周内含量很高,但之后会减少)。对母乳喂养好处背后机制的更多认识和理解可以帮助助产士与父母进行知情的讨论,并可能有助于提高英国的母乳喂养率。对母乳独特成分的日益了解也可能有助于婴儿配方奶粉制造商推动创新并改进其产品配方。
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引用次数: 0
‘Fallacy of normalcy’ in post-childbirth maternal morbidities: a feminist-pragmatist exploration 产后产妇发病率的“正常谬论”:女权主义者-实用主义者的探索
Q2 Nursing Pub Date : 2023-09-02 DOI: 10.12968/bjom.2023.31.9.488
M. Rouhi, Patricia Nicholson, E. Crisp, S. Bettiol, C. Stirling
Women worldwide experience post-childbirth morbidities such as incontinence and pain. While there is limited evidence of women's help-seeking behaviour, many do not seek treatment. This study aimed to explore the key influences on women's help-seeking behaviour 12 months after birth. Three different study approaches were used: a meta-aggregation systematic review, concept mapping and a directed qualitative content approach. Women often did not seek help because they accepted problems as a normal part of motherhood. They were more likely to share problems with family and friends. Online platforms allowed women to share their problems anonymously, but the support provided demonstrated some normalising of abnormal problems. The feminist pragmatic approach highlighted the ‘fallacy of normalcy’ as underpinning women's help-seeking behaviour after childbirth.
世界各地的妇女都经历过诸如尿失禁和疼痛等产后疾病。虽然关于妇女寻求帮助行为的证据有限,但许多人并不寻求治疗。本研究旨在探讨女性在出生12个月后寻求帮助行为的关键影响因素。使用了三种不同的研究方法:荟萃系统综述,概念映射和直接定性内容方法。妇女往往不寻求帮助,因为她们认为问题是母性的正常组成部分。他们更有可能与家人和朋友分享问题。网络平台允许女性匿名分享她们的问题,但提供的支持显示了一些异常问题的正常化。女权主义的实用主义方法强调了“正常的谬论”是女性在分娩后寻求帮助行为的基础。
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引用次数: 0
Residential substance use treatment 住宅物质使用治疗
Q2 Nursing Pub Date : 2023-09-02 DOI: 10.12968/bjom.2023.31.9.486
M. Dean
Phoenix Futures supports parents to address substance use, both during pregnancy and after their child is born, through support programmes and links to local services
Phoenix Futures通过支持计划和与当地服务的联系,支持父母解决怀孕期间和孩子出生后的药物使用问题
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引用次数: 0
Providing care during a breech birth 在臀位分娩期间提供护理的
Q2 Nursing Pub Date : 2023-09-02 DOI: 10.12968/bjom.2023.31.9.530
Eowyn Robinson
A student midwife, Eowyn Robinson, provides a critical reflection of an experience providing care during a breech birth, exploring the situation using the holistic reflection model
一名助产士学生Eowyn Robinson,提供了一个在臀位分娩期间提供护理的经验的批判性反思,使用整体反思模型探索情况
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引用次数: 0
期刊
British Journal of Midwifery
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