Pub Date : 2023-10-02DOI: 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.
{"title":"mHealth interventions to improve self efficacy and exclusive breastfeeding: a scoping review","authors":"Agustina Desy Putri, Mekar Dwi Anggraeni","doi":"10.12968/bjom.2023.31.10.567","DOIUrl":"https://doi.org/10.12968/bjom.2023.31.10.567","url":null,"abstract":"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.","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135900749","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 : 2023-10-02DOI: 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.
{"title":"Where are you really from? Racial microaggressions and how to be an ally or active bystander","authors":"Kwaku Baryeh, Lisa S Rasool","doi":"10.12968/bjom.2023.31.10.584","DOIUrl":"https://doi.org/10.12968/bjom.2023.31.10.584","url":null,"abstract":"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.","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135901274","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":"Healing hearts, strengthening lives","authors":"Keji Moses","doi":"10.12968/bjom.2023.31.10.546","DOIUrl":"https://doi.org/10.12968/bjom.2023.31.10.546","url":null,"abstract":"Keji Moses, founder and CEO of Mayah's Legacy, discusses the charity's work in supporting women and families after pregnancy loss","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135900737","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 : 2023-10-02DOI: 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.
{"title":"A brief overview of obstetric brachial plexus palsy","authors":"Amy Swift","doi":"10.12968/bjom.2023.31.10.576","DOIUrl":"https://doi.org/10.12968/bjom.2023.31.10.576","url":null,"abstract":"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.","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135900747","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 : 2023-10-02DOI: 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.
{"title":"Antenatal care in Indonesia: a nationwide study","authors":"Ocktariyana Ocktariyana, Ulfa Nur Rohmah, Sri Yulia, Rosnani Rosnani, Devi Mediarti, Setyowati Setyowati, Yati Afiyanti, Sirikanok Klankhajhon, Hidayat Arifin","doi":"10.12968/bjom.2023.31.10.558","DOIUrl":"https://doi.org/10.12968/bjom.2023.31.10.558","url":null,"abstract":"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.","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135901273","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 : 2023-10-02DOI: 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.
{"title":"Women's experiences of induction of labour during the COVID-19 pandemic: a cross-sectional survey","authors":"Fiona Cross-Sudworth, Beck Taylor, Louisa Davidson, Laura Quinn, Joselle Wright, Ella Vitue, Sara Kenyon","doi":"10.12968/bjom.2023.31.10.548","DOIUrl":"https://doi.org/10.12968/bjom.2023.31.10.548","url":null,"abstract":"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.","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135900391","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}
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.
{"title":"Why breast milk matters","authors":"Rachel De Boer, Denise Gray, Gillian Harris, Pinki Sahota, Atul Singhal, Lucy Upton","doi":"10.12968/bjom.2023.31.10.592","DOIUrl":"https://doi.org/10.12968/bjom.2023.31.10.592","url":null,"abstract":"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.","PeriodicalId":52489,"journal":{"name":"British Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135900751","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.2023.31.9.488
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.
{"title":"‘Fallacy of normalcy’ in post-childbirth maternal morbidities: a feminist-pragmatist exploration","authors":"M. Rouhi, Patricia Nicholson, E. Crisp, S. Bettiol, C. Stirling","doi":"10.12968/bjom.2023.31.9.488","DOIUrl":"https://doi.org/10.12968/bjom.2023.31.9.488","url":null,"abstract":"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.","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":"45105389","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.2023.31.9.486
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
{"title":"Residential substance use treatment","authors":"M. Dean","doi":"10.12968/bjom.2023.31.9.486","DOIUrl":"https://doi.org/10.12968/bjom.2023.31.9.486","url":null,"abstract":"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","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":"47631892","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.2023.31.9.530
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
{"title":"Providing care during a breech birth","authors":"Eowyn Robinson","doi":"10.12968/bjom.2023.31.9.530","DOIUrl":"https://doi.org/10.12968/bjom.2023.31.9.530","url":null,"abstract":"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","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":"48794661","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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