Pub Date : 2025-04-17DOI: 10.1016/j.srhc.2025.101101
Melina A. McCabe , Amelia Gabor , Jennifer Stephens , Michael M. McKee , Hilary K. Brown , Kara B. Ayers , Anne Valentine , Willi Horner-Johnson , Monika Mitra , John A. Harris
Objectives
To assess the feasibility and acceptability of our newly designed, tailored preconception educational intervention for people with mobility disabilities.
Methods
A prospective pre-post pilot study to measure the feasibility and acceptability of an educational intervention for people with mobility disabilities who could become pregnant in the next five years. Before and after general health and preconception knowledge were compared using paired t-tests.
Results
26 participants completed the study from November 2023 − July 2024. The most common diagnoses related to mobility disability were spinal cord injury (n = 9), spina bifida (n = 4), and cerebral palsy (n = 4). The intervention increased general health knowledge by 0.9 points (p = 0.13) and preconception health knowledge by 2.7 points (p = 0.025). A significant increase (1.8 points (95 % CI 0.9–2.6 points), p < 0.001) in preconception health knowledge compared to general health knowledge suggests the intervention successfully improved the targeted knowledge area.
Conclusions
This pilot study demonstrated the feasibility and acceptability of a preconception educational intervention tailored to individuals with mobility disabilities. This intervention holds the potential to improve health literacy, increase preconception health knowledge, and ultimately improve pregnancy outcomes among people with mobility disabilities.
{"title":"Pilot study for a preconception educational intervention for people with mobility disabilities","authors":"Melina A. McCabe , Amelia Gabor , Jennifer Stephens , Michael M. McKee , Hilary K. Brown , Kara B. Ayers , Anne Valentine , Willi Horner-Johnson , Monika Mitra , John A. Harris","doi":"10.1016/j.srhc.2025.101101","DOIUrl":"10.1016/j.srhc.2025.101101","url":null,"abstract":"<div><h3>Objectives</h3><div>To assess the feasibility and acceptability of our newly designed, tailored preconception educational intervention for people with mobility disabilities.</div></div><div><h3>Methods</h3><div>A prospective pre-post pilot study to measure the feasibility and acceptability of an educational intervention for people with mobility disabilities who could become pregnant in the next five years. Before and after general health and preconception knowledge were compared using paired t-tests.</div></div><div><h3>Results</h3><div>26 participants completed the study from November 2023 − July 2024. The most common diagnoses related to mobility disability were spinal cord injury (n = 9), spina bifida (n = 4), and cerebral palsy (n = 4). The intervention increased general health knowledge by 0.9 points (p = 0.13) and preconception health knowledge by 2.7 points (p = 0.025). A significant increase (1.8 points (95 % CI 0.9–2.6 points), p < 0.001) in preconception health knowledge compared to general health knowledge suggests the intervention successfully improved the targeted knowledge area.</div></div><div><h3>Conclusions</h3><div>This pilot study demonstrated the feasibility and acceptability of a preconception educational intervention tailored to individuals with mobility disabilities. This intervention holds the potential to improve health literacy, increase preconception health knowledge, and ultimately improve pregnancy outcomes among people with mobility disabilities.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101101"},"PeriodicalIF":1.4,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143860067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-12DOI: 10.1016/j.srhc.2025.101100
Leah East , Daniel Terry , Bianca Viljoen , Marie Hutchinson
Objective
To examine sexual and reproductive health outcomes of women who report intimate partner violence (IPV) and compare these outcomes to women who did not report IPV.
Methods
Utilising the Cohort of women born in 1973–1978 and aged 18–23 years when recruited to participate in the National Australian Longitudinal Study on Women’s Health, we conducted an analysis in 2022–2023 of the relationships between exposure to IPV and reproductive and sexual health outcomes for this cohort over a decade (1996 to 2006). Logistic regression analyses were undertaken, mixed effects regression models were applied where feasible.
Results
The current study indicates exposure to IPV significantly increases the likelihood of forced sex, reporting endometriosis, infertility, miscarriage, pregnancy termination, along with greater odds of infertility, termination, and miscarriage increasing with greater exposure to IPV. Women reporting IPV also report a greater likelihood of STIs such as chlamydia, herpes, and genital warts, in addition to a higher incidence of abnormal Pap tests. Women reporting IPV were also more likely to have a larger number of births, with births occurring earlier than those who did not report IPV.
Conclusion
Addressing the global issue of IPV, healthcare organisations must offer robust support, including clear guidelines and protocols for managing IPV and the associated health risks among women. This should extend to providing access to resources and referral systems among those identified as experiencing IPV. Interdisciplinary collaboration remains essential to create a holistic approach to managing IPV and the associated health consequences to promote positive sexual and reproductive health outcomes for women.
{"title":"Intimate partner violence and sexual and reproductive health outcomes of women: An Australian population cohort study","authors":"Leah East , Daniel Terry , Bianca Viljoen , Marie Hutchinson","doi":"10.1016/j.srhc.2025.101100","DOIUrl":"10.1016/j.srhc.2025.101100","url":null,"abstract":"<div><h3>Objective</h3><div>To examine sexual and reproductive health outcomes of women who report intimate partner violence (IPV) and compare these outcomes to women who did not report IPV.</div></div><div><h3>Methods</h3><div>Utilising the Cohort of women born in 1973–1978 and aged 18–23 years when recruited to participate in the National Australian Longitudinal Study on Women’s Health, we conducted an analysis in 2022–2023 of the relationships between exposure to IPV and reproductive and sexual health outcomes for this cohort over a decade (1996 to 2006). Logistic regression analyses were undertaken, mixed effects regression models were applied where feasible.</div></div><div><h3>Results</h3><div>The current study indicates exposure to IPV significantly increases the likelihood of forced sex, reporting endometriosis, infertility, miscarriage, pregnancy termination, along with greater odds of infertility, termination, and miscarriage increasing with greater exposure to IPV. Women reporting IPV also report a greater likelihood of STIs such as chlamydia, herpes, and genital warts, in addition to a higher incidence of abnormal Pap tests. Women reporting IPV were also more likely to have a larger number of births, with births occurring earlier than those who did not report IPV.</div></div><div><h3>Conclusion</h3><div>Addressing the global issue of IPV, healthcare organisations must offer robust support, including clear guidelines and protocols for managing IPV and the associated health risks among women. This should extend to providing access to resources and referral systems among those identified as experiencing IPV. Interdisciplinary collaboration remains essential to create a holistic approach to managing IPV and the associated health consequences to promote positive sexual and reproductive health outcomes for women.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101100"},"PeriodicalIF":1.4,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143834023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Experiencing a traumatic event during childbirth can cause undergraduate midwifery students to view childbirth as traumatic and develop a fear of it. This may hinder their ability to provide professional care and support to women during childbirth.
Background
The trauma may affect their education, future professional life, and caregiving abilities, potentially leading them to consider dropping out of the programme.
Aim
This study aimed to determine the prevalence and effect of traumatic childbirth witnessed by undergraduate midwifery students during their clinical practice at a government academic institution in Riyadh, Saudi Arabia.
Methods
An online descriptive cross-sectional survey with closed questions was chosen. The study sample includes second-, third-, and fourth-year undergraduate midwifery students who had attended at least one childbirth session (n = 255). Participants were identified using a non-probability convenience sampling technique. First-year students or those who had not started clinical practice were excluded.
Findings
A total of 149 respondents completed the survey, with a 96.8 % response rate. Among undergraduate midwifery students, 77.2 % reported witnessing traumatic childbirth during clinical training, with many considering these experiences somewhat traumatic (48.3 %) or highly traumatic (28.9 %).
Discussion
The survey results indicate that these experiences significantly affected mental and emotional health, and future childbirth preferences. Satisfaction among midwifery studies remained positive despite these challenges.
Conclusion
This study determined that a significant proportion of midwifery students witnessed traumatic childbirth, which affected their future pregnancy and childbirth plans, mental and emotional well-being, and professional life.
{"title":"The prevalence and effect of traumatic childbirth witnessed by midwifery students: A quantitative study","authors":"Roa Altaweli , Shooq Zaid Alotaibi , Ghayda Dokhi Aldokhi , Shahad Mohammed Alotaibi , Rawan Mohammed Megari , Nora Mahroos Alobthani , Danah Hamed Alanazi","doi":"10.1016/j.srhc.2025.101099","DOIUrl":"10.1016/j.srhc.2025.101099","url":null,"abstract":"<div><h3>Problem</h3><div>Experiencing a traumatic event during childbirth can cause undergraduate midwifery students to view childbirth as traumatic and develop a fear of it. This may hinder their ability to provide professional care and support to women during childbirth.</div></div><div><h3>Background</h3><div>The trauma may affect their education, future professional life, and caregiving abilities, potentially leading them to consider dropping out of the programme.</div></div><div><h3>Aim</h3><div>This study aimed to determine the prevalence and effect of traumatic childbirth witnessed by undergraduate midwifery students during their clinical practice at a government academic institution in Riyadh, Saudi Arabia.</div></div><div><h3>Methods</h3><div>An online descriptive cross-sectional survey with closed questions was chosen. The study sample includes second-, third-, and fourth-year undergraduate midwifery students who had attended at least one childbirth session (n = 255). Participants were identified using a non-probability convenience sampling technique. First-year students or those who had not started clinical practice were excluded.</div></div><div><h3>Findings</h3><div>A total of 149 respondents completed the survey, with a 96.8 % response rate. Among undergraduate midwifery students, 77.2 % reported witnessing traumatic childbirth during clinical training, with many considering these experiences somewhat traumatic (48.3 %) or highly traumatic (28.9 %).</div></div><div><h3>Discussion</h3><div>The survey results indicate that these experiences significantly affected mental and emotional health, and future childbirth preferences. Satisfaction among midwifery studies remained positive despite these challenges.</div></div><div><h3>Conclusion</h3><div>This study determined that a significant proportion of midwifery students witnessed traumatic childbirth, which affected their future pregnancy and childbirth plans, mental and emotional well-being, and professional life.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101099"},"PeriodicalIF":1.4,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-11DOI: 10.1016/j.srhc.2025.101097
Ayat Assemov, Assel Khassenova
{"title":"A Kazakhstan perspective on “The vital role of birth centers in modern maternity care”","authors":"Ayat Assemov, Assel Khassenova","doi":"10.1016/j.srhc.2025.101097","DOIUrl":"10.1016/j.srhc.2025.101097","url":null,"abstract":"","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101097"},"PeriodicalIF":1.4,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-11DOI: 10.1016/j.srhc.2025.101098
Ingrid Jepsen , Jane H. Nielsen , Stine A. Eriksen , Rikke D. Maimburg
Introduction
Remote monitoring of health, also called telemonitoring, is increasingly used in maternity care. Women with complicated pregnancies are asked to monitor themselves and the fetus at home. Quantitative research indicates that telemonitoring is safe and acceptable for women, but knowledge about the partner’s role and experience of remote telemonitoring is sparse. As the partner’s role in family formation is essential, midwives need to know more about the partner’s perspective.
Aim
To explore how partners experience telemonitoring.
Methods
A qualitative interview study comprising 14 partners of women with complicated pregnancies.
Results
We created five themes: 1) Fundamental trust in the healthcare system, 2) The partner’s role, 3) Time and timing matters, 4) Usability of the technology, and 5) Being at home is great.
Discussion
The Partners experienced telemonitoring as timesaving and cost-effective. However, the partners still experienced barriers to taking time off from work; thus, some did not participate in telemonitoring at home despite their wish to attend.
Conclusion
The partners experienced both benefits and challenges with telemonitoring and found the benefits to outweigh the challenges. The partners appreciated that the pregnant woman was monitored at home, which was both time-saving and cost-effective. It saved time because the pregnant woman could stay at home, and it was cost-effective because telemonitoring allowed the partners to support their spouse without taking a day off work. Transportation and parking expenses were saved. Telemonitoring challenges included technical issues, registration deadlines, feedback timing, and managing siblings during telemonitoring.
Trial registration
UCN (J. No 219623 in the Electronic Document Management System at UCN)
{"title":"“Being at home instead of going to the hospital is Great” − how partners experience telemonitoring of the fetal heart rate during pregnancy – A qualitative interview study","authors":"Ingrid Jepsen , Jane H. Nielsen , Stine A. Eriksen , Rikke D. Maimburg","doi":"10.1016/j.srhc.2025.101098","DOIUrl":"10.1016/j.srhc.2025.101098","url":null,"abstract":"<div><h3>Introduction</h3><div>Remote monitoring of health, also called telemonitoring, is increasingly used in maternity care. Women with complicated pregnancies are asked to monitor themselves and the fetus at home. Quantitative research indicates that telemonitoring is safe and acceptable for women, but knowledge about the partner’s role and experience of remote telemonitoring is sparse. As the partner’s role in family formation is essential, midwives need to know more about the partner’s perspective.</div></div><div><h3>Aim</h3><div>To explore how partners experience telemonitoring.</div></div><div><h3>Methods</h3><div>A qualitative interview study comprising 14 partners of women with complicated pregnancies.</div></div><div><h3>Results</h3><div>We created five themes: 1) Fundamental trust in the healthcare system, 2) The partner’s role, 3) Time and timing matters, 4) Usability of the technology, and 5) Being at home is great.</div></div><div><h3>Discussion</h3><div>The Partners experienced telemonitoring as timesaving and cost-effective. However, the partners still experienced barriers to taking time off from work; thus, some did not participate in telemonitoring at home despite their wish to attend.</div></div><div><h3>Conclusion</h3><div>The partners experienced both benefits and challenges with telemonitoring and found the benefits to outweigh the challenges. The partners appreciated that the pregnant woman was monitored at home, which was both time-saving and cost-effective. It saved time because the pregnant woman could stay at home, and it was cost-effective because telemonitoring allowed the partners to support their spouse without taking a day off work. Transportation and parking expenses were saved. Telemonitoring challenges included technical issues, registration deadlines, feedback timing, and managing siblings during telemonitoring.</div></div><div><h3>Trial registration</h3><div>UCN (J. No 219623 in the Electronic Document Management System at UCN)</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101098"},"PeriodicalIF":1.4,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143843313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-08DOI: 10.1016/j.srhc.2025.101096
Mirjam C.E. Peters , Marie L. Froehlich , Laura A. Zinsser
Background
The intersection of midwifery, maternity care, and feminist theory remains underexplored, particularly regarding its prevalence, contexts, and potential benefits for midwifery science.
Feminist perspectives address sociocultural, economic and political factors at both individual and structural levels. In health care, these factors significantly influence women’s health. Feminist perspectives offer approaches to better understand gendered experiences, address systemic inequalities, and gain deeper insights into sociocultural, economic and political dynamics.
Aim
The aim is to show how feminist perspectives are incorporated into midwifery research and how they are used.
Methods
A PRISMA-ScR-guided scoping review was conducted with systematic searches in Medline, MIDIRS, CINAHL, and SocINDEX, in December 2023. Studies over the last decade in English and German with the keyword “feminism” in midwifery and maternity care were included. Data were extracted and summarized descriptively. Patterns and underlying discourses were identified through iterative process to identify underlying themes.
Findings
From 1,523 records, 246 studies were included. These studies utilized feminist frameworks such as intersectional feminism, post-structural feminism, and feminist critical theory. Many studies focused on marginalized groups. Themes addressed included the experiences of women and families, healthcare needs, societal norms, ethical considerations, information and decision-making, and the role of technology.
Discussion
Feminist perspectives emphasize and contextualize the needs of women and marginalized groups, highlighting societal influences on health while providing approaches to analyse gender dynamics, power relations, and systemic inequalities.
Conclusion
This study highlights the potential for integrating feminist perspectives into midwifery science to develop more nuanced and equitable approaches to maternity care.
{"title":"Exploring feminism in midwifery and maternity research: A scoping review","authors":"Mirjam C.E. Peters , Marie L. Froehlich , Laura A. Zinsser","doi":"10.1016/j.srhc.2025.101096","DOIUrl":"10.1016/j.srhc.2025.101096","url":null,"abstract":"<div><h3>Background</h3><div>The intersection of midwifery, maternity care, and feminist theory remains underexplored, particularly regarding its prevalence, contexts, and potential benefits for midwifery science.</div><div>Feminist perspectives address sociocultural, economic and political factors at both individual and structural levels. In health care, these factors significantly influence women’s health. Feminist perspectives offer approaches to better understand gendered experiences, address systemic inequalities, and gain deeper insights into sociocultural, economic and political dynamics.</div></div><div><h3>Aim</h3><div>The aim is to show how feminist perspectives are incorporated into midwifery research and how they are used.</div></div><div><h3>Methods</h3><div>A PRISMA-ScR-guided scoping review was conducted with systematic searches in Medline, MIDIRS, CINAHL, and SocINDEX, in December 2023. Studies over the last decade in English and German with the keyword “feminism” in midwifery and maternity care were included. Data were extracted and summarized descriptively. Patterns and underlying discourses were identified through iterative process to identify underlying themes.</div></div><div><h3>Findings</h3><div>From 1,523 records, 246 studies were included. These studies utilized feminist frameworks such as intersectional feminism, post-structural feminism, and feminist critical theory. Many studies focused on marginalized groups. Themes addressed included the experiences of women and families, healthcare needs, societal norms, ethical considerations, information and decision-making, and the role of technology.</div></div><div><h3>Discussion</h3><div>Feminist perspectives emphasize and contextualize the needs of women and marginalized groups, highlighting societal influences on health while providing approaches to analyse gender dynamics, power relations, and systemic inequalities.</div></div><div><h3>Conclusion</h3><div>This study highlights the potential for integrating feminist perspectives into midwifery science to develop more nuanced and equitable approaches to maternity care.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101096"},"PeriodicalIF":1.4,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The shortage of midwives makes it difficult to meet healthcare needs in early labour, a phase when professional support and personal evaluation are crucial. Digitalisation has transformed healthcare, offering new communication and support methods. Although still uncommon, the use of a virtual waiting room with video calls by midwives during early labour could provide vital support for pregnant women and their partners. This study aimed to describe labour ward midwives’ experiences of remote video calls with women during early labour.
Methods
A qualitative descriptive study with seven semi-structured interviews followed by a qualitative content analysis was conducted.
Results
The findings revealed that remote video calls enabled the midwives to work flexibly with chosen working hours and become involved in a challenging new e-function. They interacted with the women and their partners and experienced that they created a supportive relationship and simultaneously gained an overview of the situation. They felt secure in their professional role when providing the necessary care and had confidence in their competence.
Conclusion
The potential benefits of integrating remote video calls into midwives’ tasks during early labour care include flexible working hours and fostering supportive relationships with women and their partners at home.
{"title":"Labour ward midwives’ experiences of remote video calls with women during early labour","authors":"Viola Nyman , Ann Svensson , Malin Hansson , Anette Johnsson","doi":"10.1016/j.srhc.2025.101095","DOIUrl":"10.1016/j.srhc.2025.101095","url":null,"abstract":"<div><h3>Background</h3><div>The shortage of midwives makes it difficult to meet healthcare needs in early labour, a phase when professional support and personal evaluation are crucial. Digitalisation has transformed healthcare, offering new communication and support methods. Although still uncommon, the use of a virtual waiting room with video calls by midwives during early labour could provide vital support for pregnant women and their partners. This study aimed to describe labour ward midwives’ experiences of remote video calls with women during early labour.</div></div><div><h3>Methods</h3><div>A qualitative descriptive study with seven semi-structured interviews followed by a qualitative content analysis was conducted.</div></div><div><h3>Results</h3><div>The findings revealed that remote video calls enabled the midwives to work flexibly with chosen working hours and become involved in a challenging new e-function. They interacted with the women and their partners and experienced that they created a supportive relationship and simultaneously gained an overview of the situation. They felt secure in their professional role when providing the necessary care and had confidence in their competence.</div></div><div><h3>Conclusion</h3><div>The potential benefits of integrating remote video calls into midwives’ tasks during early labour care include flexible working hours and fostering supportive relationships with women and their partners at home.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101095"},"PeriodicalIF":1.4,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-06DOI: 10.1016/j.srhc.2025.101094
Maryse C. Cnossen , Elke Tichelman , Vera Bostelaar , Suzanne van Dijk , Claire Hendrickx , Leonie Welling
Objective
The prevalence of pregnant women adhering to a vegan or strict plant-based diet is increasing. Despite a growing interest in veganism in pregnancy, there is a paucity of research exploring the experiences and needs of women who decided to continue the vegan diet during pregnancy. This qualitative study aims to explore the experiences and needs of pregnant women adhering to a vegan diet.
Methods
We conducted fifteen semi-structured interviews among pregnant women and among women within the first twelve months postpartum who self-identified as vegan.
Results
Thematic analysis revealed five core themes: (1) confidence and pride, (2) stigmatization, (3) barriers, (4) knowledge, and (5) support and acceptance. Although pregnant vegans often exhibit feelings of confidence and pride in their dietary choices, they also face challenges due to social stigma, misconceptions, cravings and nausea. Participants expressed that it was difficult to find reliable information regarding nutritional requirements and supplementation during pregnancy, and that healthcare providers lacked adequate knowledge. The level of support received from healthcare professionals and their surrounding varied but is deemed significant, underscoring the importance of a non-judgmental, accepting and supportive approach.
Conclusions
This study highlighted the confidence and pride pregnant vegans may experience, but also the challenges they face due to social stigma, misconceptions, cravings and nausea, and the need for better information and support. By addressing these challenges, healthcare professionals and communities can contribute to healthier and more informed vegan pregnancies, ultimately benefiting the well-being and health of both mothers and their infants.
{"title":"Veganism during pregnancy: Exploring experiences and needs of women following a plant-based diet","authors":"Maryse C. Cnossen , Elke Tichelman , Vera Bostelaar , Suzanne van Dijk , Claire Hendrickx , Leonie Welling","doi":"10.1016/j.srhc.2025.101094","DOIUrl":"10.1016/j.srhc.2025.101094","url":null,"abstract":"<div><h3>Objective</h3><div>The prevalence of pregnant women adhering to a vegan or strict plant-based diet is increasing. Despite a growing interest in veganism in pregnancy, there is a paucity of research exploring the experiences and needs of women who decided to continue the vegan diet during pregnancy. This qualitative study aims to explore the experiences and needs of pregnant women adhering to a vegan diet.</div></div><div><h3>Methods</h3><div>We conducted fifteen semi-structured interviews among pregnant women and among women within the first twelve months postpartum who self-identified as vegan.</div></div><div><h3>Results</h3><div>Thematic analysis revealed five core themes: (1) confidence and pride, (2) stigmatization, (3) barriers, (4) knowledge, and (5) support and acceptance. Although pregnant vegans often exhibit feelings of confidence and pride in their dietary choices, they also face challenges due to social stigma, misconceptions, cravings and nausea. Participants expressed that it was difficult to find reliable information regarding nutritional requirements and supplementation during pregnancy, and that healthcare providers lacked adequate knowledge. The level of support received from healthcare professionals and their surrounding varied but is deemed significant, underscoring the importance of a non-judgmental, accepting and supportive approach.</div></div><div><h3>Conclusions</h3><div>This study highlighted the confidence and pride pregnant vegans may experience, but also the challenges they face due to social stigma, misconceptions, cravings and nausea, and the need for better information and support. By addressing these challenges, healthcare professionals and communities can contribute to healthier and more informed vegan pregnancies, ultimately benefiting the well-being and health of both mothers and their infants.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101094"},"PeriodicalIF":1.4,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143806879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-05DOI: 10.1016/j.srhc.2025.101093
Kerry Sutcliffe , Elizabeth Newnham , Hannah Dahlen , Linda Mackay , Kate Levett
Objective
The utility of childbirth education (CBE) techniques during labour is largely unknown. We considered whether ‘differentiation of self’ (DoS), a Bowen theory concept describing a person’s capacity to act according to goals and principles, even when experiencing physiological, emotional, and relational stressors, impacted this. The aim was to explore women’s perspectives on the utilisation of non pharmacological CBE strategies that support physiological birth, and whether DoS influences use.
Methods
Semi structured interviews with participants of varying levels of reported DoS enrolled in an Australian RCT of a comprehensive CBE program.
Results
Thematic analysis identified pressure points during childbirth, to which women responded through promoters of CBE (‘Trust in self’, ‘Enlisting support of others’, ‘I clawed it back’) or preventers (‘Impeding issues derailed me’, ‘Conversations with me were incomplete’, ‘I lost my way’). As pressure points intensified, it became increasingly difficult to utilise techniques. The overarching theme, up to a point, describes the use of CBE and the interaction between level of DoS and stressors faced.
Conclusion
Women utilise CBE techniques to differing degrees, which is impacted by support available, and stressors associated with birth culture and practices. This has practise implications for supporting physiological birth. The application of CBE techniques is mediated by pressures women encounter. DoS indicates promotion of CBE strategies up to a point, but with sufficient challenges, continued use becomes increasingly difficult.
{"title":"Utilisation of childbirth education techniques: How does the concept of ‘differentiation of self’ impact this?","authors":"Kerry Sutcliffe , Elizabeth Newnham , Hannah Dahlen , Linda Mackay , Kate Levett","doi":"10.1016/j.srhc.2025.101093","DOIUrl":"10.1016/j.srhc.2025.101093","url":null,"abstract":"<div><h3>Objective</h3><div>The utility of childbirth education (CBE) techniques during labour is largely unknown. We considered whether ‘<em>differentiation of self’</em> (DoS), a Bowen theory concept describing a person’s capacity to act according to goals and principles, even when experiencing physiological, emotional, and relational stressors, impacted this. The aim was to explore women’s perspectives on the utilisation of non pharmacological CBE strategies that support physiological birth, and whether DoS influences use.</div></div><div><h3>Methods</h3><div>Semi structured interviews with participants of varying levels of reported DoS enrolled in an Australian RCT of a comprehensive CBE program.</div></div><div><h3>Results</h3><div>Thematic analysis identified <em>pressure points</em> during childbirth, to which women responded through <em>promoters</em> of CBE (‘Trust in self’, ‘Enlisting support of others’, ‘I clawed it back’) or <em>preventers</em> (‘Impeding issues derailed me’, ‘Conversations with me were incomplete’, ‘I lost my way’). As <em>pressure points</em> intensified, it became increasingly difficult to utilise techniques. The overarching theme, <em>up to a point</em>, describes the use of CBE and the interaction between level of DoS and stressors faced.</div></div><div><h3>Conclusion</h3><div>Women utilise CBE techniques to differing degrees, which is impacted by support available, and stressors associated with birth culture and practices. This has practise implications for supporting physiological birth. The application of CBE techniques is mediated by pressures women encounter. DoS indicates promotion of CBE strategies <em>up to a point</em>, but with sufficient challenges, continued use becomes increasingly difficult.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101093"},"PeriodicalIF":1.4,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143806878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-27DOI: 10.1016/j.srhc.2025.101089
Kai Hodgkin , Grace Joshy , Kamalini Lokuge
Objective
In high-income countries, attended birth at home and in midwifery-led birth units is safe for low-risk women who have access to hospital transfer. These circumstances are untested in Indonesia and other low- and middle-income countries, where mortality remains unacceptably high, and studies analysing birth settings do not account for pregnancy risk. This study aimed to quantify first day neonatal mortality in Indonesia across different birth settings, adjusting for pregnancy risk and other confounding factors, and summarise barriers to accessing health care.
Methods
Using self-reported data from women aged 15–49 years participating in the 2007, 2012 and 2017 Indonesian Demographic Health Surveys (n = 45,953), adjusted odds ratios (aOR) of first-day neonatal mortality were estimated using logistic regression. Barriers reported by women in accessing health care are summarised.
Results
First-day neonatal death occurred in 3.45 per 1000 live births. Rates were higher for: births with pregnancy risk (7.35/1000 vs 2.31/1000 no risk; aOR = 3.17, 95 %CI 2.29–4.38); home births with and without health professionals present (5.03/1000, aOR = 2.26, 95 %CI 1.19–4.29 and 5.11/1000, aOR = 2.50, 95 %CI 1.26–4.96 respectively) vs midwife-led birth unit. Women who birthed in hospital and midwifery-led birth units reported fewer barriers to accessing healthcare; those who gave birth at home without a health professional reported the most.
Conclusion
Pregnancy risk and barriers to health care access are key elements associated with neonatal mortality. Interventions should target women who face barriers to accessing healthcare, particularly those with risk factors. Midwifery-led birth units are an accessible option, with low odds of first-day neonatal mortality in Indonesia.
{"title":"Do Indonesian midwifery-led birth units provide safe, accessible care? A secondary analysis of demographic health survey cross-sectional data","authors":"Kai Hodgkin , Grace Joshy , Kamalini Lokuge","doi":"10.1016/j.srhc.2025.101089","DOIUrl":"10.1016/j.srhc.2025.101089","url":null,"abstract":"<div><h3>Objective</h3><div>In high-income countries, attended birth at home and in midwifery-led birth units is safe for low-risk women who have access to hospital transfer. These circumstances are untested in Indonesia and other low- and middle-income countries, where mortality remains unacceptably high, and studies analysing birth settings do not account for pregnancy risk. This study aimed to quantify first day neonatal mortality in Indonesia across different birth settings, adjusting for pregnancy risk and other confounding factors, and summarise barriers to accessing health care.</div></div><div><h3>Methods</h3><div>Using self-reported data from women aged 15–49 years participating in the 2007, 2012 and 2017 Indonesian Demographic Health Surveys (n = 45,953), adjusted odds ratios (aOR) of first-day neonatal mortality were estimated using logistic regression. Barriers reported by women in accessing health care are summarised.</div></div><div><h3>Results</h3><div>First-day neonatal death occurred in 3.45 per 1000 live births. Rates were higher for: births with pregnancy risk (7.35/1000 vs 2.31/1000 no risk; aOR = 3.17, 95 %CI 2.29–4.38); home births with and without health professionals present (5.03/1000, aOR = 2.26, 95 %CI 1.19–4.29 and 5.11/1000, aOR = 2.50, 95 %CI 1.26–4.96 respectively) vs midwife-led birth unit. Women who birthed in hospital and midwifery-led birth units reported fewer barriers to accessing healthcare; those who gave birth at home without a health professional reported the most.</div></div><div><h3>Conclusion</h3><div>Pregnancy risk and barriers to health care access are key elements associated with neonatal mortality. Interventions should target women who face barriers to accessing healthcare, particularly those with risk factors. Midwifery-led birth units are an accessible option, with low odds of first-day neonatal mortality in Indonesia.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101089"},"PeriodicalIF":1.4,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143806877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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