The aim of this study was to investigate the validity and reliability of the prenatal and postnatal versions of the Postpartum Depression Predictors Inventory-Revised (PDPI-R) and to examine the predictive validity of PDPI-R in Turkish women, considering two gold standards to determine postpartum depression (PPD).
Methods
This prospective longitudinal study was conducted between August 2021 and September 2023. A total of 301 pregnant women participated in the study. Participants completed the PDPI-R during the third trimester of pregnancy (T1) and at 4 weeks postpartum (T2). At T2, participants also completed the Edinburgh Postnatal Depression Scale (EPDS), and women were interviewed using the Structured Clinical Interview for DSM-IV Disorders.
Results
The prenatal version of the PDPI-R predicted PPD with 64% (R:0.64) accuracy on the basis of the EPDS and 78% accuracy (R:0.78) according to DSM IV criteria. The postnatal version of the PDPI-R predicted PPD with 71% (R:0.71) accuracy on the basis of the EPDS and 81% accuracy (R:0.781) based on DSM IV criteria. The cut-off points exhibited the highest sensitivity and specificity values at 8.5 for the prenatal version and 10.5 for the postnatal version.
Conclusions
The PDPI-R is a valid and reliable screening tool for identifying Turkish women at high risk of developing PPD and for estimating the psychosocial risk associated with PPD.
{"title":"Psychometric testing and the predictive validity of the Postpartum Depression Predictors Inventory-Revised (PDPI-R): A longitudinal study with Turkish women","authors":"Fatma Ayhan , Ayse Akalin , Habip Balsak , Arzu Erden","doi":"10.1016/j.srhc.2024.100965","DOIUrl":"https://doi.org/10.1016/j.srhc.2024.100965","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this study was to investigate the validity and reliability of the prenatal and postnatal versions of the Postpartum Depression Predictors Inventory-Revised (PDPI-R) and to examine the predictive validity of PDPI-R in Turkish women, considering two gold standards to determine postpartum depression (PPD).</p></div><div><h3>Methods</h3><p>This prospective longitudinal study was conducted between August 2021 and September 2023. A total of 301 pregnant women participated in the study. Participants completed the PDPI-R during the third trimester of pregnancy (T1) and at 4 weeks postpartum (T2). At T2, participants also completed the Edinburgh Postnatal Depression Scale (EPDS), and women were interviewed using the Structured Clinical Interview for DSM-IV Disorders.</p></div><div><h3>Results</h3><p>The prenatal version of the PDPI-R predicted PPD with 64% (R:0.64) accuracy on the basis of the EPDS and 78% accuracy (R:0.78) according to DSM IV criteria. The postnatal version of the PDPI-R predicted PPD with 71% (R:0.71) accuracy on the basis of the EPDS and 81% accuracy (R:0.781) based on DSM IV criteria. The cut-off points exhibited the highest sensitivity and specificity values at 8.5 for the prenatal version and 10.5 for the postnatal version.</p></div><div><h3>Conclusions</h3><p>The PDPI-R is a valid and reliable screening tool for identifying Turkish women at high risk of developing PPD and for estimating the psychosocial risk associated with PPD.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140067328","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 : 2024-02-29DOI: 10.1016/j.srhc.2024.100957
Ingegerd Hildingsson , Hanna Fahlbeck , Birgitta Larsson , Margareta Johansson
Background
Midwifery continuity models are growing worldwide, but few such alternatives are available in Sweden. There is sparse knowledge about Swedish midwives’ attitudes about midwifery continuity models.
Aim
The aim of this study was to explore Swedish midwives’ attitudes toward continuity models. An additional aim was to evaluate the psychometric properties of a previously developed instrument measuring attitudes to continuity models.
Methods
A cross-sectional survey of a national sample of 2537 midwives in Sweden. The participants completed a questionnaire online. A Principal component Analysis was performed to identify components in the instrument.
Results
A fairly similar proportion of midwives worked in antenatal care (30.7%), intrapartum care (30.7%) and in other areas (31.1%). Many midwives (59%) agreed that continuity models should be available to women, but were not certain about if such models should be offered to all women or low risk women only. Two domains of the attitude scale were identified; Relationship-based Midwifery Continuity Models, and Practical and Organisational Aspects of Midwifery Continuity Models. Age, having children, marital status, length of work experience and place of work were associated with high agreement non the two components.
Conclusion
Many midwives in general held positive attitudes about continuity models. The relationship aspects were highly valued but midwives were also hesitant about the practical and organisational aspect of continuity models. Unbiased information to midwives about the pros and cons with continuity models should be offered, in order to limit misunderstandings about the model.
{"title":"Swedish midwives’ attitudes towards continuity models-a cross-sectional survey","authors":"Ingegerd Hildingsson , Hanna Fahlbeck , Birgitta Larsson , Margareta Johansson","doi":"10.1016/j.srhc.2024.100957","DOIUrl":"https://doi.org/10.1016/j.srhc.2024.100957","url":null,"abstract":"<div><h3>Background</h3><p>Midwifery continuity models are growing worldwide, but few such alternatives are available in Sweden. There is sparse knowledge about Swedish midwives’ attitudes about midwifery continuity models.</p></div><div><h3>Aim</h3><p>The aim of this study was to explore Swedish midwives’ attitudes toward continuity models. An additional aim was to evaluate the psychometric properties of a previously developed instrument measuring attitudes to continuity models.</p></div><div><h3>Methods</h3><p>A cross-sectional survey of a national sample of 2537 midwives in Sweden. The participants completed a questionnaire online. A Principal component Analysis was performed to identify components in the instrument.</p></div><div><h3>Results</h3><p>A fairly similar proportion of midwives worked in antenatal care (30.7%), intrapartum care (30.7%) and in other areas (31.1%). Many midwives (59%) agreed that continuity models should be available to women, but were not certain about if such models should be offered to all women or low risk women only. Two domains of the attitude scale were identified; <em>Relationship-based Midwifery Continuity Models</em>, and <em>Practical and Organisational Aspects of Midwifery Continuity Models.</em> Age, having children, marital status, length of work experience and place of work were associated with high agreement non the two components.</p></div><div><h3>Conclusion</h3><p>Many midwives in general held positive attitudes about continuity models. The relationship aspects were highly valued but midwives were also hesitant about the practical and organisational aspect of continuity models. Unbiased information to midwives about the pros and cons with continuity models should be offered, in order to limit misunderstandings about the model.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000120/pdfft?md5=962cb622db7f197c9c847e93650a87af&pid=1-s2.0-S1877575624000120-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140014188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-23DOI: 10.1016/j.srhc.2024.100956
Evanthia Sakellari , Mari Berglund , Areti Lagiou , Maria Luisa Sotto-mayor De Carvalho Pinto , Maria Anabela Ferreira Dos Santos , Mari Lahti , Tiina Murto
Objective
To explore and describe social and healthcare professionals’ perceptions and educational needs in relation to domestic violence and its prevention.
Methods
A qualitative research was conducted in three European countries. Two multidisciplinary focus group interviews were conducted (in each country) among professionals and higher education teachers in the field of social and health care. Total number of participants were 32 (Finland n=12, Greece n=12, Portugal n=8). The transcribed data were analyzed by thematic analysis.
Results
Participants’ perceptions of domestic violence and its prevention included: multidimensional phenomenon, consequences, and addressing concern. Domestic violence was seen as a multidimensional phenomenon, which has various consequences for several aspects of life. Professionals have difficulties addressing their concern due to lack of knowledge and tools. Solutions to prevent domestic violence that the participants shared were: education, intervention, and strategies. Education was seen as the key aspect for the prevention of domestic violence. Also, professionals’ communication and situation management skills, as well as national and international strategies, were seen as valuable solutions. Educational needs for prevention of domestic violence were expressed based on content, methods, and practices, such as services system and legislation.
Conclusion
The findings of the current study highlight the social- and healthcare professionals’ need for education about domestic violence. It is essential that these professionals receive appropriate training to effectively identify and address domestic violence. The current study provides useful information for the development of relevant training/education for this group of professionals.
{"title":"Perceptions and educational needs of social and healthcare professionals in the prevention of domestic violence – A focus group study","authors":"Evanthia Sakellari , Mari Berglund , Areti Lagiou , Maria Luisa Sotto-mayor De Carvalho Pinto , Maria Anabela Ferreira Dos Santos , Mari Lahti , Tiina Murto","doi":"10.1016/j.srhc.2024.100956","DOIUrl":"https://doi.org/10.1016/j.srhc.2024.100956","url":null,"abstract":"<div><h3>Objective</h3><p>To explore and describe social and healthcare professionals’ perceptions and educational needs in relation to domestic violence and its prevention.</p></div><div><h3>Methods</h3><p>A qualitative research was conducted in three European countries. Two multidisciplinary focus group interviews were conducted (in each country) among professionals and higher education teachers in the field of social and health care. Total number of participants were 32 (Finland n=12, Greece n=12, Portugal n=8). The transcribed data were analyzed by thematic analysis.</p></div><div><h3>Results</h3><p>Participants’ perceptions of domestic violence and its prevention included: multidimensional phenomenon, consequences, and addressing concern. Domestic violence was seen as a multidimensional phenomenon, which has various consequences for several aspects of life. Professionals have difficulties addressing their concern due to lack of knowledge and tools. Solutions to prevent domestic violence that the participants shared were: education, intervention, and strategies. Education was seen as the key aspect for the prevention of domestic violence. Also, professionals’ communication and situation management skills, as well as national and international strategies, were seen as valuable solutions. Educational needs for prevention of domestic violence were expressed based on content, methods, and practices, such as services system and legislation.</p></div><div><h3>Conclusion</h3><p>The findings of the current study highlight the social- and healthcare professionals’ need for education about domestic violence. It is essential that these professionals receive appropriate training to effectively identify and address domestic violence. The current study provides useful information for the development of relevant training/education for this group of professionals.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000119/pdfft?md5=dcc72ffc6f813ee4658f1c4504abd7fd&pid=1-s2.0-S1877575624000119-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140016264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-20DOI: 10.1016/j.srhc.2024.100955
Alison Swift , Emily Thomas , Kim Larson , Melvin Swanson , Madeline Fernandez-Pineda
Objective
Fertility treatments often cause women high levels of stress and low quality of life (QoL). Women discontinue fertility treatments for a variety of reasons, yet little is known about infertility-related stress and QoL among women who discontinue treatments. The purpose of this study was to examine infertility-related stress and QoL among women who discontinued fertility treatments compared to those who continued treatments, and reasons for treatment discontinuation.
Methods
A secondary analysis was conducted to examine infertility-related stress and QoL among 70 women who discontinued from fertility treatments compared to 166 women who received fertility treatments. Statistical analysis included descriptive statistics, chi-square test for independence, independent t-tests, and binary logistic regression analysis. Conventional content analysis was conducted on responses to an open-text question about reasons for treatment discontinuation.
Results
No differences in infertility-related stress and QoL were found between groups. Explanatory variables of treatment discontinuation included income [odds ratios (OR) 2.50, 95% CI 1.12–5.61], QoL dissatisfaction (OR 2.49, 95% CI 1.33–4.69), and infertility duration three years or greater (OR 2.40, 95% CI 1.30–4.42). Three themes of treatment discontinuation were identified: Covering the Cost; Waiting for a Resolution; Re-envisioning Family Identity.
Conclusion
Infertility-related stress and QoL are similar among women who discontinued and who received fertility treatments, highlighting the need for emotional support services for women regardless of their treatment status. During the period of infertility, treatment discontinuation related to cost, waiting for a resolution, or re-envisioning family identity occurred, suggesting opportunities for specific interventions to support women’s mental health needs.
目标不孕不育治疗通常会给女性带来很大的压力，并降低她们的生活质量（QoL）。妇女中止生育治疗的原因多种多样，但人们对中止治疗的妇女中与不孕症相关的压力和 QoL 却知之甚少。本研究的目的是研究中止生育治疗的女性与继续治疗的女性之间与不孕症相关的压力和 QoL，以及中止治疗的原因。方法对 70 名中止生育治疗的女性与 166 名接受生育治疗的女性之间与不孕症相关的压力和 QoL 进行了二次分析。统计分析包括描述性统计、独立性卡方检验、独立 t 检验和二元逻辑回归分析。对有关中止治疗原因的开放文本问题的回答进行了常规内容分析。中止治疗的解释变量包括收入[几率比（OR）2.50，95% CI 1.12-5.61]、QoL不满意度（OR 2.49，95% CI 1.33-4.69）和不孕症持续时间三年或三年以上（OR 2.40，95% CI 1.30-4.42）。确定了三个中断治疗的主题：结论在停止治疗和接受治疗的妇女中，与不孕不育相关的压力和 QoL 相似，这突出表明，无论妇女的治疗状况如何，她们都需要情感支持服务。在不孕不育期间，因费用、等待解决方案或重新认识家庭身份而中断治疗的情况时有发生，这表明有机会采取特定干预措施来支持妇女的心理健康需求。
{"title":"Infertility-related stress, quality of life, and reasons for fertility treatment discontinuation among US women: A secondary analysis of a cross-sectional study","authors":"Alison Swift , Emily Thomas , Kim Larson , Melvin Swanson , Madeline Fernandez-Pineda","doi":"10.1016/j.srhc.2024.100955","DOIUrl":"10.1016/j.srhc.2024.100955","url":null,"abstract":"<div><h3>Objective</h3><p>Fertility treatments often cause women high levels of stress and low quality of life (QoL). Women discontinue fertility treatments for a variety of reasons, yet little is known about infertility-related stress and QoL among women who discontinue treatments. The purpose of this study was to examine infertility-related stress and QoL among women who discontinued fertility treatments compared to those who continued treatments, and reasons for treatment discontinuation.</p></div><div><h3>Methods</h3><p>A secondary analysis was conducted to examine infertility-related stress and QoL among 70 women who discontinued from fertility treatments compared to 166 women who received fertility treatments. Statistical analysis included descriptive statistics, chi-square test for independence, independent t-tests, and binary logistic regression analysis. Conventional content analysis was conducted on responses to an open-text question about reasons for treatment discontinuation.</p></div><div><h3>Results</h3><p>No differences in infertility-related stress and QoL were found between groups. Explanatory variables of treatment discontinuation included income [odds ratios (OR) 2.50, 95% CI 1.12–5.61], QoL dissatisfaction (OR 2.49, 95% CI 1.33–4.69), and infertility duration three years or greater (OR 2.40, 95% CI 1.30–4.42). Three themes of treatment discontinuation were identified: Covering the Cost; Waiting for a Resolution; Re-envisioning Family Identity.</p></div><div><h3>Conclusion</h3><p>Infertility-related stress and QoL are similar among women who discontinued and who received fertility treatments, highlighting the need for emotional support services for women regardless of their treatment status. During the period of infertility, treatment discontinuation related to cost, waiting for a resolution, or re-envisioning family identity occurred, suggesting opportunities for specific interventions to support women’s mental health needs.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139928087","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 : 2024-02-17DOI: 10.1016/j.srhc.2024.100954
L. Brigante, M.V. Christiansen, R.D. Maimburg
{"title":"Midwifery research: A vital catalyst for addressing gaps in sexual and reproductive healthcare","authors":"L. Brigante, M.V. Christiansen, R.D. Maimburg","doi":"10.1016/j.srhc.2024.100954","DOIUrl":"10.1016/j.srhc.2024.100954","url":null,"abstract":"","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139925490","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 : 2024-02-11DOI: 10.1016/j.srhc.2024.100953
Renee L Kam , Shannon K Bennetts , Meabh Cullinane , Lisa H Amir
Problem
Low milk supply is the most common reason women give for stopping breastfeeding early and yet there is a lack of understanding about these women’s experiences.
Background
Most women plan to breastfeed but many experience challenges such as low milk production, leading them to seek help and support.
Aim
To explore women’s personal stories of how their low supply was discovered.
Methods
Inductive template analysis was used to analyse free-text online survey responses of women from the United States of America, Australia and the United Kingdom.
Findings
384 women responded to the open-ended survey item between October 2021 and January 2022. We identified three themes: (i) Events and observations: From ‘risk factors’ to ‘failure of breast changes’ to ‘my baby was so unhappy’, (ii) Seeking support and taking action: ‘I tried everything’ and (iii) A rollercoaster of emotion: ‘I didn’t want to let go of the dream’.
Discussion
Our findings emphasise women’s need to feel heard and understood and their quest to find answers. The rollercoaster of emotions they experienced largely stemmed from a gap between the expectations and reality of breastfeeding. Some participants described accepting a different feeding journey.
Conclusion
Findings underscore the need for quality and accessible psychosocial support for women experiencing low milk supply, in addition to the provision of evidence-based advice.
{"title":"“I didn’t want to let go of the dream”: Exploring women’s personal stories of how their low milk supply was discovered","authors":"Renee L Kam , Shannon K Bennetts , Meabh Cullinane , Lisa H Amir","doi":"10.1016/j.srhc.2024.100953","DOIUrl":"10.1016/j.srhc.2024.100953","url":null,"abstract":"<div><h3>Problem</h3><p>Low milk supply is the most common reason women give for stopping breastfeeding early and yet there is a lack of understanding about these women’s experiences.</p></div><div><h3>Background</h3><p>Most women plan to breastfeed but many experience challenges such as low milk production, leading them to seek help and support.</p></div><div><h3>Aim</h3><p>To explore women’s personal stories of how their low supply was discovered.</p></div><div><h3>Methods</h3><p>Inductive template analysis was used to analyse free-text online survey responses of women from the United States of America, Australia and the United Kingdom.</p></div><div><h3>Findings</h3><p>384 women responded to the open-ended survey item between October 2021 and January 2022. We identified three themes: (i) Events and observations: From ‘risk factors’ to ‘failure of breast changes’ to ‘my baby was so unhappy’, (ii) Seeking support and taking action: ‘I tried everything’ and (iii) A rollercoaster of emotion: ‘I didn’t want to let go of the dream’.</p></div><div><h3>Discussion</h3><p>Our findings emphasise women’s need to feel heard and understood and their quest to find answers. The rollercoaster of emotions they experienced largely stemmed from a gap between the expectations and reality of breastfeeding. Some participants described accepting a different feeding journey.</p></div><div><h3>Conclusion</h3><p>Findings underscore the need for quality and accessible psychosocial support for women experiencing low milk supply, in addition to the provision of evidence-based advice.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000089/pdfft?md5=d3e3fbc984960d0ce8ac80d6639f75a3&pid=1-s2.0-S1877575624000089-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139821179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.1016/j.srhc.2024.100950
Anna Arvidsson , Anette Grander , Malin Lindroth
Objective
Young people are prioritized regarding the promotion and safeguarding of sexual and reproductive health and rights – SRHR. In Sweden, the school is seen as an important arena with members of the school health-care or SHC team as vital actors in this work. This study explored SRHR-related work in SHC teams in Sweden.
Methods
Within an explorative qualitative design, structured interviews were conducted with 33 nurses, counsellors, SHC unit managers and headmasters. Reflexive thematic analysis was applied, and two main themes found.
Results
SHC team members see SRHR as an urgent topic, but address it only ‘when necessary’, not systematically – and they experience a shortage of guidance and cooperation regarding SRHR-related work. Even in a country with agreement on the importance of SRHR for all and on providing holistic comprehensive sex education in schools, young people are left to chance – i.e., to the SRHR competence in the professionals they meet.
Conclusion
SHC team members in Sweden see SRHR as an urgent topic but do not address it systematically. Moreover, they experience a shortage of guidance for their work. To avoid any professional stress of conscience and for equitable school health care regarding SRHR to be realized, research-informed policy needs to underline systematic, comparable and proactive practice.
{"title":"School health-care team members’ reflections of their promotion of sexual and reproductive health and rights (SRHR): Important but neglected","authors":"Anna Arvidsson , Anette Grander , Malin Lindroth","doi":"10.1016/j.srhc.2024.100950","DOIUrl":"10.1016/j.srhc.2024.100950","url":null,"abstract":"<div><h3>Objective</h3><p>Young people are prioritized regarding the promotion and safeguarding of sexual and reproductive health and rights – SRHR. In Sweden, the school is seen as an important arena with members of the school health-care or SHC team as vital actors in this work. This study explored SRHR-related work in SHC teams in Sweden.</p></div><div><h3>Methods</h3><p>Within an explorative qualitative design, structured interviews were conducted with 33 nurses, counsellors, SHC unit managers and headmasters. Reflexive thematic analysis was applied, and two main themes found.</p></div><div><h3>Results</h3><p>SHC team members see SRHR as an urgent topic, but address it only ‘when necessary’, not systematically – and they experience a shortage of guidance and cooperation regarding SRHR-related work. Even in a country with agreement on the importance of SRHR for all and on providing holistic comprehensive sex education in schools, young people are left to chance – i.e., to the SRHR competence in the professionals they meet.</p></div><div><h3>Conclusion</h3><p>SHC team members in Sweden see SRHR as an urgent topic but do not address it systematically. Moreover, they experience a shortage of guidance for their work. To avoid any professional stress of conscience and for equitable school health care regarding SRHR to be realized, research-informed policy needs to underline systematic, comparable and proactive practice.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139678672","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 : 2024-02-01DOI: 10.1016/j.srhc.2024.100951
Silje Espejord , Sonja H. Auberg , Trine K. Kvitno , Christina Furskog-Risa , Mirjam Lukasse
Aim
The aim of this study was to investigate Norwegian community midwiveś(CMs) experience of collaboration when caring for pregnant women with vulnerabilities. We wanted to determine which professionals and services are considered important and with whom they have written agreements and good lines of communication. Furthermore, which tools are used in collaboration and if any background factors enhance collaboration.
Background
Vulnerable pregnant women may require more than standard antenatal care, involving interdisciplinary collaboration. Outcomes can improve if vulnerable pregnant women are offered additional support. The introduction of multi-disciplinary teams in Norway has shown promising results, as in many other countries. A Norwegian report concluded that there is need for more research to improve the quality and availability of interdisciplinary care.
Methods
A cross-sectional, descriptive study, using data from a questionnaire that approximately 700 CMs in Norway were invited to answer online from May-August 2020. Data were analysed using the statistical software SPSS 26.
Results
One third (2 5 7) of the invited CMs participated in the survey. They reported that professionals involved in standard antenatal care, such as those at the maternity unit and PHNs, were the most important collaborative partners when caring for vulnerable pregnant women. The CMs reported poor communication with general practitioners, child welfare-, drug welfare- and mental health-services. The most frequent methods for accessing collaboration were phoning and electronically through patient record systems, while there was limited use of the personal care plan, patient coordination meetings and regular meetings with collaborative partners/services. CMs with more than ten years as a CM and “Early Start” training were more frequently involved in patient coordination meetings and counselling and debriefing sessions compared to inexperienced CMs who had not attended a special training program.
Conclusion
Experience and completed the Early Start education/training increased the use of interprofessional collaborating meetings including CMs. This study suggests interdisciplinary training programmes to improve collaboration, which are expected to benefit vulnerable pregnant women, their babies and families.
Implication for practice and research
We recommend education and training in both the educational system and among involved professionals in communities to improve collaboration in the care of vulnerable women. In order to measure the effectiveness of collaboration in the care of vulnerable pregnant women, both the targeted group and the collaborating professionals should be asked to provide feedback. More research on communication and collaboration is needed.
{"title":"Norwegian community midwives’ experience of interdisciplinary collaboration in care of pregnant women with vulnerabilities","authors":"Silje Espejord , Sonja H. Auberg , Trine K. Kvitno , Christina Furskog-Risa , Mirjam Lukasse","doi":"10.1016/j.srhc.2024.100951","DOIUrl":"10.1016/j.srhc.2024.100951","url":null,"abstract":"<div><h3>Aim</h3><p>The aim of this study was to investigate Norwegian community midwiveś(CMs) experience of collaboration when caring for pregnant women with vulnerabilities. We wanted to determine which professionals and services are considered important and with whom they have written agreements and good lines of communication. Furthermore, which tools are used in collaboration and if any background factors enhance collaboration.</p></div><div><h3>Background</h3><p>Vulnerable pregnant women may require more than standard antenatal care, involving interdisciplinary collaboration. Outcomes can improve if vulnerable pregnant women are offered additional support. The introduction of multi-disciplinary teams in Norway has shown promising results, as in many other countries. A Norwegian report concluded that there is need for more research to improve the quality and availability of interdisciplinary care.</p></div><div><h3>Methods</h3><p>A cross-sectional, descriptive study, using data from a questionnaire that approximately 700 CMs in Norway were invited to answer online from May-August 2020. Data were analysed using the statistical software SPSS 26.</p></div><div><h3>Results</h3><p>One third (2<!--> <!-->5<!--> <!-->7) of the invited CMs participated in the survey. They reported that professionals involved in standard antenatal care, such as those at the maternity unit and PHNs, were the most important collaborative partners when caring for vulnerable pregnant women. The CMs reported poor communication with general practitioners, child welfare-, drug welfare- and mental health-services. The most frequent methods for accessing collaboration were phoning and electronically through patient record systems, while there was limited use of the personal care plan, patient coordination meetings and regular meetings with collaborative partners/services. CMs with more than ten years as a CM and “Early Start” training were more frequently involved in patient coordination meetings and counselling and debriefing sessions compared to inexperienced CMs who had not attended a special training program.</p></div><div><h3>Conclusion</h3><p>Experience and completed the Early Start education/training increased the use of interprofessional collaborating meetings including CMs. This study suggests interdisciplinary training programmes to improve collaboration, which are expected to benefit vulnerable pregnant women, their babies and families.</p></div><div><h3>Implication for practice and research</h3><p>We recommend education and training in both the educational system and among involved professionals in communities to improve collaboration in the care of vulnerable women. In order to measure the effectiveness of collaboration in the care of vulnerable pregnant women, both the targeted group and the collaborating professionals should be asked to provide feedback. More research on communication and collaboration is needed.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000065/pdfft?md5=c43930b885a49a516af32ef979bad573&pid=1-s2.0-S1877575624000065-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.1016/j.srhc.2024.100952
Tone Lindtveit , Connie Malin Skeie , Hanna-Leena Oommen , Marte Eline Ween-Velken , Benedicte Sandhaug Nygaard , Idun Røseth
Objective
To explore the experience of primi- and multiparous women with planned singleton upright breech births.
Method
We conducted face-to-face, in-depth interviews with five primiparous and five multiparous women who underwent a physiological breech birth at one hospital in Norway and analyzed the data using Giorgi’s descriptive phenomenological method.
Results
The phenomenon of women’s experiences with physiological breech birth yielded four main constituents: “Mental preparedness and control”, “The importance of shared decision-making and sufficient information”, “Trust and the many ‘faces’ of birthing staff”, and “‘I actually did it!’: Coping and control in the upright breech position”. The significance of readiness, the influence of previous experiences and information, and the establishment of trust in midwives and gynecologists emerge as dominant themes. The sense of co-determination, control, and mastery is also highlighted.
Conclusions
Our findings underscore the pivotal role of personal attributes in fostering mental preparedness when confronted with unforeseen aspects of childbirth. Notably, women’s experiences with upright breech birth vary; while some perceive it as an ideal birth, others find it more challenging. Factors such as unpreparedness, lack of information, diminished co-determination, and loss of control negatively impact birth experiences. This study’s findings underscore the significance of tailoring maternity care to individual needs and improving information sharing. These measures are paramount for optimizing women’s experience during upright breech births.
{"title":"Women’s experiences with planned singleton upright breech birth – A phenomenological study","authors":"Tone Lindtveit , Connie Malin Skeie , Hanna-Leena Oommen , Marte Eline Ween-Velken , Benedicte Sandhaug Nygaard , Idun Røseth","doi":"10.1016/j.srhc.2024.100952","DOIUrl":"10.1016/j.srhc.2024.100952","url":null,"abstract":"<div><h3>Objective</h3><p>To explore the experience of primi- and multiparous women with planned singleton upright breech births.</p></div><div><h3>Method</h3><p>We conducted face-to-face, in-depth interviews with five primiparous and five multiparous women who underwent a physiological breech birth at one hospital in Norway and analyzed the data using Giorgi’s descriptive phenomenological method.</p></div><div><h3>Results</h3><p>The phenomenon of women’s experiences with physiological breech birth yielded four main constituents: “Mental preparedness and control”, “The importance of shared decision-making and sufficient information”, “Trust and the many ‘faces’ of birthing staff”, and “‘I actually did it!’: Coping and control in the upright breech position”. The significance of readiness, the influence of previous experiences and information, and the establishment of trust in midwives and gynecologists emerge as dominant themes. The sense of co-determination, control, and mastery is also highlighted.</p></div><div><h3>Conclusions</h3><p>Our findings underscore the pivotal role of personal attributes in fostering mental preparedness when confronted with unforeseen aspects of childbirth. Notably, women’s experiences with upright breech birth vary; while some perceive it as an ideal birth, others find it more challenging. Factors such as unpreparedness, lack of information, diminished co-determination, and loss of control negatively impact birth experiences. This study’s findings underscore the significance of tailoring maternity care to individual needs and improving information sharing. These measures are paramount for optimizing women’s experience during upright breech births.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000077/pdfft?md5=d09de81e740fbc25a0f65d430bca6eec&pid=1-s2.0-S1877575624000077-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139678884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The Covid-19 pandemic led to a reorganization of antenatal care including the cancellation or shift into telemedicine of consultations and restrictions to the presence of an accompanying person. The aim was to explore healthcare professionals’ and women’s lived experience of such reorganisation consequences on the quality of care and specific challenges they faced, with a particular emphasis on telemedicine and equity.
Methods
Exploratory qualitative study using semi-structured interviews and focus group discussions of women and healthcare providers in New Aquitaine (France) and in the Basque Country (Spain). We collected data from a purposive sampling of women (n = 33) and professionals (n = 19) who had received or provided antenatal care in hospitals and ambulatory facilities between March 2020 and December 2021. Participants’ narratives were thematically analysed to identify themes that were subsequently contextualised to the two territories.
Results
Antenatal care professionals and pregnant women experienced strong emotions and suffered from organizational changes that compromised the quality and equity of care. The pandemic and associated restrictions were sources of emotional distress, fear and loneliness, especially among more disadvantaged and isolated women. Among professionals, the lack of adequate means of protection and the multiple changes in caring protocols generated burnout, feeling of abandonment and emotional distress.
Conclusions
The Covid-19 experience should serve to critically consider the unexpected consequences of reorganising healthcare services and the need to meet patients’ needs, with a particular consideration for disadvantaged groups. Future scenarios of telemedicine generalisation should consider a combination of in presence and remote consultations ensuring antenatal care quality and equity.
{"title":"The lived experience of receiving and providing antenatal care during the Covid-19 crisis in Southern Europe: An exploratory qualitative study","authors":"Ana Rivadeneyra-Sicilia , Yolanda González-Rábago , Viviane Ramel , Irene García-Zurita","doi":"10.1016/j.srhc.2024.100949","DOIUrl":"10.1016/j.srhc.2024.100949","url":null,"abstract":"<div><h3>Objective</h3><p>The Covid-19 pandemic led to a reorganization of antenatal care including the cancellation or shift into telemedicine of consultations and restrictions to the presence of an accompanying person. The aim was to explore healthcare professionals’ and women’s lived experience of such reorganisation consequences on the quality of care and specific challenges they faced, with a particular emphasis on telemedicine and equity.</p></div><div><h3>Methods</h3><p>Exploratory qualitative study using semi-structured interviews and focus group discussions of women and healthcare providers in New Aquitaine (France) and in the Basque Country (Spain). We collected data from a purposive sampling of women (n = 33) and professionals (n = 19) who had received or provided antenatal care in hospitals and ambulatory facilities between March 2020 and December 2021. Participants’ narratives were thematically analysed to identify themes that were subsequently contextualised to the two territories.</p></div><div><h3>Results</h3><p>Antenatal care professionals and pregnant women experienced strong emotions and suffered from organizational changes that compromised the quality and equity of care. The pandemic and associated restrictions were sources of emotional distress, fear and loneliness, especially among more disadvantaged and isolated women. Among professionals, the lack of adequate means of protection and the multiple changes in caring protocols generated burnout, feeling of abandonment and emotional distress.</p></div><div><h3>Conclusions</h3><p>The Covid-19 experience should serve to critically consider the unexpected consequences of reorganising healthcare services and the need to meet patients’ needs, with a particular consideration for disadvantaged groups. Future scenarios of telemedicine generalisation should consider a combination of in presence and remote consultations ensuring antenatal care quality and equity.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000041/pdfft?md5=1f6c02e4f5330160e9bbc52648deb7c1&pid=1-s2.0-S1877575624000041-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139518070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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