Attitudes Of Midwives Research Articles

Midwives’ attitudes toward participation of pregnant individuals in a preventive vaccine hypothetical clinical trial

IntroductionPregnant individuals are frequently excluded from clinical trials. Yet, inclusion of Pregnant individuals is of interest in vaccinology including during health crisis. Promotion of clinical trials by midwives may facilitate the decision making of Pregnant individuals. Attitudes of midwives about pregnant individuals participation in a vaccine clinical trial have been little explored. MethodsWe conducted an anonymous survey from the 11th of September to the 11th of November 2020. Primary endpoint was the willingness to encourage Pregnant individuals to participate in a hypothetical respiratory syncytial virus (RSV) vaccine clinical trial. ResultsAmong 398 midwives who answered the questionnaire, 113 (28.3 %) were likely to encourage Pregnant individuals to participate in the vaccine clinical trial, this proportion ranged from 25 % in senior midwives to 34.5 % among the students. After adjustment on age, parenthood, previous personal attitudes of vaccine hesitancy, and psychological antecedents of vaccinations (5C-model), the only predictor of the promotion of the clinical trial was the experience of vaccine education (evaluated by a 20-point score) with an adjusted odds ratio of 1.09 (1.01–1.18, p = 0.027) for a one-point increase. Vaccine hesitancy and psychological antecedents of vaccinations were not associated with a lower promotion of pregnant individuals trial participation by midwives. ConclusionFew respondents were likely to encourage Pregnant individuals to participate in a vaccine clinical trial. Midwives who considered themselves to have a good training about vaccines were more prone to encourage Pregnant individuals to participate in a RSV vaccine clinical trial.

Attitude of Midwives towards Fluoride Recommendations and Oral Prevention in Infants and Young Children.

Early childhood caries is a challenge. Early dental screening flanked by multidisciplinary preventions by pediatricians, dentists, and midwives (MWs) may be helpful. New recommendations for dental screening in children (FUs) and fluoride have been introduced in Germany. The aim of this study was to investigate whether midwives consider FUs useful and implement early childhood caries prevention, as well as fluoride recommendations. The survey was conducted using an online questionnaire. Demographic data, including 11 items on early childhood dental prophylaxis and fluoride, were requested. Agreement was recorded using Likert scales. The data were analyzed descriptively. Two hundred and seventeen female MWs participated (age: 44.1 (11.04) years). One hundred and four (47.9%) participants knew about the FUs. Of the MWs, 30.7% found a referral from the first tooth to be very important (important/neutral/unimportant: 27%/27.9%/14.4%), compared with 84.8% for the entire primary dentition (11.8%/2.8%/0.5%). Of the MWs, 41.7% always recommended fluoride toothpaste from the first tooth (often/occasionally/rarely/never: 22.7%/12.4%/7.9%/15.3%) and 48.1% completely rejected fluoride-free toothpaste (always/often/occasionally/rarely: 9.8%/8.9%/17.3%/15.9%). In addition, 54.8% never recommended the use of fluoride tablets (always/often/occasionally/rarely: 9.2%/7.4%/10.2%/18.4%). The FUs are not yet well-known among MWs, and only less than one-third recommended dental check-ups, starting with the first tooth. This contrasts with the high uptake of fluoridated toothpaste. More educational work should be carried out to convince more MWs of the benefits of the FUs.

ANALISIS PENERAPAN ASUHAN PERSALINAN NORMAL (APN) OLEH BIDAN

<div class="WordSection1"><p><strong><em>The basis care in normal delivery is clean and safe care during and after the baby is born. They are efforts to prevent complications. The incidence of postpartum hemorrhage in Indonesia is estimated around 45% of all existing deliveries. Normal childbirth training is an effort to improve the competence of midwives in carrying out childbirth assistance. The purpose of this research was to find out the funds, motivation, facilities and training of midwives in conducting childbirth assistance and knowing about the knowledge of midwives in applying the 58 steps of the APN.</em></strong><strong><em> </em></strong><strong><em>The design of this research was a qualitative study approach. It was conducted on December 2018 until January 2019.The informants were 8 people (1 head of community health center, 1 coordinating midwife and 7 village midwives). The data were collected through interviews and observation. It was analyzed in the form of input, process and output variables. The results of this research indicated that the level of knowledge of midwives was not good because there were APN steps that had not been carried out. Then, the attitude of midwives in implementing of Normal Childbirth Care did not base on standards. Next, the midwives who had been participated in APN training, they were more discipline and apply 58 APN steps even though it was not optimal.</em></strong><strong><em> </em></strong><strong><em>In short, it can be concluded that midwives in the Tanjung Emas Community Health Center did not taken all the APN steps</em></strong><em>.</em></p></div><p><strong><em>Keywords:</em></strong><strong> <em>Application of 58 APN Steps</em></strong></p>

HUBUNGAN PENGETAHUAN DAN SIKAP BIDAN TERHADAP PELAKSANAAN INISIASI MENYUSUI DINIHUBUNGAN PENGETAHUAN DAN SIKAP BIDAN DENGAN PELAKSANAAN INISIASI MENYUSU DINI DI PMB WILAYAH KECAMATAN MEDAN TUNTUNGAN TAHUN 2021

Early Initiation of Breastfeeding (IMD) is the process of a baby suckling immediately after birth, in which the baby is allowed to find the mother's nipple on its own (not thrust into the nipple). Breastfeeding properly and correctly can increase the success of exclusive breastfeeding, the coverage of breastfeeding is to prevent infant mortality, impaired infant development, and prevent hypothermia. The IMD process creates closeness between mother and baby. This study aims to determine the relationship between knowledge and attitudes of midwives on the implementation of Early Breastfeeding Initiation (IMD). The research method used was analytic observational with a cross sectional approach, with a sample of 34 midwives who opened their own practice around Medan Tuntungan District. The results of the analysis showed that of the 34 respondents who had sufficient knowledge as many as 18 people (53%) and the majority carried out IMD as many as 12 people (66.7%). And of the 34 respondents the majority had a negative attitude as many as 27 people (79.5%), and the majority did not carry out IMD as many as 17 people (47%). There is a significant relationship between the knowledge and attitudes of midwives towards the implementation of the IMD, where the better the knowledge, the more motivated the midwife to implement the IMD. With a value of = 0.015. And a negative attitude will cause the midwife not to carry out the IMD with a value of = 0.021. It is hoped that the midwives at BPM, Medan Tuntungan Sub-district in 2021, will further improve the IMD implementation program in the future.

Measuring the attitudes of midwives toward sexual and gender minority clients: Results from a Cross-Sectional survey in Ontario.

In Canada, Ontario midwives provide care to sexual and gender minority (SGM) people. Published literature shows how midwives' attitudes shape the experiences of lesbians, but research examining midwives' attitudes toward SGM people is lacking. Our study measured the attitudes of Ontario midwives toward SGM clients, hypothesizing that attitudes would be positive overall and that there would be no difference in attitudes across practice settings. Paper surveys (n=926) with an option to respond online were sent to Ontario midwifery practices. We measured midwives' attitudes toward sexual minorities (11 questions, scores ranged from 11 to 55) and gender minorities (9 questions, scores ranged from 9 to 45), with higher scores indicating more positive attitudes. Overall and subgroup analyses were performed. The 268 completed surveys indicated that midwives' attitudes were positive toward both sexual (mean score 49.2, maximum possible score of 55, ie, 89.4%) and gender minorities (mean score 38.9, maximum possible score of 45, ie, 86.4%). Analyses showed that attitudes toward SGM were associated with midwives' sexual identity and route of entry into the profession (ie, university-based vs bridging programs), but not practice setting. Although attitudes of this subset of midwives toward SGM clients were positive, volunteer bias could account for this finding since 32.6% of respondents identified as sexual minorities. Since the attitudes of midwives who entered the profession through the university-based education program were significantly more positive than those who entered through international bridging programs, future research should examine how SGM-related content is integrated into midwifery education and training curricula.

“SI-RAJA” ANDROID APPLICATION (ESTIMATED FETAL WEIGHT) IMPROVES MIDWIFE’S ATTITUDE IN MONITORING FETAL GROWTH IN HEALTH CENTERS THROUGHOUT TANJUNGPINANG CITY, RIAU ISLANDS PROVINCE

Estimated Fetal Weight is one way to monitor the growth of the fetus in the womb. Along with technology development, Android users can be used as a health educational information medium. This study aims to analyze the effect of using the Si-RAJA Android Application (Estimated Fetal Weight) on the attitude of midwives in monitoring fetal growth at health centers throughout Tanjungpinnag City, Riau Islands Province. This study used a quasi-experiment method with a one-group pretest and posttest design on 30 midwives selected using the proportionate random sampling technique. The data was collected from September to October 2021 at health centers throughout Tanjungpinang City. Data analysis using the Wilcoxon test. There was a significant difference in the attitude before and after using the Si-RAJA android application, with a p-value of 0.000. As a result, it is hoped that midwives can monitor growth, provide counseling to pregnant women about fetal growth, and provide treatment as early as possible if abnormal fetal weight estimates are found.

Mode of Delivery and Attitudes of Midwives and Nurses Working in Primary Care towards Vaginal Delivery After Cesarean Section

ABSTRACT Aim: The aim of this study is to determine the views of nurses and midwives working in primary care about the mode of delivery and vaginal delivery after cesarean section. Materials and Methods: The sample of the descriptive study consisted of 91 midwives and nurses working in Family Health Centers affiliated to Sivas Public Health Directorate. The data were collected with the Individual Characteristics Form prepared by the researchers, and the Form for Determining the Views of Nurses and Midwives on the Mode of Delivery. The data were analyzed in SPSS program on the computer and shown as mean, number and percentage. Results: Of the participants, 60.4% were nurses, 39.6% were midwives, 62.6% were undergraduates, 72.5% were married and 63.7% had children. 48.3% of the participants had vaginal birth and 67.2% had cesarean section experience. When the views of the participants on the mode of birth are examined; While it was determined that 91.2% agreed with the statement "all women should give birth vaginally unless there is a medical reason" and 89% agree with the statement that "the decision for cesarean delivery should be made by a doctor based on medical reasons"; It was determined that 75.8% of them did not agree with the statement "cesarean delivery is painless", 62.6% "women have the right to choose the mode of delivery" and 70.3% "caesarean section is safer for baby". Conclusion: The results obtained from this study show that nurses and midwives view vaginal birth positively and consider cesarean delivery as a practice that should be done if there is a medical reason. Keywords: Mode of delivery, normal delivery, cesarean section, healthcare worker.

The Effect of Professional Belonging on Professional Value Attitudes of Midwives

Amaç: Araştırma, ebelerde mesleki aidiyetin profesyonel değer tutumuna etkisini belirlemek amacıyla yapıldı. Yöntem: Araştırma 15.08.2020 – 15.02.2021 tarihleri arasında, tanımlayıcı olarak yapıldı. Araştırmanın örneklemini 212 ebe oluşturdu. Verilerin toplanmasında kişisel tanıtım formu, Ebelik Aidiyet Ölçeği ve Ebelerin Profesyonel Değerleri Ölçeği kullanıldı. Bulgular: Ebelerin yaş ortalamasının 29.07±6.15 yıl, haftalık çalışma süresinin 44.38±8.75 saat olduğu ve %71.7’sinin lisans mezunu olduğu saptandı. Ebelerin mesleki aidiyeti ile profesyonel değer tutumları arasında yapılan korelasyon analizinde orta düzeyde pozitif yönde ilişki belirlenmiş olup yapılan regresyon analizinde mesleki aidiyetin ebelerin profesyonel değerleri % 41 oranında açıkladığı saptandı (r:0.646,: 0.646, p0.001). Sonuç: Araştırma sonucunda ebelerde mesleki aidiyetin profesyonel değer tutumunu etkileyen önemli bir değişken olduğu ve ebelerde mesleki aidiyet arttıkça profesyonel değer tutumunun da arttığı görüldü. Ebelerde mesleki aidiyetin arttırılmasının profesyonel değer tutumuna da yansıyacağı ve hasta bakım kalitesini de olumlu yönde etkileyeceği düşünülmektedir.

Hesitancy towards a COVID-19 vaccine among midwives in Turkey during the COVID-19 pandemic: A cross-sectional web-based survey.

INTRODUCTIONOne of the most significant barriers to social immunization, which is critical in combating the COVID-19 pandemic, is vaccine hesitancy or rejection. The purpose of this study was to determine the acceptance, hesitancy and barriers to COVID-19 vaccines among midwives in Turkey.METHODSA total of 806 midwives participated in the cross-sectional study, which was conducted online from November 2020 to January 2021. The data were collected by using an Introductory Information Form, Anti-Vaccination Scale - Short Form, and Attitudes to the COVID-19 Vaccine Scale.RESULTSIn all, 17.2% of the midwives in the study had a history of COVID-19 infection, which was confirmed by a PCR test; 69% were exposed to COVID-19 patients; 36.8% had a person diagnosed with COVID-19 with PCR in their family; and 18.1% had a relative die due to COVID-19. In the study, 16.8% of midwives considered getting the COVID-19 vaccine, while the majority (48.8%) stated they would get the vaccine once vaccine safety was established, while 10.5% stated that they did not wish to receive the vaccine. Insufficient phase studies of COVID-19 vaccine studies (75.6%) and insufficient control due to imported COVID-19 vaccines developed (48.1%) were among the most important determinants of COVID-19 vaccine reluctance.CONCLUSIONSThe potential acceptance rate of COVID-19 vaccines by the study midwives was found to be low. The knowledge, confidence and attitude of midwives toward vaccines are important determinants of patients’ vaccine acceptance and recommendation.

Relation of Normal Childbirth Care Training to Midwives Knowledge and Attitudes at Bebesen Health Center Bebesen District of Central Aceh Regency in 2021

Background. Mortality and morbidity in pregnant and maternity women is a big problem in developing countries. In poor countries, about 25-50% of deaths of women of childbearing age are caused by pregnancy-related causes. It is estimated that every year 585,000 women die from pregnancy and childbirth. 99% of these deaths occur in developing countries. According to WHO, 60-80% of maternal deaths are caused by bleeding during childbirth, obstructed labor, sepsis, high blood pressure during pregnancy, and complications from unsafe abortion. The purpose of this study was to determine the relationship between normal delivery care (APN) training on the knowledge and attitudes of midwives at the Bebesen Health Center, Bebesen District, Central Aceh Regency in 2020.
 Methods. The research method uses an analytical survey method with a cross sectional approach, which is a study to study the dynamics of the correlation between risk factors and effects, by approaching, observing or collecting data at once. The population in this study was all 63 midwives. The sampling method uses a total sampling technique that uses all members of the population as a sample. Data collection was carried out from November 14-16, 2020.
 Results. The results showed that from the analysis obtained a value for the p-value of good knowledge as many as 20 respondents (31.7%) and a positive attitude that is as many as 32 respondents (50.8%).
 Conclusion. There is a relationship between normal delivery care training (APN) with knowledge with a p value of 0.014 (p < 0.05) and normal delivery care (APN) with changes in the attitude of midwives with a p value of 0.00 (p < 0.05) in Bebesen Public Health Center, Bebesen District, Central Aceh Regency.

Analysis of the Role of the Midwife in Increasing Exclusive Breast Milk at UPT Puskesmas Mare

The kind of research that was utilized in this study was an analytical questionnaire. In this study, a cross-sectional design was employed to collect data. Sixty-six individuals were included in the samples that fulfilled the requirements. The findings revealed that 1) the midwife's attitude toward promoting exclusive breastfeeding at the UPT Puskesmas (Community Health Center) Mare had no impact on the outcomes of the study. The results of the chi square test revealed that the p-value was 0,089, indicating that the hypothesis was correct (0,05). There is an association between midwife assistance and an increase in exclusive breastfeeding at the University of Puskesmas Mare, according to the findings of the chi square test (p-value =0,007 for exclusive breastfeeding at the UPT Puskesmas Mare) (0,05). The rise in exclusive breastfeeding at the UPT Puskesmas Mare may be attributed to the midwifery program, according to the findings. The results of the chi square test reveal that the p-value is 0,0002, which indicates a significant difference (0,05). 4) Midwife assistance had a 12,7-fold higher impact on the rise in exclusive breastfeeding, with a p-value of 0.028 0.05 for the effect of midwife support. The midwife program, on the other hand, had a moderate impact on the rise in exclusive breastfeeding, with a p-value of 0,038 0.05 and a moderate effect of 11,1 times on the increase in exclusive breastfeeding.

Attitudes of midwives and obstetricians towards midwives practiced roles in hospitals: A national study in Jordan.

The aims of this study were to identify midwives' and obstetricians' attitudes towards midwives practised roles in hospitals and to identify the differences in their attitudes towards midwives practiced roles. A descriptive, cross-sectional, study design was used. A convenience sample of 303 midwives and 143 obstetricians were recruited. Participants were from 12 Ministry of Health (MOH) and Royal Medical Services (RMS) hospitals distributed across seven governorates. Two reliable and valid self-administered questionnaires were used to collect data including socio-demographic data-related characteristics of participants and obstetricians' and midwives' attitudes towards midwives' practiced role in hospitals. There were significant differences between obstetricians in the three subscales of attitudes: midwives women relationship attitude subscale, midwives trust and mutual respect subscale and work environment attitudes subscale. A significant difference by the institution was reported: obstetricians and midwives who worked in MOH reported more positive attitudes than those who worked in RMS. The results show that obstetricians recognise that midwives are qualified and competent professionals but still lack the competencies/skills to make them independent practitioners. The findings also confirm the need to improve midwives' practices by moving from being able to perform a specific task to possess all three attributes of "competencies," where they can intervene, manage and make decisions with confidence in each situation. Based on the current study findings, parallel cooperation between educational/academic policymakers from both midwives and obstetricians may re-evaluate and upgrade the midwifery curriculum to meet the ICM competencies and health sector needs as a step to graduate competent midwives where their responsibility is recognised and organised.

Attitudes Of Midwives From Northeastern Bulgaria For Discovering Independent Obstetrics Practices

In recent years we have witnessed many organized conferences and meetings where health professionals try to offer improvements in the quality of health services.\ \ The information vacuum in which young mothers find themselves after birth requires the organization of paid courses by private individuals to meet this natural need. Many non-governmental organizations and associations have been established with the main mission - imposing a mandatory standard and protocols for good medical practice and health care. The aim of the present study is to establish the attitudes and readiness of midwives from northeastern Bulgaria to open independent obstetric practices. A sociological method was used, as 94 midwives from the Maternity Wards and the wards / sectors of Pathology of Pregnancy in regional cities of northeastern Bulgaria were interviewed individually and anonymously. Documentary method, analyzing literature sources examining the subject of the present study. Statistical method used in the analysis of the results of our own research. Midwives from northeastern Bulgaria, working in maternity wards, almost categorically (95%) answered that there is currently a need to optimize obstetric care after childbirth. They answer the question of introducing patronage obstetric care even more categorically - 98% support this idea. Significantly high percentage - 86% of respondents are willing to provide obstetric care in the mother's home. Almost half of the surveyed midwives - 47% answered that they need additional training to perform home care. Conclusions: 1. Midwives want the restoration of patronage obstetric care. 2. Midwives are willing to perform such activities. 3. Midwives want to get involved in independent obstetric practices.

Factors Related to Utilization of Maternal Child Health Handbook Data by Midwives

Midwives are one of the health workers utilizing the MCH (Maternal Child Health) handbook which records the data used to prevent infant, under-five, and maternal mortality. This study aimed to investigate factors related to utilization of the MCH handbook data, namely individual, organizational, and operational techniques. Quantitative approach was used in a cross-sectional survey with a structured questionnaire. Thirty-one midwives were selected as the sample from Active Alert Village in Temanggung district with rural and urban area representative consideration. Besides, descriptive data were tabulated, and inferential analysis was conducted by Pearson product-moment correlation. Result showed the rate of MCH Handbook data utilization was 78.54%. Also, data requirement perception, data filling skill, motivation, attitudes of midwives and facilities availablity (p < 0.05) are significantly related. The MCH handbook data utilization was determined by the individual factor, but with no significant relationship to operational and organizational factors except facilities availability. Therefore, efforts are required to improve data utilization by increasing data requirement perception, data filling skills, motivation and midwives attitudes.

The Effect Of Optimization Of The Utilization Of Mother And Child's Health Book On The Attitudes Of Midwives In The Completeness Of Filling In Kia Books

Background: One of the efforts that have been carried out by the Ministry of Health in supporting the acceleration of MMR reduction is optimizing PONED. Apart from being poned, the use of the MCH Handbook is one way of maintaining health and obtaining quality maternal and child health services. The purpose of this study was to determine the impact of training on the optimization of the use of the MCH book on the attitudes of the PONED midwives in completing the MCH booklet filling by village midwives in the working area of ​​the Paser District Health Center. 
 Methods: A Quantitative research method uses Quasy Experiment nonequivalent control group design. By involving 1 control group and 1 treatment group with a total sample size of 43 midwives in each group, using simple random sampling. Data analysis using Wilcoxon. Instrument that use can measure attitudes of midwives with good validity and reliability. 
 Results: The results showed that there were significant differences in attitudes before and after treatment with a p-value of 0,000, but the mean value of attitudes before and after showed that training could not change the attitudes of midwives. The training held is not sufficient to change the attitude of midwives in compliance with the filling of the MCH handbook.
 Conclusion: It needs further and intense training for all PONED and non-PONED midwives and further identification is needed about things that can motivate the attitudes of midwives to improve poned midwives towards the implementation of optimization MCH books.

Factors Affecting Midwife Attitude and Practice in Providing Service during Covid-19 Pandemic in Cengkareng Regional General Hospital

This research was done analytically through cross-sectional approach. The sampling was done through total sampling obtaining 50 midwives. In order to obtain the research data, questionnaire was used, whose results were further analyzed using Chi-Square test. Univariate analysis obtained results regarding the distribution of age frequency among the respondents which were 20-35 years old (54%), working length was more than 5 years (60%), no comorbidity (56%), PPR completeness (52%), and knowledge (64%). Meanwhile, bivariate analysis discovered the effect of age (p=0.002) (p=0.002); working length (p=0.000) (p=0.001); comorbidity (p=0.000) (p=0.000); knowledge (p=0.000) (p=0.000); PPE completeness (p=0.001) (p=0.001) on midwives attitude and practice in providing service during COvid-19 pandemic in Cengkareng Regional General Hospital in 2021. Based on the research results, it was summed up that there is relationship between age, working length, comorbidity, knowledge, and PPE completeness with midwives attitude and practice in providing service during Covid-19 pandemic

Knowledge and Attitude of Midwives and Obstetricians Towards Therapeutic Abortion Law and its Ethical Pitfalls

Background: Despite the implementation of a safe motherhood program in many countries, unsafe abortion continues to be a matter of reproductive health. Thus, urgent efforts to make abortion legal and safe have been recommended in developing countries. The present study was done to determine the knowledge of midwives and obstetricians about the therapeutic abortion law as well as their attitude about the ethical pitfalls. Methods: In this descriptive knowledge and attitude study, a researcher-made questionnaire was used to gather data, after estimating the appropriate Cronbach’s Alpha coefficient. A total of 162 midwives and obstetricians working in public and private medical centers affiliated to Shahid Beheshti University of Medical Sciences in 2018 were included in the study by convenience sampling method. Results: According to the results, 9.3% of participants had a low level, 72.8% had a moderate level, and only 17.9% had a good level of knowledge. The total mean score of knowledge was 7.17±1.7. The mean score of knowledge in the group of obstetricians (7.60±1.74) was significantly higher than midwives (6.94±1.54), (t=2.29, p=0.024). There was a significant correlation between participants’ age and their knowledge (r=0.912, p=0.001). Also, 47.53% of the participants believed that the therapeutic abortion law has some pitfalls. The most frequent attitude was about the restriction of the therapeutic law up to 19 weeks for fetal indications. Conclusion: The level of participants’ knowledge was low to moderate. The findings indicated the need for training the professional standards related to prenatal genetic screening and therapeutic abortion.

Factors Related To The Actions Of Midwives In Providing Antenatal Care

Background: Midwives' actions under service standards are useful in applying the norms and performance levels needed to achieve the desired results. Midwives in providing antenatal care will have a significant impact on antenatal care services
 
 Methods: This study used a cross-sectional design. This study's population was 41 midwives who worked in the District of Kota Pinang, Labuhanbatu Selatan Regency (total sampling). The instrument used was a questionnaire about age, education, knowledge, attitudes, and midwives' actions in providing antenatal care. The bivariate analysis used exact fisher test and prevalent rate (PR).
 
 Results: The exact fisher test results showed that the midwife's age (p = 0.192), education (p = 0.175), knowledge (p = 0.390) (PR = 2.311) were not related to the midwife's actions in antenatal care. The variable of midwife attitudes (p = 0.018) (PR = 5,500) was related to the actions of midwives in antenatal care.
 
 Conclusion: A midwife who has a good attitude has a risk taking good actions than a midwife who has a bad attitude. It is hoped that the South Labuhanbatu Health Office will be more active in improving the skills of midwives in providing antenatal services with training on antenatal care..

Knowledge and Attitude of Midwives and Obstetricians Towards Therapeutic Abortion Law and its Ethical Pitfalls

Knowledge and Attitude of Midwives and Obstetricians Towards Therapeutic Abortion Law and its Ethical Pitfalls

Swedish and Australian midwives’ experiences of providing antenatal care for Somali-born women: A qualitative study

BackgroundWomen from Somalia have increased risks of adverse pregnancy outcomes compared with destination country populations, but little is known about midwives’ experiences of caring for Somali women in pregnancy, knowledge which might help to improve care and outcomes. This study aimed to explore how midwives in Melbourne and Stockholm experienced caring for Somali women. MethodEight midwives in Stockholm and ten midwives in Melbourne, all working in antenatal care clinics, were interviewed about caring for Somali women and the interviews were analysed using thematic analysis. FindingsBoth the Swedish and Australian midwives highlighted lack of time and challenges in communication as impacting on their capacity to provide good care; and all wished they had a better understanding of Somali culture. Some differences in midwife attitudes and approaches to care were apparent in the two settings, particularly in how accepting of Somali women the midwives were and the flexibility with which care could be provided in order to meet the needs of the women. The Australian midwives appeared both more accepting and also more flexible. ConclusionDifferences in the culture of care were apparent between midwives in Sweden and Australia, particularly in how flexible care could be in order to meet the needs of migrant women and how accepting and responsive the midwives were. More attention in antenatal care on developing mutual understanding between midwives and Somali women would improve their care, and possibly also their outcomes.