Family-centered Maternity Care Research Articles

Family-Based Pregnancy Risk Detection With Family-Centered Maternity Care

The ability of pregnant women to detect early high-risk pregnancies is still below average which is one of the causes of complications that can endanger the well-being of the mother and fetus. Family involvement and other social sources of support in the perinatal period are associated with the detection and reduction of pregnancy risk factors. Approach to families in early dedetermination of pregnancy risk can be done with Family Center Maternity Care (FCMC). FCMC is care designed to meet the informational, social, emotional, comfort, and support needs of normal pregnant women during pregnancy and childbirth. The purpose of this study was to determine the determinants of early detection factors for pregnant women with family-based risk with FCMC. This type of research is quantitative and non-experimental with an analytical observational design through a cross-sectional approach. The population in this study was all pregnant women who experienced risk factors in the Kedungwuni I, Kedungwuni II, Bojong Health Center Area as many as 103 pregnant women. The sampling technique used is the Total Population. The results of this study show that there is a positive and statistically significant relationship of knowledge with the implementation of early detection. Pregnant women who have good knowledge have a likelihood of carrying out early detection of pregnancy risk well by 3,193 times higher than respondents with less knowledge (OR=3,193; CI 95%=1.123-9.078; p=0.029). It is hoped that health workers, especially midwives, can involve their families, especially for early detection of the risk of pregnant women so that pregnant women get optimal health services.

Homage to Dr. Murray Enkin and the complexity of evidence-based medicine.

Homage to Dr. Murray Enkin and the complexity of evidence-based medicine.

Upaya Peningkatan Perilaku Ibu Postpartum Melalui Edukasi Family Centered Maternity Care (Fcmc) Tentang Perawatan Masa Postpartum di Wilayah Kerja Puskesmas Gambirsari Surakarta

The role of a parent cannot be separated from the participation or cooperation between the mother and the family (husband) and other family members. Barriers that are still found in the care of postpartum mothers are the perception of the community that post partum mothers are sick mothers, their mobility is inhibited, their diet is restricted, colostrum breastfeeding is inhibited so that the needs of post partum mothers are prioritized for full rest. The involvement of extended families in infant care has so far been misunderstood, where baby care is left to other family members.
 After efforts to improve the behavior of postpartum mothers through Family Centered Maternity Care (FCMC) education, it is hoped that postpartum mothers can carry out postpartum care by involving their families. Implementation method with demonstration and discussion. The media used are baby phantoms, postpartum care booklets, LCDs, laptops and projectors. The implementation of health education is carried out by home visits by paying attention to health protocols from March 2020 to September 2020.
 The result of community service is that 90% of postpartum mothers can provide postpartum care with family involvement. And from the results of monitoring and evaluation by means of meeting again by means of home care to postpartum mothers using instruments related to postpartum care. Based on the implementation of community service, it can be concluded that there is an increase in the behavior of postpartum mothers in postpartum care in the Gambirsari Public Health Center, Surakarta.

PENGARUH EDUKASI ONLINE BERBASIS FAMILY CENTERED MATERNITY CARE TERHADAP SELF EFFICACY IBU POSTPARTUM DALAM PEMBERIAN ASI EKSKLUSIF

The coverage of exclusive breastfeeding for infants aged 0-5 months in Indonesia in 2018 is only 37.3%. Self-efficacy is one of the main factors affecting the behavior of exclusive breastfeeding. During the Covid-19 pandemic, the self-efficacy of mothers for breastfeeding decreased, so increasing efforts are needed. Increasing knowledge can be done by providing online education based on family centered maternity care (FCMC). The purpose of this study was to determine the effect of FCMC-based online education on the self-efficacy of postpartum mothers in exclusive breastfeeding. This type of research is pre-experimental with one group pretest-posttest design with a total sample of 10 postpartum mothers. Data were analyzed using paired t-test. The results showed that the mean self-efficacy before being given online education was 41 with a standard deviation of 4.37, the mean self-efficacy after being given peer education was 59.8 with a standard deviation of 3.4. There is a difference in the mean value before and after the online education intervention was given with p-value = 0.000 (p <0.05). There is an effect of FCMC-based online education on the self-efficacy of postpartum mothers in breastfeeding. Health servicesare expected to facilitate FCMC-based online education programs to increase self-confidence in breastfeeding.
 
 

Family-centered maternity care mobile application to increase the readiness of pregnant women in facing a high-risk childbirth

Background: Pregnant women with high risk need education and information along with the pregnancy. Information support helps them to feel ready and confident to go through the delivery. Sources of Information that can be accessed during pregnancy include websites regarding pregnancy, smartphone applications, magazines, and books. One of the efforts to increase pregnant women's readiness to face childbirth is by providing Family Centered Maternity Care (FCMC) education through Mobile Applications.Objective: This study aims to develop and test the FCMC mobile application's effectiveness to help pregnant women's readiness with a high risk of childbirth.Method: This study employed Research & Development consisting of 4 stages, namely Literature Study, Development Stage, Validity Expert, and Trial.Results: FCMC Mobile application has been created with nine features, starting from pregnancy features to delivery preparation. The trial results showed that the application effectively increased pregnant women's readiness to face childbirth (p <0.001).Conclusion: The FCMC is a form of midwifery technology that makes it easier for health workers to educate pregnant mothers, especially mothers with high-risk pregnancies. By applying the apps, pregnant women can prepare for the process before childbirth in physical preparation, psychological preparation, financial preparation, cultural preparation, home preparation, and delivery preparation.

Nurses’ perceptions of the dynamics and impacts of teamwork with physicians in labour and delivery

ABSTRACTInterprofessional teamwork is touted as essential to positive patient, staff, and organizational outcomes. However, differing understandings of teamwork and divergent professional cultures amongst healthcare providers influence the success of teamwork. In labour and delivery, nurse-physician teamwork is vital to safe, family-centered maternity care. In this focused ethnography, the perceptions of obstetrical nurses were sought to understand nurse-physician teamwork and the features that facilitate or impede it. These nurses acknowledged working in a normative hierarchy, with physicians ultimately responsible for patient care decision-making. They described myriad ways in which they navigated traditional power dynamics and smoothed working relationships with physicians, such as circumventing disrespectful behaviors, venting with each other, highlighting their own autonomy, using tactical communication, and managing unit resources. According to these nurses, key facilitators of functional nurse-physicians relationships were time, trust, respect, credibility, and social connection. Further, the nature of their working relationships with physicians influenced their perceptions regarding intent to stay, workplace morale, and patient outcomes.

FAMILY CENTERED MATERNITY CARE (FCMC) SEBAGAI SALAH SATU UPAYA SKRINING / DETEKSI DINI RESIKO TINGGI IBU HAMIL BERBASIS KELUARGA DI DESA DANGURAN

Family centered maternity care (FCMC) activity in high-risk pregnancy is one of the high risk screening / early detection of family-based pregnant women because it gets full support and involvement from all family members. This activity aims to improve the ability of the family as a companion of pregnant women in suppressing maternal mortality. With the introduction of Family Centered Maternity Care (FCMC) activities, family knowledge and ability in early detection and promotive efforts in high-risk pregnancy cases increases. With family awareness and ability to monitor pregnant women's health, it can make it easier for cadres and midwives to make early detection of pregnancy at risk.

Influences of family-centered maternity care nursing on puerperal depression of delivery women during puerperal period

Objective: Discuss the preventive effects of family-centered maternity care nursing on puerperal depression of delivery women during puerperal period and relieve burden of natural delivery women and decrease the possibility of delivery women’s postpartum depression. Methods: 120 natural delivery women in the obstetrics of Yuhuangding Hospital from July 2015 to 2016 were randomly divided into two groups: the control group (n=60) was endowed with the conventional nursing. Delivery women accepted examination of prepartum, instruction of delivery, and conventional nursing of puerperium. The experimental group (n=60) accepted the family-centered maternity care nursing based on the control group. There was no statistical significance on age, cycle of gestation, education level, personal incomes and frequency of gestation (P>0.05) in both group, showing comparability. Before nursing and after one month of postpartum, Self-Rating Anxiety Scale (SAS) and Edinburgh Postpartum Depression (EPDS) were applied to do effect evaluation. Incidence of puerperal depression of delivery women in both groups were observed and compared. Results: By making a comparison on SAS and EPDS between two groups, there was no statistical significance at pre-care nursing in both groups, but scores after birthplace in both groups were slightly reduced by comparing with pre-care nursing. Moreover, significance of the experimental group was less than the control group (P<0.05). The depression rate in the control group was up to 53%, while the experimental group was only 37%. The number of the depression in the experimental group was obviously less than the control group. The difference between them had statistical significance (χ2=9.6, P<0.05). Conclusions: Family-centered maternity care nursing has the important role on relieving puerperal depression and improving life quality of delivery women, thus delivery women will pass through delivery period and puerperium without pressure.

APLIKASI MODEL EDUKASI POSTNATAL MELALUI PENDEKATAN FAMILY CENTERED MATERNITY CARE (FCMC) SEBAGAI STRATEGI OPTIMALISASI COMPETENT MOTHERING

Introduction: Indonesia’s rate of MMR and IMR remains high among other ASEAN countries. This issue needs to be seriously addressed, particularly in dealing the mother-and-infant related problems, through developing the postnatal education model which focuses on postpartum mother by involving family as the social support. Methodology: This research is conducted at dr. Soebandi Regional Hospital Jember and the Kaliwates Primary Health Service Jember Regency. This research employs participative approach (qualitative) and Participatory Action Research (PRA), with the intention of conducting the try-out to the postnatal education model comprehensively, as well as evaluating the perfection attempts to the model in order to generate the fittest model. The data collection technique used in this research is survey/observation, interview, FGD, in-depth interview to postpartum mothers and family (100 respondents), as well as healthcare extension agents. Result: This research has successfully formulated the postnatal education model through FCMC approach as the optimization of competent mothering strategy in lowering the infant and maternal mortality rate. This model has undergone comprehensive trial to postpartum mothers and family as well as the healthcare extension agents by providing modules and booklet concerning the treatment of postpartum mother and newly born infants in accordance with the postpartum stages. The results of this research revealed that the effect of postnatal education model through the FCMC approach on the perception of postpartum mothers and their family regarding the self-care treatment during the immediately post partum period, the infant and self-care treatment at the early and late postpartum stages by using the α = 0,05 existed as shown by the p value of 0,00 each. Furthermore, there was also an impact of the extension attempt of postnatal education model through the FCMC towards the perception of the healthcare extension agents with the p value of 0,00. Discussion: This research recommended that the postnatal education model through family centered maternity care (FCMC) as the optimization of competent mothering is implemented as one of the attempts in lowering the Maternal and Infant Mortality Rates, respectively. Keywords: Postnatal Education Model, FCMC, Competent Mothering

Model Family Centered Maternity Care sebagai Strategi Optimalisasi Competent Mothering

Introduction: Indonesia’s rate of MMR and IMR remains high among other ASEAN countries. This issue needs to be seriously addressed, particularly in dealing the mother-and-infant related problems, through developing the postnatal education model which focuses on postpartum mother by involving family as the social support.Methods: This research is conducted at dr. Soebandi Regional Hospital Jember and the Kaliwates Primary Health Service Jember Regency. This research employs participative approach (qualitative) and Participatory Action Research (PRA), with the intention of conducting the try-out to the postnatal education model comprehensively, as well as evaluating the perfection attempts to the model in order to generate the fittest model. The data collection technique used in this research is survey/observation, interview, FGD, in-depth interview to postpartum mothers and family (100 respondents), as well as healthcare extension agents.Results: This research has successfully formulated the postnatal education model through FCMC approach as the optimization of competent mothering strategy in lowering the infant and maternal mortality rate. This model has undergone comprehensive trial to postpartum mothers and family as well as the healthcare extension agents by providing modules and booklet concerning the treatment of postpartum mother and newly born infants in accordance with the postpartum stages. The results of this research revealed that the effect of postnatal education model through the FCMC approach on the perception of postpartum mothers and their family regarding the self-care treatment during the immediately post partum period, the infant and self-care treatment at the early and late postpartum stages by using the α = 0,05 existed as shown by the p value of 0,00 each. Furthermore, there was also an impact of the extension attempt of postnatal education model through the FCMC towards the perception of the healthcare extension agents with the p value of 0,00.Conclusion: This research recommended that the postnatal education model through family centered maternity care (FCMC) as the optimization of competent mothering is implemented as one of the attempts in lowering the Maternal and Infant Mortality Rates, respectively.

An Evidence Review and Model for Prevention and Treatment of Postpartum Posttraumatic Stress Disorder

Postpartum posttraumatic stress disorder (P-PTSD) is a variant of posttraumatic stress disorder (PTSD) that, although relatively prevalent, is under-researched. Up to one-third of women in the United States describe childbirth as traumatic, with 9 percent of women meeting the criteria for PTSD outlined by the American Psychiatric Association. These statistics are sobering in light of common use of analgesia during birth as well as hospital birth environments promoting family-centered maternity care. How can a seemingly natural event, such as childbirth, be associated with PTSD? This review includes a description of key variables associated with P-PTSD. Socioeconomic, environmental and genetic determinants are discussed, as are evidence-based prevention and treatment approaches.

"It is better to light one candle than to curse the darkness": the legacy of Doris Haire.

"It is better to light one candle than to curse the darkness": the legacy of Doris Haire.

Ethical Decision Making in Intrapartum Nursing

Nurses are confronted daily with making ethical decisions in practice, in which the "right" or best course of action must be determined. However, for intrapartum nurses, the seemingly ordinary nature of ethical issues means that these concerns may be viewed merely as clinical or logistical problems to be solved, leaving the ethical dimensions obscured. This has consequences not only for women and the provision of safe, family-centered maternity care but also for the quality of nurses' work environments and degree of moral distress experienced. This article explores ethical aspects of intrapartum nursing by applying ethical principles and moral reasoning to an "everyday" situation encountered by intrapartum nurses in practice. Implications for practice and the development of healthy moral communities are considered.

Exploring the Impact of a Family-Centered Maternity Care Program on Staff Attitudes and Patient Satisfaction

Professional Issues Poster Presentation Purpose for the Program Our obstetric service implemented a familycentered maternity care program in 2010. Our facility was known in the region for being very high-tech and medicalized and a place where patients would want to give birth if they had high-risk pregnancies or desired induction and epidural. Families who sought a low intervention, nonmedicalized birth often went elsewhere. We simultaneously suffered a downturn in births. Some of this was attributable to the economic situation, but also we felt our patients may be going to facilities that offered a different birth experience than the one we were providing. Additionally, we were seeing an increase in emergent admissions from nearby lay midwife-run birthing centers. We wanted to offer our patients the opportunity to give birth the way they wanted to but within easy access to our obstetric operating rooms and the neonatal intensive care unit if the need arose.

Family-Centered Care and Continuous Labor Support

Creating a family-centered approach to prenatal and intrapartum care has potential to lead to positive maternal and neonatal outcomes. Continuous labor support (CLS) for families is paramount to positive outcomes for mothers and their babies. Combining family-centered maternity care and CLS during prenatal care, and labor and delivery has been discussed throughout the literature, but implementing this model has been challenging. Registered nurses in labor and delivery are often the primary source of support for families; however, the registered nurse has many roles to fulfill during a labor and delivery admission, and oftentimes, family-centered care and CLS are easily relegated to the fringes of his/her responsibilities. Given the somewhat predictable nature of labor and delivery care, routine integration of doulas for CLS has the potential to provide the support and family-centered care that families need. Providing CLS during birth experience has the potential to increase confidence and fosters a holistic foundation for the new family.

Teaching in a Patient-Centered Medical Home

Teaching Lamaze International classes in a patient-centered medical home allows the childbirth educator the best environment for giving evidence-based information and empowering parents to give birth their way. Patient-centered medical home facilities and providers practice evidence-based care and adhere to the principles of family-centered maternity care. In patient-centered medical homes, women can expect to give birth using the Lamaze Healthy Birth Practices and to fully participate in their care with appropriate interventions and the right to informed consent and informed refusal.

Six Principles for the Long-Term Antepartum Patient: A Care Model From the Heartland

St. Luke's is a 540-bed hospital serving Cedar Rapids and surrounding areas in eastern Iowa. We average 250 births per month. In 2001, we opened a Women's and Children's Center in which family-centered maternity care was the focus. This gave us the opportunity to build an antepartum wing to our specifications.

Family-centered maternity care for deaf refugees: The patient-centered medical home in action.

The intersection of 2 underserved populations-refugees and deaf individuals-presents novel challenges to health care systems and has not been described previously. A patient-centered medical home (PCMH) is uniquely equipped to provide outstanding primary care to disadvantaged groups. As an illustrative case study, we present our experience applying principles of the PCMH to address an extremely challenging clinical situation: providing high-quality maternity care to a recently immigrated Vietnamese refugee couple lacking formal language skills. We describe how enhanced access, continuity, coordination, and cultural appropriateness can facilitate favorable outcomes in even daunting circumstances. By collaborating with multiple interpreters, the health center staff, and the extended family, we effectively mobilized an expanded system of care to ensure informed consent and shared decision making, ultimately culminating in a successful labor and vaginal delivery. Through organizational and individual commitment to the tenets of the PCMH, we demonstrate the particular strengths of family medicine training sites in caring for similar patients and families with complex cultural and linguistic barriers to care.

Providing Responsive NURSING CARE to New Mothers With High and Low Confidence

To describe new mothers' experiences with family-centered maternity care in relation to their confidence level and to determine how care could have been more responsive to their needs. Using data from a prospective Canadian survey of 596 postpartum women, a subsample of women with low and high confidence (N = 74) was selected. Data were analyzed using descriptive statistics and content analysis. Women with both high and low confidence expressed negative experiences with similar frequency (n = 47/74, 64%). Women wanted more nursing support for breastfeeding and postpartum teaching and education. Women who reported a language other than English or French as their first language were significantly less confident than English- and French-speaking women (p < .05). A multilevel framework about family-centered care is presented for healthcare providers in prenatal, labor and birth, and postpartum care. It is recommended that nurses ask new mothers about their confidence level and give special consideration to cultural background in order to provide supportive care in hospital and community settings.

Women's Experience With Social Presence During Childbirth

To explore the meaning and significance women attach to family and friend presence during childbirth within a tertiary care birth unit. Qualitative descriptive study using interviews conducted with 16 women in the immediate postpartum period after vaginal birth. Interviews were analyzed using thematic analysis. Overall, women revealed that they greatly value companionship and social support in labor. The women's choice of who would be present was often related to who "knew them best." They chose to have individuals present not for the purpose of visiting but to provide support and share in the birth experience. The women believed that decisions regarding visitation in labor were theirs to make and as a result often didn't discuss their choices with healthcare professionals beforehand. The findings have implications for family-centered maternity care and visitation policy development. Nurses who work in the childbearing area should be aware of women's desires for supportive friends and relatives during the birthing process and work toward helping women achieve their goals for a supportive birth experience.