Knowledge Of Midwives Research Articles

Influence of a Training Module on the Knowledge of Midwives Concerning Postpartum Warning Signs at the Primary Health Care Level in Osun State, Nigeria

Background: Postpartum warning signs are essential in preventing postpartum complications in new mothers and can be detected during postpartum visits. The provision of postpartum care in Nigeria is deficient, and many maternal deaths occur during the postpartum period due to missed postpartum warning signs. Therefore, training midwives on postpartum warning signs can improve the quality of health education given to women. Objective: To evaluate the effectiveness of a training module to improve midwives' knowledge of postpartum warning signs at the level of primary health centres. Methods: A quasi-experimental design using one group pre- and post-intervention was used to implement a training module on postpartum warning signs among midwives in Primary Health Centres in Osun State, Nigeria. Sixty-four (64) participants were recruited using a maximum variation sampling technique to ensure all cadres of midwives were selected for the study. Results: The mean age of the participants was 40.5 years, ranging from 31 to 40 years. There was a significant difference between the pre- and post-intervention mean score of knowledge gained on postpartum warning signs (t62 = 8.75, p <0.05). Furthermore, multiple factors such as theory-practice gap (91.4%), years of clinical experience (97.1%), exposure to seminar and workshops (87.1%), acquiring of additional qualifications (74.3%), pre-service training (84.3%) and in-service training (88.6%) contributed to the level of knowledge regarding postpartum warning signs among the study participants. Conclusion: The training module improved midwives' knowledge of postpartum warning signs. Therefore, it was recommended that midwives be exposed to training on postpartum warning signs.

Evaluation of nurses' and midwives' knowledge and attitudes towards recognizing violence against women.

The study was cross-sectional research that surveyed 410 nurses and midwives from March 2020 to March 2021 in Turkey. The aim of this study was to evaluate the knowledge and attitudes of nurses and midwives towards recognizing violence against women. The "Scale for Nurses' and Midwives' Recognition of the Symptoms of Violence against Women" were used. The average total scale score was 20.3 ± 3.2. The score of participants who are receiving postgraduate education, working in the field of gynaecology and obstetrics, and considering intervention as a professional responsibility when encountering a woman who has experienced violence was found to be significantly higher than the other groups (p<.05). It is important for midwives and nurses to be aware of signs of violence to identify violence against women. Providing education to midwives and nurses regarding signs of violence against women will contribute to the recognition, prevention, and awareness of violence.

Laid-back breastfeeding: knowledge, attitudes and practices of midwives and student midwives in Ireland.

Despite concerted efforts by policy developers, health professionals and lay groups, breastfeeding rates in Ireland remain one of the lowest in world, with 63.6% of mothers initiating breastfeeding at birth, dropping to 37.6% of mothers breastfeeding exclusively on hospital discharge. Nipple trauma and difficulties with baby latching are major contributors to the introduction of formula and discontinuation of breastfeeding. Research shows laid-back breastfeeding (LBBF) significantly reduces breast problems such as sore and cracked nipples, engorgement, and mastitis as well as facilitating a better latch. Although the benefits of LBBF are well documented, this position does not seem to be routinely suggested to mothers as an option when establishing breastfeeding. This study aims to determine midwives' and student midwives' knowledge, attitudes, and practices of using laid-back breastfeeding in Ireland. A cross-sectional descriptive survey distributed to midwives and student midwives in three maternity hospitals in Ireland and two online midwifery groups based in the Republic of Ireland, during June, July, and August 2021. Two hundred and fifty-three valid responses were received from nine maternity units. Most participants (81.4%) were aware of laid-back breastfeeding. However, only 6.8% of respondents cited it as the position they most frequently use. Over one-third (38.34%) had never used this position with mothers. Those more likely to suggest LBBF had personal experience of it, were lactation consultants or working towards qualification, or had participated in specific education about LBBF. Barriers included lack of education, confidence, time, and experience. Further issues related to work culture, a tendency to continue using more familiar positions and concerns about mothers' anatomy and mothers' unfamiliarity with LBBF. Although there was a high level of awareness of laid-back breastfeeding among midwives and student midwives, there are challenges preventing its use in practice. Education specifically related to using LBBF in practice is required to overcome the barriers identified. A greater understanding of mothers' and babies' intrinsic feeding capacities may give midwives more confidence to recommend this method as a first choice, potentially leading to more successful breastfeeding establishment and maintenance.

Knowledge, attitude, and practices of midwives on premature rupture of membranes (PROM): A cross-sectional study in Samosir and Toba, Indonesia.

Indonesia has a significantly higher maternal mortality ratio (MMR) than other countries in Southeast Asia, and infection is one of the most common causes of maternal deaths, of which premature rupture of membranes (PROM) can be the consequence of the infections. In primary healthcare settings, midwives play an important role in identifying and managing PROM appropriately; however, studies on their knowledge, attitudes, and practices related to PROM are limited. The aim of this study was to determine the midwives' knowledge, attitude and healthcare practice on PROM in Indonesia. A cross-sectional study was conducted among midwives at primary healthcare facilities in Samosir and Toba Regency, North Sumatra, Indonesia, from July to November 2022. The knowledge, attitude and practice towards PROM were assessed. Results showed that 57.5% of midwives had poor knowledge and 35.1% had poor attitude levels. There were 4.9% of midwives referred the patients immediately to the hospital. Our data indicated that aged 31-40 or 41-50 years, having a lower than bachelor degree and having a higher monthly number of referred PROM patients were significantly associated with poor knowledge compared to younger, having a bachelor degree, and lower monthly referral patient number, respectively. Similarly, younger, having higher degree and a having lower monthly referral number of PROM cases were associated with higher chances of having a sufficient-good attitude towards PROM. This study highlights that a significant percentage of midwives had poor levels of knowledge and attitude, and age, educational level and monthly referral number of PROM cases were associated with the level of knowledge and attitude.

Are midwives trained to recognise perinatal depression symptoms? Results of MAMA (MAternal Mood Assessment) cross-sectional survey in Italy

PurposeTo assess the knowledge, clinical experience, and attitudes of Italian midwives toward perinatal depression (PND) and to explore how these factors impact the quality of care.MethodsWe conducted a cross-sectional online survey among 152 midwives employed in public hospitals across Italy. The questionnaire covered a range of topics, including demographic data, professional experience, knowledge of PND symptoms, risk factors, and clinical management, as well as communication skills and personal experiences with PND cases.ResultsA concerning 76.3% of midwives displayed inadequate knowledge of PND based on current scientific literature. Those with a more comprehensive understanding were notably more confident in their practice, expressing significantly fewer apprehensions about communicating with mothers (25.8% vs 74.2%) and lesser concerns about the mothers’ future well-being (38.9% vs 62.95%). The survey results also emphasised the midwives’ call for specialised guidelines and formal training in PND management and underscored the value of communication skills, continuity of care, and family engagement in supporting affected mothers.ConclusionThis inaugural study sheds light on the current state of knowledge and attitudes among Italian midwives regarding PND. It pinpoints crucial areas for educational enhancement and practice improvement, suggesting that elevated levels of midwife expertise in PND could significantly elevate the standard of care and expedite early diagnosis and treatment.

Psychometric evaluation of a novel tool for assessing gestational diabetes and hypertension care: knowledge, attitudes, and practices of midwives and nurses.

While standardized assessment of knowledge, attitudes, and practices (KAP) related to gestational diabetes and hypertension is possible with a valid tool, existing research remains limited. This prospective validation study aimed to develop and validate a novel tool to assess the KAP of midwives and obstetric nurses. We included 125 midwives and obstetric nurses who routinely care for patients with gestational diabetes and hypertension. The tool demonstrated good internal consistency (Cronbach's alpha): knowledge (0.729, 95% CI, 0.654-0.776), attitude (0.756, 95% CI, 0.690-0.814), and practices (0.925, 95% CI, 0.905-0.943). Difficulty indices (d) ranged from 0.38 to 0.99 (knowledge), 0.41 to 0.99 (attitudes), and 0.41 to 0.93 (practices), indicating appropriate item difficulty. Discrimination indices (D) confirmed items could differentiate between respondents with low and high knowledge levels (D range: 0.02-0.77 for knowledge, 0.06-0.64 for attitudes, 0.20-0.84 for practices). The robust psychometric properties of this tool support its use in future research on KAP related to diabetes and gestational hypertension management in midwives and nurses. This instrument has the potential to be valuable in various settings, including baseline assessment before educational programs or evaluation of learning outcomes after interventions.

Knowledge and attitudes of midwives towards collaboration with traditional birth attendants for maternal and neonatal healthcare services in rural communities in South Africa

ObjectivesWe assessed the knowledge and attitude of registered midwives towards collaborating with traditional birth attendants for maternal and neonatal healthcare services in rural communities. DesignA descriptive cross-sectional survey was followed in this study. ParticipantsRegistered midwives in selected clinics in the City of Tshwane Municipality. Participants were recruited by stratified random sampling. Data was collected at the Thirty-four primary healthcare facilities in Gauteng province, South Africa. Measurement and resultsA self-assessment questionnaire was administered to 304 registered midwives. Two-hundred and sixty respondents returned the questionnaire representing a response rate of 86.6 % which was statistically significant. The majority of Midwives in South Africa displayed a low level of knowledge (mean = 41.8, SD=1.7) on the role and practices of traditional birth attendants). Only 30.8 % (n = 80) of midwives knew of the roles of traditional birth attendants for maternal and neonatal healthcare (MNH) services. With respect to knowledge, there was significant associated with the Professional category (p < 0.015). In terms of attitude, registered midwives displayed negative attitudes towards collaborating with traditional birth attendants (mean = 46.8, SD=2.1). Approximately half (54.2 %, n = 140) of midwives were amenable towards collaborating in the provision of antenatal care, and 70.4 % (n = 183) of midwives agreed to collaborate with traditional birth attendants for extended roles such as accompanying women to health facilities. Association of demographic data and level of attitude showed there was significant relationship (p < 0.05) between registered midwives’ level of education and their attitude towards collaboration. Key conclusionsMidwives demonstrated positive attitude towards collaborating with traditional birth attendants at the antenatal care level only. Midwives were not amenable to collaboration at the level of intrapartum and postpartum care. Implications for practiceBased on our results, collaboration should be at antenatal care level to allow for early detection, treatment, and prevention of antenatal complications thus reducing maternal mortality and morbidity.

Nutrition knowledge and practice of midwives in Botswana.

The roles and responsibilities of midwives include providing adequate nutrition assessment, nutrition and health education, counselling, and support to pregnant women. This study aims to assess midwives' nutrition knowledge and to what extent they integrate maternal nutrition in services provided at health facilities. This study included hospitals and clinics within the three selected districts in Botswana. A cross-sectional study design with an analytical component was employed. Direct observation through a checklist and a structured interviewer-administered questionnaire were used. Data were analysed using SPSS IBM version 26. A sample of 102 midwives participated, resulting in a response rate of 82%. Most of the participants were females (89.2%). Maternal nutrition knowledge was found to be variable but decreased with midwives' age. A statistically significant correlation coefficient of p < 0.005 at r = -0.278 was observed between maternal nutrition knowledge and age. Similarly, there was a statistically significant negative correlation between maternal nutrition knowledge, practices and maternal nutrition course attended using Pearson correlation (r = -0.217 p < 0.028). Midwives had adequate to variable but declining maternal nutrition knowledge and practices with age. There is a need to provide midwives with refresher courses, as their nutrition knowledge and practices were related with courses attended. The study contributes to provide the literature concerning nutrition knowledge and practices of midwives. The results will assist in addressing the gaps encountered and lead to the improvement of maternal nutrition and pregnancy outcomes.

Vaccination of pregnant women: modelling the knowledge and attitudes of Polish nurses and midwives – a preliminary study

Vaccination of pregnant women: modelling the knowledge and attitudes of Polish nurses and midwives – a preliminary study

A global pilot comparative, cross-sectional study of clinical research nurses/research midwives: Definition, knowledge base, and communication skills related to the conduct of decentralized clinical trials.

A gap in the literature exists pertaining to a global research nurse/research midwife resources and communication skill set necessary to engage with participants of diverse populations and geographic regions in the community or home-based conduct of decentralized clinical trials. An embedded mixed methods study was conducted to examine research nurse/research midwife knowledge base, experiences, and communication skill sets pertaining to decentralized trials across global regions engaged in remote research: the USA, Republic of Ireland, United Kingdom, and Australia. An online survey was deployed across international research nurse/research midwife stakeholder groups, collecting demographics, decentralized trial experience, barriers and facilitators to optimal trial conduct, and the self-perceived communication competence (SPCC) and interpersonal communication competence (IPCC) instruments. 86 research nurses and research midwives completed the survey across all countries: The SPCC and IPCC results indicated increased clinical research experience significantly correlated with increased SPCC score (p < 0.05). Qualitative content analysis revealed five themes: (1) Implications for Role, (2) Safety and Wellbeing, (3) Training and Education, (4) Implications for Participants, and (5) Barriers and Facilitators. Common trends and observations across the global sample can inform decentralized trial resource allocation and policy pertaining to the research nurse/research midwife workforce. This study demonstrates shared cultural norms of research nursing and midwifery across varied regional clinical trial ecosystems.

Midwives Knowledge Level Survey On Ultra Process Food (UPF) On Childrens Complementary Feeding Practices

Proper complementary nutrition is critical for child growth. Currently, UPF consumption is common, affecting IYCFP, where many older persons use CCF. Indeed, CCF has a negative impact on children's growth and development. Many factors contribute to this, one of which is a lack of assistance from other health providers, especially midwives. In Indonesia, midwives are the primary health workers that offer direct care to mothers. According to several sources, midwives continue to provide little support in this area due to insufficient experience and expertise. The purpose of this study is to determine the level of awareness of UPF and ICYFP among midwives. The method employed is a hybrid strategy that employs successive explanation strategies. 114 midwives participated in the online study in 2022. The results of this study showed that there are still many midwives who do not know about UPF and IYCFP education and advocacy. There needs to be government support to conduct comprehensive education in the health sector, including midwives.

Peningkatan Pengetahuan Bidan Mengenai Penggunaan dan Pelepasan APD Level II Persalinan sebagai Upaya Pencegahan Penyebaran COVID-19

Abstract&#x0D; Pandemic gave a challenge for midwives to provide maternal and child health services, but their safety is still in danger, so one of the efforts that can be made by midwives to prevent the transmission of Covid-19 during delivery assistance is by applying the use and removal of protective equipment properly. The implementation method includes preparation starting with outreach and advocacy to the Chairperson of the PC IBI Tasikmalaya City and midwives in the Tasikmalaya city area. Planning, namely preparing scenarios, preparing tools, and materials for the manufacture of level II PPE. Implementation, namely measuring the knowledge of midwives about how to use and release before and after watching the video. Evaluation to measure midwives' skills regarding use and re-release according to their understanding.The results of this community service showed that there was an increase in the average value of midwives's knowledge about how to use and remove PPE level II by 2.54, and after community service there were 9 midwives who had skills on how to use PPE level II properly, and 10 midwives who have the skills on how to properly remove PPE level II.&#x0D;

Interprofessional survey on knowledge and attitudes of midwives regarding oral health, in France.

Oral health is essential for psychosocial well-being and general health. For expectant mothers, pregnancy increases the risk of oral diseases and has a subsequent impact on the oral health of a child once born. Midwives are in charge of pregnancy monitoring, childbirth and newborns' first days of life. They could have an important role in prevention. However, limited studies evaluating the knowledge, attitudes and practices on oral health among midwives have been conducted in Europe. We performed a cross-sectional study using a self-administered questionnaire. Two local midwifery associations sent out the questionnaire by email and social media networks to all registered midwives and practicing in the department of Herault (n=613), between April and May 2022. Statistical analyses on quantitative data and descriptive analyses of qualitative free-text responses were performed. In total, 167 midwives were included. We found a lack of knowledge on many oral health topics and this was stated as the main reason that only 29% of midwives provided oral health information to their patients. Only 30% of the midwives had a training module on oral health during their initial training, and less than half of them considered the training adequate. To improve their lack of knowledge, participants expressed a preference for digital communication methods for themselves; however, they favored in-person interaction for public interventions. This study showed a lack of training and knowledge about oral health among midwives and a lack of oral health discussion with expectant mothers who are a high-risk population for oral diseases.

A STUDY OF MATERNAL HEALTH SERVICES BY PRIVATE MIDWIVES IN SURABAYA CITY, INDONESIA

Maternal mortality in Indonesia increased but the coverage of antenatal care and birth attendants by health workers is high. The majority of antenatal care was by private midwives and the majority of birth attendants was by midwives. The study aims to determine the maternal health services by private midwives in maternal health services. It was a mixed study, carried out in Surabaya City because of the highest maternal deaths in East Java Province in 2016. The secondary data of maternal health services were collected from Surabaya City Health Office and Indonesian Midwives Association of Branch Surabaya City. The qualitative data were domain on internal and external problems of private practice midwives. There were 10 informants whom selected purposively. The data were collected by round table discussion. The secondary data were analyzed univariately and the qualitative data were analyzed descriptively. From about 250 private midwives in Surabaya City, 133 were ‘Delima’ midwives in which a program of the Indonesia Midwives Association. Maternal health services by private midwives enhance access. The ‘Delima’ midwives have requirements of knowledge, enhancing skill, reporting, infrastructure standards, and development. So, the quality of maternal health services by ‘Delima’ midwives was relatively better. However, private midwives’ services, including the ‘Delima’ midwives in Surabaya city had not analyzed ANC results, pregnant women visiting private midwives should visit health centers for integrated ANC, midwives’ duties beyond educational competencies, and lack of mentoring for apprentice midwives because of many midwives’ duties. It suggests improving the knowledge and skill of private midwives.

PKM Pendampingan Kelas Ibu Anti Razia (Kurang Gizi Dan Anemia) di Wilayah Kerja Puskesmas Durian Luncuk

Stunting is still a national health problem, including in Jambi Province. The highest prevalence of stunted toddlers was found in Batanghari Regency, precisely in the Durian Luncuk Health Centre Working Area. Malnutrition and anemia in pregnant women will cause low birth weight and malnutrition in toddlers, including the stunting. The trend of the percentage of mothers giving birth to low birth weight babies (BBLR) in the last three years tends to increase, while babies with BBLR are more at risk of stunting. Efforts to prevent malnutrition and anemia in pregnant women include increasing the consumption of foods high in iron and protein around the mother's residence, which is the local wisdom of the region. The purpose of this activity is to carry out the assistance of anti-Razia (Malnutrition and Anemia) pregnant women's classes as a forum for health education for pregnant women and posyandu cadres to empower communities to prevent stunting, as well as midwives who can facilitate and become resource persons in anti-Razia women's classes with the method of theoretical exposure and demonstration of food processing practices which are divided into three classes where each class consists of three meetings. After a series of activities, the knowledge of pregnant women increased by 61%, the knowledge of posyandu cadres increased by 63%, and the knowledge of village midwives increased by 19%, the formation and implementation of the anti-Razia mother class, the implementation of cadre and village midwife training, increased knowledge and behavioral changes about the use of local food to prevent malnutrition and anemia in pregnant women and intellectual property rights for the Anti-Razia Mother Class module.

Pregnancy and tobacco: Practice and knowledge of French midwives

ObjectivesEvaluate the midwives’ practices and knowledges with regard to the management of the smoking cessation in pregnant women and analyse the profile of midwives prescribing nicotine replacement therapy (NRT). MethodsA national practice survey amongst 23,541 French midwives was conducted from 1 September 2020 to 15 September 2021 using an online self-administered questionnaire. ResultsThe analysis of the 1,216 usable questionnaires (97, 7% women, mostly aged 30 to 49 years and non-smokers) showed that 93.4% of midwives frequently questioned pregnant women about their smoking consumption during pregnancy. The minimal counselling was known and practiced by 91% of midwives, the Fagerström test by 26.9% and the measurement of exhaled CO by 27.1%. Concerning NRT, 60% of the midwives prescribed them in a usual way and 36.8% were aware of the possibility of prescribing them to the pregnant woman's entourage. The profile of midwives prescribing NRT was significantly more concerned with smoking cessation in pregnant women; worked more frequently in a hospital; carried out 25% or more of antenatal monitoring consultations; and had significantly better knowledge of the evaluation tools, without influence of sex or smoking status. ConclusionsImproving the training of midwives in the screening and management of smoking cessation during pregnancy seems necessary.

Knowledge, Attitudes, and Anxiety of Midwives Toward Maternal Care During the COVID-19 Pandemic: A Descriptive Study on Midwives Who Experience the Perinatal and Breastfeeding Phases.

People all over the world, including pregnant women, have experienced stress and anxiety due to the coronavirus disease 2019 (COVID-19) pandemic. Providing services during the pandemic is something that midwives in primary health care cannot avoid. This study assesses a midwife's knowledge, attitude, and anxiety toward providing maternal care during the pandemic. A cross-sectional design was used in this study, which involved 183 midwives who provided midwifery services at hospitals and health centers and had experience with the perinatal and breastfeeding phases. Using the Google Forms tool, respondents completed a questionnaire regarding their knowledge, attitudes, and anxiety toward maternal care during the COVID-19 pandemic. One hundred eighty-two midwives (99.50%) understood maternal care well during the COVID-19 pandemic. In addition, the maternal care provided during the COVID-19 pandemic was viewed favorably by almost all the participants. The percentage of midwives working in primary care in the perinatal phase who had moderate-to-severe anxiety levels during the COVID-19 pandemic was 17 women (27.42%). The knowledge and attitudes of midwives about the COVID-19 pandemic in this study were good, and there was a smaller percentage of midwives with an extreme level of anxiety.

Knowledge and Role of Midwives in Using Maternal and Child Health Books

Background The use of KIA books by midwives in Parigi Moutong Regency has not been optimal at around 82.1%, while those who do not use KIA books as much as 17.9% are due to the fact that at all times there is always a revision of the KIA book and there is no training in filling KIA books, only socializing Zoom Meetings and YouTube Channels, so many midwives still do not understand about filling it out, especially in the mother's section of the book. The purpose of this study is to determine the relationship between midwife's knowledge and the role of midwives in the use of KIA Books. The method is Cross cross-sectional approach, the population in this study is all Midwives in the Parigi Moutong Regency Area. The sample amounted to 83 respondents. The instrument used is a questionnaire—univariate and bivariate data analysis with a chi-square test. The study's results found that some respondents were well knowledgeable, 77 people (92.8%) and had good roles totaling 81 people (97.6%). With a p-value of ≤ 0.05 which is 0.004. The conclusion is that there is a relationship between midwives' knowledge and the role of midwives in the use of KIA Books in the Parigi Moutong Regency Area. It is expected for health workers, especially midwives, to motivate mothers more in terms of using KIA books.

Implementation Triple Elimination Screening to Midwifes Knowledge About Risk Factors, Modes of Transmission and Impact of HIV, Syphilis, and Hepatitis B Type

Triple Elimination program that aims to early detection of HIV, syphilis and Hepatitis B infection in pregnant women and is very important for all pregnant women because it can save the lives of mothers and children. This type of research is observational research, namely by distributing questionnaires to determine the effect of the implementation of triple elimination on the knowledge of midwives in Palembang City. The results showed that of the 50 respondents who were old, around 19 people with a percentage (38.0%). While the young ones only reached 31 people (62.0%). The results showed that of the 50 respondents, the majority had a D3 education with a total of 36 people or (72.0%). While in S1 education reached 7 people (14.0%). And 7 people or (14.0%) professional education. The results of the analysis using the Chi Squre test, obtained a p-value of 0.000 on midwife knowledge, at age obtained a p-value of 0.285 and at education obtained a p-value of 0.0.019, which means greater than&gt; 0.05, it can be interpreted that H0 is accepted and Ha is rejected. The conclusion is that there is a significant relationship between age, education and midwife knowledge in implementing triple elimination

Attitudes and knowledge of midwives about smoking cessation perinatally

Attitudes and knowledge of midwives about smoking cessation perinatally