Maternal Women Research Articles

Ukrainian women's maternity care strategies in Poland after the outbreak of the full-scale war: Understanding unequal access to quality care

The outbreak of the full-scale war launched by Russia against Ukraine and, following it, significant migrations have not only increased the diversity of the Ukrainian migrant population in Poland, but also added to the complexity of their health needs and strategies. This study seeks to explore Ukrainian migrant women's experiences and practices related to the use of maternity care services. The article is based on fieldwork conducted between February and October 2023 and included 23 semi-structured interviews with Ukrainian migrant women who gave birth in Poland after February 24, 2022. To understand Ukrainian women's pathways to maternity care in Poland and unpack the differences in experiences within this group of migrants, we explore participants' healthcare strategies against the background of existing inequalities in access to quality care in Poland and Ukraine, in particularly the division between private and public services. We consider the role of financial, social and cultural resources and distinguish for this purpose between three groups of permanent, circular and wartime migrants. We show the decisive role of economic resources, nonetheless in articulation with the creation and mobilisation of social networks and time spent in Poland, which play a role in shaping migrant women's capacity to access better maternity care.

Factors That Influence the Incidence of Retained Placenta in Maternity Women in Kanekes Village, Baduy Tribe, Indonesia

Introduction: The World Health Organization (WHO) states that one of the causes of bleeding is retained placenta. Retained placenta accounts for 2-3% of maternal deaths in developing countries. Various factors, including maternal, uterine, and retention factors, influence placental retention. The study aimed to determine the factors affecting the incidence of retained placenta in mothers giving birth in Kanekes Village, Baduy Tribe, Indonesia. Material and Methods: This research uses an analytical survey method with a case-control design. There were 27 cases of placental retention experienced by women who gave birth vaginally. The researcher created the data collection format sheet instrument himself. The statistical test used is the chi-square test. Results: The relationship between age and the incidence of retained placenta from 54 respondents was obtained from the chi-square statistical test on the age variable with a p = 0.010 <0.05 value. The relationship between parity and the incidence of retained placenta (p = 0.04). However, non-significant results were found in the relationship between birth assistance and the incidence of retained placenta (p = 0.750). Conclusions: The results show a relationship between age and parity factors and retained placenta incidence. However, in the birth assistance variable, the results show no relationship between birth assistance factors and the incidence of placental retention.

Constitutional safeguard research of female equal employment right in China- Based on the perspective of empirical investigation

Employment is the foundation of people's livelihood. As a basic human right, the right to equal employment has always been a top priority for constitutional protection. Female workers are an important part of the economy and society, and their equal employment is an important catalyst for economic development. Women's right to equal employment is an important element in realizing women's personal and social values, as well as an important element of the State's efforts to build a harmonious society. Compared with the early days of the founding of the People's Republic of China, the protection of women's equal rights in employment has made great progress. However, the influence of history, culture and traditional concepts still lingers, and the burden of women's maternity has aggravated the invisible discrimination in employment, while the newly released "three-child" policy has also had a certain impact on equal employment. The phenomenon of women being discriminated against in employment is still not uncommon. Therefore, this paper explores the problems, countermeasures and future development direction of the protection of women's right to equal employment in China from the system of protection of women's right to employment in China's Constitution and other laws and judicial practice. On the one hand, China should improve the existing laws and regulations, improve judicial procedures, define the criteria for determining discrimination in employment, and formulate a special anti-discrimination law; on the other hand, we should strengthen the law enforcement mechanism, and set up a specialized labor inspection and enforcement agency to protect equal employment and a more pro-employment “Equal Employment Commission”.

Factors Related to the Incident of Premature Rupture of Membrane among Maternity Women

Factors Related to the Incident of Premature Rupture of Membrane among Maternity Women

Effect of Murrotal Al-Qur’an Audio on First Stage Labor Pain among Maternity Women

The purpose of this study is to determine the effect of Murrotal Al-quran Audio on first stage labor pain among maternity women in Prof. dr. J. A Latumeten Hospital Maluku Province, Indonesia. The study design is quasy experimental. The population is all maternity women who were in the first stage labor in Januari 2022 which consisted of 68 women. 30 women were selected purposively and agreed to join the study. The inclusion criteria are muslim women who had no hearing problems and labor complication. The intervention was an audio of Murrotal Al-quran Surah Ar-Rahman for 30 minutes. A numeric rating scale was used to measure the pain level before and after intervention. The bivariate analysis was done by Mann Whitney test. The results show that majority of women (60%) experienced a moderate level of pain before and after intervention in the control group. While, in the experiment group, majority of women (60%) experienced moderate level of pain before intervention and majority of them (66,6%) experienced mild level of pain after intervention. The bivariate analysis shows that there was a significant difference of pain score between experiment and control group after intervention (p= .005). In addition, there was a significant difference of pain score before and after intervention in the experiment group (p= .005). There was an effect of Murrotal Al-quran Audio on first stage labor pain among maternity women in Prof. dr. J. A Latumeten Hospital Maluku Province, Indonesia in 2022. The Murrotal Al-quran Audio is effective to decrease labor pain among maternity women. Nurses and midwives who work in the labor room are urged to implement the murroral Al-quran Audio to help maternity women in decreasing labor pain.

Description of Age and Parity with the Incidence of Premature Rupture of Membranes in Maternity Women at the Pulomerak Community Health Center

Premature rupture of membranes is a condition where the membranes rupture before delivery. Most of the premature rupture of membranes occurs at a gestational age of over 37 weeks, whereas at a gestational age of less than 36 weeks there are not too many. Premature rupture of the amniotic membranes causes the possibility of infection in the uterus, premature labor which will increase morbidity and death of the mother and fetus. There were 47 people experiencing premature rupture of membranes at the Pulo Merak Community Health Center in 2022. The aim of this research was to determine the description of maternal age and parity, with the incidence of premature rupture of membranes at the Pulomerak Community Health Center in 2022. The type of research used was descriptive research. The population in this study was all mothers giving birth at the Pulomerak Health Center for the period January - December 2022, totaling 194 people. The sample in this study was all mothers giving birth at the Pulomerak Health Center for the period January-December 2022, totaling 194 people. The sampling technique used in this research was a total sampling technique (non-probability sampling). The data source for this research is secondary data. The results of the research can be concluded that mothers who experienced PROM at the Pulomerak Community Health Center showed that 47 mothers experienced PROM, the proportion of Premature Rupture of Membranes occurred at ages <20 years and >35 years as many as 104 (53.6%). for parity in Multipara as many as 134 people (69%). The incidence of Premature Rupture of Membranes among women giving birth at the Pulomerak Community Health Center was higher at risk ages >20 years and <35 years at 32 people (31%). The incidence of premature rupture of membranes in women giving birth at the Pulomerak Community Health Center was higher in multiparas, 33 people (25%). The suggestion of this research is that health workers at the Pulomerak Community Health Center are expected to be able to maintain the performance that has been carried out, and maintain the quality of service in accordance with midwifery service standards. And for future researchers it can add broader & more accurate insight

Description of Age and Parity with the Occurrence of Sectio Caesarea in Maternity Women in Cilegon City Regional Hospital for the Period July - December 2023

Caesarean section delivery has a 25 times greater risk of death, compared to vaginal delivery. From the research results, it was found that the incidence of Caesarean section delivery in the Cilegon City Regional Hospital for the period July-December 2022 was 153 out of 344 people or (44%). The aim of this research is to determine the description of the age and parity of mothers giving birth and the incidence of caesarean section deliveries in the period July - December 2022. The research method used is descriptive research using simple random sampling techniques. The results of this study show that 42 respondents (54.5%) still found mothers who experienced caesarean section. In the age category, a higher proportion was found in the non-risk age group, 54 people (70.1%). For parity in the at-risk group there were 59 people (76.6%). A higher proportion of mothers who experienced caesarean section occurred in the non-risk group, namely 28 people (52%). The proportion of mothers who experienced caesarean section was higher in the primipara group, 12 people (67%) and in the multipara group, 30 people (51%). Suggestions for educational institutions are that the results of this research can be well documented to be used as a reference source for further research, for health services it is hoped that they will be able to maintain services in accordance with standards, for future researchers they can add variables and broader and more accurate insight.

Narrative Review of the Effect of Endorphin Massage and Oxytocin Massage on Pain Intensity in Maternity Women

Background: Childbirth is the effort or process of expelling a full-term baby which is often accompanied by pain caused by contractions in the uterus. From the research results, it was found that 32% of 300 women who gave birth during the active phase experienced severe pain, 57% moderate pain, and 11% mild pain. Evidence shows that fear of vaginal childbirth and anxiety experienced by many women during their pregnancy. Therefore, it then led to their decision to choose other methods of birth such as Section Caesarea (SC). The effects of anxiety during labor could potentially result in excessive levels of catecholamines causing decreased blood flow to the uterus, decreased uterine contractions, decreased blood flow to the placenta, decreased oxygen available to the fetus, and can increase the length of labor. One of alternative methods of dealing with pain during the labor process is using non-pharmacological such as endorphin massage and oxytocin massage. Purpose: The aim of this literature study was to present information about the effect of endorphin massage and oxytocin massage on the intensity of pain among mothers giving birth. Methods: This research method was a literature review study. Journal searches were carried out by applying online database such as ScienceDirect, Google scholar, Pubmed, Scopus, Portal Garuda. Articles were selected based on inclusion and exclusion criteria. Result: The study investigated the influence of endorphin and oxytocin massages on pain intensity in maternity mothers during childbirth, revealing a significant reduction in pain levels following the administration of these massages. Both endorphin and oxytocin massages were found to alleviate pain, induce relaxation, and promote feelings of comfort and calmness, thereby facilitating a smoother birth process. Conclusion: The influence of endorphin massage and oxytocin massage is useful in reducing pain in maternity mothers

Covid-19 Pandemisinin Doğum ve Annelik Üzerine Etkisi: Karma Yöntem Çalışması

In this study the impact of the COVID-19 pandemic on women's maternity experiences as childbirth, newborn nutrition and care was examined. In the first stage, an online survey was applied to 203 people who gave birth in Türkiye during the pandemic. The birth plan of 39 participants (19.2%) was determined to have changed due to the pandemic. 17.8% of the mothers stated that nobody from the parents could come to help them after the birth due to the pandemic. The majority of the mothers (71.4%) were found not to accept newborn visits during the postnatal period due to the pandemic. The second stage included semi-structured interviews, and detailed interviews were conducted with 10 mothers. Two main themes were identified for birth and motherhood experiences during the COVID-19 pandemic: (i) disruption of the birth experience and (ii) changing motherhood process. It was determined that some restrictions and reduced social interactions due to the pandemic caused the birth expectation and postpartum period to deteriorate. During this period, the continuous support of midwives and nurses was of great importance for mothers who could not benefit from spouse or family support for any reason.

"When a story gets a face…": Visual elicitation of Serbian perspectives on Afghan refugee women's maternity experiences in Serbia.

Serbia is a country through which many Afghans pass, en route to the European Union. Pregnancy and birth continues for Afghan women while journeying. This study aims to examine the understanding and attitudes of Serbian health professionals and members of women's civil society organisations (CS0) about the perinatal experiences of Afghan women in Serbia, using a webcomic to elicit responses. A total of 38 respondents completed the questionnaire, including health professionals (n = 10), women's CSO members (n = 6), and others (n = 10). The majority had little awareness of the experiences of Afghan women around the childbearing time and for most respondents, viewing the webcomic raised their awareness. Qualitative questionnaire data were analysed thematically, and four inductive themes developed: (1) maternal health provision as inadequate; (2) Afghan women face difficulties in Serbia; (3) solidarity with Afghan women; and (4) the webcomic raises awareness. Webcomics, as a visual modality, may play a valuable role in increasing empathy and awareness of refugee women's perinatal experiences among citizens.

The Effect of Preconception Nutritional Status on Birth Weight of Babies in Maternity Women in Purwakarta Regency, Indonesia

Preconception nutritional status is one of the factors that can influence a baby's birth weight. This study aims to determine the effect of preconception nutritional status on birth weight of babies in maternity mothers in Purwakarta Regency, Indonesia. This research uses a descriptive analytical research design with a cross-sectional approach. The research sample was 100 maternity mothers in Purwakarta Regency, Indonesia. Data was collected through interviews and anthropometric examination. Data analysis used the Pearson correlation test. The results of the study showed that there was a significant relationship between preconception nutritional status and the baby's birth weight (r=0.714; p<0.001). Mothers with good preconception nutritional status have a lower risk of giving birth to babies with low birth weight (LBW) compared to mothers with poor or poor preconception nutritional status. The conclusion of this study is that preconception nutritional status has a positive effect on the baby's birth weight. Therefore, it is important for women of childbearing age to maintain their nutritional status so they can give birth to healthy and prosperous babies.

Analysis of the psychological health implications of women's maternity process based on the PPCT model

Analysis of the psychological health implications of women's maternity process based on the PPCT model

PENGARUH PENGETAHUAN DAN SIKAP BIDAN TERHADAP TINDAKAN BIDAN DALAM INISIASI MENYUSUI DINI (IMD) PADA IBU BERSALIN

Based on the results of the Indonesian Demographic and Health Survey (SDKI) in 2017, the Infant Mortality Rate (IMR) shows 24 per 1000 live births, the Neonatal Mortality Rate (AKN) is 15 per 1000 live births and the Infant Mortality Rate (AKABA) is 32 per 1000 live births. However, the mortality rate for neonates, infants and toddlers is expected to continue to decline. Interventions that can support child survival are shown to be able to reduce IMR to 10 per 1000 live births and IMR to 16 per 1000 live births in 2024. Meanwhile, in accordance with sustainable development targets. AKABA is expected to reach 18.8 per 1000 live births in 2030. In recent years, the government has begun to aggressively promote the provision of IMD from the first hour of birth for babies aged 0-6 months. This effort received very good support and broad coverage, one of which was from the Association of Indonesian Breastfeeding Mothers (AIMI), the aim of the research was to determine the influence of Midwives' Knowledge and Attitudes on Midwives' Actions in Early Breastfeeding Initiation in Maternity Women. This research method uses a systematic literature review of 6 articles, carried out via the Google Scholar search engine using Indonesian, in selecting research articles using inclusion criteria, namely the theme of the article content, time period, year of publication, language, subject, method, sample and type of article. , for exclusion criteria including the theme of the article content, time period, type of article. The results of the research showed that 4 articles stated that there was an influence of knowledge and attitudes on IMD measures for mothers in labor, while 2 studies stated that there was no influence of knowledge and attitudes towards IMD measures for mothers in labor. Conclusions from the research include the influence of midwives' knowledge and attitudes on midwives' actions in IMD for women giving birth. Suggestions for midwives can increase their knowledge and attitudes by attending higher education, training, workshop, seminars and seeking information about IMD.

The Effect of Quranic Murotal Therapy on Anxiety Levels in Maternity Women at the Midwife Independent Practice (TPMB) A, Purwakarta Regency, Indonesia

Quranic murotal therapy can also help individuals deepen their spiritual connection and feel a closeness to God. For individuals who experience symptoms of depression, this therapy can help reduce these symptoms and provide positive encouragement. This therapy can help individuals develop feelings of gratitude for life's blessings, which can reduce feelings of dissatisfaction and unhappiness. This study aimed to determine the effect of Quranic murotal therapy on anxiety levels in maternity women at TPMB (Midwife Independent Practice) A, Purwakarta Regency, Indonesia. This study is experimental research with a one-group pre-post test approach. This study uses primary data, namely measuring the degree of anxiety of birth mothers in research respondents. A total of 30 research subjects took part in this study. This study shows that the intervention of providing Quranic murotal is effective in reducing the level of anxiety of mothers giving birth. There was a decrease in the level of anxiety of mothers giving birth after giving Quranic murotal, and it was stated to be statistically different, p<0.05. In conclusion, there is an influence of Quranic murotal therapy on the level of anxiety in maternity women at TPMB (Midwife Independent Practice) A, Purwakarta Regency, Indonesia.

Telemedicine Breastfeeding Consultation: The Saudi Experience.

Background Telemedicine is widely used in health specialties. Yet, the experience of telemedicine use and its effectiveness in breastfeeding support is a research gap. The purpose of this study was to describe the pattern of telemedicine use for breastfeeding support in Saudi Arabia and to explore patients' satisfaction with the service. Methods A cross-sectional survey was conducted in outpatient settings at Ministry of Health facilities in several Saudi regions. The number of breastfeeding consultations over one year (2021) was analyzed in terms of region, month, method of consultation, and women's maternity status. Data on patient satisfaction and telemedicine techniques were gathered during 2022. Results Across the 16 regions enrolled in the project, 51,571 remote breastfeeding consultations were conducted, representing 28.2% of the total consultations. The eastern region reported the highest percentage (40.7%), and the southern region reported the lowest (2.4%). Almost two-thirds of the consultations were provided to lactating mothers (62.91%). Most data (90%) were collected from breastfeeding clinics in hospitals, and nurses were the main primary health care providers. The mean was 4,255 consultations per month. In terms of technology, telemedicine consultations were mostly conducted by phone (50%) and WhatsApp (38%). Satisfaction with telemedicine was reported by 80% of the participants, with a statistical difference found in those favoring telemedicine over in-person care (p=0.032), particularly for those using phone consultations and Telegram (p<0.001). WhatsApp respondents had the commonest neutral responses (p<0.001). Conclusion Telemedicine breastfeeding care has been widely established with high patient satisfaction. A national protocol outpatient lactation services with an intergrated hospital and primary care services and involvement of different health care professionals are recommended. Although breastfeeding counselling is proven to have a positive change on breastfeeding indicators, telemedicine tool per se needs further work on its role in breastfeeding indicators. Triage of cases to be evaluated face-to-face or referral to a specialist after telemedicine lactation care is an area for future work.

"Make it better for the women and babies who come after me": Findings from women in Australia completing the international Babies Born Better survey.

Woman-centered maternity service delivery is endorsed by Australian federal health policy. Despite this, little evaluation of maternity care is conducted through the lens of women. We examined the responses of women birthing in Australia to the international Babies Born Better 2018 (Version 2) open-response survey. An online international survey was distributed primarily by means of social media for women who had given birth in the last 5 years. In addition to closed-ended questions to describe the sample, a series of open-ended questions recorded women's experiences and satisfaction with their maternity care and place of birth. Of 1249 women who reported birthing their most recent baby in Australia and speaking English, 84% responded to at least one open-ended evaluation question. We thematically analyzed the data to identify three related themes of safety, choice, and respect for women. Women's experiences of these were closely tied to their model of care; those birthing at home with a private midwife more so reported positive experiences than those discussing obstetric care or, to a lesser extent, midwifery-led care in a hospital. There was a strong preference and need for (1) access to affordable care with a known practitioner from early pregnancy to postpartum, and (2) individualized care with the removal of restrictive hospital policies not aligned with woman-centered practice. This is the first Australian national study of women's maternity experiences and evaluations. Consistent with previous state-based research, women birthing in Australia continue to report maternity "care" that is physically and emotionally harmful. They also stated a need to address the psychosocial aspects of becoming a mother, in addition to the biological ones. Women and other birthing people must be at the center of defining quality maternity health service delivery, and services must be accountable for preventing and addressing harm, as defined by all birthing people.

Women academics experiences of maternity leave in the neoliberal university: Unmasking governmentality

AbstractAddressing a paucity of large‐scale studies about women academics maternity experiences of leave in academia and under‐theorizing the influence of neoliberalism on this phenomenon, this research provides one of the largest studies of women's experiences of maternity leave in the academic sector. Secondary analysis of a subset of data from a global online mixed method survey with 553 women academics (82% UK, 18% international) was undertaken to explore experiences and implications of maternity leave for women. The findings reveal that women academics continued to undertake core academic work duties during maternity leave such as writing grant applications and journal articles, supervising doctoral students, teaching, and responding to emails. We document four distinct orientations adopted by women during maternity leave that characterize neoliberal subjectivity and use Foucauldian governmentality to unmask the inculcation of such norms. Our analysis shows how neoliberal ideology has gained a hegemonic position in academia that leaves little space for maternity leave, resulting in many women effectively relinquishing their maternity rights to sustain academic productivity. We argue that neoliberalism and new managerialism within the academy undermine policies to support women's maternity rights. The findings of this study will be of interest to scholars and Human Resources professionals, academic mothers, managers, and policymakers who are championing change in the sector.

Magnitude and factors influencing pastoralist women's maternity waiting home utilization in Teltelle district, Ethiopia: A cross-sectional study.

Pastoralists in Ethiopia benefit the least from health-sector advances compared to the country's agrarian population. Maternity waiting homes (MWHs) have been established to provide mothers living in remote regions with access to skilled healthcare services during pregnancy, delivery, and postpartum periods. However, there is a dearth of data on the utilization of MWHs in pastoralist areas. To assess maternity waiting home utilization and its associated factors among pastoralist women who gave birth in the last 12 months in Teltelle district, Southeastern Ethiopia; 2021. A community-based cross-sectional study was undertaken from March 1 to June 20, 2021. A multistage sampling technique was used to select the 458 study subjects. A pretested structured questionnaire was used to gather the data. For data entry and analysis, Epi-data version 4.4.3.1 and SPSS version 25.0 were utilized respectively. Models of bivariate and multivariate logistic regression were utilized to identify associated factors. In the multivariable analysis, variables with p < 0.05 were declared significantly associated with maternity waiting home utilization. A total of 458 pastoralist women participated in the study. From the total participants, 26.64% [95% confidence interval: 22.57%-30.70%] of women utilized MWHs. Women's husband education status, complications during their last pregnancy, family support to MWHs, and community involvement and support were found to be significantly associated with the utilization of MWHs. This study found that utilization of MWHs was significantly lower in pastoralist areas of Ethiopia than in agrarian areas. Previous pregnancy complications, family support, husband's literacy, and community support were all significantly associated with improved maternity waiting home utilization. Encouraging community participation and family support are recommended to improve its utilization. Moreover, increasing community involvement in MWHs establishment and sustainability will be expected from the stakeholders.

P12-007-23 Association Between Chocolate Consumption and Edinburgh Postnatal Depression Scale Score of Pregnant and Maternal Women During COVID-19 Pandemic

P12-007-23 Association Between Chocolate Consumption and Edinburgh Postnatal Depression Scale Score of Pregnant and Maternal Women During COVID-19 Pandemic

A qualitative study of the utilisation of digital resources in pregnant Chinese migrant women's maternity care in northern England

Pregnancy; Maternity; Chinese; Migrant; Women; Midwife; Antenatal; Digital resources; Health literacy; Communication.