Midwifery Institutions Research Articles

African midwifery students’ self-assessed confidence in antenatal care: a multi-country study

ABSTRACTBackground: Evidence-based antenatal care is one cornerstone in Safe Motherhood and educated and confident midwives remain to be optimal caregivers in Africa. Confidence in antenatal midwifery skills is important and could differ depending on the provision of education among the training institutions across Africa.Objective: The aim of the study was to describe and compare midwifery students’ confidence in basic antenatal skills, in relation to age, sex, program type and level of program.Methods: A survey in seven sub-Saharan African countries was conducted. Enrolled midwifery students from selected midwifery institutions in each country presented selfreported data on confidence to provide antenatal care. Data were collected using a selfadministered questionnaire. The questionnaire consisted of 22 antenatal skills based on the competency framework from the International Confederation of Midwives. The skills were grouped into three domains; Identify fetal and maternal risk factors and educate parents; Manage and document emergent complications and Physical assessment and nutrition.Results: In total, 1407 midwifery students from seven Sub-Saharan countries responded. Almost one third (25-32%) of the students reported high levels of confidence in all three domains. Direct entry programs were associated with higher levels of confidence in all three domains, compared to post-nursing and double degree programs. Students enrolled at education with diploma level presented with high levels of confidence in two out of three domains.Conclusions: A significant proportion of student midwives rated themselves low on confidence to provide ANC. Midwifery students enrolled in direct entry programs reported higher levels of confidence in all domains. It is important that local governments develop education standards, based on recommendations from the International Confederation of midwives. Further research is needed for the evaluation of actual competence.

Acute effects of air pollutants on adverse birth outcomes in Changsha, China: A population data with time-series analysis from 2015 to 2017.

Evidence for the acute effects of air pollutants on adverse birth outcomes is not yet conclusive. Furthermore, there are no investigations relating to the association between air pollutants and macrosomia. The aim of this study was to determine the relationship between air pollutants and low birth weight, preterm birth, and macrosomia in Changsha. Time-series analysis, using a generalized additive model was applied. Data about the adverse birth outcomes was collected from 78 midwifery institutions. Air pollution data including SO2, NO2, particulate matter <10 μm in diameter (PM10), particulate matter <2.5 μm in diameter (PM2.5), O3, CO, and climate data were respectively collected from the Changsha Environmental Protection Agency and the Changsha Meteorological Bureau from January 2015 to December 2017. During the study period, there were 344,880 live births to be studied. In a single pollutant model, for every increase of 10 μg/m3 in PM10 and PM2.5, low birth weight increased by 0.12% (95% confidence interval [CI]: 0.01–0.23%) at a lag 06 and 0.44% (95% CI: 0.35–0.53%) at a lag 3, respectively. Preterm birth increased most by 1.60% (95% CI: 1.41–1.80%) at a lag 2 for every increase of 10 μg/m3 in SO2. The highest increases in macrosomia associated with a 10 μg/m3 increase in air pollutant were 3.53% (95% CI: 3.41–3.64%) for NO2 at lag 0, 3.33% (95% CI: 3.05–3.60%) for SO2 at lag03. Multi-pollutant models showed that only PM10 increased the low birth weight and preterm birth risk effect by 3.91% (95% CI: 3.67–4.12%) and 0.25% (95% CI: 0.14–0.37%). NO2 increased macrosomia risk by 4.14% (95% CI: 3.97–4.31%) with a 10 μg/m3 increase. There was no association observed between the air pollutants O3 and CO and adverse birth outcomes. Pregnant women should also take steps to limit their exposure to high levels of air pollutants during the final weeks of pregnancy.

Pengaruh Motivasi Kerja Terhadap Pengembangan Soft Skill Preseptor Dalam Pembelajaran Praktek Klinik

Abstract: Motivation, Preceptor, Softskills. As a vocational education, midwifery institutions educate students' skills largely through the process of clinical practice learning. The need for soft skills in today's workplace is not negotiable, including midwife skills in working with health care institutions. The purpose of this study was to determine the effect of work motivation on the development of soft skills Preseptord in clinical practice learning. The method used in this research is quantitative with survey design. Population in this research are all midwives who work in RS Karanganyar and RS Sragen. Samples in this research is midwife who work in Maternity Room of Karanganyar Hospital and Sragen Hospital. The analysis of this study used chi square test and multiple logistic regression. The result of this research shows that there is influence of work motivation toward the development of soft skills of Preseptord in clinical practice learning (p value = 0,017) and POR = 9,000. Multivariate analysis of motivational influence controlled by characteristic variable (age, education, duration of work and training) showed that motivation and duration significantly influenced the development of soft skill of preceptor (ρ value = 0,011) and POR Adjusted = 2,546. Further analysis shows the influence of motivation with every aspect of soft skill (discipline, responsibility, communication and cooperation (ρ value &lt;0.05). Conclusion: work motivation influences the development of soft skills (discipline, responsibility and cooperation) of preceptor in clinical practice learning.

Keterampilan Pengisian Partograf pada Mahasiswa Akademi Kebidanan di Wilayah Kota Jakarta Timur tahun 2015

ABSTRAKPartograf merupakan panduan pengelolaan dan observasi persalinan normal yang akan memudahkan penolong persalinan dalam mendeteksi kasus kegawatdaruratan pada ibu dan janin. Partograf memegang peranan penting dalam menentukan diagnosa persalinan. Jenis penelitian yang digunakan adalah penelitian observasional rancangan cross sectional. Data diperoleh dari sumbernya menggunakan lembar observasi dan kuesioner. Lokasi penelitian ini kampus Akademi Kebidanan yang berada di wilayah Jakarta Timur. Subyek penelitian adalah seluruh mahasiswa yang sudah belajar partograf dan sudah praktik pertolongan persalinan, jumlah sampel 201 mahasiswa bidan berdasarkan kriteria inklusi. Analisis hasil penelitian dengan menggunakan uji Chi square dan regresi logistic multipel. Hasil penelitian menunjukkan keterampilan penggunaan partograf baik (56,7%), umur mahasiswa sebagian besar ≥ 20 tahun (58,7%), motivasi mahasiswa tinggi (57,7%), persepsi mahasiswa terhadap proses pembelajaran baik (52,2%), persepsi mahasiswa terhadap fasilitas pendidian baik (52,75). Adanya hubungan antara motivasi mahasiswa (p=0,005) dengan keterampilan pengisian partograf dan tidak adanya hubungan antara umur, persepsi proses pembelajaran dan persepsi fasilitas pendidikan dengan keterampilan pengisian partograf. Hasil dari uji regresi menunjukkan adanya pengaruh motivasi dengan pengisian partograf ( p value= 0,004, exp ß 2,350). Rekomendasi dari penelitian ini bagi semua mahasiswa bidan yang praktek di ruang bersalin wajib menggunakan partoraf dalam setiap pertolongan persalinan. Bagi institusi kebidanan untuk meningkatkan kerja sama dengan CI lahan praktek dalam memberikan bimbingan dan memonitor laporan persalinan mahasiswanya.Kata Kunci: Keterampilan pengisisan partograf, motivasi, proses pembelajaran, fasilitas pendidikan.ABSTRACTFactors associated with Partograph Charging Skills in Student Midwife Academy in East Jakarta. Partographs an observation management guidelines and normal deliveries which will facilitate birth attendants in detecting emergency cases in the mother and fetus. Partographs plays an important role in determining the diagnosis of labor. This type of research is observational cross-sectional design. Data obtained from the source using observation sheets and questionnaires. The location of this study Midwifery Academy campus located in East Jakarta. Subjects were all students who have already studied partograf and aid delivery practices, the number of samples 201 student midwives based on inclusion criteria. Analysis of the results using the chi square test and multiple logistic regression. The results showed good skills partograf use (56.7%), most of the students age ≥ 20 years (58.7%), high student motivation (57.7%), students' perceptions of the learning process both (52.2%) , students' perceptions of good pendidian facilities (52.75). The relationship between student motivation (p = 0.005) with the charging partograf skills and no correlation between age, the perception of the learning process and perceptions of educational facilities with charging partograf skills. Results of regression test showed the influence of motivation by charging partograf (p value = 0.004, ß exp 2,350). Recommendations from this study for all student midwives who practice in the delivery room must use partoraf in every delivery assistance. For midwifery institutions to enhance cooperation with land CI practice in providing guidance and monitoring the delivery report students.Keywords: Skills filling partograf, motivation, learning, education facilities.

KASHEVAROVA-RUDNEVA Varvara Alexandrovna - Russia's first woman doctor and a doctor of medicine (to the 175th of birthday)

Kashevarova-Rudneva Varvara Alexandrovna (1842-1899) – Russian scientist, the first woman to receive the title of doctor and doctor of medicine, accepted by the Society of Russian doctors in St. Petersburg.&#x0D; Rudneva-Kashevarova Varvara Alexandrovna was born in 1842 in Vitebsk. In 1862, she finished training at the Midwifery Institute in St. Petersburg educational house, and then courses on detection and treatment of syphilis in Kalinkinskogo hospital in St. Petersburg. In 1863, she enrolled at the St. Petersburg medical-surgical Academy, becoming the first student-woman to have officially crossed the threshold of the Medico-surgical Academy in St. Petersburg, which she graduated in 1868 with the attribution of a diploma of "doctor" in the specialty of obstetrician-gynecologist, became the first woman to receive a medical degree in Russia. In 1876 she defended her doctoral dissertation on "Materials for pathological anatomy of the uterine vagina", i.e. she became the first woman in Russia to defend her thesis. She was the first woman accepted into the Society of Russian doctors in St. Petersburg. Together with her second husband, Professor Rudnev, Kashevarova was one of the originators of the Russian Oncology. She died on January 30, 1899, in the 58th year of life and are buried in the cemetery of the Staro-Preobrazhensky monastery in Staraya Russa. Major works: "a Chronic inflammation of the decidua membrane of the uterus" (Medical Gazette, 1868; "About free abdominal bodies" (virkhov's Archive, vol. 47); "the doctrine of placental polyps" (Journal for normal and pathological anatomy, 1873); Materials for pathological anatomy of the uterine vagina (1876); "Hygiene of the female body in all phases of life" (1892); the story "Pioneer" and "The history of women's medical education" (autobiography, "news", 1886); "Village notes" ("news", 1888 and others).

Assessing the Current Curriculum of the Nursing and Midwifery Informatics Course at All Nursing and Midwifery Institutions in Ghana.

The use of computers in the delivery of health care has significantly improved the way health service is delivered to clients and patients in the world. Despite the importance of computing to the delivery of health service, developing countries have not greatly benefited from it. Nursing informatics has been in existence and part of academic curriculum for the past 2 decades in some advanced countries. The Ghana Nursing and Midwifery Council introduced the nursing and midwifery informatics course during the 2015/2016 academic year. This seeks to train student nurses on the relevance of computers to health care. Two separate workshops were organised to ascertain the preparedness of tutors (teachers at the nursing and midwifery training institutions) for teaching the new nursing and midwifery informatics course as well as to compare the curriculum with other international recommendations. The nursing and midwifery informatics course is taught at the first year where students have not been introduced to the nursing processes for them to appreciate the use of nursing informatics skills. It would be better if the nursing and midwifery informatics course is rather introduced during the second year second semester when students are about going for the hands-on training at the various health care institutions. Examining the course content reveals that the practical aspect within the course is very small. It is expected that more practical contents will be introduced. Tutors are not adequately prepared to teach this new course. More training is therefore needed to make tutors fully prepared to teach both the theory and practical aspects of the nursing and midwifery informatics course. It is expected that the nursing and midwifery informatics course would prepare student nurses on all nursing informatics competencies. It is essential that nurse educators incorporate the entire concept of informatics into the education of nurses.

Assessment of the Level of Knowledge, Attitude, and Practice with Regard to Care of People Living with HIV/AIDS among Nursing and Midwifery Students in Fako, Cameroon

Due to the chronic shortage of health personnel, nurses and midwives now play a fundamental role in the care and treatment of people living with HIV/ AIDS (PLHIV) in Cameroon. This study was therefore designed to assess the level of knowledge, attitude and practice with regard to care of PLHIV among nursing and midwifery students in Fako division of Cameroon. A survey was performed between May and July 2015, among 227 nursing and midwifery students (in their second to final year of study), selected from 8 government accredited training institutions in Fako division of Cameroon. An anonymous self-administered semi-structured questionnaire was used to collect data. The Pearson’s chi-square test, univariate and multivariate logistic regression analyses adjusting for possible confounders were all performed as part of the statistical analyses. The cutoff of statistical significance was set at p ≤ 0.05. Nursing and midwifery students had a moderate level of HIV/AIDS knowledge (average score of 7.02 on a scale of 11). Attitude towards PLHIV was generally positive (68.7%) but there were some misconceptions and prejudice about PLHIV, with considerable stigmatization (31.3%), unwillingness to share a room with someone infected with HIV (27.7%), and unwillingness to work on PLHIV (23.8%). Good HIV/AIDS knowledge was observed to be the sole independent predictor (p = 0.004) of positive attitude towards PLHIV. Fur-thermore the confidence of the respondents regarding care of PLHIV was generally moderate. Our results suggest the need for the development of a more appropriate education program in nursing and midwifery institutions in Fako division to reduce the discrepancies between the general knowledge, attitude and practice regarding care of PLHIV.

Zika Virus and Its Impact on Pregnancy.

Midwifery Institute at Philadelphia University Philadelphia, Pennsylvania Clinical Assistant Professor Department of Obstetrics, Gynecology and Reproductive Sciences University of Maryland School of Medicine Baltimore, Maryland Disclosure: The author has disclosed that she has no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Innovation in Health Policy Education: Project-Based Service Learning at a Distance for Graduate Midwifery Students.

Core competencies for midwifery practice include an understanding of systems of health care delivery and advocacy for legislation and policy initiatives that promote quality in health care. Today's rapidly changing health care environment, due in part to the implementation of the Patient Protection and Affordable Care Act, mandates that midwives possess greater literacy in health policy and comfort with political action than ever before. Frequently disinterested in politics and intimidated by the policymaking process, student midwives lack the foundational knowledge and practical skills needed to meet this professional obligation. The Midwifery Institute of Philadelphia University graduate program educates both student nurse-midwives and student midwives in health policy using an innovative, project-based service-learning approach featuring real-world collaborative experiences. This novel teaching style is ideally suited for instruction at a distance because of the diversity of experience brought to the virtual classroom by students in widely disparate geopolitical locations. As students accomplish measurable objectives within their individually developed projects and reflect with classmates about their experiences, they feel empowered to effect change and report lower perceived barriers to future political engagement.

Research on current obstetric beds allocation at medical institutions in China

Objective To learn the current obstetric beds allocation,obstetric service delivery and access in midwifery institutions at various levels in the localities and nationwide as well as the trends,and assess the equity of obstetric beds allocation,for the purpose of recommending on a reasonable adjustment of obstetric beds allocation in these institutions.Methods Random sampling made in 44 cities in China for questionnaire survey on obstetric beds allocation,service delivery and utilization in 2008～2010 at all midwifery institutions in these cities.Interview of health administrators and medical workers at obstetric of midwifery institutions in 6 counties.Results Every thousand square kilometers in China average 5.9 midwifery institutions,and every thousand people average 0.24 obstetric beds.During 2008 ～ 2010,the number of beds and midwifery service delivery kept a growing trend while in townships obstetric service deliveries maintain a falling trend.The fairness index of maternity beds layout nationwide is 0.021283.Obstetric beds supply and demand ratio in different regions ranges among 0.97～ 1.41.The number of deliveries made in county level hospitals is 54.1％,but the beds in such hospitals account for but 48.1％.Conclusion The equity of obstetric beds allocation is good in terms of population layout.The quantity of obstetric beds meets the current needs nationwide,while the allocation of obstetric beds is less than reasonable among obstetric institutions of various levels in the country.The authors recommend a better control and adjustment of midwifery institutions layout,especially more such hospitals at the township level to meet the need of women delivery in hospital in remote areas. Key words: Midwifery institutions; Obstetric; Bed; Resource allocation; Equity

The Hospitalization Assistance Policy System in Japan

In Japan, the hospitalization assistance policy (HAP) system helps pregnant women who, for financial reasons, cannot give birth at medical institutions. The HAP system allows these women to deliver at specified midwifery institutions. We compared women with singleton pregnancies who gave birth with the HAP system (n=150) or without (control; n=2,869) . Although the percentage of women younger than 20 years was significantly greater in the HAP system group than in the control group, the parity number in the HAP system group was significantly greater than that in the control group. The percentage of non-Japanese was significantly higher in the HAP system group than in the control. The rates of preterm delivery and of low birth weight (<2,000 g) were significantly greater in the HAP system group than in the control group. From the perspective of perinatal medicine, social risks, such as poverty, present some perinatal problems, even in Japan.

References to be put under review

Character references are causing concern among student practitioners and principals of nurse and midwifery education institutions, Council heard last week.

CHANGES IN SKIN TEMPERATURE OF THE NEONATE AT BIRTH

Acta PaediatricaVolume 61, Issue 2 p. 159-164 CHANGES IN SKIN TEMPERATURE OF THE NEONATE AT BIRTH A cine-thermographic study E. TÄHTI, E. TÄHTI Radiodiagnostic Department of Meilahti Hospital, the Midwifery Institute, Helsinki, Finland and the Wenner-Gren Cardiovascular Research Laboratory, Norrtull's Hospital, Stockholm, SwedenSearch for more papers by this authorJ. LIND, Corresponding Author J. LIND Radiodiagnostic Department of Meilahti Hospital, the Midwifery Institute, Helsinki, Finland and the Wenner-Gren Cardiovascular Research Laboratory, Norrtull's Hospital, Stockholm, SwedenDept. of Paediatrics, Karolinska Sjukhuset, 104 01, Stockholm, 60, SwedenSearch for more papers by this authorK. ÖSTERLUND, K. ÖSTERLUND Radiodiagnostic Department of Meilahti Hospital, the Midwifery Institute, Helsinki, Finland and the Wenner-Gren Cardiovascular Research Laboratory, Norrtull's Hospital, Stockholm, SwedenSearch for more papers by this authorEVA RYLANDER, EVA RYLANDER Radiodiagnostic Department of Meilahti Hospital, the Midwifery Institute, Helsinki, Finland and the Wenner-Gren Cardiovascular Research Laboratory, Norrtull's Hospital, Stockholm, SwedenSearch for more papers by this author E. TÄHTI, E. TÄHTI Radiodiagnostic Department of Meilahti Hospital, the Midwifery Institute, Helsinki, Finland and the Wenner-Gren Cardiovascular Research Laboratory, Norrtull's Hospital, Stockholm, SwedenSearch for more papers by this authorJ. LIND, Corresponding Author J. LIND Radiodiagnostic Department of Meilahti Hospital, the Midwifery Institute, Helsinki, Finland and the Wenner-Gren Cardiovascular Research Laboratory, Norrtull's Hospital, Stockholm, SwedenDept. of Paediatrics, Karolinska Sjukhuset, 104 01, Stockholm, 60, SwedenSearch for more papers by this authorK. ÖSTERLUND, K. ÖSTERLUND Radiodiagnostic Department of Meilahti Hospital, the Midwifery Institute, Helsinki, Finland and the Wenner-Gren Cardiovascular Research Laboratory, Norrtull's Hospital, Stockholm, SwedenSearch for more papers by this authorEVA RYLANDER, EVA RYLANDER Radiodiagnostic Department of Meilahti Hospital, the Midwifery Institute, Helsinki, Finland and the Wenner-Gren Cardiovascular Research Laboratory, Norrtull's Hospital, Stockholm, SwedenSearch for more papers by this author First published: March 1972 https://doi.org/10.1111/j.1651-2227.1972.tb15920.xCitations: 5AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Citing Literature Volume61, Issue2March 1972Pages 159-164 RelatedInformation

PLACENTAL TRANSFUSION IN THE PREMATURE INFANT WITH OBSERVATION ON CLINICAL COURSE AND OUTCOME

Midwifery Institute, Helsinki, Finland, and Department of Paediatrics, Karolinska Institutet, Stockholm, Sweden

Leucocytic infiltration of umbilical cords obtained at Caesarean section.

Acta Obstetricia et Gynecologica ScandinavicaVolume 47, Issue 2 p. 173-180 LEUCOCYTIC INFILTRATION OF UMBILICAL CORDS OBTAINED AT CAESAREAN SECTION W. W. MEYER, W. W. MEYER Midwifery Institute, Helsinki Wenner-Gren Research Laboratory, Stockholm Pathological Institute, Mainz, Western GermanySearch for more papers by this authorA. WIST, A. WIST Midwifery Institute, Helsinki Wenner-Gren Research Laboratory, Stockholm Pathological Institute, Mainz, Western GermanySearch for more papers by this authorM. MOINIAN, M. MOINIAN Midwifery Institute, Helsinki Wenner-Gren Research Laboratory, Stockholm Pathological Institute, Mainz, Western GermanySearch for more papers by this authorJ. LIND, J. LIND Midwifery Institute, Helsinki Wenner-Gren Research Laboratory, Stockholm Pathological Institute, Mainz, Western GermanySearch for more papers by this author W. W. MEYER, W. W. MEYER Midwifery Institute, Helsinki Wenner-Gren Research Laboratory, Stockholm Pathological Institute, Mainz, Western GermanySearch for more papers by this authorA. WIST, A. WIST Midwifery Institute, Helsinki Wenner-Gren Research Laboratory, Stockholm Pathological Institute, Mainz, Western GermanySearch for more papers by this authorM. MOINIAN, M. MOINIAN Midwifery Institute, Helsinki Wenner-Gren Research Laboratory, Stockholm Pathological Institute, Mainz, Western GermanySearch for more papers by this authorJ. LIND, J. LIND Midwifery Institute, Helsinki Wenner-Gren Research Laboratory, Stockholm Pathological Institute, Mainz, Western GermanySearch for more papers by this author First published: January 1968 https://doi.org/10.3109/00016346809157477Citations: 2AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Citing Literature Volume47, Issue2January 1968Pages 173-180 RelatedInformation

COMPLETE TESTICULAR FEMINIZATION AS FAMILIAL SYNDROME

Journal Article COMPLETE TESTICULAR FEMINIZATION AS FAMILIAL SYNDROME Get access K E U Jäämeri, K E U Jäämeri Midwifery Institute, Helsinki, Finland Search for other works by this author on: Oxford Academic Google Scholar O Laitinen O Laitinen Midwifery Institute, Helsinki, Finland Search for other works by this author on: Oxford Academic Google Scholar Acta Endocrinologica (Norway), Volume 56, Issue 1_Supplement, Dec 1967, Page S187, https://doi.org/10.1530/acta.0.056S187 Published: 01 December 1967