Role Of Midwife Research Articles

ASUHAN KEBIDANAN PADA BAYI Ny. Y DENGAN MELAKUKAN PENCEGAHAN INFEKSI PADA TALI PUSAT MENGGUNAKAN METODE TOPIKAL ASI

According to the World Health Organization (WHO) in 2017 found an infant mortality rate of 560,000 from live births caused by umbilical cord infection. The incidence of newborn infection in Indonesia ranges from 24% to 34%, and this is the cause of neonatal death which ranges from 24% to 34%, and this is the second cause of death after neonatal asphyxia which ranges from 49% to 60%. One way to treat the umbilical cord is the topical breastfeeding method. Breast milk has many immunological and anti-infective agents. The purpose of writing is to provide midwifery care for newborns by applying the topical breastfeeding method as a prevention of infection and to accelerate the release of the umbilical cord in Baby Ny. Y AT the Tanjung Balai Karimun Health Center. The design of care that has been given by the author is using a descriptive observational design with a case study approach. Data collection methods are participatory observation, interviews, measurements, documentation. The research instrument is the format of midwifery care. The results of the action showed that the treatment of the umbilical cord using topical breast milk made the umbilical cord dry and detached faster. It is hoped that the role of midwives in assisting mothers in caring for the umbilical cord in newborns is as a facilitator and counselor

PENGETAHUAN DAN SIKAP IBU TERHADAP INISIASI MENYUSUI DINI (IMD) DI PMB LISMARINI PALEMBANG

Background: Early Initiation of Breastfeeding is the process of breastfeeding babies immediately after birth, where babies are allowed to find their own mother's nipple (not thrust into the nipple). The purpose of this study was to obtain an overview of the knowledge, attitudes of mothers and the role of midwives towards early breastfeeding initiation (IMD) at BPM Lismarini Palembang. Method: This study used a descriptive survey method with a "Quantitative approach. The population taken was all postpartum mothers at BPM Lismarini Palembang totaling 46 respondents. The research sample used "Saturated Sampling", which is taking all the existing population. Results: Univariate data analysis obtained respondents who did IMD as many as 33 (71.7%), and who did not do IMD as many as 13 (28.3%). While the knowledge of respondents was found to be good knowledge as many as 25 (54.3%), those with less knowledge were 21 (45.7%), and the attitude of respondents was found to be positive as many as 35 (76.1%), who were negative as many as 11 (76.1%). Conclusion: postpartum women in Lismarini midwife Palembang have initiated breastfeeding with good knowledge and attitude.

The Role of Practice Development Midwives in Norfolk & Waveney’s Local Maternity System – Part 4: Developing a ‘Focus Week’

Local Maternity and Neonatal Systems (LMNS) were first formed as early as 2016, yet each system is organised and ran differently. This mini-series focuses on the roles of Norfolk and Waveney LMNS Practice Development Midwives (PDM), delving into some of their most successful projects and the impact this has had on outcomes across their region. For this episode, the development and implementation of an educational focus week across the system will be discussed.

Analisis Kehamilan Resiko Empat Terlalu Pada Ibu Hamil Di Puskesmas Rajeg Tahun 2022

Background: The high MMR is caused by 4T, such as too many pregnancies, too young, too old, and too close to one another. Several factors that influence health behavior are knowledge, attitudes, family support, the role of health workers and the role of health cadres. The initial survey at the Rajeg Health Center in the period January-April 2022 from 240 mothers found 33 mothers (13.75%) who belonged to the 4T group.Objective: To find out the analysis of four-too-risk pregnancies in pregnant women at the Rajeg Health Center in 2022.Methods: This research is a quantitative analytic study with a cross sectional design. The sample in this study was K1 pregnant women who were in the area of the Rajeg Health Center July-September 2022 totaling 95 respondents with a total sampling technique. The research instrument used a questionnaire and an observation sheet. Data is primary data analyzed using chi square statistical test.Result: The results of the univariate analysis revealed that 34.7% of pregnant women with a risk of four too, had good knowledge of 53.7%, had a positive attitude of 56.8%, received 51.6% family support, the role of the midwife was good 58.9% and the role of the midwife was good. cadres less 55.8%. The results of the bivariate analysis showed that there was a significant relationship between knowledge (p = 0.000), attitudes (p = 0.014), family support (p = 0.000), the role of midwives (p = 0.000) and the role of cadres (p = 0.000) with pregnancy risk. four too in pregnant women

THE ROLE OF MIDWIVES IN RECOGNIZING SIGNS AND SYMPTOMS OF POSTPARTUM DEPRESSION

Background: Postpartum depression is a problem that occurs postpartum, affects up to 20% of women, and can adversely affect both mother and child. Postpartum depression is a feeling disorder experienced by mothers 2 weeks after giving birth to 3 months or more, this condition is a continuation of the baby blues. Women with postpartum depression are not easily identifiable and can display a variety of signs and symptoms. Early symptoms are not easy to determine, usually, patients have shown signs before entering the postpartum period. In cases of postpartum depression, it is often known too late by the family and in this case, the midwife acts as a provider of routine care from antenatal care to postpartum services or visits. Objective: To investigate the role of midwives and professionals in health care providers in recognizing the signs and symptoms of perinatal depression. Method: This paper involved on referral sources and based on observation by author. Results: Midwives have an important role to detect signs and symptoms of mental health disorders in their practice but are hindered by organizational and practitioner-related barriers. With training and organizational support, midwives can develop skills and knowledge needed for early detection, provide mental health care. Conclusion: Midwives need to increase awareness of early detection, early referral system and prompt education to help patient with postpartum depression get better prognosis and outcomes. Keywords: midwives, postpartum, depression.

The Effect of Media on Women’s Health and the Role of Midwives

The Effect of Media on Women’s Health and the Role of Midwives

The role of midwives in implementing reproductive health services in Islamic Republic of Iran.

It is essential to study the availability of reproductive health services and the capacities of providers, to provide evidence for improving service quality. To identify the role of midwives in the provision of reproductive health services and recommend improvements. A national review of government health resources in the Islamic Republic of Iran was conducted to explore available reproductive health services. Through semi-structured interviews with 30 midwives, information was collected about the compatibility of services with the capacity and scope of the activities of midwives. A panel of 12 experts was assembled to develop a proposed service package. The content analysis method was applied to data analysis and interpretation. The service package developed covered 82 services that midwives can offer at the 8 healthcare facility groups. Although midwives were trained to manage a range of primary and gynaecological care services, certain essential aspects of reproductive health services were not being delivered on the frontline. These include sexually transmitted diseases and human papilloma virus management, diagnosis and treatment of common gynaecological problems, sexual education and counselling, and childbirth services. Midwives were not adequately engaged to provide reproductive health care at the secondary level. There are drawbacks to the current reproductive health service delivery in the Islamic Republic of Iran. The service package designed and proposed in this study aims to strengthen reproductive health care services and planning and better integration of midwife-led programmes.

The role of midwives in supporting the development of the mother-infant relationship: a scoping review

BackgroundThe mother-infant relationship is complex and dynamic, informing the psychological development of the infant through bonding and attachment. Positive early interactions influence the quality of this relationship. Midwives are well placed to support the developing relationship between the mother and baby, yet there has been limited research exploring the role of the midwife in this context.AimTo explore interventions that have been provided by the midwife which support the development of the maternal-fetal or mother-infant relationship amongst a low-risk population from pregnancy, and up to six weeks postnatal. The review also sought to understand the types of interventions developed, format and delivery, outcomes measured and if cultural considerations had been incorporated.MethodsA scoping review of the research literature was undertaken using the Joanna Briggs Institute framework. Five online databases were searched for relevant articles published in English from 2000 to 2021.FindingsSixteen articles met the inclusion criteria. Three themes emerged: (1) viewing the fetus as separate from the mother, (2) focused activities on the maternal-infant relationship and (3) targeted educational interventions.DiscussionProviding focused activities and targeted education during the pre and postnatal periods support the development of the mother-infant relationship. Significantly, there was insufficient research that considered the influence of culture in supporting the mother-infant relationship.ConclusionFurther research is required to develop interventions that include a diverse sample to ensure culturally appropriate activities can be integrated into care during pregnancy and/or the postnatal period provided by midwives.

Providing care to couples experiencing pregnancy loss

This article discusses and evaluates the challenging and complex role of nurses and midwives in providing supportive care for couples after pregnancy loss. A planned pregnancy is usually a positive experience. However, some couples may experience pregnancy loss, which causes grief. While women may be severely affected, partners’ experiences are complicated by their role in caring for the grieving woman and their own experiences of grief. Nurses and midwives experience challenges when providing care, as pregnancy loss is emotional, entangling the joyous expectation of the start of life with the sorrow of a sudden end of life.

Qualitative study of the roles of midwives in the provision of sexual and reproductive healthcare services in the Somaliland health system

ObjectivesTo explore midwives’ perspectives in providing sexual reproductive healthcare services in the Somaliland health system.MethodsAn exploratory qualitative design using focus group discussions (n=6) was used. The study was conducted in...

Maternal Role Attainment in Peuperal Stage and Midwives’ Role for Positive Adaptation by the Mother

This study investigated maternal role attainment during the puerperal stage, as well as the role of midwives in the mother's positive adaptation. The concept of maternal role attainment was defined as "a developmentally, interactive, adaptive, and committed multi-dimensional process based on the discovery of pregnancy, characteristics of the mother, receiving social support, which leads to maternal identity, formation of maternal skills, resiliency, development of newborn, improvement of mother-newborn interactions and increased well-being of the mother. The study was based on Mercer's theory, which emphasises the mother-child bond as a source of competency, confidence, and joy in the motherhood role. Mercer's original maternal role attainment theory has four stages. Midwives and women's health-care personnel, according to the study findings, are in a position to teach the importance of maternal role, support the baby perception process in the early postnatal stages, and help develop the mother's self-confidence in order for mothers to develop successful motherhood behaviours and to assist women in appropriate maternal role attainment and maternal role satisfaction. It was suggested that there was a need to develop maternal skills, and that this is dependent on the mother's perception of her maternal role and her ability to attain and fulfil it.

Being a man, but using the body as a woman - Norwegian midwives’ thoughts on providing antenatal care for pregnant transmen

ObjectiveTo explore midwives’ thoughts on providing antenatal care to pregnant transmen. MethodsA qualitative study based on semi-structured, individual interviews with 12 midwives during January 2022. Systematic text condensation was used for data analysis. ResultsThe analysis of the data material resulted in three result categories: 1) Gender transition and the desire to have children - exposure of the phenomenon can help to avoid stigmatisation, 2) A pregnant person is a pregnant person no matter what - the midwife's role in meeting a pregnant man, and 3) Being a man but using the body as a woman - the knowledge is lacking in the textbooks. ConclusionThe study showed that midwives have little knowledge about pregnant transmen. The knowledge gaps will remain unfilled unless more research is done on the topic, and sufficient information provides for good procedures and standards of care. Access to information about pregnant transmen and experiences of their encounters with midwives will contribute with new knowledge and over time, changes in attitudes, both professional and private.

The Role of Practice Development Midwives in Norfolk & Waveney’s Local Maternity System – Part 3: Developing LMNS Local Learning Events

Welcome to the third episode in the mini-series focusing on the role of Practice Development Midwives (PDM) within the Norfolk and Waveney Local Maternity and Neonatal System (LMNS). The previous articles provided an overview of the role and explored the development of a blended-learning package. This article will explore sharing learning between three Norfolk maternity services through local learning events.

Role of midwives in compassionate co-care for critically ill obstetric patients during the COVID-19 pandemic

Role of midwives in compassionate co-care for critically ill obstetric patients during the COVID-19 pandemic

Exploratory Study of Patterns of Post Partum Maternal Sexuality

The perineal rupture that occurs during labor can affect sexuality in postpartum mothers. About 80% of women experience pain during intercourse, lack of vaginal lubrication, and loss of libido in the first 3 months postpartum. The need for sexuality is often the concern of the mother and family, so it is necessary to carry out discussions during pregnancy based on the culture and beliefs of the family. The purpose of this study was to explore sexuality in postpartum mothers at the Bancak Health Center, Semarang Regency. A qualitative research design with a phenomenological approach was used in this study. Snowball sampling was used in this study with 3 primiparous postpartum women participants 15-42 days with grade 1-2 perineal ruptured. There were 5 triangulations, three husbands, a doctor, and a midwife’s coordinator. In-depth interview instrument was used in this study. Test the data with the general approach of inductive analysis, then the next step becomes deductive. Knowledge about sexuality, namely the relationship between husband and wife after the postpartum period, aims to fulfill the spiritual needs of subsistence and bring the relationship between husband and wife closer. However, mothers are reluctant to have sexual intercourse during the postpartum period for fear of the stitches coming off and pain. Postpartum mothers' readiness about sexuality, the husband's support, and the role of midwives in providing explanations about sexuality after the postpartum period play an important role in overcoming problems of sexuality in postpartum mothers.

How do Slovenian women perceive midwifery competencies – Pilot study using the Slovenian version of midwifery profiling questionnaire (MidProQ)

ObjectiveThe role of the midwife is well defined and midwifery education is precisely prescribed in order that students gain all competencies that derive from the definition of midwifery profession. However in Slovenia, midwives do not practice the full scope midwifery, therefore the aim of the study was to explore whether women are aware of the role that midwives have. DesignIn order to study the lay people awareness of midwives’ role and competencies, a quanitative survey was performed using the validated Midwifery Profiling Questionnaire (MidProQ), designed by a Belgium research team of midwives, adapted to Slovenian circumstances. SettingAn online survey was performed, using the software 1KA. The link to the survey was distributed amongst groups of women via social media. ParticipantsSnow-ball sampling was used, recruiting women via gynaecology and obstetric forums. MeasurementsThe MidProQ is measuring the agreement of women with statements that describe competencies of midwives for prenatal, intrapartum and postnatal period. 228 fully fulfilled questionnaire were analysed with SPSS programme. FindingsOnly 43% of participants felt that midwives were capable of managing an uncomplicated pregnancy independently, however they clearly state their role in uncomplicated labour (93%). Most clearly recognised role of midwives in the postnatal period was breastfeeding counselling (89%). The role of the midwife is intertwined with the competencies of the obstetrician, who majority of participants still consider more competent for managing an uncomplicated pregnancy. Key conclusionsParticipants were not aware of all the fields where midwife could practice. Implications for practiceMore has to be done that lay public will recognize the potential of full scope midwifery practice, like promoting the profession via social media.

TRANSFORMING FROM DOULA TO MIDWIFE

The roles of doulas and midwives converge in some areas, yet their divergences are vast. Transitioning from doula to midwife has given me an insider’s view, enabling me to reflect on the advantages and challenges of these vocations and the benefits of merging these skills. Providing continuity and woman-centred care in an emotionally-safe environment is a skill both doulas and midwives can develop. However, the variations in responsibilities and regulations can create discord, interfering with a woman’s experience, autonomy in decision-making and empowerment. When women’s voices are heard and philosophies align, doulas’ and midwives’ skills in supporting physiological birth are protective against over-medicalisation and iatrogenic trauma.

Perceptions of Mothers about Support and Self-Efficacy in Breastfeeding: A Qualitative Study.

Breastfeeding is a complex process influenced by different personal and social factors which will determine both the initiation and the resilience for its maintenance. The aim is to identify the beliefs and expectations of mothers concerning breastfeeding to determine the perception of their self-efficacy and the influence on the management of their babies' feeding. A qualitative study through semi-structured interviews was carried out. The sample size was defined by the saturation criteria. Twenty-two women participated, eleven were from an urban environment and eleven were from a rural environment. Mothers' knowledge of breastfeeding, their expectations of that process, their experience, and their strategies for overcoming problems associated with initiating, establishing, and continuing breastfeeding were influenced by the role of nurses and midwives in supporting their perception of self-efficacy. Likewise, maternity policies are important for the continuance of exclusive breastfeeding. This study shows the complexity of the initiation and establishment of breastfeeding and the existence of several social factors surrounding these moments. Furthermore, it demonstrates the importance and reference of nurses and midwives and the role of State maternity policies.

Providing mental healthcare for postpartum women in Indonesia: a qualitative phenomenological study

Background/AimsIn Indonesia, 26% of postpartum mothers experience perinatal mental health issues. Midwives have a vital role in supporting postpartum mothers with their mental health. The aim of this study was to determine midwives’ perceptions and experiences of providing postpartum mental healthcare.MethodsThis phenomenological qualitative study took place between November 2020 and January 2021. Data were collected through in-depth online interviews with 20 midwives working in healthcare settings in Surabaya, Indonesia, who had provided postpartum care for at least 3 years.ResultsThe data were split into midwives’ perceptions and midwives’ experiences. The four themes for midwives’ perceptions were ‘a midwife's role as a companion and supporter’, ‘mental health needs to be addressed during pregnancy’, ‘a midwife's important role providing mental healthcare for postpartum mothers’, and ‘providing holistic care, not just physical’. The six sub-themes for midwives’ experiences were ‘identifying issues by examining attitude’, ‘an intensive approach to initial treatment’, ‘collaborative care or referrals for patients who need further treatment’, ‘openness and a co-operative attitude determine success’, ‘physical and social aspects of successful healthcare’ and ‘midwives need standard guidelines’.ConclusionsMidwives have an essential role in postpartum mental healthcare, and adopt an intensive approach. There is a need for national guidelines to assist midwives in providing mental healthcare.

Maternal Mortality Risk Factors and the Role of Midwives in First Handling Maternal Emergencies based on Verbal Autopsy of the 2016-2021 Maternal Perinatal Audit Program in Bandar Lampung City

The direct cause of maternal death is more than 90% due to obstetric complications, especially complications of childbirth. Complication is a complication, aggravating circumstances of a disease. Pregnancy complications are obstetric emergencies that can cause death to the mother and fetus. Pregnancy complications include hypertension and preeclampsia, anemia, and placenta previa. Meanwhile, complications of childbirth are the occurrence of difficult labor (dystosia) which causes a disease. Labor complications include premature rupture of membranes, premature labor, abnormalities in fetal position, and others (Roberts & Gammill, 2005). Knowing the risk factors for maternal death based on the main variables of delivery assistance by involving the mother's sociobiological factors, and control efforts based on verbal autopsy Maternal Perinatal Audit (AMP) in Bandar Lampung City. This study used a cross-sectional design.