Role Of Midwife Research Articles

The midwife's role in prevention of non-communicable diseases in Iran.

The midwife's role in prevention of non-communicable diseases in Iran.

The Role of Nurses and Midwives in Expanding and Sustaining Voluntary Medical Male Circumcision Services for HIV Prevention: A Systematic and Policy Review.

Journal of the Association of Nurses in AIDS Care: January-February 2021 - Volume 32 - Issue 1 - p e1-e2 doi: 10.1097/JNC.0000000000000223

The role of Aotearoa New Zealand midwives as positive influencers on food literacy with Samoan families: Report on a small Auckland-based study

Background: Healthy eating is crucial for optimal development during all stages of life and most particularly during pregnancy. According to Stats NZ, Pasefika people make up 8.1% of the total Aotearoa New Zealand population. Information from the Ministry of Health suggests that Pasefika people have the highest level of food insecurity and the highest level of obesity. Women are more likely than men to be involved with food preparation; therefore, it is important to know to what extent women are aware of what healthy eating means for themselves and their families. Aim: This study aimed to explore an understanding of the levels of food literacy among representatives of three generations of women in five Samoan families; how each of the three generations ensured that their dietary intake contributed to their quality of health; and whether the extent of food literacy was influenced both within and between/across generations. Method: The study used a combined Delphi-Talanoa approach to interview 15 Samoan women about the levels of their understanding of food literacy. Findings: Midwives played an important role in helping pregnant Samoan women understand about healthy eating during pregnancy. Women shared with other female relatives what they had learned about healthy eating from their midwives. Learnings taken from midwives included the importance of choosing healthy foods, portion control and physical activity. Conclusion: All study participants who had received antenatal care in Aotearoa New Zealand mentioned the important role of midwives in increasing their understanding of healthy lifestyle choices. What the women learned from their midwives also informed their wider family or aiga.

Midwives holding the space for women undergoing termination of pregnancy: A qualitative inquiry

ProblemHospital midwives are the main care givers for women undergoing termination of pregnancy after 20 weeks. Midwives’ role and potential impact of regular involvement in termination of pregnancy (TOP) are poorly understood. SettingNew Zealand. BackgroundTOP after 20 weeks may be performed to save a woman’s life or preserve her physical and mental health. Throughout the process midwives play a key role in supporting women’s complex psychological and clinical needs. ObjectiveTo gain a deeper understanding of the role of midwives in TOP care after 20 weeks, including the support they might need and the impacts caring for women who are having a TOP may have on them. MethodsEight midwives from two District Health Boards were interviewed about their experiences of caring for women having a TOP after 20 weeks. Transcripts were analysed by applying a hermeneutic-phenomenological lens. FindingsThree themes emerged: “A different kind of midwife”, “Staying true to oneself” and “Melting an Iceberg”. TOP care is a different role within midwifery as midwives facilitate death in the space of birth. Immersing themselves in women’s emotional space they create meaningful connections to support their complex needs and provide a positive birth experience. Yet, midwives are unprepared for the emotional effects of repeatedly caring for women undergoing TOP. Lacking appropriate support they can experience increasing, lasting grief. ConclusionMidwives’ experiences of providing TOP care are complex, intense and have lifelong impact. Their role in the context of TOP is highly specialised and must be valued and supported.

The Role of Nurses and Midwives in Expanding and Sustaining Voluntary Medical Male Circumcision Services for HIV Prevention: A Systematic and Policy Review.

Male circumcision reduces men's risk of acquiring HIV through heterosexual sex, and voluntary medical male circumcision (VMMC) is central to HIV prevention strategies in 15 sub-Saharan African countries. Nurses have emerged as primary VMMC providers; however, barriers remain to institutionalizing nurse-led VMMC. Patient safety concerns have hindered task sharing, and regulations governing nurse-performed VMMC are not always supportive or clear. We performed a systematic review on VMMC safety by provider cadre and a desk review of national policies governing the VMMC roles of nurses and midwives. Also, VMMC by nurses is safe and has become standard practice. Countries had multiple policy combinations among different documents, with only one disallowing VMMC by these cadres. Countries with alignment between policies often ensured that nursing workforces were equipped with clinical competencies through national certification. Regulatory clarity and formalized certification for nurse-performed VMMC can increase program sustainability and build nursing capacity to meet other critical basic surgical needs.

A year like never before: be proud of your role

The author reflects on the global health, social and economic impact of the coronavirus disease 2019 (COVID-19) pandemic as of December 2020 Topics covered include the new terminologies of social distancing, restrictions, and lockdown, the cancellation of cultural and religious celebrations, and the role of midwives' in supporting and guiding women and families Also noted is the joy brought about by the imminent arrival of a vaccine

STRATEGI PEMERINTAH DALAM MENGURANGI ANGKA KEMATIAN IBU (AKI) MELAHIRKAN DI KABUPATEN ENREKANG

This study purposed to find out how the institutionalization of government strategy in reducing maternal mortality rate (AKI) and how to operationalize the government strategy in reducing maternal mortality rate (AKI) in Enrekang Regency. This study used descriptive qualitative research . Data collection techniques were observation, interviews with 5 informants and documentation. Data analysis used interactive analysis models and used 3 types of triangulation in data validation. The results of this study showed that the role of public health midwives in reducing maternal mortality was very important, especially in the role of community empowerment, optimizing Integrated Healthcare Center activities, and leadership roles in public health and health cadres were expected to be able to encourage the community to carry out self-help activities in improving health status. The role of community health workers in empowering cadres was very important by increasing the ability of community knowledge and awareness regarding prevention of maternal mortality in Enrekang Regency

The roles of private practice midwives in Prevention of Mother-To-Child Transmission Program (PMTCT) in Bali Province, Indonesia

Background and purpose: Mother-to-child transmission of HIV has been one of the problems in HIV prevention. In Indonesia, private practice midwives (PPM) play an important role in maternal and child health services. The roles of PPM in HIV vertical transmission prevention through PMTCT have not yet clearly understood. This research aims to analyse the roles of PPM in Bali Province in the PMTCT program as well as the PPM’s characteristics, knowledge, and attitudes about the program.Methods: This study was a descriptive cross-sectional survey, conducted from March to May 2020. The study population was PPM in Bali Province. The samples obtained were 404 out of a total of 1,736 PPM (23% response rate). The variables studied included socio-demographic characteristics, services and resources characteristics, knowledge, attitudes, and the role of PPM in four PMTCT prongs. Data was collected via self-filled online questionnaires distributed through Indonesian Midwives Associations branches in every district/city in Bali Province. Data were analysed descriptively and differences in roles in PMTCT were analysed using the chi-square test.Results: Of the 404 PPM, 66.1% served childbirth (deliveries), 25.4% had served HIV-positive women, and 18.3% had served HIV-positive pregnant women. As many as 95.5% of PPM played a good role in prong 1, and 99.0% of PPM, who had served HIV positive patients, played a good role in prong 2, 3 and 4. Statistically significant determinants for good implementation of prong 1 of PMTCT by the PPM were indicated by ownership or access to PMTCT information media (p=0.026), experience of serving HIV positive women (p<0.00), and having served higher number of PMTCT patients (p=0.019).Conclusion: The PPM in Bali Province has played a good role in PMTCT, with a significant difference for good PMTCT implementation in prong 1 determined by the availability of information media, a history of serving HIV-positive women, and the number of PMTCT patients who have been served.

Midwives’ views and experiences of providing healthy eating advice to pregnant women: a qualitative content analysis of semi-structured interviews

Abstract Objective To explore midwives’ views on how they provide healthy eating education to pregnant women after attending a healthy eating education workshop/webinar. Methods A qualitative descriptive approach was utilized. Semi-structured interviews were conducted to explore the views and experiences of midwives on providing healthy eating education for pregnant women. A purposive sample of six midwives was interviewed face-to-face, and one was conducted by telephone interview. Data were analyzed through qualitative conventional content analysis. Results Midwives described their views and experiences of factors that impacted their role in providing healthy eating education. They identified three categories: perceived role of midwives, health literacy, and model of care. Conclusions Knowledge and confidence of midwives improved after attending the workshop/webinar on healthy eating education. Findings suggested that midwives perceived their role as important in providing nutrition education. However, time and resources were highlighted as challenges when providing healthy eating education for pregnant women. The availability of health literacy and model of care were significant factors in enabling midwives to adequately provide this education. Midwives acknowledged a need for further education in areas of vegan diet, cultural food preferences for ethnic minority groups, and regular updates on national healthy eating guidelines.

The role of midwife in postpartum hemorrhage.

The role of midwife in postpartum hemorrhage.

Midwifery, nursing and medical care on the high seas: An immigration voyage to colonial Australia 1848–1849

BackgroundThe lives of individuals are infinitely fascinating, especially when viewed at the intersection of their relationship with other people and their environment. Of interest in this article are the incidents of childbirth and the role of midwife and doctor in these crucial life events. Perhaps of greater significance is the story of those on board this one voyage of the Steadfast within the grand narrative of British immigration to Australia in the nineteenth century. AimThis article aims to demonstrate that it was the human cargo and their need of health care in the voyage of the Steadfast, which contributed to the historical narrative of immigration and quarantine, the prelude to life in the colonial environment. MethodThis is qualitative research using historical methodology involving the selection of available documents. The primary document sourced is that of the surgeon-superintendent’s journal on the Steadfast. The methodology used is narrative, recording the medical information as well as providing background context for the main characters for the purpose of situating them in the immigration story. FindingsHealth care, particularly maternity care, on immigration ships was limited. Birthing at sea was a dangerous process for an immigrant woman often resulting in her death, the death of her infant or both mother and child could perish. If disease occurred during the sea voyage, then quarantine of the ship and passengers was instigated on arrival at Sydney Harbour. DiscussionThis article draws on the journal notes of the surgeon superintendent which logs the health incidents of immigrants requiring midwifery, nursing and medical care on a sea voyage from London to the colony of New South Wales in the mid-nineteenth century. This article focuses on the maternity events and the necessity for quarantine measures to prevent the spread of infectious diseases in the colony of New South Wales.

The marginalisation of midwifery in medicalised pregnancy and childbirth: a qualitative study

Introduction The role of midwives has changed in providing care for low-risk pregnancies and childbirth. This study explores the perceptions of perinatal care providers and recipients regarding midwifery services. Methods This study used a qualitative content analysis approach. Data were collected through 49 semi-structured in-depth interviews, and analysed with qualitative content analysis. Results The medicalisation of pregnancy and childbirth has marginalised midwifery. Midwifery, which should be at the heart of all low-risk pregnancies and childbirth, has deteriorated such that it has become disempowered in interdisciplinary relations. Conclusions Midwifery is at risk of being totally excluded from low-risk pregnancy care and childbirth.

Embodied sources: abortion, medicine, and the law in early twentieth-century British Guiana

ABSTRACT This article uses a particularly rich account of an abortion trial in a British Caribbean colony in the early twentieth-century—British Guiana—to explore the extent to which contemporary ideas about population decline influenced the enforcement of anti-abortion laws in this colony. This article argues that the official focus on the interwined problems of infant mortality and population decline did not determine popular approaches to reproduction. It shows that the fragmentary sources produced at the trial point to local knowledge networks about abortion and the role of midwives as abortion providers. It also reveals a very personal story, the efforts of one woman and her family to deal with the social and legal consequences of unmarried pregnancy and abortion.

Factors influencing maternal health in indigenous communities with presence of traditional midwifery in the Americas: protocol for a scoping review

IntroductionIndigenous mothers often receive culturally unsafe services that do not fully respond to their needs. The objective of this scoping review is to collate and assess evidence that identifies factors,...

ISSUES OF WOMEN HEALTH IN NON-MUSLIM COMMUNITY OF KARACHI, PAKISTAN: A QUALITATIVE SURVEY

Background: The women from non-Muslim community of Karachi have to face several issues regarding their health. The objective of this study was to find out the issues regarding the women health in non-Muslim community of Karachi and to provide suggestions in this context.Materials Methods: This qualitative survey was conducted at Pakistan Study Center, University of Karachi, Pakistan from July 2011 to December 2011. Eleven Non-Muslim populated areas of Karachi were selected. The primary data was collected through structured interview schedule, including 15 open ended questions. One doctor from each cluster of the eleven minority populations was interviewed. The responses were noted on a notebook. The theme was to understand the health issues faced by women around fourteen concepts; provision of food to boys and girls, health of girls before marriage, health of girls after marriage, side effects of early age marriages, women’s health during pregnancy, role of midwife, presence of non-qualified practitioners, problems during maternity, concept of family planning, health facility during emergency, weight of children at the time of birth, mother feed for the children, role of dirty and polluted atmosphere, and diseases due to reserved professions. Results: There was a lack of awareness in the non-Muslim families of Karachi regarding provision of equal food to their children on the basis of sex. The physical health of girls before marriage was not good in these families. After marriage they are also at risk of mental illness due to poverty, illiteracy, uncomfortable residential units and having limited access to the lady doctors. The overcrowded houses and polluted atmosphere also affects badly their physical health.Conclusion: The non-Muslim women are deprived from health facilities due to socio-economic problems. It is the dire need to provide health education to the non-Muslim women in their settlements. Moreover, Health care facilities may be provided by establishing Basic Health Units, Rural Health Centers, Maternal Child Health centers in these areas as per population density.

Kecemasan, Pelayanan Kebidanan, dan Pemberian Informasi tentang Virus Corona (COVID-19) oleh Bidan di Wilayah Madura

Kejadian pandemi COVID-19, sangat penting untuk diketahui, karena mempunyai dampak psikologis dari kejadian pandemi virus corona pada petugas kesehatan. Kejadian epidemi COVID-19 menyebabkan tingkat stres yang tinggi dari petugas kesehatan dan peningkatan kesakitan juga pada masyarakat. Tujuan penelitian untuk mengetahui kecemasan bidan, peran bidan dalam pelayanan kebidanan, dan pemberian informasi tentang virus corona (COVID-19) pada ibu dan anak di wilayah Madura. Jenis penelitian ini adalah deskriptif, populasi dari penelitian ini adalah bidan di Wilayah Madura dengan jumlah sampel sebanyak 123 bidan. Pengumpulan data menggunakan sistem Google Form yang disebarkan ke semua bidan di Wilayah Madura. Data yang terkumpul dianalisis univariat untuk mengetahui distribusi frekuensi kecemasan, peran dan pemberian informasi oleh bidan tentang COVID-19. Hasil penelitian menunjukkan bahwa bidan yang mengalami kecemasan sangat berat (16,3%), kece-masan berat sebesar 17,9% dan yang mengalami kecemasan sedang (22.8%). Bidan juga masih memberikan pelayanan kebidanan dengan baik sebesar 87% dan pemberian informasi tentang pencegahan penularan virus corona dengan baik sebesar 77,2%. Pandemi ini sangat memberikan dampak dalam pemberian pelayanan kebidanan terutama program yang sudah terlaksana dengan rutin, sehingga program tersebut tidak bisa terlaksana dan bidan juga mengalami kecemasan karena mereka adalah ujung tombak dalam pelayanan kebidanan. Diharapkan adanya kerjasama yang baik antara pasien dan bidan terutama pasien agar tetap mengikuti prinsip dalam pencegahan penularan virus corona dan memberikan informasi yang baik dan benar kepada pasien terutama apabila datang dari luar kota.

Women's Experiences And Perspectives Of Induced Abortions In Urban Slum Areas Of Karachi, Pakistan

Unsafe abortion is one of the leading causes in developing countries where the rate of obtaining an abortion is high due to financial issues and the desire of a male child. This paper is extracted from a study about roles of midwives in unsafe and induced abortions in the urban slums of Karachi city. The objective of this paper is to discuss the causes of induced abortions and to explore the experiences of women having induced abortions. The study was conducted through interviewing schedule based upon open and close ended questions. The interview guide included questions about the causes of abortions, problems faced by women during the process, and effects on their social and economic aspects of their lives. Results show that the major reason of induced abortion is poverty, including others like large family size and family pressure due to economic burden, male child preference, social stigmas and sometimes due to partner choice. Findings of the study suggest that abortion is a traumatic experience which involved intentional death of an unborn child. It has also been discovered that women experience abortion, felt grief, shame, sorrow, and depression. The study concludes that induced abortion is used as a contraceptive method by poor women. As they are performed in unhygienic and illegal methods, they become a health risk which affects women lives socially, economically, physically and psychologically. The findings of the study will help in understanding the problems faced by women having induced abortions. Additionally, it would also assist in developing gender based reproductive health programs in developing countries.

Tales of two midwives: medical conditions of pregnancy that changed our midwifery practice

The stories of our lives that bring each of us to a career in midwifery are unique. The stories, once we are midwives, that then influence our careers, are also unique. These stories of care for women characterise the course of our careers and ourselves. A short essay competition to attend the annual Medical Complications in Pregnancy conference 2019 at the Royal College of Obstetricians and Gynaecologists gave two colleagues from London the occasion to reflect on situations from practice where childbirth deviated from the realm of ‘normal’ and into disease. As we become increasingly floored by the global COVID-19 pandemic, the key role of midwives across health, well-being as well as disease is especially stark.

Health counselling in dental care for expectant parents: A qualitative study.

ObjectivesInterventions during pregnancy and early childhood have been shown to impact dental health. Thus, Antenatal Care and Dental Care collaborated in an intervention called Health Counselling in Dental Care (HCDC). HCDC was offered free of charge to first‐time expectant parents and was aimed at reducing the frequency of dental caries in children and their parents. However, the intervention reached less than 50% of the parents. The aim of this study was to explore facilitators of, barriers to, and suggestions for increased participation in HCDC.MethodsData were collected through semi‐structured, face‐to‐face interviews with expectant parents. Participants were purposively sampled based on having been invited to HCDC and to achieve a variation in socio‐demographics. Interviews were audio recorded, transcribed verbatim and analysed using conventional qualitative content analysis.ResultsIn total, 16 interviews were conducted (10 women, 6 men). Six categories representing three facilitators and three barriers for participation emerged. The facilitators were the midwife’s crucial role for disseminating information about HCDC and motivating participation, that the parents perceived HCDC as valuable for themselves and their offspring, and a desire for new or more knowledge. The barriers included a shortage of information regarding the counselling, a perceived lack of value for the parents and offspring, and the timing of the counselling during pregnancy.ConclusionsThe midwives were crucial in providing information and motivation for HCDC participation. To increase attendance, sufficient information regarding the benefits of counselling is required, and the timing needs to be flexible and family‐centred.

Filipino Midwives’ Knowledge, Self-perceived Role and Experiences in Educating Parents of Families with Newborns who are Confirmed Cases of Glucose 6 Phosphate Dehydrogenase Deficiency

Introduction. Midwives play an important role in promoting newborn screening (NBS) and they ensure that all Filipino newborns are offered screening for life-threatening metabolic conditions. Of the disorders included in NBS, Glucose 6 Phosphate Dehydrogenase (G6PD) deficiency is the most common disorder detected.Objectives. This study aimed to assess the knowledge, self-perceived role, and experience of midwives who practice in urban and rural settings in educating parents of a newborn who are confirmed cases for G6PD deficiency.Method. One-on-one semi structured interview was conducted among 21 midwives from Manila City and Lipa, Batangas, Philippines.Results. The study findings indicate that midwives frequently serve as the primary information resource for parents of infants with G6PD deficiency. Assessment of knowledge showed that midwives have sufficient knowledge about the medical management and the necessary follow-up of infants with G6PD deficiency. However, it also revealed that they have inadequate knowledge of the underlying genetic cause of G6PD deficiency. The surveyed midwives recognized their role and the importance of proper education regarding G6PD deficiency.Conclusion. The findings of this study identified gaps in the midwives’ knowledge on the genetic mechanisms and inheritance of G6PD deficiency, which could be a basis to improve the education and dissemination of information and to eventually improve parental education and care of newborns with G6PD deficiency