Nursing Midwifery Commons^™

Maternal Morbidity In Appalachian States: Rural Disparities And Social Determinants, Kathryn Usedom Msn, Fnp-C, Cnm, Pi-Ming Yeh Phd

Epsilon Sigma at-Large Research Conference

Purpose: Social determinants of health (SDoH) and rurality have both been shown to contribute to severe maternal morbidity (SMM). Appalachian communities often embody this compounded risk, but regional SMM is under-explored. This study’s purpose is to explore SMM in rural areas of Appalachian states.

Aims: There are two specific aims. 1) Describe the prevalence of rural SMM in Appalachian states. 2) Investigate the relationship between SMM and SDoH, specifically income, education, and care access.

Methods: An IRB exempt, descriptive correlational study was conducted. Birth data (2018-2022) were extracted from the CDC WONDER database for 12 Appalachian states. Demographic, income, and …

Implementation And Evaluation Of Iron Deficiency Anemia Content In Prenatal Education Classes, Jasmine N. Walker Bsn, Erin M. Morris Bsn, Carrie Harvey Phd, Aprn, Acnp-Bc, Chfn, Mary K. Fouquier Phd, Aprn, Cnm, Facnm

Doctor of Nursing Practice Projects

Purpose/Background

The purpose of this quality improvement project is to provide and increase educational awareness and knowledge regarding iron deficiency anemia (IDA) in pregnant patients at an urban primary care clinic in Memphis, TN. This project is intended to decrease the number of individuals with IDA in pregnancy while decreasing the occurrence of IDA-related complications in pregnancy. The study aimed to introduce a cost-effective approach to help decrease or eradicate complications related to IDA during pregnancy.

The World Health Organization (WHO) estimates the prevalence of anemia-complicating pregnancies to be more than 40 percent. Pregnant women with IDA residing in low …

What Resilience (Strength) Means For Australian Aboriginal And Torres Strait Islander Health Professionals And Practitioners: An Exploratory Study, Eileen Willis, Amy-Louise J. Byrne, Sandy Mclellan, Venessa Curnow, Harvey Clare, Janie Brown, Amelia Britton

Journal of the Australian Indigenous HealthInfoNet

This article explores the concept of resilience from the perspective of Australian Aboriginal and Torres Strait Islander health professionals and practitioners, with the aim of describing what it is and how it is practiced in the workplace. Interviews in the form of Yarns were conducted with ten Aboriginal and Torres Strait Islander health professionals in regional North Queensland. We found that for Aboriginal and Torres Strait Islander health professionals and practitioners, resilience encompasses cultural identity and an ability to manage both Indigenous and western cultures and structures. Resilience, understood as ‘Strength’, draws on strong relationships to family and Country, often …

Consensus-Based Recommendations For The Care Of Women With A Breech Presenting Fetus, Sara Morris, Sadie Geraghty, Deborah Sundin

Research outputs 2022 to 2026

Objective: To establish consensus related to aspects of breech presentation and care. Design: A multinational, three round e-Delphi study. Participants: A panel of 15 midwives, four obstetricians and an academic with knowledge and/or experience of caring for women with a breech presenting fetus. Methods: An initial survey of 45 open-ended questions. Answers were coded and amalgamated to form 448 statements in the second round and three additional statements in the third round. Panellists were asked to provide their level of agreement for each statement using a 5-point Likert scale. Consensus was deemed met if 70% of panellists responded with strongly …

Failure To Progress Or Just Normal? A Constructivist Grounded Theory Of Physiological Plateaus During Childbirth, Marina Weckend, Kylie Mccullough, Christine Duffield, Sara Bayes, Clare Davison

Research outputs 2022 to 2026

Background and problem: During childbirth, one of the most common diagnoses of pathology is ‘failure to progress’, frequently resulting in labour augmentation and intervention cascades. However, failure to progress is poorly defined and evidence suggests that some instances of slowing, stalling and pausing labour patterns may represent physiological plateaus. Aim: To explore how midwives conceptualise physiological plateaus and the significance such plateaus may have for women's labour trajectory and birth outcome. Methods: Twenty midwives across Australia participated in semi-structured interviews between September 2020 and February 2022. Constructivist grounded theory methodology was applied to analyse data, including multi-phasic coding and application …

Pre-Eclampsia Training Needs Of Midwives In A Ghanaian Tertiary Hospital: A Cross-Sectional Study, Isabella Garti, Michelle Gray, Angela Bromley, Jing-Yu (Benjamin) Tan

Research outputs 2022 to 2026

Aim: This study aimed to assess the specific clinical and non-clinical training needs of midwives and determine their preferred approach to enhancing performance. Background: Pre-eclampsia remains one of the leading causes of maternal deaths in low and middle-income countries. Pre-eclampsia-related deaths may be due to reduced midwifery knowledge and inadequate management. Therefore, a training needs assessment is vital in identifying gaps in practice, especially, in poorly resourced settings for maximal use of training resources. Design: A hospital-based cross-sectional study. Setting: The largest tertiary hospital in Ghana. Methods: An online version of the validated WHO Hennessy-Hicks Training Needs Analysis questionnaire was …

Factors Associated With Hiv Testing Among Pregnant Women In Rwanda: A Nationwide Cross-Sectional Survey, Lilian Nuwabaine, Joseph Kawuki, Angella Namulema, John Baptist Asiimwe, Quraish Sserwanja, Ghislaine Gatasi, Elorm Donkor

School of Nursing & Midwifery, East Africa

Human immunodeficiency virus (HIV) testing during pregnancy is crucial for the prevention of mother-to-child transmission of HIV, through aiding prompt treatment, care, and support. However, few studies have explored HIV testing among pregnant women in Rwanda. This study, therefore, aimed to determine the prevalence and associated factors of HIV testing among pregnant women in Rwanda. We used secondary data from the 2020 Rwanda Demographic and Health Survey (RDHS), comprising 870 pregnant women. Multistage stratified sampling was used by the RDHS team to select participants. We conducted bivariable and multivariable logistic regression to explore factors associated with HIV testing using SPSS …

Doula Support For Hispanic Women, Marilyn Cervantes-Munoz, Daisy Arango-Hernandez

Nursing | Senior Theses

Purpose

This quantitative study will seek to provide valuable insight into the needs and preferences of Hispanic women during labor with the potential benefit of doula support in minimizing their pain.

Methods

A quasi-experimental design study will be conducted, randomizing a convenient sample into two groups consisting of one experimental and one control group, with the objective of evaluating the efficacy of doula presence as a source for pain management in Hispanic women. One hundred Hispanic women will be recruited under the following criteria: 18 years or older, a single fetus pregnancy, gestational age 37 weeks and above, and no …

The Social, Mental, And Physical Health Impacts Of The Covid-19 Pandemic On People With Hiv: Protocol Of An Observational International Multisite Study, Yvette P. Cuca, Christine Horvat, Inge Corless, Craig Phillips, Álvaro José Sierra-Perez, Solymar Solís Báez, Emilia Iwu, Motshedisi Sabone, Mercy Tshilidzi Mulaudzi, Sheila Shaibu

School of Nursing & Midwifery, East Africa

As the COVID-19 pandemic spread across the world, immunocompromised individuals such as people with HIV (PWH) may have faced a disproportionate impact on their health and HIV outcomes, both from COVID-19 and from the strategies enacted to contain it. Based on the SPIRIT guidelines, we describe the protocol for an international multisite observational study being conducted by The International Nursing Network for HIV Research, with the Coordinating Center based at the University of California, San Francisco (UCSF) School of Nursing. Site Principal Investigators implement a standardized protocol to recruit PWH to complete the study online or in-person. Questions address demographics; …

Study Protocol For A Stepped-Wedge Cluster (Nested) Randomized Controlled Trial Of Antenatal Colostrum Expression (Ace) Instruction In First-Time Mothers: The Ace Study, Cassandra Cuffe, Roslyn Giglia, Matthew N. Cooper, Julie Hill, Desiree Silva, Anita M. Moorhead, Valerie Verhasselt, Joshua R. Lewis, Deborah Ireson, Jill R. Demirci, Talea Cotte, Kathryn Webb, Frances Patey, Therese A. O’Sullivan

Research outputs 2022 to 2026

Background: Although many mothers initiate breastfeeding, supplementation with human-milk substitutes (formula) during the birth hospitalization is common and has been associated with early breastfeeding cessation. Colostrum hand expressed in the last few weeks before birth, known as antenatal colostrum expression (ACE), can be used instead of human-milk substitutes. However, evidence is lacking on the efficacy of ACE on breastfeeding outcomes and in non-diabetic mothers. Methods and Planned Analysis: This multicenter stepped-wedge cluster (nested) randomized controlled trial aims to recruit 945 nulliparous pregnant individuals. The trial is conducted in two phases. During Phase 1, control group participants are under standard care. …

Age, Body Mass Index, Physical Activity And Quality Of Life In Turkish Pregnant Woman With And Without A Diagnosis Of Gestational Diabetes Mellitus: A Comparative Study, Yaren Nur Tayyar, Hatice Kahyaoglu Sut

Makara Journal of Health Research

Background: This study aimed to examine and compare the age, body mass index (BMI), physical activity (PA), and quality of life (QOL) of third-trimester Turkish pregnant women with and without a diagnosis of gestational diabetes mellitus (GDM).

Methods: A comparative study was conducted in the obstetrics clinic of a university hospital in Turkey, and it included 210 women (GDM women = 105 and non-GDM women = 105). Personal Information Form, International Physical Activity Questionnaire-Short Form (IPAQ), and World Health Organization Quality of Life-Short Form-Turkish (WHOQOL-Bref-TR) were used.

Results: The age and BMI of GDM women were higher …

Global Partnerships In Transformation Of Nursing And Midwifery Education In Africa: A Systematic Scoping Review Protocol, Claudine Muraraneza, Donatilla Mukamana, Godfrey Katende, Oliva Bazirete, Liz Wolvaardt

School of Nursing & Midwifery, East Africa

Background In recent decades, the literature on global partnerships in nursing and midwifery education, for the purpose of enhancing quality of education, strengthening health care system, and achieving universal health coverage is on the rise in Africa. However, there is a gap regarding the best practices and barriers in the African context. The purpose of this systematic scoping review is to map the evidence on global partnerships in transforming nursing and midwifery education in Africa.

Methods A search will be conducted with the use of the following electronic databases: Cumulative Index to Nursing and Applied Health Literature [CINAHL], PubMed, Cochrane …

Promoting Culturally Accessible, Community-Centered, Midwifery Care In The Rural Anabaptist Population Of Southwestern Ontario, Canada, Cynthia Soulliere

Journal of Amish and Plain Anabaptist Studies

The experience of providing midwifery care in a rural Southwestern Ontario community is discussed, highlighting specific approaches to providing culturally accessible and community-centered care among the Old Order Anabaptists. Midwives in Ontario are primary care providers for perinatal care and the clinic described in this paper works primarily with families from Anabaptist communities. Success in providing culturally accessible care has come from community engagement and responsiveness to ways to improve access to healthcare in this region. Highlighted in this article are the scope of midwifery care in Ontario, home and hospital births, collaboration with other community agencies, and community-based genetic …

Nurse-Led Newborn Parent Education Program – A Qualitative Study To Explore Nurses' Experiences As Newborn Parent Educators, Shelina Bhamani, Zaibunissa Karim, Ceemal Khan, Amina Lakhani, Khairunnissa Hooda, Lumaan Sheikh

Journal of Asian Midwives (JAM)

Background: Parents require support while caring for their newborns. Nurses can be supportive in helping parents learn how to care for their newborns and their well-being and supporting their spouses and families based on the cultural and social norms of the local context of Pakistan. Newborn parent education programs play a crucial role in advancing the knowledge and skills of the nurses required for parent education. This research study aims to explore nurses' experiences as newborn parent educators after enrolling and implementing a pilot project of a newborn parent education program at a tertiary care university hospital.
Methods: The exploratory …

Factors Associated With Genito-Pelvic Pain/Penetration Disorder In Women: A Review Article, Kiran Karim Jivani, Tazeen S. Ali, Arusa Lakhani, Fauzia Basaria Hasnani

Journal of Asian Midwives (JAM)

Globally, the sexual responses of genito-pelvic pain/penetration disorder-affected women is poorly understood. This deficit is due, in part, to these women being prone to incorrect pathologic rankings in intercourse-related questionnaires, thereby lowering the dependability of results. Although patients with genito-pelvic pain/penetration disorder display sexual intent, they typically avoid sexual circumstances in which penetration is involved. Gynaecological examinations are also frequently avoided, despite medical advice. The factors linked to genito-pelvic pain/penetration disorder identified in this review are; age, educational status, financial status, different relationship patterns, negative cognition, decreased sexual desire, no use of artificial lubricants, insufficient sexual arousal, history of sexual …

Swaddling A Newborn Promotes Sleep And Keeps The Baby Calm: A Truth Or A Myth?, Ateefa Al-Noor, Anshara Merchant

Journal of Asian Midwives (JAM)

Swaddling is a traditional way of wrapping the baby in a cloth that helps them to remain calm and eliminate anxiety. It promotes sleep but at the same time can also be associated with certain risks such as Sudden Infant Death Syndrome (SIDS). Swaddling can be beneficial but measures are required to minimize known risks. Swaddling can be favorable in the initial few weeks but it should be discontinued once the baby starts to roll from its back. The aim of this paper is to educate families regarding the proper technique of swaddling; its pros and cons. Further research is …

Utilization And Determinants Of Antenatal Care Services, Worlanso Awungshi Shimray, Adahrii Ashuni, Anamika Toppo, Lal Khawngaihi, Lalram Beiseii, Medo- Vinü, Vikethono Luho

Journal of Asian Midwives (JAM)

Background: Antenatal care (ANC) offers an opportunity for early detection and prevention of pregnancy-related risk and complications, as well as for delivering effective therapy of both current and potential issues. Numerous studies have indicated that inadequate use of the available ANC services contributes to maternal and child morbidity and mortality. The purpose of the current study is to evaluate the utilization and assess the determinants of antenatal care services in Singrijan, Nagaland, India.
Method: A cross-sectional exploratory community-based study was conducted in Singrijan. Purposive sampling was used to recruit a total of 72 mothers with a history of at least …

The Effect Of Cotton Dust Exposure As A Longterm Impact On Lung Function Changes: A Short Narrative Review, Naureen Akber Ali, Noshaba Akber, Adeel Khoja

School of Nursing & Midwifery

No abstract provided.

Editorial 2023 - Another Exciting Year Of Progress And Fulfilment, Edwin Van Teijlingen, Rafat Jan, Abeer Musaddique

Journal of Asian Midwives (JAM)

No abstract provided.

Exploring Midwives' Challenges And Strategies To Provide Care In Maternity Settings During Harsh Winter Weather In Northern Areas, Pakistan: A Qualitative Study Protocol, Sana Sultan, Rafat Jan, Marina Baig

Journal of Asian Midwives (JAM)

Background: Midwives play a vital role in enhancing the quality of care and achieving substantial reductions in maternal and newborn mortality rates. However, in the context of Gilgit Baltistan, the harsh winter weather, and frequent heavy snowfall present distinct challenges for midwives providing essential maternal care. These challenges can lead to an increased risk of maternal infections and newborn hypothermia. Consequently, the limited accessibility to healthcare facilities due to frequent harsh winter weather, and resulting scarcity of resources like heating, electricity, and water further exacerbates the situation.
Objective: The objective of the study is to explore the challenges and barriers …