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Effective Interventions To Reduce The Increase In Elective Cesarean Sections In Low Risk Women, Kimberly Kelsey, Crystal Hunter, Brianna Tan, Sara Shea, Heather Holland, Sasha Riley, Mary Uy, Tenzin Tsomo, Fasha Ruys-solorzano, Dolma Tso 2016 Dominican University of California

Effective Interventions To Reduce The Increase In Elective Cesarean Sections In Low Risk Women, Kimberly Kelsey, Crystal Hunter, Brianna Tan, Sara Shea, Heather Holland, Sasha Riley, Mary Uy, Tenzin Tsomo, Fasha Ruys-Solorzano, Dolma Tso

Student Research Posters

According to the Annals of Family Medicine, the amount of babies born via cesarean section has increased from 4.5% in 1965 to 26.1% in 2002 and nearly 40% of all cesarean sections are repeats. After an extensive literature review, results showed that patients need to be educated about the risks and benefits of vaginal delivery and cesarean delivery. It was also found that there needs to be policy changes to decrease the amount of cesarean sections done and increase the labor and delivery support without using interventions. Further study should be focused on morbidity and mortality very low ...


Measuring Oral Health During Pregnancy: Sensitivity And Specificity Of A Maternal Oral Screening (Mos) Tool, Ajesh George, Hannah G. Dahlen, Anthony Blinkhorn, Shilpi Ajwani, Sameer Bhole, Sharon Ellis, Anthony Yeo, Emma Elcombe, Ayesha Sadozai, Maree Johnson 2016 Australian Catholic University

Measuring Oral Health During Pregnancy: Sensitivity And Specificity Of A Maternal Oral Screening (Mos) Tool, Ajesh George, Hannah G. Dahlen, Anthony Blinkhorn, Shilpi Ajwani, Sameer Bhole, Sharon Ellis, Anthony Yeo, Emma Elcombe, Ayesha Sadozai, Maree Johnson

Faculty of Health Sciences Publications

Background: Being the parent of a severely injured child involves many stressors throughout the trauma journey. Internationally, little is known about the experiences or levels of emotional distress, parenting stress, quality of life, and resilience for parents of injured children. The aim of this study is to investigate the experiences, unmet needs and outcomes of parents of physically injured children 0–12 years over the 2 year period following injury. Methods/design: This is a prospective longitudinal study using an embedded mixed methods design. This design has a primary qualitative strand which incorporates supplementary quantitative data on child quality of ...


What Do Antenatal Care Providers Understand And Do About Oral Health Care During Pregnancy: A Cross-Sectional Survey In New South Wales, Australia, Ajesh George, Hannah G. Dahlen, Jennifer Reath, Shilpi Ajwani, Sameer Bhole, Andrew Korda, Harrison Ng Chok, Charmaine Miranda, Amy Villarosa, Maree Johnson 2016 Australian Catholic University

What Do Antenatal Care Providers Understand And Do About Oral Health Care During Pregnancy: A Cross-Sectional Survey In New South Wales, Australia, Ajesh George, Hannah G. Dahlen, Jennifer Reath, Shilpi Ajwani, Sameer Bhole, Andrew Korda, Harrison Ng Chok, Charmaine Miranda, Amy Villarosa, Maree Johnson

Faculty of Health Sciences Publications

Background There is mounting evidence to support the lack of awareness among pregnant women about health consequences and long term risks associated with poor oral hygiene during pregnancy. A recognised and important point of influence is their interaction with health professionals, particularly when receiving Antenatal Care. However, there is limited evidence about the perceptions of ANC providers in Australia toward the provision of perinatal oral healthcare. This study was undertaken to explore the knowledge, attitudes and practices of Antenatal Care ( ANC ) providers in New South Wales ( NSW ), Australia providing perinatal oral healthcare and to identify barriers to and predictors of ...


Does A Change In The Way Early Labour Care Is Provided Reduce Epidural Rates? A Pre-Post Intervention Study, Lauren Williams 2016 Australian Catholic University

Does A Change In The Way Early Labour Care Is Provided Reduce Epidural Rates? A Pre-Post Intervention Study, Lauren Williams

Theses

Background: Normal birth, by common definition, is achieved with minimal or no intervention and is widely regarded as the safest method of birth for healthy mothers and babies. There is evidence to support delaying women’s admission to birthing suite until labour has established to avoid unnecessary interventions, such as epidurals and augmentation of labour. Reflecting this evidence base a large metropolitan hospital (study site) introduced an early labour care model in September 2012, to improve the flow of work and provide better accommodation and an alternative care option for women and their support people during early labour. This involved ...


The Effect Of Alternative Labor Positions Versus The Lithotomy Position On Birthing Outcomes: An Integrative Literature Review, Kelsey Gaffka 2016 University of Central Florida

The Effect Of Alternative Labor Positions Versus The Lithotomy Position On Birthing Outcomes: An Integrative Literature Review, Kelsey Gaffka

Honors in the Major Theses

Traditionally, the lithotomy position is the most commonly used birthing position in western cultures. The purpose of this literature review was to examine the differences in maternal and neonatal outcomes when alternative labor positions are used. Implications for future use of alternative labor positions were explored. Peer reviewed, English-language research articles published from 2009 to 2015 were included for synthesis. Study results revealed that the lithotomy position is linked to multiple negative maternal outcomes. Birthing in a water pool or in a lateral position has been linked to more optimal maternal and neonatal outcomes compared to other positions. Health care ...


Pelvic Floor Muscle Training In Management Of Postpartum Pelvic Floor Dysfunctions: A Literature Review, Rebecca S. Tanner 2016 University of Central Florida

Pelvic Floor Muscle Training In Management Of Postpartum Pelvic Floor Dysfunctions: A Literature Review, Rebecca S. Tanner

Honors in the Major Theses

Women can face a wide range of pelvic floor dysfunctions following pregnancy, ranging from urinary incontinence to pelvic pain. Unfortunately, these problems are not routinely checked for in postpartum check-ups and women do not always bring it to the physician’s attention. Strengthening of the pelvic floor muscles may be able to help women prevent these disorders and improve these women’s lifestyles.

The purpose of this thesis was to review and analyze different trials to determine if different pelvic floor dysfunctions (urinary incontinence, sexual dysfunction, and pelvic girdle pain) can be treated using pelvic floor muscle training in the ...


Antenatal Psychosocial Risk Status And Australian Women's Use Of Primary Care And Specialist Mental Health Services In The Year After Birth: A Prospective Study, Virginia Schmied, Rachel Langdon, Stephen Matthey, L. Kemp, Marie-Paule Austin, Maree Johnson 2016 Australian Catholic University

Antenatal Psychosocial Risk Status And Australian Women's Use Of Primary Care And Specialist Mental Health Services In The Year After Birth: A Prospective Study, Virginia Schmied, Rachel Langdon, Stephen Matthey, L. Kemp, Marie-Paule Austin, Maree Johnson

Faculty of Health Sciences Publications

Background: Poor mental health in the perinatal period can impact negatively on women, their infants and families. Australian State and Territory governments are investing in routine psychosocial assessment and depression screening with referral to services and support, however, little is known about how well these services are used. The aim of this paper is to report on the health services used by women for their physical and mental health needs from pregnancy to 12 months after birth and to compare service use for women who have been identified in pregnancy as having moderate-high psychosocial risk with those with low psychosocial ...


Hospital Practices Related To Breastfeeding In Mississippi: A Socio-Ecological Approach, Amir Alakaam 2015 The University of Southern Mississippi

Hospital Practices Related To Breastfeeding In Mississippi: A Socio-Ecological Approach, Amir Alakaam

Dissertations

Mississippi continues to have one of the lowest rates and the weakest support in respect to breastfeeding in the nation (Centers for Disease Control and Prevention, 2014a). Hospital practices supporting breastfeeding such as the Ten Steps to Successful Breastfeeding (TSSB) can dramatically increase breastfeeding rates and duration (Rosenberg, Stull, Adler, Kasehagen, & Crivelli-Kovach, 2008). The aim of this study was to explore breastfeeding practices in Mississippi hospitals based on two levels of the Socio-Ecological Model: the organizational level (phase I) examined the hospital practices based on the level of implementation of the TSSB; the individual level (phase II) examined knowledge and practices related to breastfeeding, and interest to adopt the TSSB among maternity nurses in the hospitals. Correlations among the variables were also measured. Moreover, the researcher was interested in identifying the barriers and facilitators to implementing the TSSB in maternity practices ...


Educated Birth: Beliefs Vs. Outcomes, Lauren Presley 2015 University of Arkansas, Fayetteville

Educated Birth: Beliefs Vs. Outcomes, Lauren Presley

Human Nutrition and Hospitality Innovation Undergraduate Honors Theses

“Our infant mortality rate is a national embarrassment.”1 The words seem shocking and harsh across the headline of a 2014 Washington Post article. The thought of America not only not being the best at something, but falling upsettingly behind, is a foreign concept to many who view America as a nation inferior to none. However, the statistics on infant mortality rate tell the stark truth that of 26 “wealthy” countries, the U.S. ranks last, with a sobering 6.1 deaths per 1,000 live infant births.2

Part of the Healthy People 2020 Objectives is to reduce the ...


International Cooperation: Strengthening Midwifery In Central Asia, Meike Kolfenbach, Karen Birdsall 2015 Internationale Zusammenarbeit (GIZ) GmbH, Kyrgyzstan

International Cooperation: Strengthening Midwifery In Central Asia, Meike Kolfenbach, Karen Birdsall

Journal of Asian Midwives (JAM)

Even 25 years after their independence, the Central Asian States (Kyrgyzstan / Tajikistan / Uzbekistan) are facing enormous challenges in the health system. Several years ago it became obvious that the MDG 4 and 5 would not be fully achieved. This led to an increased support of the health systems of the concerned countries by Germany’s International Cooperation. The GIZ Regional Health Programme in Central Asia placed great emphasis upon increasing the number of births attended by health professionals, including midwives. The strengthening of midwifery as a model of a sustainable maternal and child health relies on a broad based programme ...


Community Based Midwives Practice In Patriarchal Social System, Yasmeen Jan Mohammad, Rafat Jan 2015 Aga Khan University, Pakistan

Community Based Midwives Practice In Patriarchal Social System, Yasmeen Jan Mohammad, Rafat Jan

Journal of Asian Midwives (JAM)

It is well accepted globally, that midwives can save the lives of mothers and their new-born successfully, if the community stakeholders provide support and freedom for full scope of practice. Recognising this many countries deploy midwives in the community as an intervention to achieve the MDGs (Millennium Development Goals) 4 and 5 targets set for decreasing maternal and neonatal mortality, respectively.

However, high-income countries’ reports show very good results, in achieving MDGs 4 and 5 while the low-income countries lag behind in this regard. The situation in high-income and low-income countries is different because midwives practising in the community in ...


Another Year Over …., Rafat Jan, Edwin van Teijlingen 2015 Aga Khan University, Pakistan

Another Year Over …., Rafat Jan, Edwin Van Teijlingen

Journal of Asian Midwives (JAM)

No abstract provided.


News & Events, 2015 Aga Khan University

News & Events

Journal of Asian Midwives (JAM)

No abstract provided.


The Effect Of Bereavement Counseling On Women With Psychological Problems Associated With Late Pregnancy Loss, Christy Simpson, Pramila Lee, Jessie Lionel 2015 College of Nursing, CIHSR, Dimapur, India

The Effect Of Bereavement Counseling On Women With Psychological Problems Associated With Late Pregnancy Loss, Christy Simpson, Pramila Lee, Jessie Lionel

Journal of Asian Midwives (JAM)

Pregnancy is most often a joyful experience and a woman’s plans and dreams are shattered when the death of an unborn or newborn infant occurs. Studies have reported that these women experience psychological problems such as grief, depression, and anxiety which can be minimized by counselling. Hence, this study was undertaken to assess the effect of bereavement counseling on women with psychological problems associated with pregnancy, focusing on Roy’s adaptation theory. An experimental design, with pre-test and post-test, was used with randomly allocated experimental and control groups. Women were randomly allocated to the experimental and control groups with ...


Knowledge And Perceptions Regarding Sexual And Reproductive Health Among High School Students In Kathmandu, Nepal, Magdalena Mattebo, Rebecka Elfstrand, Ulrika Karlsson, Kerstin Erlandsson 2015 Dalarna University, Sweden

Knowledge And Perceptions Regarding Sexual And Reproductive Health Among High School Students In Kathmandu, Nepal, Magdalena Mattebo, Rebecka Elfstrand, Ulrika Karlsson, Kerstin Erlandsson

Journal of Asian Midwives (JAM)

Background: Nepal recently began teaching sexual education in the school system and has established youth friendly services in order to meet the need of increased sexual and reproductive knowledge among the youth.

Objective: To examine the sexual and reproductive knowledge and perceptions among young people attending schools in Kathmandu.

Method: A written questionnaire was distributed to 160 students, in a classroom environment, in four schools in Kathmandu.

Results: Two thirds of the females and nearly 60% of the males knew that it was possible to get sexually transmitted infection (STI) during one sexual encounter and more than half of the ...


Enhancement Of Knowledge And Skills Of Community Midwives In Sindh, Pakistan, Sadia Abbas Ali, Arusa Lakhani, Rafat Jan, Shahnaz Shahid, Marina Baig, Farzana Adnan 2015 Aga Khan University, Pakistan

Enhancement Of Knowledge And Skills Of Community Midwives In Sindh, Pakistan, Sadia Abbas Ali, Arusa Lakhani, Rafat Jan, Shahnaz Shahid, Marina Baig, Farzana Adnan

Journal of Asian Midwives (JAM)

With a maternal mortality rate of 276 deaths per 100,000 live births, Pakistan is one of the countries with a large share in the percentage of world’s maternal mortality. As an intervention for the Millennium Development Goals (MDG) 4 and 5, the World Health Organization (WHO) strongly suggests that skilled care before, during, and after childbirth can save the lives of women and newborn babies. One of the interventions to ensure care to mothers and babies by skilled care providers is the capacity building training of Community Midwives (CMWs) aiming to improve their midwifery competency.

One such training ...


Conflict Between Paternalism And Autonomy., Amber Hussain Sayani 2015 Aga Khan University

Conflict Between Paternalism And Autonomy., Amber Hussain Sayani

School of Nursing & Midwifery

In the past, paternalism played an important role in making decisions at the end of life. However, in the modern era its significance has become unpopular as it require physicians to decide what is good or bad for the patient without considering patients wish and interest. This commentary article is based on a case study of a woman whose life was lost due to complications of pregnancy. The paper critically reviews this case study, and attempts to provide a reasonable and systematic framework to make sound decisions in similar cases.


Common Factors In Unplanned Cesarean Section, Lauren C. Compton 2015 Eleanor Mann School of Nursing - University of Arkansas

Common Factors In Unplanned Cesarean Section, Lauren C. Compton

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Obstetrical delivery by cesarean section is a prevalent form of delivery. Whether clinically indicated or by maternal request, cesarean delivery rates in the United States have risen to account for over a third of all deliveries. Cesarean section procedures are often clinically indicated and occur because of fetal factors, but they can also be elected by maternal request. The aims of this study are to analyze the frequency of the factors in the study questions that are associated with unplanned cesarean section procedures and to compare the frequency of these factors per cesarean section with the time of day the ...


The Rates Of Mothers Who Continually Breastfeed After Implemented Breastfeeding Teaching, Katherine L. Moore 2015 University of Arkansas, Fayetteville

The Rates Of Mothers Who Continually Breastfeed After Implemented Breastfeeding Teaching, Katherine L. Moore

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Many mothers are unaware of the benefits of breastfeeding. This lack of knowledge leads to an inability to weigh the advantages and disadvantages of the potential source of nutrition their infant will receive during his or her first months of life. Many mothers never even attempt to breastfeed their infant. Even among the mothers who do initially choose to breastfeed, the majority deviate to other forms of feeding early in the postpartum period. Despite the fact that most major medical organizations encourage exclusive breastfeeding through the first six months of an infant’s life, the CDC report for 2013 claims ...


Maternity Care In Rural Victoria: Midwives' Perspectives, Kathryn Felicity Brundell 2015 Australian Catholic University

Maternity Care In Rural Victoria: Midwives' Perspectives, Kathryn Felicity Brundell

Theses

This modified Grounded Theory study explored the experiences of midwives working in a rural Victorian setting during a period of maternity service redesign. Changes to the local maternity service under study were block funded by the Rural Maternity Initiative, Victoria, Australia (Edwards & Gale, 2007). The Rural Maternity Initiative, along with the release of the maternity service review report (Commonwealth of Australia, 2009), incorporated women’s requests for continuity of care provision, demedicalised care, choice in care, and accessibility of services across the pregnancy, birth and postnatal period.

Midwifery workforce shortages and maternity unit closures in rural Australia have been identified ...


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