Nursing Midwifery Commons^™

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; …

Western Australian Mothers' Experiences Of Breastfeeding Support In Hospital After Birth: A Mixed Methods Study, Justine Van Der Watt

Theses: Doctorates and Masters

Background: The benefits of breastfeeding are well established for infants, mothers and the community, with the World Health Organisation recommending that infants be exclusively breastfed up to six months of age with an achievable goal of 70% globally. Yet in Australia only 15-37% may be reaching that goal. There have also been reported benefits and desires for mothers to be supported with their breastfeeding in order to increase and prolong breastfeeding duration and exclusivity, especially early after birth. However, there is limited research or literature exploring what experiences mothers are having with breastfeeding support, especially during their hospital admissions in …

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 …

Feasibility Of Using Podcasts For Knowledge Dissemination To Reduce Health Disparities For Women Targeting Preventative Initiatives And Lifestyle Medicine Interventions, Kristin Stovern

Doctor of Nursing Practice Scholarly Project

The purpose of this feasibility project was to look at podcasts to shed light on the issues that affect the well-being of women with gender-based disparities in healthcare. Women face persistent obstacles when it comes to the quality of healthcare they receive. One of the barriers that has been ever-present is with failure of the medical system to rigorously study the effects of diseases and drugs on women or to fund studies on women’s health conditions. Implicit biases and lack of access to care inhibit the quality of healthcare. Collectively, these issues result in unnecessary sickness, disability, and decreased quality …

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.

Strengthening The Integration Of Midwifery In Health Systems; A Leader-To-Leader Collaboration, Erlandsson K, Borneskog C, Pedersen C, Ternström E, Byrskog U, Tamang L, Niraula G, Mehra D, Mehra S, Sharma S, Lindgren H

Journal of Asian Midwives (JAM)

Barriers and facilitators for quality midwifery care exist on different levels in the health systems. After decades of challenges and varied degrees of success, a stakeholder leader-to-leader collaboration could provide added value through knowledge sharing on how to integrate the midwifery cadre into an existing health system. Initiated by The Midwifery Society of Nepal, Dalarna University Sweden and MAMTA - Health Institute for Mother and Child India, a research network focusing midwifery has been formed. The background, purpose and activities of this network has been described in this News and Events paper.

Determinants Of Delayed Emergency Caesarian Sections In Machakos County Referral Hospital, Kenya: A Retrospective Study, Anne Loko Mutiso

MSc in Advanced Practice Midwifery

Background: Labour to delivery is a natural process which begins and ends spontaneously. However, the need for an emergency caesarean section arises if the life of the mother or the foetus or both are in danger. Time is of essence and therefore a Decision to Delivery Interval of 30 minutes is considered the gold standard (NICE 2021).

Purpose: The purpose of this study was to establish hospital and client related factors that cause delay in emergency caesarean sections in Machakos County Referral Hospital.

Methodology: A Retrospective Descriptive study design was adopted whereby sample of 368 files of …

Determinants Of Poor Perinatal Outcomes Among Babies Born Of Mothers With Preeclampsia At Mama Lucky Kibaki Hospital, Nairobi County, Sarah Wambui Chege

MSc in Advanced Practice Midwifery

Background: Preeclampsia is a life-threatening pregnancy illness characterised by the onset of hypertension in a non-hypertensive woman after 20 weeks of pregnancy. Studies have connected preeclampsia to significant adverse effects on the mother and the newborn, a common obstetric emergency in Kenya. Determinants of poor perinatal outcomes in babies born to preeclamptic mothers have not been intensively investigated.

Objective: The study evaluated the determinants of perinatal outcomes among neonates born to mothers diagnosed with preeclampsia at Mama Lucy Kibaki Hospital between July 2021 and June 2022.

Methodology: A quantitative retrospective cross-sectional inquiry was conducted. Data reviewed comprised …

Lactation Benefits, Experiences, And Education In Bereaved Mothers: A Literature Review, Grace Davis

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Abstract

Background: Parents who lose an infant through miscarriage, elective termination, or stillbirth experience perinatal bereavement (Centers for Disease Control and Prevention, 2022). A bereaved mother’s grief could be influenced by lactation as most will still experience lactation regardless of their loss. Generally, these women are solely taught to suppress their milk production, oftentimes resulting in discomfort, leakage, clogged ducts, and even mastitis (Carroll et al., 2020). To prevent adverse effects, bereaved mothers need a comprehensive list of options and education regarding lactation including donation, expression, and suppression. Bereaved mothers' lactation experiences, education, and benefits are vital areas to be …

Breastfeeding In Public: A Review Of Literature And Service Learning Experience, Taylor Jehlik, Makenzie Carney

The Eleanor Mann School of Nursing Undergraduate Honors Theses

This article explores the perceptions and beliefs of first-time expectant mothers, their family members, and their social network about breastfeeding in public places. We used experience through Tiny Tusks and reviewed literature to get a better understanding of what social factors play a role in mothers' decisions to breastfeed in public.

Factors Influencing The Delivery Of Preconception Care Services Among Nursing And Midwifery Students At Aga Khan University, Kenya, Levy Mukolwe

MSc in Advanced Practice Midwifery

Preconception care (PCC) encompasses a range of biomedical, behavioural, and social interventions to improve pregnancy outcomes. However, the effective implementation of PCC services, particularly in developing countries, faces multifaceted challenges. This cross-sectional quantitative descriptive study was conducted among 104 nursing and midwifery students at Aga Khan University and selected through simple random sampling. Data was collected using semi-structured self-administered questionnaires and analyzed using SPSS version 25.0. 69.9% of the respondents were nurses, while 30.1% were midwives. 28.8% of participants knew the definition of PCC. The importance of various PCC components, such as nutritional deficiency screening, genetic risk assessment, environmental hazard …

Over 200 Dalarna University Alumni Help Advance Education And Care In Africa And Asia: A Short Communication, Kerstin Erlandsson, Marie Klingberg Allvin

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 …

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 …

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 …

Hip Healthy Swaddling: A Commentary, Mehreen Aslam

Journal of Asian Midwives (JAM)

Swaddling, the practice of covering babies to align the legs, prevent hip movement, carries a risk of Developmental Dysplasia of the Hip (DDH).Correct swaddling techniques, emphasizing hip flexibility, mitigate risks and are promoted globally. Cultural shifts, as seen in Turkey and Japan, reflect awareness of swaddling's impact on hip health. In certain cultures, 90% of mothers swaddle infants for comfort, predominantly to keep legs straight, but traditional swaddling contributes to hip dysplasia risk, contrasting with the recommended technique allowing free limb movement. Proper education on swaddling is crucial, aligning with health benefits and reducing DDH occurrences. Recommendations include routine hip …

Because Breastfeeding Is Never Done Alone, Mehtab Lalwani, Kiran Nawaz Ali

Journal of Asian Midwives (JAM)

No abstract provided.

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 …

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 …

Certified Midwives: An Exploration Of Their Impact On Maternal Health Outcomes – A Comprehensive Literature Review, Heather Hollister

Capstone Experience: Master of Public Health

Maternal health outcomes in the United States have been consistently worse than other high-income countries, with a disproportionate impact on women of color. Midwives have long played an important role in maternal health worldwide. The literature review examines the evidence for midwives as key contributors to improving maternal health outcomes. The paper reviews the existing literature on midwifery, including the impact on maternal health, labor and delivery outcomes, and patient satisfaction. Electronic searches were conducted through Cochrane Library, CINAHL, Medline and Embase. Articles were screened according to inclusion and exclusion criteria including that they must be a randomized study; participants …

Determinats Of Antenatal Clinic Attendance Among Female Sex Workers, Nairobi County, Kenya, Lonah Vuhia Tunya

MSc in Advanced Practice Midwifery

Due to stigma and discrimination, female sex workers (FSWs) in sub-Saharan Africa encounter obstacles while attempting to get antenatal care (ANC), as sex work is a crime. As a result of not using family planning (FP), FSWs frequently experience unwanted pregnancies. This study looked into the antenatal experiences of FSWs, how they receive ANC and any obstacles they encounter. The broad objective of the study was to assess the determinants of ANC attendance among FSWs in Nairobi County. The specific objectives were to assess the level of knowledge on the importance of ANC attendance, identify the challenges to ANC attendance …

Determinants Of Hospital Deliveries Among Maasai Women Aged 18-49 Years At Saikeri Village In Kajiado County, Kenya, Miriam M. Mwangi

MSc in Advanced Practice Midwifery

Owing to low (51.2%) hospital deliveries at Kajiado County, the study investigated, determinants of hospital deliveries among Masai women at Saikeri,village Kajiado County. Hospital deliveries are an indicator of improved outcomes of maternal and neonatal health. Maternal mortality is a worldwide public health problem, which reports over 300,000 maternal deaths annually, with about 810 deaths occurring daily. About 94% of global maternal deaths occur in developing countries, with Sub- Saharan Africa reporting 56% of the total global maternal deaths. Kenya reported 362 maternal deaths per 100,000 live births. Approval was sort from DRC, ISERC,NACOSTI,MoH and MoE. Descriptive cross-sectional study method, …

Prevalence And Factors Associated With Stillbirths Among Women Giving Birth In Four Hospitals Of Eswatini- A Multi-Centre Study, Phetsile Nolungelo Thwala

MSc in Advanced Practice Midwifery

Background: Stillbirth, a component of perinatal mortality, remains a global burden, with approximately 2 million occurring annually worldwide and mostly in low- and middle-income countries (LMICs). There is a dearth of studies on stillbirth in some Low-middle income countries, such as Eswatini. The purpose of this study was to assess the prevalence and associated factors for stillbirths among women giving birth in four selected hospitals in Eswatini.

Methods: A quantitative unmatched case-control study was conducted using records of stillbirths (cases) and live births (controls) from July 1 to December 31, 2021. Consecutive sampling and systematic random sampling were …

The Effect Of Perineal Massage During The Second Stage Of Labour On Perineal Outcomes, Amira Ahmed Altweel, Entesar Fatouh Abd-Elmoneim, Hanan Fahmy Azzam, Amr Mahmoud Riad

Nursing

Abstract Perineal tears affect approximately 80% of women during childbirth worldwide. Thus, perineal management techniques are a necessary need to prevent perineal tears during childbirth. Aim: The current study aimed to examine the effect of perineal massage during the second stage of labor on perineal outcomes. Design: A quasi-experimental design was utilized in this study. Setting: The study was conducted in the labor& and delivery unit at Ain Shams Maternity Hospital, Egypt. Sample: A purposive sample of one hundred parturient women divided into study and control groups (50 women in each group) were recruited according to inclusion and exclusion criteria. …

Burnout And Its Impact On Nurses And Doctors, Zahra Tharani, Abeer Musaddique, Syeda Humera Qutb

School of Nursing & Midwifery

No abstract provided.

Perceptions And Experiences Of Nursing Students And Faculty Members Regarding Implementation Of The Bs-Nursing Program, Abdul Karim, Yasmin Amarsi, Yasmin Parpio, Laila Akber Cassum, Munira Amirali, Shakir Rehman

School of Nursing & Midwifery

Objective: To explore the perceptions and experiences of nursing students and faculty members regarding the implementation of the baccalaureate nursing programme in public-sector setting.
Methods: The descriptive, exploratory, qualitative study was conducted at the Khyber Medical University, Peshawar, Pakistan, from April 15, 2020 to April 15, 2021, and comprised undergraduate nursing students and faculty members. Because of the coronavirus disease-2019 pandemic, the subjects were interviewed through telephonic call using a semi-structured interview guide. Data was analysed using the Creswell's analysis approach.
Results: Of the 15 subjects, 10(66.6%) were students aged 21-24 years; 7(70%) males and 3(30%) females. The remaining 5(33.3%) …

Exploring The Lived Experiences Of Dysphoric Milk Ejection Reflex During Postpartum Breastfeeding: A Phenomenological Study, Stephanie Herr, Jessica Devido, Richard Zoucha, Jill Demirci

Electronic Theses and Dissertations

This study sought to explore the lived experiences of Dysphoric Milk Ejection Reflex (D-MER) during postpartum breastfeeding. A phenomenological method based on Giorgi’s phenomenological underpinnings was used. The setting for this study was virtual interviews in a secure online platform. The sample consisted of 13 participants, self-identifying as experiencing D-MER. Semi-structured interviews, with thematic analysis of transcription were conducted. Four major themes were identified: 1) Breastfeeding concessions and toleration; 2) Something does not feel “normal”; 3) I remember a feeling like this before 4) This is real, and recognition is validating. Conclusions were that women of this study value the …