Midwifery
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Randomized Controlled Trial
The Complementary Therapies for Labour and Birth Study making sense of labour and birth - Experiences of women, partners and midwives of a complementary medicine antenatal education course.
to gain insight into the experiences of women, partners and midwives who participated in the Complementary Therapies for Labour and Birth Study, an evidence based complementary medicine (CM) antenatal education course. ⋯ the Complementary Therapies for Labour and Birth Study introduces concepts of what constitutes normal birth and provides skills to support women, partners and midwives. It appears to be an effective form of antenatal education that supports normal birth, and maternity services need to consider how they can reform current antenatal education in line with this evidence.
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to explore the factors influencing women's use of birth waiting homes in the Northern Bombali district, Sierra Leone. ⋯ some barriers, especially those related to family commitments and costs of food, are challenging to solve. In order to make a BWH a user-friendly and viable option, it may be necessary to adjust ways in which BWHs are used. Good linkage with the health system is strength of the programme. However, further strengthening of community participation in monitoring and managing the BWHs is needed for the long term success and sustainability of the BWHs.
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in the context of a rising caesarean section (CS) rate in Japan, the objectives of this study were; to investigate the national situation for women's birth options after primary CS; to explore characteristics of institutions accepting planned vaginal birth after caesarean (VBAC); to identify the timing and type of information given to women about their birth options by health professionals. ⋯ strategies are needed to support women as well as pregnancy care providers to support women to consider VBAC as a possible birth option after CS and to expand the use of shared decision making in pregnancy care settings in Japan.
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in 2010, a pilot study was conducted among women who were attended by midwives in the public sector in Santiago, Chile. The purpose of that study was to evaluate the implementation of the 'Model of Integrated and Humanized Health Services', and the Clinical Guide for Humanized Attention during Labour and Childbirth. Results of that study indicated 92.7% of women had medically augmented labours (artificial rupture of the membranes, oxytocin and epidural analgesia). One third of the women reported discontent with the care they received. This study replicated the pilot study (2010) and was conducted in seven regional hospitals across Chile. The objectives were to : (i) describe selected obstetric and neonatal outcomes of women who received care according to this new guide, (ii) identify the level of maternal-neonatal well-being after experiencing this modality of attention, and (iii) explore professionals' perceptions (obstetricians and midwives), as well as consumers' perceptions of this humanised assistance during labour and childbirth. ⋯ efforts to provide midwife-led care and include women in participatory models of antenatal care are recommended to promote women-centred care in accordance with the Chilean national guidelines.
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the Maternal-Fetal Attachment Scale (MFAS), a 24-item self-report questionnaire to measure the antenatal maternal feeling towards the unborn baby, was introduced by Mecca Cranley in 1981. Despite the widespread use of the questionnaire in clinical and research contexts, issues exist about its psychometric properties. An analysis of the literature showed the need for studies aimed at reviewing the MFAS by eliminating some items and modifying and "modernising" others. This study started from these suggestions and aimed to investigate the psychometric properties of a modified 20-item Italian version of the scale. ⋯ the 20-item Italian version of the MFAS is a reliable measure of maternal attachment to the fetus in Italian women. Cranley׳s five dimensions were not confirmed; instead, three factors emerged that could be renamed ׳Future parental roletaking׳, ׳Present interaction with the baby׳ and ׳Giving of self and responsibility to the unborn child׳. As maternal-fetal attachment is considered a predictor of the quality of the postnatal mother-child relationship, the MFAS could be a helpful tool in pre- and perinatal research and midwifery care to develop prevention programs based on women specific needs. Moreover, the availability of this questionnaire can assist in expanding research and in facilitating trans cultural comparison in issues related to pregnancy.