Client Experiences of Expertise in Midwifery Care in [province], Canada

This article details the experience of two South Asian individuals with family members who had communication disorders. I provide information on intrinsic and extrinsic barriers reported by these clients in responses to a survey and during individual ethnographic interviews. These data are part of a larger study and provide empirical support of cultural and linguistic barriers that may impede timely access to and utilization of speech-language pathology (SLP) services. The purpose of this article is to shed light on barriers and facilitators that influence South Asian clients' access to SLP services. I provide and briefly analyze two case vignettes to provide readers a phenomenological perspective on client experiences. Data about barriers limiting access to SLP services were obtained via client surveys and individual interviews. These two clients' data were extracted from a larger study (Mahendra, Scullion, Hamerschlag, Cooper, & La, 2011) in which 52 racially/ethnically diverse clients participated. Survey items and interview questions were designed to elicit information about client experiences when accessing SLP services. Results reveal specific intrinsic and extrinsic barriers that affected two South Asian clients' access to SLP services and have important implications for all providers.

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The relationship betweenparityand the incident of perinealruptures on women’s physiological maternity

International Journal of Health Science and Technology ◽

10.31101/ijhst.v1i2.1106 ◽

2019 ◽

Vol 1 (2) ◽

Author(s):

Evi Rosita ◽

Siti Nurnaningrum

Keyword(s):

Public Health ◽

Health Center ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Midwifery Care ◽

Public Health Center ◽

Record Data ◽

The Relationship ◽

Very High

There are about 2.8 million incident of perineal rupture in maternal physiological labor. In 2050,it is estimated that the incidence of perineal rupture can be 6.3 million if it is not accompanied by a good midwifery care. In 2016, in Trawas, there was (89%) perineal rupture in primiparas and (57%) perineal rupture in multiparas. Perineal rupture incidences due to parity were still very high. This study aims to analyze the relationship between parity and the incidence of perineal rupture . It is quantitative studyusing a cross sectional approach, by using analysis of physiological maternity women medical record data from January to April 2017 of 130 peoplein Trawas Public Health Center, Mojokerto Regency.The dataanalysis used was Chi - Square , indicated by p value = 0,000 with ɑ = 0,05. It means that the value of p <ɑ, so H1 is accepted. It can be concluded that there is a relationship between parity and the incidence of perineal rupture on physiological maternity women in Trawas Public Health Center,Mojokerto Regency. Midwives can apply collaboration with patients and their families to have physical and psychologicalpreparation with an alternative of hypnobirthing methods.

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Women's experiences of male nursing and midwifery care: An inductive content analysis of blog posts from an open‐access parenting site

Nursing Forum ◽

10.1111/nuf.12545 ◽

2021 ◽

Author(s):

Leila Mokdad ◽

Martin Christensen

Keyword(s):

Content Analysis ◽

Open Access ◽

Midwifery Care ◽

Women’S Experiences ◽

Women's Experiences ◽

Blog Posts

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Protocol for a scoping review to identify and map in-service education and training materials for midwifery care in sub-Saharan Africa from 2000 to 2020

BMJ Open ◽

10.1136/bmjopen-2020-047118 ◽

2021 ◽

Vol 11 (3) ◽

pp. e047118

Author(s):

Joanne Welsh ◽

Mechthild M Gross ◽

Claudia Hanson ◽

Hashim Hounkpatin ◽

Ann-Beth Moller

Keyword(s):

Scoping Review ◽

Maternal Mortality Ratio ◽

Newborn Care ◽

Education And Training ◽

Sub Saharan Africa ◽

Midwifery Care ◽

Training Materials ◽

Service Training ◽

Sub Saharan ◽

And Training

IntroductionMaternal and neonatal mortality are disproportionally high in low-and middle-income countries. In 2017 the global maternal mortality ratio was estimated to be 211 per 100 000 live births. An estimated 66% of these deaths occurred in sub-Saharan Africa. Training programmes that aim to prepare providers of midwifery care vary considerably across sub-Saharan Africa in terms of length, content and quality. To overcome the shortfalls of pre-service training and support the provision of quality care, in-service training packages for providers of midwifery care have been developed and implemented in many countries in sub-Saharan Africa. We aim to identify what in-service education and training materials have been used for providers of midwifery care between 2000 and 2020 and map their content to the International Confederation of Midwives’ Essential Competencies for Midwifery Practice (ICM Competencies), and the Lancet Midwifery Series Quality Maternal and Newborn Care (QMNC) framework.Methods and analysisA search will be conducted for the years 2000–2020 in Cumulative Index of Nursing and Allied Health Literature, PubMed/MEDLINE, Social Sciences Citation Index, African Index Medicus and Google Scholar. A manual search of reference lists from identified studies and a hand search of literature from international partner organisations will be performed. Information retrieved will include study context, providers trained, focus of training and design of training. Original content of identified education and training materials will be obtained and mapped to the ICM Competencies and the Lancet Series QMNC.Ethics and disseminationA scoping review is a secondary analysis of published literature and does not require ethical approval. This scoping review will give an overview of the education and training materials used for in-service training for providers of midwifery care in sub-Saharan Africa. Mapping the content of these education and training materials to the ICM Competencies and The Lancet Series QMNC will allow us to assess their appropriateness. Findings from the review will be reflected to stakeholders involved in the design and implementation of such materials. Additionally, findings will be published in a peer-reviewed journal, and used to inform the design and content of an in-service training package for providers of midwifery care as part of the Action Leveraging Evidence to Reduce perinatal morTality and morbidity (ALERT) study, (https://alert.ki.se/) a multi-country study in Benin, Malawi, Tanzania and Uganda.Trial registration numberPACTR202006793783148; Post-results.

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Midwives’ views of changing to a Continuity of Midwifery Care (CMC) model in Scotland: A baseline survey

Women and Birth ◽

10.1016/j.wombi.2019.08.005 ◽

2020 ◽

Vol 33 (5) ◽

pp. e409-e419 ◽

Cited By ~ 2

Author(s):

Caroline J. Hollins Martin ◽

Juliet MacArthur ◽

Colin R. Martin ◽

Rhona J. McInnes

Keyword(s):

Baseline Survey ◽

Midwifery Care

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Midwives’ Experiences with and Perspectives on Online (Nutritional) Counselling and mHealth Applications for Pregnant Women; an Explorative Qualitative Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18136733 ◽

2021 ◽

Vol 18 (13) ◽

pp. 6733

Author(s):

Renate F. Wit ◽

Desiree A. Lucassen ◽

Yvette H. Beulen ◽

Janine P. M. Faessen ◽

Marina Bos-de Vos ◽

...

Keyword(s):

Pregnant Women ◽

Successful Implementation ◽

Midwifery Care ◽

Prenatal Nutrition ◽

Nutritional Counselling ◽

Primary Contact ◽

Healthy Nutrition ◽

User Friendly ◽

Depth Interviews ◽

Mhealth Apps

Prenatal nutrition is a key predictor of early-life development. However, despite mass campaigns to stimulate healthy nutrition during pregnancy, the diet of Dutch pregnant women is often suboptimal. Innovative technologies offer an opportunity to develop tailored tools, which resulted in the release of various apps on healthy nutrition during pregnancy. As midwives act as primary contact for Dutch pregnant women, the goal was to explore the experiences and perspectives of midwives on (1) nutritional counselling during pregnancy, and (2) nutritional mHealth apps to support midwifery care. Analyses of eleven in-depth interviews indicated that nutritional counselling involved the referral to websites, a brochure, and an app developed by the Dutch Nutrition Centre. Midwives were aware of the existence of other nutritional mHealth apps but felt uncertain about their trustworthiness. Nevertheless, midwives were open towards the implementation of new tools providing that these are trustworthy, accessible, user-friendly, personalised, scientifically sound, and contain easy-digestible information. Midwives stressed the need for guidelines for professionals on the implementation of new tools. Involving midwives early-on in the development of future nutritional mHealth apps may facilitate better alignment with the needs and preferences of end-users and professionals, and thus increase the likelihood of successful implementation in midwifery practice.

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A questionnaire to measure the quality of midwifery care in the postpartum period from women’s point of view: development and psychometric testing of MMAYpostpartum

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03857-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Mirjam Peters ◽

Petra Kolip ◽

Rainhild Schäfers

Keyword(s):

Factor Analysis ◽

Postpartum Period ◽

Psychometric Testing ◽

Personal Control ◽

Sample Survey ◽

Measuring Instruments ◽

Cronbach’S Alpha ◽

Midwifery Care ◽

Cronbach's Alpha

Abstract Background Home postpartum care is a major part of midwifery care in Germany. The user perspective plays an increasingly important role in the evaluation of health services, but there is a lack of valid and theoretically based measuring instruments, especially in midwifery care. The aim of this study was to develop and validate an instrument for measuring quality of midwifery care in the postpartum period from the perspective of women. Methods The following steps were taken to achieve this: (1) definition of the goals of midwifery work; (2) literature-based item development; (3) item selection based on a pre-test (n = 16); (4) item reduction and investigation of factor structure by means of explorative factor analysis (EFA; n = 133);(5) second EFA (n = 741) and confirmatory factor analysis (CFA; n = 744) based on a split representative sample survey; (6) hypothesis-based testing of correlations to sociodemographic characteristics of women and to characteristics of care. Results Measurement of Midwifery quality postpartum (MMAYpostpartum) consists of three scales with a total of 17 items which were found to have acceptable internal consistency: Personal Control (Cronbach’s alpha = .80), Trusting Relationship (Cronbach’s alpha = .87) and Orientation and Security (Cronbach’s alpha = .78). CFA verified and confirmed three factors: CFI = .928, TLI = .914, RMSEA = 0.073. Conclusion MMAYpostpartum is a predominantly valid, reliable short tool for evaluating the quality of midwifery care postpartum. It can be used to evaluate midwifery care, to compare different care models and in intervention research. It thus supports the orientation of midwives’ work towards the needs of women and their families.

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