Rural maternity care: Women's experience of receiving antenatal care from a ‘socially known’ midwife

2013 ◽  
Vol 26 ◽  
pp. S19 ◽  
Author(s):  
Lauren Smith ◽  
Ysanne Chapman ◽  
Maureen Miles
Keyword(s):  
Antenatal Care ◽  
Maternity Care ◽  
Women's Experience ◽  
Rural Maternity Care

scholarly journals Women’s experience and satisfaction with midwife-led maternity care: a cross-sectional survey in China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ying Liu ◽  
Tengteng Li ◽  
Nafei Guo ◽  
Hui Jiang ◽  
Yuehong Li ◽  
...  
Keyword(s):  
Family Member ◽  
Epidural Anesthesia ◽  
Maternity Care ◽  
Perineal Pain ◽  
Satisfaction Level ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
High Satisfaction ◽  
Women's Experience ◽  
First Stage Of Labor

Abstract Background Low risk pregnancy ending in a vaginal birth is best served and guided by a midwife. Utilizing a midwife in such cases offers many emotional and economic advantages and does not increase the risks for mother or neonate. However, women’s experience and satisfaction of midwife-led maternity care is rarely reported in China. The primary objective of this study is to describe the experience of Chinese women receiving midwife-led maternity care, and to report their satisfaction level of the experience. Methods The study is a cross-sectional survey of 4192 women who had natural birth from March–June 2019 in a maternity care center, Shanghai, China. We used a self-administered questionnaire addressing items related to women’s experience during childbirth, as well as their satisfaction with midwife-led maternity care. We also included demographic and perinatal characteristics of each participant. Descriptive statistics and correlations analysis between groups of different experience and satisfaction were used. Results In this sample, 87.7% of women had a Doula and a family member present during childbirth. Epidural anesthesia was used in 75.6% and episiotomy was needed in 23.2%. Free positioning during the first stage of labor and free positioning during the second stage of labor and delivery were adopted in 84.3 and 67.9% of the cases, respectively. Moderate to severe perineal pain and moderate to severe perineal edema were reported in 43.1 and 12.2% of the participants, respectively. High satisfaction level was found when there was midwife-led prenatal counseling and presence of Doula and family member, Lamaze breathing techniques, warm perineal compresses, epidural anesthesia, free positioning during the first stage of labor, and midwifes’ postpartum guidance. Negative satisfaction was seen with perineal pain and edema. Conclusion Women in this survey generally had high satisfaction with midwife-led maternity care. This satisfaction is probably felt because of the prenatal counseling by the midwife and allowing a Doula and a family member in the room during childbirth. Other intangible factors to improve the satisfaction level were Lamaze breathing techniques, warm perineal compresses, epidural anesthesia, free positioning during first stage of labor, and early skin to skin contact.

Competencies and skills for remote and rural maternity care: a review of the literature

2007 ◽  
Vol 58 (2) ◽  
pp. 105-115 ◽  
Author(s):  
Jillian Ireland ◽  
Helen Bryers ◽  
Edwin van Teijlingen ◽  
Vanora Hundley ◽  
Jane Farmer ◽  
...  
Keyword(s):  
Maternity Care ◽  
Review Of The Literature ◽  
Rural Maternity Care

Design and Development of BACIS Program

2021 ◽  
pp. 90-103
Keyword(s):  
South Africa ◽  
Information System ◽  
Maternal Health ◽  
Antenatal Care ◽  
Maternity Care ◽  
Rule Base ◽  
Domain Expert ◽  
Knowledge Engineer ◽  
Improve Compliance ◽  
Technical Architecture

The name BACIS combines the names basic antenatal care checklist and information systems. This is to highlight the fact that the BACIS program is an information system that implements the guidelines for maternity care in South Africa and the basic antenatal care checklist process. The BACIS program was conceptualised by the author and the study obstetrician as a tool that could be used at primary healthcare level to improve compliance to maternal health protocols and the BANC checklist. The author's role was that of knowledge engineer and software developer with the study obstetrician acting as the medical domain expert. This chapter presents the technical architecture of the BACIS program. This includes the technology used in creating the system's rule base, as well as the system's data model and software classes and its interface.

scholarly journals Workshop: The Danish MAMAACT trial as an example for discussing evaluation methods in complex interventions

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
Keyword(s):  
Antenatal Care ◽  
Vulnerable Populations ◽  
Infant Death ◽  
Maternity Care ◽  
Sociological Theory ◽  
Immigrant Women ◽  
Complex Interventions ◽  
Ethnic Disparities ◽  
Care Systems ◽  
The Impact

Abstract Over recent years, immigration to Europe has risen significantly. This development has led to increasing birth rates by non-Western immigrant women. Maternity care systems are not yet adapted to this increased diversity of women. In Denmark, 13 % of all children are currently born by women originating from non-Western countries. Despite a publically funded antenatal care, non-Western immigrant women have lower utilization of Danish antenatal care compared to other women giving birth. Many non-Western immigrant women have an increased prevalence of severe maternal morbidity and higher risks of maternal death, stillbirth and infant death compared to the majority populations. Poor health status at birth can impair the cognitive, sensory and motor development and lead to learning disabilities during school age, and thus reduce equality in life chances. Suboptimal care is a contributing factor to these ethnic disparities. Provision of appropriate antenatal care is pivotal to reduce these serious disparities and challenges to public health, however little is known about models of care, which can overcome these barriers. The MAMAACT intervention was developed to increase response to symptoms of pregnancy complications among maternity care providers as well as non-Western immigrant women. The intervention consisted of postgraduate training of midwives in intercultural communication and health education materials (leaflet and an app) for non-Western immigrant women describing how to respond to warning signs during pregnancy in six different languages, The intervention was implemented at 10 out of 20 Danish maternity wards as part of a national trial from the year 2018 to 2019, potentially reaching 25.000 pregnant women, including 2500 of non-Western origin. This workshop shares insight into innovative ways of providing antenatal care for non-Western immigrant women and will focus on methodological aspects of scientific evaluation of complex interventions for vulnerable populations. The workshop includes an introduction, three presentations, and a discussion with the audience. Using quantitative data, the first presentation will give an overview of ethnic disparities in stillbirth and infant death in Denmark. The second presentation will present qualitative data from the implementation evaluation of the MAMAACT intervention with a focus on the interventions program theory, methodological considerations and evaluation results. Finally, the third presentation will illuminate how the concepts of Health Literacy and cultural health capital contribute to an understanding of mechanisms leading to ethnic disparities and how they can be used for evaluating the impact of the MAMAACT intervention. The final discussion will stimulate knowledge sharing between the participants on how to combine quantitative and qualitative insights in trials, how to build partnerships and recruit vulnerable populations in evaluations, and how to use sociological theory in evaluations. Key messages Reducing ethnic disparity in reproductive health requires maternity care systems to rethink their antenatal care services so they are better equipped to support non-Western immigrant women’s needs. Sharing knowledge on the use of mixed methods, recruitment of vulnerable populations, and the use of sociological theory can contribute to future approaches to evaluate complex interventions.

scholarly journals Rationale, development and feasibility of group antenatal care for immigrant women in Sweden: a study protocol for the Hooyo Project

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e030314 ◽  
Author(s):  
Ulrika Byrskog ◽  
Malin Ahrne ◽  
Rhonda Small ◽  
Ewa Andersson ◽  
Birgitta Essen ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Maternity Care ◽  
Immigrant Women ◽  
Care Delivery ◽  
Depression Scale ◽  
Well Being ◽  
Phase Iii ◽  
Ethical Review ◽  
Study Phase ◽  
Childbearing Age

IntroductionSomali-born women comprise a large group of immigrant women of childbearing age in Sweden, with increased risks for perinatal morbidity and mortality and poor experiences of care, despite the goal of providing equitable healthcare for the entire population. Rethinking how care is provided may help to improve outcomes.Overall aimTo develop and test the acceptability, feasibility and immediate impacts of group antenatal care for Somali-born immigrant women, in an effort to improve experiences of antenatal care, knowledge about childbearing and the Swedish healthcare system, emotional well-being and ultimately, pregnancy outcomes. This protocol describes the rationale, planning and development of the study.Methods and analysisAn intervention development and feasibility study. Phase I includes needs assessment and development of contextual understanding using focus group discussions. In phase II, the intervention and evaluation tools, based on core values for quality care and person-centred care, are developed. Phase III includes the historically controlled evaluation in which relevant outcome measures are compared for women receiving individual care (2016–2018) and women receiving group antenatal care (2018–2019): care satisfaction (Migrant Friendly Maternity Care Questionnaire), emotional well-being (Edinburgh Postnatal Depression Scale), social support, childbirth fear, knowledge of Swedish maternity care, delivery outcomes. Phase IV includes the process evaluation, investigate process, feasibility and mechanisms of impact using field notes, observations, interviews and questionnaires. All phases are conducted in collaboration with a stakeholder reference group.Ethics and disseminationThe study is approved by the Regional Ethical Review Board, Stockholm, Sweden. Participants receive information about the study and their right to decline/withdraw without consequences. Consent is given prior to enrolment. Findings will be disseminated at antenatal care units, national/international conferences, through publications in peer-reviewed journals, seminars involving stakeholders, practitioners, community and via the project website. Participating women will receive a summary of results in their language.

Routine Healthcare Utilization Among Reproductive-Age Women Residing in a Rural Maternity Care Desert

2020 ◽  
Vol 46 (1) ◽  
pp. 108-116 ◽  
Author(s):  
Natalie A. DiPietro Mager ◽  
Terrell W. Zollinger ◽  
Jack E. Turman ◽  
Jianjun Zhang ◽  
Brian E. Dixon
Keyword(s):  
Healthcare Utilization ◽  
Maternity Care ◽  
Reproductive Age ◽  
Reproductive Age Women ◽  
Rural Maternity Care

scholarly journals Antenatal Care and Couples’ HIV Testing in Rural Northern Uganda: A Gender Relations Analysis

2015 ◽  
Vol 11 (4) ◽  
pp. 811-822 ◽  
Author(s):  
Sarah Rudrum ◽  
John L. Oliffe ◽  
Helen Brown
Keyword(s):  
Antenatal Care ◽  
Hiv Testing ◽  
Maternity Care ◽  
Gender Relations ◽  
Power Dynamics ◽  
Northern Uganda ◽  
Heterosexual Couples ◽  
Male Partners ◽  
Institutional Structures

HIV rates continue to increase among heterosexual couples in many countries including Uganda. This article examines approaches to antenatal care and heterosexual partners’ HIV testing in Amuru subcounty, northern Uganda, drawing on findings derived from fieldwork and interviews. The study findings reveal how institutional structures influence the uptake of HIV testing amid power dynamics, wherein many male partners refuse to be tested. Discussed are the coercive approaches to HIV testing in which couples’ participation in HIV testing is leveraged by connecting testing to future maternity care. This article advances understandings about how heterosexual gender relations at the local, regional, and global levels affect the health of women, men, and families in Amuru subcounty.

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