Childbirth Experience, Risk of PTSD and Obstetric and Neonatal Outcomes According to Antenatal Classes Attendance

Antenatal classes have evolved considerably and include now a discussion of the parents' birth plan. Respecting this plan normally results in a better childbirth experience, an important protective factor of post-traumatic stress disorder following childbirth (PTSD-FC). Antenatal class attendance may thus be associated with lower PTSD-FC rates.This cross-sectional study took place at a Swiss University hospital. All primiparous women who gave birth to singleton from 2018-2020 were invited to answer self-reported questionnaires. Data for childbirth experience, symptoms of PTSD-FC, neonatal, and obstetrical outcomes were compared between women who attended (AC) or not (NAC) antenatal classes.A total of 794/2876 (27.6%) women completed the online questionnaire. Antenatal class attendance was associated with a poorer childbirth experience (p=0.03). When taking into account other significant predictors of childbirth experience, only induction of labor, use of forceps, emergency caesarean, and civil status remained in the final model of regression. Intrusion symptoms were more frequent in NAC group (M=1.63 versus M=1.11, p=0.02). Antenatal class attendance, forceps, emergency caesarean, and hospitalisation in NICU remained significant predictors of intrusions for PTSD-FC. Use of epidural, obstetrical, and neonatal outcomes were similar for AC and NAC.

Paternal breastfeeding self-efficacy and maternal breastfeeding patterns at three months postpartum.

Introduction: Evidence suggests that breastfeeding has beneficial effects on both mother and baby. Fathers' attitudes and self-efficacy are effective factors in breastfeeding. Paternal breastfeeding self-efficacy means the ability of fathers to help their spouses to breastfeed their infants, which seems to affect breastfeeding. The aim of this study was to evaluate the self-efficacy of fathers and its relationship with infant feeding patterns at three months.Methods: This descriptive correlational study was conducted in 2019 on 206 fathers during the discharge of their wife after childbirth. The inclusion criteria were having a singleton infant, birth weight of 2500-4000 g, Apgar score of 8-10, willingness to participate in the study, the parents living together, and not taking any drugs affecting breastfeeding. A demographic information questionnaire and the paternal breastfeeding self-efficacy scale were completed by the fathers; the maternal breastfeeding pattern questionnaire was also completed three months after delivery. Data were analyzed in SPSS-23 statistical software using the independent t-test, Spearman’s test, Pearson’s coefficient, the ANOVA, and the Chi-square test.Findings: The paternal breastfeeding self-efficacy score was 58.33 in this study. The paternal breastfeeding self-efficacy score of the fathers attending antenatal classes was higher than the others (P-value=0.003). There was a significant relationship between paternal cooperation in prenatal care and paternal breastfeeding self-efficacy score (P-value=0.001). There was no correlation between paternal breastfeeding self-efficacy scores and maternal breastfeeding patterns three months after delivery (P-value=0.99).Conclusion: According to the results, there was no relationship between paternal breastfeeding self-efficacy scores and maternal breastfeeding patterns three months after delivery. However, significant relationships were found between paternal breastfeeding self-efficacy score at discharge and the fathers’ cooperation in prenatal care and attendance of antenatal classes.

Peningkatan Pengetahuan Ibu Hamil melalui Pendidikan Kesehatan

This is evidenced by maternal mortality and neonates mortality always still high. One way to reduce maternal mortality and neonates mortality is by early breastfeeding initiation. Many studies say that early initiation breastfeeding has great benefits to decrease neonates mortality. The intervention of early breastfeeding initiation at Antenatal class will be helping the mother receive knowledge and skill. This research is to know the influence of health education on antenatal classes with knowledge and skills of early breastfeeding initiation at Sedau Public Health Care. This research design uses Pre-experimental with approach one group pretest-posttest. The sampling technique is by purposive sampling amounted to 30 respondents. Intervention given in this research is Health education through lectures, videos, and demonstrations. Characteristic at Sedau Public Health Center which three categories are age, last education, and occupation. Most age in Sedau Public Health Center is age 20-35 years (79,8%). Last education highest is Elementary School and High School (57%). Most occupation is Housewife (66,7%). Before bringing intervention to mean is 64,67 and after bringing, intervention is 97,33. Increased knowledge of pregnant women is 32,7. Before giving intervention means of skill is 9,83 and after giving intervention is 94,33. The increase in the average pregnant women's skill is 84.5%. There’s an influence of health education on Antenatal class with knowledge and skill of early breastfeeding initiation p value=0,00 or p-value <α = 0,05. Can use demonstration media using phantom and video media in learners.

Effect of obstacles/tips card on breastfeeding drop-off

Background Many mothers report having stopped breastfeeding sooner than they would have liked. Aim We test whether a planning card reduces breastfeeding drop-off. Method We recruited 81 women who were at least 36 weeks pregnant at antenatal classes in Lothian, Scotland. By systematic assignment, participants received no card; an obstacles/tips card, which details common breastfeeding obstacles and tips to overcome them; or an enhanced obstacles/tips card, which additionally featured an intentions prompt on its reverse side. Between 10–14 days after the due date, we measured rates of exclusive and any breastfeeding. Findings On discharge, feeding methods were similar across all three groups. At 10-14 days, drop-off was four-fold higher in the control group than in either of the two card groups (p=0.026). Conclusion The obstacles/tips cards offer potential as a means to achieve reductions in breastfeeding drop-off.

Smart Mother Classes Toward Coping Skill Ability, and Anxiety Level among Pregnant Women

Background: Antenatal education is considered standard care for pregnant women. Unfortunately, this class does not provide sufficient skills for women to cope with stress during pregnancy and delivery. In the other side, study literature claims that coping skill is truly essential for the mother to cope with and minimize the anxiety which leads to a serious risk for both mother and baby. Objective: This study aims to prove the impact of smart mother classes to improve coping skills ability and decrease anxiety levels among pregnant women. Methods: This study used a randomized pre-test post-test control group design in which the ages of pregnancies were 28-35 weeks in Semarang City Region. The mothers were randomly assigned to be members of an experiment group (n=50) and a control group (n=50). The experiment group was given smart mother classes that did perform antenatal classes and coping skills, while the control group was given standard classes, antenatal education only. The data analysis employed a dependent sample t-test and independent sample t-test. Results: There is a significant change over coping skill ability for the intervention group (p<.01), but not in the control group. Furthermore, there is also a significant change in the decrease in anxiety levels in the intervention group (p<.01). Conclusion: Smart mother classes are predominantly effective to reduce anxiety levels and enhance coping skill ability among pregnant women. Thus, pregnant women need to join smart mother classes during pregnancy. Keywords: smart mother classes; coping skill, anxiety level, antenatal classes

Increasing the exclusive breastfeeding rate in a private hospital in UAE through quality improvement initiatives

BACKGROUND: Mother’s milk is the best, and ideal method for infant feeding. We found that this practice was not being followed in our hospital. A survey was conducted in the unit with regards to breastfeeding practices which revealed that most babies who were discharged from our nursery were on formula supplements. Our goal was to improve established breastfeeding rates in the unit by increasing the number of full-term healthy babies who were discharged on exclusive Breastfeeding. METHOD: A project team was formed, and data were collected through direct observations and direct interviews with postnatal mothers. Exclusive Breastfeeding at discharge was defined as a baby being fully on breastfeed with no additional formula supplements for at least 12 hours prior to discharge. The primary outcome was to increase the percentage of babies being discharged on exclusive Breastfeeding. We used the FOCUS PDCA model to measure improvements and 8 PDCA cycles of 4 weeks duration were implemented to test the changes. RESULTS: The interventions we put in place led to a considerable nine times overall improvement in the established breastfeeding rates. Among all the interventions, the most promising results were observed during the PDCA cycles involving staff education, the introduction of antenatal classes for mothers, skin to skin contact and rooming in. CONCLUSION: Breastfeeding rates in the private sector with nursery services can be improved by reinforcing breastfeeding education for mothers in addition to training the maternal care staff, empowering them to promote and assist in breastfeeding.

Keikutsertaan dalam kelas antenatal Dapat menurunkan intensitas nyeri persalinan Kala 1 fase aktif

The antenatal classes are means of learning activity for pregnant woman, together in a group which aimed to increase their knowledge and skills. During the labor process, there are various problems that may occur in the mother, one of which is labor pain. Efforts that can be made to reduce the pain problems are through the implementation of antenatal classes. The purpose of this study was to determine the relationship of antenatal classes and the intensity of labor pain during the active phase of labor. This is an observasional analytic study with cohort design in 33 mothers who attended the antenatal classes. The sampling tehnique that used is consecutive sampling and the data were analyzed by chi-square. As the results of data analysis on the relationship between the antenatal class and the intensity of labor pain during the first stage of active phase, the value of p = 0.000. The P value < 0.05. The results of data analysis obtained that there was a relationship between the antenatal class and the intensity of the labor pain during the first stage of the active phase. Midwives are expected to be able to increase the quality of antenatal classes and can attract the interest of the community, especially pregnant woman to actively participate antenatal classes.

Impact of a Face-To-Face Versus Smartphone App Versus Combined Breastfeeding Intervention Targeting Fathers: Randomized Controlled Trial

Background Despite the recognized health and economic benefits of exclusive breastfeeding, few Australian infants are exclusively breastfed beyond 5 months of age. Social support for breastfeeding, in particular the support of an infant’s father, has been identified as a crucial element for successful breastfeeding. Objective The objective of this study was to determine the effectiveness of various father-focused breastfeeding interventions in terms of key infant feeding outcomes. Methods The study was a 4-arm, factorial, randomized controlled trial conducted in Perth, Australia. The trial arms included a control group and 3 interventions, consisting of a face-to-face father-focused antenatal breastfeeding class facilitated by a male peer facilitator; Milk Man, a breastfeeding smartphone app designed specifically for fathers; and a combination of both interventions. Expecting couples were recruited from hospital-based antenatal classes and block randomized to 1 of the 4 arms. Each partner completed surveys at recruitment and at 6 weeks and 26 weeks postpartum. Primary outcomes were duration of exclusive and any breastfeeding. Secondary outcomes included age of introduction of formula and complementary foods, maternal breastfeeding self-efficacy, and partner postpartum support. Results A total of 1426 couples were recruited from public (443/1426, 31.1%) and private (983/1426, 68.9%) hospitals. Of these, 76.6% (1092/1426) of fathers completed the baseline questionnaire, 58.6% (836/1426) completed the 6-week follow-up questionnaire, and 49.2% (702/1426) completed the 26-week follow-up questionnaire. The average age of fathers who completed the baseline questionnaire was 33.6 (SD 5.2) years; the majority were born in Australia (76.4%) and had attended university (61.8%). There were no significant differences between the control and any of the intervention groups in any of the infant feeding outcomes or level of breastfeeding self-efficacy and postpartum partner support reported by mothers. Conclusions This study did not demonstrate that any intervention was superior to another or that any intervention was inferior to the standard care delivered in routine antenatal classes. Further studies are needed to test the effectiveness of these interventions in more socioeconomically diverse populations that are likely to benefit most from additional partner supports. Trial Registration Australian New Zealand Clinical Trials Registry ACTRN12614000605695; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12614000605695 International Registered Report Identifier (IRRID) RR2-10.1186/s12884-015-0601-5

What are the experiences of black African and African Caribbean men during the transition to fatherhood?

This study aimed to explore the experiences of men from African and African Caribbean heritage on transition to fatherhood and support received. Semi-structured interviews were undertaken with eight black fathers living in the south east of England. Four themes were identified: preparation for fatherhood; experiences post birth; influences on ideas about fatherhood; and reflections on transition and suggestions for support for future fathers. While some fathers benefited from formal support, others did not attend antenatal classes and there was uncertainty around healthcare roles identified during the men's experiences post birth. Findings highlight the importance of extended family and friends in providing advice and the importance of culture in forming the identity of African fathers.