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OBSTETRICS AND GYNECOLOGY (206 journals)                  1 2 | Last

Showing 1 - 200 of 206 Journals sorted alphabetically
Acta Obstétrica e Ginecológica Portuguesa     Open Access   (Followers: 1)
Acta Obstetricia et Gynecologica Scandinavica     Hybrid Journal   (Followers: 15)
Advances in Neonatal Care     Hybrid Journal   (Followers: 47)
Advances in Reproductive Sciences     Open Access   (Followers: 2)
Advances in Sexual Medicine     Open Access   (Followers: 7)
African Journal for Infertility and Assisted Conception     Open Access   (Followers: 1)
African Journal of Midwifery and Women's Health     Full-text available via subscription   (Followers: 11)
African Journal of Reproductive Health     Open Access   (Followers: 8)
Aktuální Gynekologie a Porodnictví     Open Access   (Followers: 1)
American Journal of Obstetrics & Gynecology MFM     Hybrid Journal   (Followers: 1)
American Journal of Obstetrics and Gynecology     Hybrid Journal   (Followers: 274)
American Journal of Perinatology     Hybrid Journal   (Followers: 39)
American Journal of Perinatology Reports     Open Access   (Followers: 18)
American Journal of Reproductive Immunology     Hybrid Journal   (Followers: 6)
Andrology & Gynecology : Current Research     Hybrid Journal   (Followers: 4)
Archives of Gynecology and Obstetrics     Hybrid Journal   (Followers: 19)
Asian Pacific Journal of Reproduction     Open Access  
Australian and New Zealand Journal of Obstetrics and Gynaecology     Hybrid Journal   (Followers: 52)
Best Practice & Research Clinical Obstetrics & Gynaecology     Hybrid Journal   (Followers: 34)
Biology of Reproduction     Full-text available via subscription   (Followers: 11)
Birth     Hybrid Journal   (Followers: 39)
Birth Defects Research Part B: Developmental and Reproductive Toxicology     Hybrid Journal   (Followers: 8)
BJOG : An International Journal of Obstetrics and Gynaecology     Partially Free   (Followers: 297)
British Journal of Midwifery     Full-text available via subscription   (Followers: 89)
Case Reports in Obstetrics and Gynecology     Open Access   (Followers: 11)
Case Reports in Perinatal Medicine     Hybrid Journal   (Followers: 11)
Clínica e Investigación en Ginecología y Obstetricia     Full-text available via subscription  
Clinical Lactation     Open Access   (Followers: 22)
Clinical Medicine Insights : Reproductive Health     Open Access   (Followers: 2)
Clinical Medicine Insights : Women's Health     Open Access   (Followers: 4)
Clinical Obstetrics & Gynecology     Full-text available via subscription   (Followers: 26)
Clinics in Perinatology     Full-text available via subscription   (Followers: 25)
Contemporary OB GYN - Obstetrics-Gynecology & Women's Health     Full-text available via subscription   (Followers: 6)
Contraception     Hybrid Journal   (Followers: 20)
Contraception : X     Open Access   (Followers: 1)
Contraception and Reproductive Medicine     Open Access   (Followers: 2)
Current Obstetrics and Gynecology Reports     Hybrid Journal   (Followers: 4)
Current Opinion in Obstetrics & Gynecology     Hybrid Journal   (Followers: 13)
Current Women's Health Reviews     Hybrid Journal   (Followers: 5)
Early Human Development     Hybrid Journal   (Followers: 13)
Ecography     Hybrid Journal   (Followers: 26)
EMC - Ginecología-Obstetricia     Full-text available via subscription   (Followers: 1)
European Clinics in Obstetrics and Gynaecology     Hybrid Journal   (Followers: 5)
European Journal of Contraception & Reproductive Health Care     Hybrid Journal   (Followers: 5)
European Journal of Obstetrics & Gynecology and Reproductive Biology     Hybrid Journal   (Followers: 29)
European Journal of Obstetrics & Gynecology and Reproductive Biology : X     Open Access  
Expert Review of Obstetrics & Gynecology     Hybrid Journal   (Followers: 5)
Fertility and Sterility     Full-text available via subscription   (Followers: 79)
Fertility Research and Practice     Open Access   (Followers: 2)
Fertility Science and Research     Open Access  
Fetal and Maternal Medicine Review     Hybrid Journal   (Followers: 6)
Fetal Diagnosis and Therapy     Full-text available via subscription   (Followers: 10)
Ginekologia i Perinatologia Praktyczna     Hybrid Journal  
Ginekologia Polska     Open Access  
Global Reproductive Health     Open Access  
gynäkologie + geburtshilfe     Full-text available via subscription   (Followers: 2)
Gynäkologisch-geburtshilfliche Rundschau     Full-text available via subscription   (Followers: 1)
Gynakologische Endokrinologie     Hybrid Journal  
Gynecologic and Obstetric Investigation     Full-text available via subscription   (Followers: 5)
Gynecologic Oncology     Hybrid Journal   (Followers: 28)
Gynecologic Oncology Reports     Open Access   (Followers: 11)
Gynecologic Oncology Research and Practice     Open Access   (Followers: 1)
Gynecological Endocrinology     Hybrid Journal   (Followers: 6)
Gynecological Surgery     Open Access   (Followers: 4)
Gynécologie Obstétrique & Fertilité     Full-text available via subscription   (Followers: 1)
Gynécologie Obstétrique Fertilité & Sénologie     Hybrid Journal  
Gynecology     Open Access  
Gynecology and Minimally Invasive Therapy     Open Access  
Gynecology Obstetrics & Reproductive Medicine     Open Access   (Followers: 1)
Health Care For Women International     Hybrid Journal   (Followers: 8)
Human Reproduction     Hybrid Journal   (Followers: 76)
Human Reproduction Open     Open Access   (Followers: 1)
Human Reproduction Update     Hybrid Journal   (Followers: 19)
Hypertension in Pregnancy     Hybrid Journal   (Followers: 9)
Indian Journal of Gynecologic Oncology     Hybrid Journal  
Indonesian Journal of Obstetrics and Gynecology     Open Access  
Infectious Diseases in Obstetrics and Gynecology     Open Access   (Followers: 5)
International Journal of Anatomical Variations     Open Access  
International Journal of Childbirth     Hybrid Journal   (Followers: 8)
International Journal of Gynecological Cancer     Hybrid Journal   (Followers: 24)
International Journal of Gynecological Pathology     Hybrid Journal   (Followers: 9)
International Journal of Gynecology & Obstetrics     Hybrid Journal   (Followers: 26)
International Journal of Neonatal Screening     Open Access   (Followers: 3)
International Journal of Obstetric Anesthesia     Full-text available via subscription   (Followers: 14)
International Journal of Obstetrics, Perinatal and Neonatal Nursing     Full-text available via subscription  
International Journal of Reproduction, Contraception, Obstetrics and Gynecology     Open Access   (Followers: 14)
International Journal of Reproductive Medicine     Open Access   (Followers: 5)
International Urogynecology Journal     Hybrid Journal   (Followers: 4)
Italian Journal of Anatomy and Embryology     Open Access   (Followers: 1)
Journal de Gynécologie Obstétrique et Biologie de la Reproduction     Full-text available via subscription  
Journal für Gynäkologische Endokrinologie / Schweiz     Hybrid Journal  
Journal für Gynäkologische Endokrinologie/Österreich     Hybrid Journal  
Journal of Assisted Reproduction and Genetics     Hybrid Journal   (Followers: 6)
Journal of Basic and Clinical Reproductive Sciences     Open Access   (Followers: 1)
Journal of Breast Health     Open Access  
Journal of Clinical Gynecology and Obstetrics     Open Access   (Followers: 7)
Journal of Endometriosis and Pelvic Pain Disorders     Hybrid Journal  
Journal of Evidence-based Care     Open Access   (Followers: 8)
Journal of Family Planning and Reproductive Health Care     Hybrid Journal   (Followers: 12)
Journal of Genital System & Disorders     Hybrid Journal   (Followers: 3)
Journal of Gynecologic Surgery     Hybrid Journal   (Followers: 1)
Journal of Gynecology Obstetrics and Human Reproduction     Hybrid Journal  
Journal of Human Lactation     Hybrid Journal   (Followers: 30)
Journal of Human Reproductive Sciences (JHRS)     Open Access   (Followers: 3)
Journal of Lower Genital Tract Disease     Hybrid Journal  
Journal of Maternal and Child Health     Open Access  
Journal of Maternal-Fetal & Neonatal Medicine     Hybrid Journal   (Followers: 40)
Journal of Midwifery     Open Access   (Followers: 2)
Journal of Midwifery & Women's Health     Hybrid Journal   (Followers: 66)
Journal of Midwifery and Reproduction     Open Access   (Followers: 5)
Journal of Midwifery and Reproductive Health     Open Access   (Followers: 15)
Journal of Minimally Invasive Gynecology     Full-text available via subscription   (Followers: 12)
Journal of Neonatal-Perinatal Medicine     Hybrid Journal   (Followers: 14)
Journal of Obstetric Anaesthesia and Critical Care     Open Access   (Followers: 22)
Journal of Obstetric, Gynecologic, & Neonatal Nursing     Hybrid Journal   (Followers: 36)
Journal of Obstetrics and Gynaecology     Hybrid Journal   (Followers: 34)
Journal of Obstetrics and Gynaecology Canada     Hybrid Journal   (Followers: 1)
Journal of Obstetrics and Gynaecology Research     Hybrid Journal   (Followers: 9)
Journal of Obstetrics and Gynecology of India     Hybrid Journal   (Followers: 4)
Journal of Obstetrics and Women's Diseases     Open Access  
Journal of Pediatric and Adolescent Gynecology     Full-text available via subscription   (Followers: 3)
Journal of Perinatal Education     Hybrid Journal   (Followers: 5)
Journal of Perinatal Medicine     Hybrid Journal   (Followers: 12)
Journal of Perinatology     Hybrid Journal   (Followers: 7)
Journal of Psychosomatic Obstetrics & Gynecology     Hybrid Journal   (Followers: 2)
Journal of Reproduction and Contraception     Full-text available via subscription   (Followers: 4)
Journal of Reproductive and Infant Psychology     Hybrid Journal   (Followers: 23)
Journal of Reproductive Biotechnology and Fertility     Open Access   (Followers: 2)
Journal of Reproductive Health and Medicine     Full-text available via subscription   (Followers: 2)
Journal of Reproductive Immunology     Hybrid Journal   (Followers: 2)
Jurnal Kebidanan Midwiferia     Open Access  
Jurnal Ners     Open Access  
La Revue Sage-Femme     Full-text available via subscription  
Majalah Obstetri & Ginekologi     Open Access  
Maternal Health, Neonatology and Perinatology     Open Access   (Followers: 9)
Menopause     Hybrid Journal   (Followers: 14)
Menopause International     Hybrid Journal   (Followers: 9)
MHR: Basic science of reproductive medicine     Hybrid Journal   (Followers: 2)
Middle East Fertility Society Journal     Open Access   (Followers: 3)
Midwifery     Hybrid Journal   (Followers: 74)
Midwifery Today     Full-text available via subscription   (Followers: 15)
Nascer e Crescer : Birth and Growth Medical Journal     Open Access  
Neonatal Network - Journal of Neonatal Nursing     Hybrid Journal   (Followers: 25)
Neonatology     Full-text available via subscription   (Followers: 48)
Nepal Journal of Obstetrics and Gynaecology     Open Access   (Followers: 2)
OA Women's Health     Open Access   (Followers: 1)
Obstetric Anesthesia Digest     Full-text available via subscription   (Followers: 1)
Obstetric Medicine     Hybrid Journal   (Followers: 8)
Obstetrical & Gynecological Survey     Hybrid Journal   (Followers: 14)
Obstetrics & Gynecology     Partially Free   (Followers: 92)
Obstetrics and Gynaecology Forum     Full-text available via subscription   (Followers: 1)
Obstetrics and Gynecology Clinics of North America     Full-text available via subscription   (Followers: 21)
Obstetrics and Gynecology International     Open Access   (Followers: 7)
Obstetrics, Gynaecology & Reproductive Medicine     Full-text available via subscription   (Followers: 17)
Open Journal of Obstetrics and Gynecology     Open Access   (Followers: 5)
Paediatric and Perinatal Epidemiology     Hybrid Journal   (Followers: 9)
Perinatología y Reproducción Humana     Open Access   (Followers: 1)
Perspectives On Sexual and Reproductive Health     Hybrid Journal   (Followers: 7)
Placenta     Hybrid Journal   (Followers: 2)
Postgraduate Obstetrics & Gynecology     Full-text available via subscription   (Followers: 1)
Proceedings in Obstetrics and Gynecology     Open Access   (Followers: 4)
Progresos de Obstetricia y Ginecología     Full-text available via subscription   (Followers: 1)
Reprodução & Climatério     Open Access   (Followers: 1)
Reproduction     Full-text available via subscription   (Followers: 7)
Reproduction Fertility and Development     Hybrid Journal   (Followers: 5)
Reproductive Biology and Endocrinology     Open Access   (Followers: 4)
Reproductive BioMedicine Online     Full-text available via subscription   (Followers: 8)
Reproductive Endocrinology     Open Access   (Followers: 3)
Reproductive Health     Open Access   (Followers: 2)
Reproductive Health Matters     Open Access   (Followers: 5)
Reproductive Medicine and Biology     Open Access   (Followers: 3)
Reproductive Sciences     Hybrid Journal   (Followers: 1)
Research and Reports in Neonatology     Open Access   (Followers: 5)
Research in Obstetrics and Gynecology     Open Access   (Followers: 2)
Research Journal of Obstetrics and Gynecology     Open Access   (Followers: 5)
Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics     Open Access  
Revista Chilena de Obstetricia y Ginecologia     Open Access   (Followers: 1)
Revista Cubana de Obstetricia y Ginecología     Open Access  
Revista Internacional de Andrología     Full-text available via subscription  
Revista Peruana de Ginecología y Obstetricia     Open Access  
Revue de médecine périnatale     Hybrid Journal   (Followers: 1)
Scientific Journal of Hamadan Nursing & Midwifery Faculty     Open Access   (Followers: 1)
Seksuologia Polska     Full-text available via subscription  
Seminars in Breast Disease     Hybrid Journal   (Followers: 1)
Seminars in Perinatology     Hybrid Journal   (Followers: 21)
Seminars in Reproductive Medicine     Hybrid Journal  
Sexes     Open Access  
Siklus : Journal Research Midwifery Politeknik Tegal     Open Access   (Followers: 2)
South African Journal of Obstetrics and Gynaecology     Open Access   (Followers: 2)
Southern African Journal of Gynaecological Oncology     Open Access   (Followers: 1)
Sri Lanka Journal of Obstetrics and Gynaecology     Open Access   (Followers: 1)
Systems Biology in Reproductive Medicine     Hybrid Journal  
Taiwanese Journal of Obstetrics and Gynecology     Open Access   (Followers: 1)
Teratology Studies     Open Access  
Thai Journal of Obstetrics and Gynaecology     Open Access  
The Obstetrician & Gynaecologist     Hybrid Journal   (Followers: 7)
The Practising Midwife     Full-text available via subscription   (Followers: 7)
Trends in Urology Gynaecology & Sexual Health     Hybrid Journal   (Followers: 2)
Tropical Journal of Obstetrics and Gynaecology     Open Access   (Followers: 2)
Ultrasound in Obstetrics and Gynecology     Hybrid Journal   (Followers: 22)

        1 2 | Last

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Journal Cover
Journal Prestige (SJR): 0.953
Citation Impact (citeScore): 2
Number of Followers: 74  
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 0266-6138 - ISSN (Online) 0266-6138
Published by Elsevier Homepage  [3206 journals]
  • Women's Lived Experience of Compassionate Midwifery: human and
    • Abstract: Publication date: Available online 13 February 2020Source: MidwiferyAuthor(s): Diane Menage, Elizabeth Bailey, Mrs Susan Lees, Jane Coad, Currently atAbstractObjective: To develop an understanding of women's lived experience of compassionate midwiferyDesign: A qualitative study using the principles of Interpretive Phenomenological Analysis (IPA). Data was collected during interviews with 17 women who identified themselves as having received compassionate midwifery care.Findings: Women participant's experience of compassionate care from midwives was experienced through a sense of a midwife Being With them, Being in Relationship with them and Empowerment. Women were also aware of the way midwives were able to Balance potentially conflicting aspects of their work, in order to provide compassionate care.Two other themes which emerged through extensive analysis of the data related to how women set their experience of compassion in the context of their personal suffering and that compassion made a difference. These themes will be reported separately.Conclusion and implications for practice: The unique contribution of this study was to provide a window into the nature of women's lived experiences of compassionate midwifery and thus building, understanding around the qualities of compassionate midwifery and its impact on women. The findings are important because they challenge assumptions that compassion is ill-defined and therefore difficult to teach. On the contrary, compassionate midwifery was easily identified by women participants and had the features of an effective intervention for relieving their suffering. A dynamic model of Compassionate Midwifery in Balance has been proposed, providing a much-needed tool to inform practice, education and policy. Further research will build on this work by focussing on women in varied circumstances, environments and cultures and on understanding the lived experience of compassionate midwifery from the midwife's perspective.
  • Hypnosis-based interventions during pregnancy and childbirth and their
           impact on women's childbirth experience: A systematic review
    • Abstract: Publication date: Available online 12 February 2020Source: MidwiferyAuthor(s): CATSAROS Stephanie, WENDLAND JaquelineAbstractBackground: Hypnosis has been increasingly used in recent years in healthcare, with several applications during pregnancy, labor and birth. Yet, few studies have assessed the impact of hypnosis on women's childbirth experience.Aim: This systematic review examines the use and effects of hypnosis-based interventions during pregnancy and childbirth on women's childbirth experience.Methods: A literature search was performed on several databases (Science Direct, PsychINFO and PubMed). Published articles reporting on hypnosis-based interventions carried out during pregnancy and/or childbirth that evaluated childbirth experience were included in the review. The articles were assessed with the Mixed Methods Appraisal Tool (MMAT).Key findings: Nine articles met the inclusion criteria. The methodological value of the articles was limited for half of the studies (four studies scored 60% or less on the MMAT). Despite this methodological limitation, the results suggest a positive impact of hypnosis-based interventions on childbirth experience, in alleviating fear and pain and enhancing sense of control during labor. The hypnosis-based interventions improved women's emotional experiences and outlook towards birth, with less anxiety, increased satisfaction, fewer birth interventions, more post-natal well-being and better childbirth experience overall.Implications for practice: The findings of this review suggest that hypnosis-based interventions improve childbirth experience. Further studies should be undertaken in order to better determine and develop hypnosis-based interventions aiming at improving this experience. Such interventions could enhance several aspects of the childbirth experience by taking into account women's partners, medical and surgical history, narratives of childbirth and specific aspects of complicated pregnancies that women can go through.
  • Effect of women's intra-household bargaining power on postnatal and infant
           healthcare in rural Uganda – Results from a cross sectional survey in
           Kyenjojo District
    • Abstract: Publication date: Available online 12 February 2020Source: MidwiferyAuthor(s): Damazo T. Kadengye, Catherine Atahigwa, Pamela Kampire, Stephen Mucunguzi, Elizabeth Kemigisha, Viola N. Nyakato, Sylvia Kiwuwa-Muyingo
  • Midwifery Students’: Developing an understanding of being ‘with
           woman’, A Qualitative Study
    • Abstract: Publication date: Available online 3 February 2020Source: MidwiferyAuthor(s): Lesley Kuliukas, Zoe Bradfield, Pauline Costins, Ravani Duggan, Virginia Burns, Yvonne Hauck, Lucy LewisAbstractObjectivesTo explore and describe what student midwives, enrolled in one Western Australian (WA) university, had witnessed, learned and experienced regarding the concept of being ‘with woman’.DesignA qualitative descriptive design was chosen.SettingA university in Perth, Western Australia.ParticipantsNineteen student midwives from an undergraduate and a post graduate midwifery course.MethodsData were collected from audio-recorded interviews. Thematic analysis of interview transcripts was used to identify commonalities of perceptions and experiences of being ‘with woman’ for students. Data saturation guided when recruitment ceased and final sample size was achieved.FindingsStudent interviews revealed that when considering the concept of being ‘with woman’ students were able to give descriptors of what they interpreted the meaning of being ‘with woman’ to be. They also described factors that impacted their learning of how to be ‘with woman’. Included in their descriptors were that being ‘with woman’ enables informed choice, it creates a connection, it means the woman is at the centre of care and that it can occur in all contexts. The factors that impacted their learning of how to be ‘with woman’ were the importance of positive midwife role models, that providing continuity of care models accelerate learning, that the student role and workload can impact their perceived ability to be with woman and that they are aware it takes time to learn how to be ‘with woman’.Conclusion and ImplicationsThe art and skills of being ‘with woman’ are central to midwifery practice; students in this study were able to demonstrate understanding of the concept and also highlight factors that influence their learning of how to be ‘with woman’. Findings can inform how the phenomenon of being ‘with woman’ can be intentionally introduced into midwifery programs, with particular emphasis on positive midwifery role models, realistic student workload and recognition of the value of the Continuity of Care Experience.
  • Somali women's experiences of antenatal care: a qualitative interview
    • Abstract: Publication date: Available online 30 January 2020Source: MidwiferyAuthor(s): Renate Utne, Chloe Lindsay Antrobus-Johannessen, Vigdis Aasheim, Katrine Aaseskjær, Eline Skirnisdottir VikAbstractObjectiveTo explore Somali women's experiences of antenatal care in Norway.DesignA qualitative study based on individual semi-structured interviews conducted either face-to-face or over the phone.SettingNorway.ParticipantsEight Somali-born women living in Norway.Key findingsFour themes were generated from the analysis. From their experiences of antenatal care in Norway, the Somali women described: 1) when care was provided in a way that gained their trust, they made better use of the available health services, 2) the importance of continuity of care and of sharing commonalities with the caregiver, 3) a need for accessible information, specifically tailored to the needs of Somali women and 4) how culturally insensitive caregivers had a negative impact on the quality of care.Conclusion and implications for practiceThe Somali women in this study were grateful for the care provided, although the quality of antenatal care did not always meet their needs. This study should serve as a reminder of the importance of establishing trust between the pregnant woman and the caregiver, strengthening interpretation services and assuring tailored information is available to Somali women at an early stage. The findings further suggest that antenatal care for Somali women may be improved by offering continuity of care and improving clinical and cultural skills in clinicians. Suggestions for practice, and future research, include initiating group antenatal care especially tailored to Somali women.
  • Project 20: Midwives’ insight into continuity of care models for women
           with social risk factors: What works, for whom, in what circumstances, and
    • Abstract: Publication date: Available online 29 January 2020Source: MidwiferyAuthor(s): Hannah Rayment-Jones, Sergio A. Silverio, James Harris, Angela Harden, Jane Sandall
  • A qualitative study of a sample of women participating in an Australian
           randomised controlled trial of intrapartum fetal surveillance.
    • Abstract: Publication date: Available online 27 January 2020Source: MidwiferyAuthor(s): Madeleine Benton, Amy Salter, Bronni Simpson, Chris Wilkinson, Deborah TurnbullAbstractBackgroundThe STan Australian Randomised controlled Trial (START), the first of its kind in Australia, compares two techniques of intrapartum fetal surveillance (cardiotocographic electronic fetal monitoring (CTG) plus analysis of the ST segment of the fetal electrocardiogram (STan+CTG) with CTG alone) with the aim of reducing unnecessary obstetric intervention. It is also the first comprehensive intrapartum fetal surveillance (IFS) trial worldwide, including qualitative examination of psychosocial outcomes and cost-effectiveness. In evaluating and implementing healthcare interventions, the perspectives and experiences of individuals directly receiving them is an integral part of a comprehensive assessment. Furthermore, the added value of using qualitative research alongside randomised controlled trials (RCTs) is becoming widely acknowledged.ObjectiveThis study aimed to examine women's experiences with the type of IFS they received in the START trial.MethodsUsing a qualitative research design, a sample of thirty-two women were interviewed about their experiences with the fetal monitoring they received. Data were analysed using thematic analysis.FindingsSix themes emerged from analysis: reassurance, mobility, discomfort, perception of the Fetal Scalp Electrode (FSE), and overall positive experience.ConclusionInterestingly, it was found that women who had an FSE in the CTG alone arm of the trial reported very similar experiences to women in the STan+CTG arm of the trial. Despite STan and CTG differing clinically, from women's perspectives, the primary difference between the two techniques was the utilisation (or not) of the FSE. Women were very accepting of STan+CTG as it was perceived and experienced as a more accurate form of monitoring than CTG alone. Findings from this study have significant implications for health professionals including midwives and obstetricians and implications for standard practice and care. The study has demonstrated the importance and significance of incorporating qualitative enquiry within RCTs.
  • Why do community members believe mothers and babies dying' Behavioral
           versus situational attribution in rural northern Ghana.
    • Abstract: Publication date: Available online 27 January 2020Source: MidwiferyAuthor(s): Victoria Aboungo, Elizabeth Kaselitz, Raymond Aborigo, John Williams, Kat James, Cheryl MoyerAbstractObjectiveRates of maternal and neonatal death remain high in the Global South, especially in Sub-Saharan Africa. In addition, indicators vary significantly by geography. This study aimed to understand what communities in northern Ghana with frequent maternal and newborn deaths or near deaths (near-misses) perceive to be the causes. As part of a larger study, four communities in Ghana's Northern Region were identified as areas with high concentrations of deaths and near-misses of mothers and babies. Design: Stakeholders were interviewed using in-depth interviews (IDIs) and focus-group discussions (FGDs). Field workers conducted 12 FGDs and 12 IDIs across a total of 126 participants.SettingThis exploratory descriptive study was conducted in the East Mamprusi District in the Northern Region of Ghana, in the communities of Jawani, Nagboo, Gbangu and Wundua.ParticipantsFGDs were led by trained field workers and attended by traditional chiefs and their elders, members of women's groups, and traditional birth attendants in each of the four study communities. IDIs, or one-on-one interviews, were conducted with traditional healers who manage maternal and neonatal cases, community health nurses, and midwives.Measurements and findingsQualitative data were audio-recorded, transcribed, and thematically analyzed using the Attride-Sterling analytical framework. Discussions focused on where blame should be attributed for the negative outcomes of mothers and babies – with blame either being directed at the actions or inactions of the mothers (behavioral), or at the larger factors associated with poverty (situational) that necessitate mothers’ behavior. For example, some respondents blamed women for their poor diets, while others blamed the lack of money or household support to buy nutritious foods. Blame was rarely attributed to the fathers despite local gender norms of males being the household decision-makers with regard to spending and care-seeking.Key conclusionsThese findings contribute to a small but growing body of literature on the blaming of mothers for their own deaths and those of their newborns – a phenomenon also described in high-income countries – and is supported by blame attribution theories that explain the self-protective nature of victim-blaming.Implications for practiceThese results carry important implications for education and intervention design related to maternal and neonatal mortality, including more focused efforts at incorporating men and the larger community. More research is warranted on blame attribution for these adverse outcomes and its effects on the victims.
  • A theory of the aims and objectives of midwifery practice: A theory
    • Abstract: Publication date: Available online 25 January 2020Source: MidwiferyAuthor(s): Mirjam Peters, Petra Kolip, Rainhild SchäfersAbstractIntroduction: Every discipline has a dichotomous objective by which it recognizes whether its work has been successful (Vogd, 2011). For midwifery care, no objective has been set in this way so far. This also has implications for measuring quality, because quality of care is only measurable if objectives have been identified. This paper aims to contribute to theory formation in midwifery science by analysing existing concepts and theories and preferences of women to midwifery care to answer the question of the dichotomous objective of midwifery.Method and Findings: The method of theory synthesis (Walker & Avant, 2011) was used to analyse existing theories and concepts of midwifery care and literature-based preferences of women to midwifery care and synthesize them with regard to the objectives of midwifery care. The synthesis took place in the form of a means-end chain to extract the dichotomous target of midwifery care. In this way, the objectives of midwifery could be compared and linked from both the scientific and from women's perspective. The resulting means-end chain model of the process of midwifery describes the aims and objectives of midwifery from the point of view of women on three levels.Discussion: The hierarchical model of the process of midwifery presented here is a first attempt to illustrate the aims and objectives of midwifery practice in a means-end chain model in order to facilitate discussion on the topic and to make the quality of midwifery care measurable. Measurement is a first step towards improving quality of midwifery care and thereby improving women's reproductive capabilities.
  • Evidence and Guidelines for Trauma-Informed Doula Care
    • Abstract: Publication date: Available online 23 January 2020Source: MidwiferyAuthor(s): Elizabeth Mosley, Rhonda K. LanningAbstractObjective: Trauma and trauma-related health conditions are common during pregnancy, but there is little evidence and guidance on how doulas (trained lay birth assistants) can provide trauma-informed care. The purpose of this narrative review is to critique and synthesize the existing evidence for trauma-informed doula care and to offer guidelines for practice.Design: We conducted a narrative review of existing evidence in the peer-reviewed and grey literatures on trauma-informed care in maternity and perinatal settings including doula training curricula and community-based doula guidelines on trauma-informed doula care. Materials were analyzed for relevant data on trauma and pregnancy, evidence-based approaches for trauma-informed doula and perinatal care, and strengths/weaknesses of the evidence including research design, gaps in the evidence base, and populations included.Setting: This narrative review focuses on trauma-informed doula care in the United States, although the evidence and guidelines provided are likely applicable in other settings.Key Conclusions: To be trauma-informed, doulas must first realize the scope and impact of trauma on pregnancy including possible ways to recovery; then recognize signs and symptoms of trauma during pregnancy; be ready to respond by integrating evidence and sensitivity into all doula training and practices; and always resist re-traumatization. Trauma-informed doula care also centers on these 6 principles: safety; trustworthiness and transparency; peer support with other survivors; collaboration and mutuality; resilience, empowerment, voice, and choice; and social, cultural, and historical considerations. In practice, this includes universal trauma-informed doula care offered to all clients, trauma-targeted care that can be offered specifically to clients who are identified as trauma survivors, and connection to trauma specialist services.
  • The impact of human trafficking in relation to maternity care: A
           literature review
    • Abstract: Publication date: Available online 23 January 2020Source: MidwiferyAuthor(s): Catherine Collins, Katy SkarparisAbstractObjective: To map the relevant literature and inform future research on the issues related to and experiences of pregnancy and maternity care for women who have been trafficked.Design: A scoping review was undertaken to identify literature on the issues and experiences of pregnancy and maternity care for women who have been trafficked.Results: 45 papers were identified and six key themes were derived from the literature: the impact of trafficking on health; access to maternity care; experiences of maternity care; social factors; knowledge and experience of staff; and identification and referral.Key Conclusions: Women who have been trafficked are at risk of physical and emotional health issues that may affect maternal and fetal outcomes. Multiple barriers to care exist for women who have been trafficked, and social factors including housing, poverty and dispersal policies may impact upon both health and access to care. Healthcare staff do not feel adequately prepared to respond to the needs of this vulnerable group and no midwifery-specific guidance exists.Implications for Practice: Midwives need awareness of the complex range of health and social factors that may affect women who have been trafficked. Midwives and maternity care professionals require more specialised training to better identify, refer and support women who have been trafficked.
  • Development, Psychometric Assessment, and Predictive Validity of the
           Comprehensive Breastfeeding Knowledge Scale
    • Abstract: Publication date: Available online 22 January 2020Source: MidwiferyAuthor(s): Jennifer Abbass Dick, Amber Newport, Denise Pattison, Winnie Sun, Chris Kenaszchuk, Cindy-Lee DennisAbstractAimTo develop a breastfeeding knowledge scale that aligns with the Baby Friendly Hospital Initiative and psychometrically test it among expectant parents.BackgroundAlthough breastfeeding is recommended by all leading health authorities, rates remain suboptimal with women often not achieving their breastfeeding goals. One factor found to positively influence infant feeding behaviours is increased maternal breastfeeding knowledge. However, little research has been conducted validating the dimensions of breastfeeding knowledge to guide interventions to promote positive breastfeeding outcomes.DesignFollowing an extensive literature review, the 28-item Comprehensive Breastfeeding Knowledge Scale (CBKS) was developed and psychometrically tested.MethodA sample of 217 Canadian expectant parents (113 women and 104 coparents) was recruited and administered the CBKS with follow-up questionnaires at 4 and 12 weeks postpartum. Psychometric analyses included exploratory factor analysis, internal consistency, concurrent validity, and predictive validity.ResultsExploratory factor analysis resulted in three dimensions: (1) managing milk supply; (2) persisting through challenges; and (3) correcting misconceptions. Coefficient alpha for the total scale was 0.83 and support for concurrent validity was demonstrated through significant positive correlations with the Iowa Infant Feeding Attitude scale. Further, higher total and subscale scores in pregnancy were associated with exclusive breastfeeding at 4 and 12 weeks postpartum, providing good evidence for predictive validity.ConclusionPreliminary data suggest the CBKS is a valid and reliable measure of breastfeeding knowledge. Upon further testing, this selfreport measure may be used to (1) identify women with low breastfeeding knowledge requiring targeted support, (2) individualize health professional care with breastfeeding women, and (3) evaluate the effectiveness of breastfeeding interventions and programs.
  • Antenatal and postnatal depression - are Polish midwives really ready for
    • Abstract: Publication date: Available online 22 January 2020Source: MidwiferyAuthor(s): Chrzan-Dętkoś Magdalena, Walczak-Kozłowska TamaraAbstractObjectiveBefore January 2019, no established solutions regarding the screening, assessment, and treatment of patients suffering from perinatal depression existed in Poland. From 2019, a new standard of perinatal care has imposed the obligation to monitor the mental state of women during pregnancy and in the postpartum period on the healthcare providers (mainly on midwives). Thus, our study aimed to evaluate midwives’ knowledge about prenatal and postnatal mental health disorders in the first six months of implementing the new standard of perinatal care in Poland.DesignPolish midwives completed a survey consisting of the Test of Antenatal and Postpartum Depression Knowledge by Jones, Creedy, and Gamble (2001) and questions related to a hypothetical case study of a depressed woman named "Mary", developed by Buist and colleagues (2006). The midwives also rated their perceived knowledge and skills in assessing women’ mental health condition.SettingThe study was conducted in four Polish cities: Gdansk, Olsztyn, Szczecin, Wroclaw, and the surrounding rural areas.Participants111 Polish midwives with varied professional experience and socio-demographic characteristics participated in the study.Measurements and findingsAmong all of their professional responsibilities, the midwives self-rated their knowledge and skills in assessing the mental state of patients as the lowest ones. A subsequent objective assessment revealed their insufficient knowledge about antenatal and postnatal depression and the ways of treatment of these disorders.Key conclusionsMidwives are not properly prepared for the new tasks resulting from the Polish standard of perinatal care: specifically, for the assessment of a woman's mental state.Implications for practiceFurther trainings are required to ensure midwives’ competency and knowledge about the assessment and dealing with mental disorders of patients who experience prenatal and postpartum depression.
  • “Are you doing your pelvic floor'” An ethnographic exploration of
           the interaction between women and midwives about pelvic floor muscle
           exercises (PFME) during pregnancy
    • Abstract: Publication date: Available online 22 January 2020Source: MidwiferyAuthor(s): Rohini Terry, Rachel Jarvie, Jean Hay-Smith, Victoria Salmon, Mark Pearson, Kate Boddy, Christine MacArthur, Sarah DeanAbstractObjective: Many women experience urinary incontinence (UI) during and after pregnancy. Pelvic floor muscle exercises (PFME) can prevent and reduce the symptoms of UI. The objective of the study was to explore challenges, opportunities and concerns for women and health care professionals (HCPs), related to the implementation of PFME training for women in current antenatal care.DesignAn ethnographic study design was used. Researchers also formed and collaborated with a public advisory group consisting of seven women with recent experiences of pregnancy throughout the study.ParticipantsSeventeen midwife-patient interactions were observed in antenatal clinics. In addition, 23 midwives and 15 pregnant women were interviewed. Repeat interviews were carried out with 12 of the women postnatally. Interviews were also carried out with other HCPs; four physiotherapists, a linkworker/translator and two consultant obstetricians. Additional data sources included field notes, photographs, leaflets and clinic documents.SettingData were collected in three geographical areas of the UK spanning rural, urban and suburban areas. Data collection took place in antenatal clinics, in primary and secondary care settings, and the majority of women were interviewed in their homes.FindingsThree broad and inter-related themes of “ideological commitment”, “confidence” and “assumptions, stigma and normalisation” were identified. The challenges, opportunities and concerns regarding PFME implementation were explored within these themes.Conclusions and implications for practiceAlthough HCPs and some women knew that PFME were important, they were not prioritised and the significant benefits of doing PFME may not have been communicated by midwives or recognised by women. There was a lack of confidence amongst midwives to teach PFME and manage UI within the antenatal care pathway and amongst women to ask about PFME or UI. A perceived lack of consistent guidelines and policy at local and national levels may have impeded clear communication and prioritisation of PFME. Furthermore, assumptions made by both women and midwives, for example, women regarding UI as a normal outcome of pregnancy, or midwives’ perception that certain women were more likely to do PFME, may have exacerbated this situation. Training for midwives to help women in the antenatal period to engage in PFME could address challenges and concerns and to help prevent opportunities for women to learn about PFME from being missed.
  • Women's Experiences with Enhanced Recovery after Elective Caesarean
           Section with Next Day Discharge: A Qualitative Study.
    • Abstract: Publication date: Available online 15 January 2020Source: MidwiferyAuthor(s): Lynette Cusack, Christianna Digenis, Tim Schultz, Bronwen Klaer, Meredith HobbsAbstractBackground: A maternity service in X recently implemented an ‘Enhanced recovery after Elective Caesarean’ pathway, which includes antenatal preparation and facilitates an active role in postnatal recovery such as encouraging mobility and early cessation of fasting. The pathway includes next day discharge for women and their babies after elective caesarean section and safely transitions maternity care from hospital to home with community midwifery care. While enhanced recovery has been implemented in a number of surgical procedures to reduce hospital stay and to improve patient outcomes it has only been considered for elective caesarean sections in more recent years. Given this, enhanced recovery is not well established or researched in obstetric contexts. Furthermore, women's experiences with reduced hospital stays post-caesarean, particularly next day discharge, is limited. A qualitative explorative descriptive study of women's experiences with the pathway and the associated early transition home will help to inform clinical practice and the research evidence base.Methods: Eleven interviews were conducted with women who had experienced the pathway and next day discharge. Thematic analysis was conducted.Findings: Three major themes and twelve sub-themes emerged from the data. Major themes identified were women's general experience of an enhanced recovery pathway, their experiences following arrival at home and support at home. All women interviewed were satisfied with the pathway and home recovery. However, there are a number of aspects of care that are essential to a positive experience. This includes excellent support from social networks, healthcare staff and home midwifery care; well managed pain relief; and adequate and timely information, including reassurance that they or their baby could remain in hospital if required.Conclusion: This study takes a woman-centred perspective adding to both literature and practice.
  • Your baby is so happy, active, uncooperative: How prenatal care providers
           contribute to parents’ mental representations of the baby
    • Abstract: Publication date: Available online 14 January 2020Source: MidwiferyAuthor(s): Tova B. WalshAbstractBackgroundParents’ prenatal mental representations (i.e., thoughts and expectations) of their future child and relationship to that child have been associated with parenting and parent-child relationships after birth.ObjectiveTo explore how prenatal care providers contribute to parents’ mental representations of the baby they are expecting.MethodsRoutine prenatal ultrasounds of 33 pregnant women recruited through prenatal care were observed. Detailed notes were taken using an adaptation of the “Observation of Routine Screen Form” (Boukydis, 2006). Data collection included interaction among parents and providers relevant to the relational, rather than medical, aspect of the exam (e.g., comments on the “personality” of the fetus, speculation about how the future baby will be like and unlike parents). Principles of grounded theory informed thematic analysis of the data.FindingsProviders varied widely in their recognition of the relational aspect of prenatal ultrasound and their interactive style. Through informal interactions during ultrasounds, providers alternately inhibited, amplified, and shaped parents’ mental representations of their baby.Key conclusions and implications for practiceThe manner in which providers narrate and interpret images has implications for parents’ prenatal mental representations of the baby. Given the importance of prenatal representations for future parenting and parent-child relationships, providers should attend to and facilitate parents’ efforts to develop their own mental representations and establish feelings of connection to the baby.
  • Midwives experiences of providing midwifery care following their
           involvement in an obstetric emergency
    • Abstract: Publication date: April 2020Source: Midwifery, Volume 83Author(s): Dawn Whittaker
  • The role and outcomes of music listening for women in childbirth: An
           integrative review
    • Abstract: Publication date: Available online 7 January 2020Source: MidwiferyAuthor(s): Tríona McCaffrey, Pui Sze Cheung, Maebh Barry, Pattie Punch, Liz DoreAbstractAimTo synthesise primary research on the role and use of music listening for women in childbirth.DesignIntegrative review.MethodsWhittemore & Knafl's (2005) five-stage integrative review method was utilized to complete a systematic search of the literature. Studies were included if they were a) peer-reviewed, b) written in the English language, c) published between 1 January 1979 and 5 April 2019 and d) described the use of music listening during labour and birth. Studies were appraised for quality and methodological rigor using standardised assessment tools including the Critical Appraisal Skills Programmes (CASP) checklist for the qualitative studies and the Joanna Briggs Institute Critical Appraisal Tool for the quasi-experimental studies and randomised control trials. Data extrapolation, methodological quality assessment and Thematic Content Analysis (Braun and Clarke, 2006) were carried out.FindingsA total of 931 articles were retrieved and 24 papers were included in the review (12 randomized controlled trials, 9 quasi-experimental and 3 qualitative). The quality of the studies was moderately good overall. Two overarching themes emerged including ‘outcomes of using music in childbirth’ and, ‘music application during childbirth’. Within ‘outcomes of using music in childbirth’ four subthemes are described: ‘pain’, ‘anxiety’, ‘psychological supports’ and ‘progression of labour’. Within ‘music application during childbirth’ four themes are presented: ‘timing of the music application’, ‘type of music’, ‘birth preparation using music’ and ‘mode of music listening’.Conclusion and implications for practiceThe findings indicate that music listening has a significant role to play for women in childbirth. This non-pharmacological intervention can reduce pain and anxiety while offering a multifaceted form of psychological support to alleviate stress and promote an increased sense of control in women during labour. However, further awareness is needed around the idiosyncratic nature of the music listening experience.
  • Women's information needs, decision-making and experiences of membrane
           sweeping to promote spontaneous labour
    • Abstract: Publication date: Available online 3 January 2020Source: MidwiferyAuthor(s): Julie Roberts, Kerry Evans, Helen Spiby, Catrin Evans, Phoebe Pallotti, Jeanette EldridgeABSTRACTObjectiveTo explore and synthesise evidence of women's information needs, decision-making and experiences of membrane sweeping to promote spontaneous labour.DesignA systematic review following the Joanna Briggs Institute (JBI) meta-aggregative approach to qualitative evidence synthesis. Relevant databases were searched for literature published in English between 2000-2019. Study quality was assessed using the JBI quality assessment tool for qualitative studies.SettingQualitative research conducted in OECD countries describing women's information needs, decision-making and/or experiences of membrane sweeping to promote spontaneous labour.FindingsOne article met the criteria for inclusion. This article describes the experience of a membrane sweep given without consent.Key conclusions and Implications for practiceThere is a lack of evidence around women's information needs, decision-making and experiences of membrane sweeping. This is concerning, especially in the context of rising rates of formal induction of labour. Further research is needed to investigate how women are being offered membrane sweeping and what information women need to make informed choices about membrane sweeping to promote spontaneous labour.
  • Evaluation of women's worries in different strategies for the prevention
           of early onset group B streptococcal disease in neonates
    • Abstract: Publication date: Available online 28 December 2019Source: MidwiferyAuthor(s): Diny G.E. Kolkman, Linda Martin, Suze Jans, Maurice G.A.J. Wouters, Paula van Dommelen, Margot A.H. Fleuren, Christianne J.M. de Groot, Marlies E.B. RijndersAbstractObjective: Early onset group B streptococcal (EOGBS) disease is an important cause of neonatal morbidity and mortality. EOGBS preventive strategies aim to reduce the risk of neonatal complications. Two new strategies to prevent EOGBS were implemented in two regions in the Netherlands: a risk-based and a combination strategy and were compared to the Dutch strategy in a third region. Little is known how women feel about preventive EOGBS strategies, the consequences for management during labour, side effects such as harm caused by over prescribing of antibiotics or anxiety caused by screening. Women's worries in pregnancy overall and on women's worries related to GBS regarding the different strategies were explored.Methods: Design - Setting - Participants - Interventions (if appropriate) - Before implementation of the two new strategies, all three regions worked according to the Dutch strategy. Women completed the Cambridge worry scale and a newly developed worry scale aimed to detect GBS related worries at 35 weeks of pregnancy before (T0) and after (T1) implementation of new strategies. Analyses were performed to test whether women's overall worries in pregnancy and their GBS related worries differed between the three strategies.Measurements and findings: In total 1369 women participated, 519 before implementation (T0) and 850 during implementation (T1) of EOGBS preventive strategies. Mean overall worries in pregnancy and GBS related worries were low during the whole study period in all three regions. No differences were found in total mean GBS related worries between the three strategies during implementation (T1). When looking at the combined 10% highest CWS and/or GBS related worries during implementation the adjOR were 1.94 (95% CI 1.21-3.12) for the combination strategy, 2.09 (95% CI 1.42–3.08 for primiparity and 6.37 (95% CI 2.98–13.60) for having a different country of origin.Key conclusions: Overall women had minor GBS related worries in all EOGBS preventive strategies. Implementation of the combination strategy, primiparity and having a different country of origin are associated with the highest levels of overall worries in pregnancy and GBS related worries.Implications for practice: The low level of women's worries combined with limited effects and cost effectiveness of the three strategies suggests that the strategy with the least costs and lowest antibiotic use should be implemented. A more tailored approach seems needed to address the specific needs of primiparous women and of women from different countries of origin when implementing the combination strategy.
  • Dimensions in women's experience of the perinatal period
    • Abstract: Publication date: Available online 10 December 2019Source: MidwiferyAuthor(s): Maaike Vogels-Broeke, Raymond de Vries, Marianne NieuwenhuijzeAbstractA positive experience of the perinatal period is significant for women in midwifery care. The literature on women's experiences of the care in this period is extensive. However, a clear overview of the dimensions important for women's experiences is lacking. Consequently, care providers and researchers may ignore aspects significant to women's experience. In this short communication, we present a framework identifying the dimensions relevant for women's experiences of the perinatal period.
  • First-time mothers’ experiences of preparing for childbirth at
           advanced maternal age
    • Abstract: Publication date: Available online 19 October 2019Source: MidwiferyAuthor(s): Jennifer Nottingham-Jones, Dr Janette Graetz Simmonds, Dr Tristan Leslie SnellAbstractObjectiveTo explore the lived experiences of preparing for childbirth for nulliparous women aged 35–44 and determine how mature first-time mothers’ can be better supported regarding childbirth preparation.DesignThe research study comprised a cross-sectional qualitative design utilising Interpretative Phenomenological Analysis to provide a deep exploration into the experience of mature age women.SettingParticipants resided in South Australia and Victoria, Australia, in regional, suburban and inner-city locations.ParticipantsFourteen nulliparous women aged 35–44 were recruited in their third trimester of pregnancy using purposeful sampling.MethodData were collected by conducting in-depth semi-structured interviews during 28-36 weeks of pregnancy. Data were transcribed and analysed using Interpretative Phenomenological Analysis to identify themes of mature first-time mothers’ preparations for childbirth.FindingsThe super ordinate theme “Building confidence for childbirth” describes mature first-time mothers’ experience of preparing for childbirth. This process appears to influence women's information seeking behaviour, expectations of healthcare providers, and reflections on birth planning.ConclusionsParticipants sought various support and interactions with healthcare providers, both helpful and unhelpful, with nulliparous women of advanced maternal age undertaking various preparations with the intention of a positive childbirth experience. Participants were seeking support from friends, along with conducting their own independent research and activities.Implications for practiceIt is evident that more and more women in developed countries are delaying having children into their late thirties and over, and these women report various levels of support from health practitioners. Healthcare professionals have the potential to foster more trustful relationships and empowering interactions with women, provide various resources regarding childbirth preparation, and sensitive birth planning assistance that supports women's agency along with managing risk. Guidelines based on this and other research in managing the antenatal care of women of advanced maternal age would ensure consistency, particularly in terms of risk management and childbirth.
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