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Revista Da Escola de Enfermagem Da U S P 2021To verify the association of nursing mothers' self-efficacy for breastfeeding in the immediate postpartum period and six months after birth and obstetric and... (Observational Study)
Observational Study
OBJECTIVE
To verify the association of nursing mothers' self-efficacy for breastfeeding in the immediate postpartum period and six months after birth and obstetric and sociodemographic variables with the duration of exclusive breastfeeding.
METHOD
Observational, longitudinal, prospective study which followed nursing mothers from the immediate postpartum period to the sixth month postpartum in a municipality in Southern Brazil. For data collection, a questionnaire with sociodemographic and obstetric variables and the scale Breastfeeding Self-Efficacy Scale - short form - were employed in the maternity ward and six months after birth. Inferential and descriptive statistics were employed.
RESULTS
A total of 158 nursing mothers have participated. The prevalence of exclusive breastfeeding in the sixth month was 36.70%, out of which 77.34% have presented a high self-efficacy score. Sociodemographic factors had a negative impact on exclusive breastfeeding.
CONCLUSION
High levels of self-efficacy favor exclusive breastfeeding; however, such factor, in isolation, is not decisive for exclusive breastfeeding. Self-efficacy should be identified during the pre-natal period through mothers' employment and marital status data to promote preventive actions against early weaning.
Topics: Breast Feeding; Female; Humans; Mothers; Postpartum Period; Pregnancy; Prospective Studies; Self Efficacy
PubMed: 33978141
DOI: 10.1590/S1980-220X2019038303702 -
Revista Brasileira de Enfermagem 2023to analyze obstetric nurses' professional training in Minas Gerais between 1957 and 1999, according to genealogical principles.
OBJECTIVES
to analyze obstetric nurses' professional training in Minas Gerais between 1957 and 1999, according to genealogical principles.
METHODS
a qualitative interpretative study based on historical research with genealogical analysis. Data were obtained through documentary research and oral history, with six participants, and submitted to discourse analysis.
RESULTS
they recompose the genealogical path of obstetric nurses' professional training from Minas. The speeches reveal field of practice deprivation in professional training and the importance of the articulation between the Universidade Federal de Minas Gerais Nursing School and Hospital Sofia Feldman for teaching and work in obstetric nursing. It was identified that training, in the national scenario, evolved from a Escola de Enfermagem Carlos Chagas' peripheral initiative to centrality and capillarity.
FINAL CONSIDERATIONS
the unique historical trajectory of obstetric nurses' professional training in Minas Gerais, marked by ruptures, institutional articulations, conflicting games and interest, was unveiled.
Topics: Humans; Pregnancy; Female; Qualitative Research; Brazil; Obstetric Nursing; Nurses
PubMed: 37194807
DOI: 10.1590/0034-7167-2022-0459 -
Circulation Feb 2018Cardiovascular disease (CVD) risk factors are well established. However, little is known about a woman's cardiovascular response to pregnancy, which appears to be an... (Review)
Review
Cardiovascular disease (CVD) risk factors are well established. However, little is known about a woman's cardiovascular response to pregnancy, which appears to be an early marker of future maternal CVD risk. Spontaneous preterm delivery (sPTD) has been associated with a ≤3-fold increased risk of maternal CVD death later in life compared with having a term delivery. This review focuses on 3 key areas to critically assess the association of sPTD and future maternal CVD risk: (1) CVD risk factors, (2) inflammatory biomarkers of interest, and (3) specific forms of vascular dysfunction, such as endothelial function and arterial stiffness, and mechanisms by which each may be linked to sPTD. The association of sPTD with subsequent future maternal CVD risk suggests that a woman's abnormal response to pregnancy may serve as her first physiological stress test. These findings suggest that future research is needed to understand why women with sPTD may be at risk for CVD to implement effective interventions earlier in a woman's life.
Topics: Endothelium, Vascular; Female; Humans; Obstetric Labor, Premature; Pregnancy; Pregnancy Complications, Cardiovascular; Risk Factors; Vascular Stiffness
PubMed: 29459472
DOI: 10.1161/CIRCULATIONAHA.117.031403 -
SAGE Open Medicine 2023This systematic review and meta-analysis will investigate the pooled knowledge level of obstetric danger signs and related factors among African women.
OBJECTIVE
This systematic review and meta-analysis will investigate the pooled knowledge level of obstetric danger signs and related factors among African women.
DESIGN
Systematic review and meta-analysis incorporating cross-sectional, case-control, and cohort study designs.
METHODS
Studies published with full texts in English language from the beginning to the present will be searched in the PubMed/MEDLINE, Cumulative Index to Nursing & Allied Health Literature, African Journals Online, and Google Scholar databases. Checklists from the Joanna Briggs Institute will be used to assess the quality of the studies' methodology. Data extraction, critical appraisal, and screening of all retrieved articles will be conducted by two independent reviewers. Statistical analysis will be performed using the STATA-14 and Review Manager 5.3 (RevMan 5.3) software packages. A random effect will be employed to demonstrate pooled estimates of knowledge among women. For determinants of knowledge, an effect size with a 95% confidence interval will be analyzed.
PROTOCOL REGISTRATION
This systematic review and meta-analysis protocol was registered in PROSPERO with the registration ID and link as follows: CRD42022379085; CRD [email protected]://www.york.ac.uk/inst/crd.
DISCUSSION
Women who are more knowledgeable about obstetric danger signs are more likely to seek emergency care on time, closely attend antenatal care, and be better prepared for labor and any complications, which reduces both maternal and child mortality. This analysis will provide evidence of the pooled prevalence of knowledge of obstetric danger signs among African women, as well as contributing factors.
PubMed: 37275843
DOI: 10.1177/20503121231178102 -
The Journal of Perinatal Education Jan 2022The benefits of continuous labor support have been repeatedly discussed in the literature and supported by professional obstetric organizations. At the Johns Hopkins...
The benefits of continuous labor support have been repeatedly discussed in the literature and supported by professional obstetric organizations. At the Johns Hopkins University School of Nursing, students are offered the unique opportunity to learn how to be a doula. The Birth Companions program provides nursing students the opportunity to develop knowledge and skills to provide continuous labor support to women of Baltimore and surrounding areas. This faculty-led, student-run program also supports student engagement in service learning, and practice regarding leadership skills and interprofessional collaboration as a student nurse.
PubMed: 35165500
DOI: 10.1891/J-PE-D-20-00064 -
Nursing Ethics Aug 2022has published several pleas for care ethics and/or relationality as the most promising ethical foundation for midwifery philosophy and practice. In this article, we...
has published several pleas for care ethics and/or relationality as the most promising ethical foundation for midwifery philosophy and practice. In this article, we stand by these calls, contributing to them with the identification of the structural form of violence that a care ethical relational approach to reproductive care is up against: that of "maternal separation". Confronted with reproductive and obstetric violence globally, we show that a hegemonic racialized, instrumentalized, and individualized conception of pregnancy is responsible for a severance of relationalities that are essential to safe reproductive care: (1) the relation between the person and their child or reproductive capabilities; and (2) the relation between the pregnant person and their community of care. We pinpoint a separation of the maternal relation in at least two discursive domains, namely, the juridical-political and the ethical-existential. Consequently, we plea for a radical re-imagination of maternal relationality, envisioning what care ethical midwifery, including abortion care, could be.
Topics: Child; Ethics, Nursing; Female; Humans; Midwifery; Pregnancy; Violence
PubMed: 35100071
DOI: 10.1177/09697330211051000 -
Korean Journal of Women Health Nursing Dec 2019The purpose of the study was to identify to identify the nursing needs and stress levels among spouses of women hospitalized with preterm labor, and to determine factors...
PURPOSE
The purpose of the study was to identify to identify the nursing needs and stress levels among spouses of women hospitalized with preterm labor, and to determine factors influencing spousal stress.
METHODS
Data were collected from 95 spouses of hospitalized pregnant women due to preterm labor at a hospital in Gyeonggi province from June to December of 2016. The data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple linear regression.
RESULTS
The mean score of spouses' nursing needs was 3.06±0.42 and stress was 1.85±0.44 out of 4.00. The highest score of nursing needs was 3.37±0.51 in assurance and the highest score for stress was 2.26±0.72 for patient's illness and prognosis. There was a significant positive correlation between stress in spouse and nursing needs (p=.004). Stress was explained by nursing needs (β=.28) and hospitalization days (β=.21). CONCLUSIONS: The results of this study suggest that appropriate nursing interventions are required to address the nursing needs at the beginning of hospitalization and to reduce the stress among spouses of hospitalized pregnant women diagnosed with preterm labor.
PubMed: 37679915
DOI: 10.4069/kjwhn.2019.25.4.459 -
MCN. the American Journal of Maternal...Conducting simulations in the hospital setting has been challenging during the COVID-19 pandemic due to safety restrictions to minimize risk of viral transmission and...
Conducting simulations in the hospital setting has been challenging during the COVID-19 pandemic due to safety restrictions to minimize risk of viral transmission and due to perinatal health care workers, such as nurses, midwives, and obstetricians needed in direct care, with little to no time for educational activities. Our guest columnist, Dr. DiCioccio, a perinatal nursing professional development specialist, covers alternatives to in-person OB simulation that are designed to meet The Joint Commission standards for maternal safety.
Topics: COVID-19; Delivery, Obstetric; Education, Nursing, Baccalaureate; Female; Humans; Infant, Newborn; Infection Control; Maternal Health Services; Pandemics; Pregnancy; Pregnancy Complications, Infectious; SARS-CoV-2; Simulation Training; Staff Development; Students, Nursing
PubMed: 34398830
DOI: 10.1097/NMC.0000000000000744 -
Coexistence and prevalence of obstetric interventions: an analysis based on the grade of membership.BMC Pregnancy and Childbirth Sep 2021Obstetric interventions performed during delivery do not reflect improvements in obstetric care. Several practices routinely performed during childbirth, without any... (Observational Study)
Observational Study
BACKGROUND
Obstetric interventions performed during delivery do not reflect improvements in obstetric care. Several practices routinely performed during childbirth, without any scientific evidence or basis - such as Kristeller maneuver, routine episiotomy, and movement or feeding restriction - reflect a disrespectful assistance reality that, unfortunately, remains in place in Brazil. The aims of the current study are to assess the coexistence and prevalence of obstetric interventions in maternity hospitals in Belo Horizonte City, based on the Grade of Membership (GoM) method, as well as to investigate sociodemographic and obstetric factors associated with coexistence profiles generated by it.
METHODS
Observational study, based on a cross-sectional design, carried out with data deriving from the study "Nascer em Belo Horizonte: Inquérito sobre o Parto e Nascimento" (Born in Belo Horizonte: Survey on Childbirth and Birth). The herein investigated interventions comprised practices that are clearly useful and should be encouraged; practices that are clearly harmful or ineffective and should be eliminated; and practices that are inappropriately used, in contrast to the ones recommended by the World Health Organization. The analyzed interventions comprised: providing food to parturient women, allowing them to have freedom to move, use of partogram, adopting non-pharmacological methods for pain relief, enema, perineal shaving, lying patients down for delivery, Kristeller maneuver, amniotomy, oxytocin infusion, analgesia and episiotomy. The current study has used GoM to identify the coexistence of the adopted obstetric interventions. Variables such as age, schooling, skin color, primigravida, place-of-delivery financing, number of prenatal consultations, gestational age at delivery, presence of obstetric nurse at delivery time, paid work and presence of companion during delivery were taken into consideration at the time to build patients' profile.
RESULTS
Results have highlighted two antagonistic obstetric profiles, namely: profile 1 comprised parturient women who were offered diet, freedom to move, use of partogram, using non-pharmacological methods for pain relief, giving birth in lying position, patients who were not subjected to Kristeller maneuver, episiotomy or amniotomy, women did not receive oxytocin infusion, and analgesia using. Profile 2, in its turn, comprised parturient women who were not offered diet, who were not allowed to have freedom to move, as well as who did not use the partograph or who were subjected to non-pharmacological methods for pain relief. They were subjected to enema, perineal shaving, Kristeller maneuver, amniotomy and oxytocin infusion. In addition, they underwent analgesia and episiotomy. This outcome emphasizes the persistence of an obstetric care model that is not based on scientific evidence. Based on the analysis of factors that influenced the coexistence of obstetric interventions, the presence of obstetric nurses in the healthcare practice has reduced the likelihood of parturient women to belong to profile 2. In addition, childbirth events that took place in public institutions have reduced the likelihood of parturient women to belong to profile 2.
CONCLUSION(S)
Based on the analysis of factors that influenced the coexistence of obstetric interventions, financing the hospital for childbirth has increased the likelihood of parturient women to belong to profile 2. However, the likelihood of parturient women to belong to profile 2 has decreased when hospitals had an active obstetric nurse at the delivery room. The current study has contributed to discussions about obstetric interventions, as well as to improve childbirth assistance models. In addition, it has emphasized the need of developing strategies focused on adherence to, and implementation of, assistance models based on scientific evidence.
Topics: Adult; Brazil; Cross-Sectional Studies; Delivery, Obstetric; Female; Hospitals, Maternity; Humans; Labor, Obstetric; Parturition; Pregnancy
PubMed: 34503471
DOI: 10.1186/s12884-021-04092-x -
European Journal of Obstetrics &... Jan 2019Obstetric Violence refers to professional deficiencies in maternity care. Examples include non-dignified care, discrimination and abandonment of care. Obstetric violence...
OBJECTIVES
Obstetric Violence refers to professional deficiencies in maternity care. Examples include non-dignified care, discrimination and abandonment of care. Obstetric violence has been described in both low and high resource settings. The objective of this study was to assess knowledge and attitudes towards obstetric violence in a cohort of multinational obstetric nursing/midwifery staff and obstetricians at a private maternity hospital in Qatar.
STUDY DESIGN
An online survey for anonymous completion was sent to the hospital email accounts of obstetric nursing/midwifery staff and obstetricians at Sidra Medicine (n = 640). The survey incorporated a video showing a dramatized scenario of obstetric violence. The survey assessed the participant's demographics and knowledge of the term obstetric violence. The participants scored their perceptions on the behaviors in the video using a visual analogue scale. The participants were then asked to reflect on their own practice. Comparisons of the survey responses were made between both doctors and nursing/midiwfery staff members using student's -test.
RESULTS
50 obstetricians and 167 obstetric nursing/midwifery staff fully completed the survey. Fifty two percent had previously heard of the term obstetric violence, and 48% could define it correctly. 136 (63%) had witnessed obstetric violence at some point in their career. Significant differences were seen when each professional group was asked to report on the behavior of the opposite professional team as depicted in the video (p = 0.01 and p < 0.001). Doctors completing the survey were also more critical of the doctors-in-training than were the midwifery/nursing staff (p = 0.06). Obstetricians and nursing/midiwfery responders identified patient dignity, privacy and patient-centred care as the leading professional deficiencies seen in the video. Obstetricians were significantly less likely to change their perceptions of how a care team should interact with a patient compared to the obstetric nursing/midwifery group (p < 0.001).
CONCLUSIONS
This questionnaire study demonstrates that the majority of staff in this cohort were aware of obstetric violence and able to identify negative behaviours in the video and then reflect on how this impacts care they provide. Further studies are needed to identify ways in which obstetric violence can be prevented in both low resource and high resource settings.
PubMed: 31396594
DOI: 10.1016/j.eurox.2019.100007