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Holian, John, M. Joan Mallick, and Carolyn M. Zaremba. "Maternity and Infant Care, Race and Birth Outcomes." Journal of Health & Social Policy 18, no. 4 (August 28, 2004): 1–11. http://dx.doi.org/10.1300/j045v18n04_01.
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Lavariega, Juan C., Gustavo A. Córdova, Lorena G. Gómez, and Alfonso Avila. "Monitoring and Assisting Maternity-Infant Care in Rural Areas (MAMICare)." International Journal of Healthcare Information Systems and Informatics 9, no. 4 (October 2014): 32–43. http://dx.doi.org/10.4018/ijhisi.2014100103.
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Presented is the project called MAMICare, which is motivated by the alarming number of maternity and infant deaths in rural areas due mainly to a poor monitoring of pregnancy progress and lack of appropriate alerting mechanism in case of abnormal gestation evolution. This work proposes an information technology solution based on mobile devices, and health sensors such as ECG (electrocardiogram), stethoscope, pulse-oximeter, and blood-glucose meter to collect automatically relevant health data for a better monitoring of pregnant women. This article addresses the status of the maternity infant death problem especially in rural areas of Mexico. It reviews some applications of IT in health systems (known also as Electronic Health or simply e-Health) and discusses how these are related to the presented proposal and how they differ. The article presents the proposed solution and discuss the current status of the work.
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Kouri, P. "The implementation of security in distributed infant and maternity care." International Journal of Medical Informatics 60, no. 2 (November 1, 2000): 211–18. http://dx.doi.org/10.1016/s1386-5056(00)00122-2.
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Reece, E. A., G. Lequizamon, J. Silva, V. Whiteman, and D. Smith. "Intensive interventional maternity care reduces infant morbidity and hospital costs." Journal of Maternal-Fetal & Neonatal Medicine 11, no. 3 (January 2002): 204–10. http://dx.doi.org/10.1080/jmf.11.3.204.210.
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Sandall, Jane. "Birthplace in England Research—Implications of New Evidence." Journal of Perinatal Education 22, no. 2 (2013): 77–82. http://dx.doi.org/10.1891/1058-1243.22.2.77.
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This article discusses the implications of new evidence from recently published research on maternity services across England. The Birthplace in England Research Programme was commissioned in 2007 to address key gaps in the evidence and inform those who plan, deliver, and use maternity services. These included the pattern of current services and availability of different models of care; the ways in which maternal and infant outcomes differ between settings; their comparative cost-effectiveness; and the organizational features of maternity care systems that might affect the quality and safety of care.
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Bhattarai, Saraswoti Kumari Gautam, and Kanchan Gautam. "Quality of Maternity Care and Client Satisfaction." Journal of Karnali Academy of Health Sciences 2, no. 1 (June 11, 2019): 73–76. http://dx.doi.org/10.3126/jkahs.v2i1.24419.
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Health service provided to pregnant women during antenatal, childbirth and postnatal period is essential for maternal and child health. Proper care during pregnancy, childbirth and postnatal period are important for the health of mother and baby. High maternal, infant and child morbidity and mortality demand improved healthcare which does not concern to coverage of health services alone. The health issues of pregnant women, mothers, infants and children need to be addressed with the attention to the quality of care (QoC). The Nepal Health Sector Strategy (NHSS) also identifies equity and quality of care gaps as areas of concern for achieving the maternal health sustainable development goal (SDG) target. So this review aims to sensitize and draw attention to the quality of maternity care and client satisfaction to improve maternal and child health. For this article, different studies related to the quality of maternity care and satisfaction from care service received on maternity care are reviewed.
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Ford, Jane B., Jason P. Bentley, Jonathan M. Morris, and Christine L. Roberts. "Factors associated with changes into public or private maternity care for a second pregnancy." Australian Health Review 37, no. 4 (2013): 495. http://dx.doi.org/10.1071/ah12017.
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Objective The aim of this study was to determine whether outcomes in a first pregnancy were associated with changes into and out of public maternity care. Methods The study population included 155492 women with first and second sequential singleton births, 2000–09 in New South Wales. Analyses were stratified by whether obstetric care for the first birth involved private or public maternity care. Interventions, infant and maternal outcomes were assessed as predictors of a change in care. Adjusted odds ratios for changing care were obtained from logistic regression using backwards elimination. Results Similar proportions of women changed from private to public care between first and second births (9.6% compared with 9.4% public to private, P-value = 0.10). Although interventions (operative delivery, epidural) and outcomes (low Apgar, preterm birth, perinatal death, postpartum haemorrhage, perineal tear and severe maternal morbidity) were all associated with changes from public to private care, only poor infant condition (adjusted odds ratio 1.39, 95% confidence interval 1.15–1.68) was associated with a change from private to public care. Conclusions The majority of women had consistent care type for both births. This may indicate that women are generally satisfied with care, they rationalise that their first birth care was optimal or they value continuity of carer across pregnancies. What is known about the topic? There is some evidence to suggest that interventions and outcomes of one pregnancy are associated with changes in type of delivery, timing of delivery and outcomes of subsequent births. What does this paper add? Obstetric interventions and adverse maternal and infant outcomes were associated with changing maternity care sector and influenced whether or not women remained with the same care provider. What are the implications for practitioners? Continuity of carer may be important to women in choosing their subsequent pregnancy maternity care sector. Most women do not change provider, but first-birth experiences appear to influence those who do change.
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Kahin, Sahra A., Meghan McGurk, Heidi Hansen-Smith, Margaret West, Ruowei Li, and Carolyn Lopez Melcher. "Key Program Findings and Insights From the Baby-Friendly Hawaii Project." Journal of Human Lactation 33, no. 2 (January 30, 2017): 409–14. http://dx.doi.org/10.1177/0890334416683675.
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Background: Breastfeeding is the optimal method for infant feeding. In the United States, 81.1% of mothers initiate breastfeeding; however, only 44.4% and 22.3% of mothers are exclusively breastfeeding at 3 and 6 months, respectively. Research aim: The Centers for Disease Control and Prevention provides guidance and funding to state health departments to support strategies to improve breastfeeding policies and practices in the hospital, community, and worksite settings. In 2010, the Hawaii State Department of Health received support from the Centers for Disease Control and Prevention to launch the Baby-Friendly Hawaii Project (BFHP) to increase the number of Hawaii hospitals that provide maternity care consistent with the Ten Steps to Successful Breastfeeding and increase the rate of women who remain exclusively breastfeeding throughout their hospital stay. Methods: For this article, we examined the BFHP’s final evaluation report and Hawaii breastfeeding and maternity care data to identify the role of the BFHP in facilitating improvements in maternity care practices and breastfeeding rates. Results: Since 2010, 52 hospital site visits, 58 trainings, and ongoing technical assistance were administered, and more than 750 staff and health professionals from BFHP hospitals were trained. Hawaii’s overall quality composite Maternity Practices in Infant Nutrition and Care score increased from 65 (out of 100) in 2009 to 76 in 2011 and 80 in 2013, and Newborn Screening Data showed an increase in statewide exclusive breastfeeding from 59.7% in 2009 to 77.0% in 2014. Conclusion: Implementation and findings from the BFHP can inform future planning at the state and federal levels on maternity care practices that can improve breastfeeding.
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Grossniklaus, Daurice A., Cria G. Perrine, Carol MacGowan, Kelley S. Scanlon, Katherine R. Shealy, Paulette Murphy, Marianne E. McPherson, Charles J. Homer, and Laurence M. Grummer-Strawn. "Participation in a Quality Improvement Collaborative and Change in Maternity Care Practices." Journal of Perinatal Education 26, no. 3 (2017): 136–43. http://dx.doi.org/10.1891/1058-1243.26.3.136.
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ABSTRACTCare immediately following birth affects breastfeeding outcomes. This analysis compared improvement in maternity care practices from 2011 to 2013 among hospitals participating in a quality improvement collaborative, Best Fed Beginnings (BFB), to hospitals that applied but were not selected (non–Best Fed Beginnings [non-BFB]), and other hospitals, using Centers of Disease Control and Prevention’s Maternity Practices in Infant Nutrition and Care (mPINC) survey data to calculate total and subscores for 7 care domains. Analysis of covariance compared change in scores from 2011 to 2013 among BFB, non-BFB, and other hospitals. BFB hospitals had twice the increase in mPINC score compared to non-BFB and a 3-fold increase compared to other hospitals. Learning collaborative participation may have accelerated progress in hospitals implementing breastfeeding-supportive maternity care.
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Miller, C. Arden. "Maternal and Infant Care: Comparisons between Western Europe and the United States." International Journal of Health Services 23, no. 4 (October 1993): 655–64. http://dx.doi.org/10.2190/rr4g-ntb1-l229-fvhg.
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A series of studies between 1986 and 1990 gathered data on maternal and infant care in ten Western European countries with lower infant mortality rates than the United States and compared the findings both within the European countries and in aggregate with the United States. Results from these studies reveal great variation among the study countries in how perinatal care is financed, staffed by professional and nonprofessional health workers, and provided by public clinics or private offices, and in the number of and locale of the recommended number of prenatal visits. Invariably consistent among the study countries is the nearly complete enrollment of childbearing women in early and continuous prenatal care, and the strong linkage of that care to a generous spectrum of social supports and financial benefits. None of the benefits generally pertains in the United States. The relevance of these observations for the United States suggests that current policies intended to lower economic barriers to a highly medicalized version of maternity care may yield disappointing results unless the perinatal sequence is linked to a more generous set of maternity-related social supports and financial benefits than is now contemplated.
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Weiland, Morgan, Paula Santana, Claudia Costa, Julia Doetsch, and Eva Pilot. "Spatial Access Matters: An Analysis of Policy Change and Its Effects on Avoidable Infant Mortality in Portugal." International Journal of Environmental Research and Public Health 18, no. 3 (January 30, 2021): 1242. http://dx.doi.org/10.3390/ijerph18031242.
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In 2006, a policy reform restructured the maternal and perinatal healthcare system, including closing smaller maternity units, to further improve care in Portugal. This study aimed to investigate the effects of the 2006 National Program of Maternal and Neonatal Health policy on spatial inequalities in access to care and consequently avoidable infant mortality. A thematic analysis of qualitative data including interviews and surveys and a quantitative spatial analysis using Geographic Information Systems was applied. Spatial inequalities were found which may lead to avoidable infant mortality. Inequalities exist in freedom of choice and autonomy in care, within a medicalized system. Changes in approach to and organization of care would further enhance equitable spatial access to care in maternal health and reduce avoidable infant mortality.
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de Wolff, Mie G., Julie Midtgaard, Marianne Johansen, Ane L. Rom, Susanne Rosthøj, Ann Tabor, and Hanne K. Hegaard. "Effects of a Midwife-Coordinated Maternity Care Intervention (ChroPreg) vs. Standard Care in Pregnant Women with Chronic Medical Conditions: Results from a Randomized Controlled Trial." International Journal of Environmental Research and Public Health 18, no. 15 (July 25, 2021): 7875. http://dx.doi.org/10.3390/ijerph18157875.
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The proportion of childbearing women with pre-existing chronic medical conditions (CMC) is rising. In a randomized controlled trial, we aimed to evaluate the effects of a midwife-coordinated maternity care intervention (ChroPreg) in pregnant women with CMC. The intervention consisted of three main components: (1) Midwife-coordinated and individualized care, (2) Additional ante-and postpartum consultations, and (3) Specialized known midwives. The primary outcome was the total length of hospital stay (LOS). Secondary outcomes were patient-reported outcomes measuring psychological well-being and satisfaction with maternity care, health utilization, and maternal and infant outcomes. A total of 362 women were randomized to the ChroPreg intervention (n = 131) or Standard Care (n = 131). No differences in LOS were found between groups (median 3.0 days, ChroPreg group 0.1% lower LOS, 95% CI −7.8 to 7%, p = 0.97). Women in the ChroPreg group reported being more satisfied with maternity care measured by the Pregnancy and Childbirth Questionnaire (PCQ) compared with the Standard Care group (mean PCQ 104.5 vs. 98.2, mean difference 6.3, 95% CI 3.0–10.0, p < 0.0001). In conclusion, the ChroPreg intervention did not reduce LOS. However, women in the ChroPreg group were more satisfied with maternity care.
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Smith, Valerie, Kumaresan Cithambaram, and Deirdre O'Malley. "Early warning systems in maternity care: protocol for a qualitative evidence synthesis of maternity care providers’ views and experiences." HRB Open Research 4 (May 27, 2021): 59. http://dx.doi.org/10.12688/hrbopenres.13270.1.
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Background: Early warning systems (EWS) have been widely adopted for use in maternity settings internationally. The idea in using these systems is early recognition of potential or actual clinical deterioration in pregnant or postpartum women, and escalation of care. Barriers to successful implementation and use of EWS, however, have been identified. If EWS are to be applied consistently, a greater understanding of the views and experiences of EWS from the perspectives of those using and applying EWS in maternity practice is needed. This protocol describes a qualitative evidence synthesis of maternity care providers’ (midwives, obstetricians, and allied maternity care professionals) views and experiences of EWS use and application in practice. Methods: Studies will be included in the review if they report on maternity care providers use and application of EWS in any birth setting. Qualitative studies and studies of mixed methods design, where qualitative data can be extracted separately, will be included. To source relevant literature the electronic databases of MEDLINE, CINHAL, Web of Science Core Collection (incorporating Social Science Citation Index) and Maternity and Infant Care (MIDIRS), from date of inception, will be searched. The methodological quality of the included studies will be appraised using the 12-criteria of the assessment tool developed by the Evidence for Policy and Practice Information and Co-ordinating Centre. Thematic synthesis will be used for synthesising the qualitative data from included studies. The confidence in the findings will be assessed using the Grading of Recommendations Assessment, Development and Evaluation-Confidence in the Evidence from Reviews of Qualitative research. Conclusions: The findings of this qualitative evidence synthesis may provide valuable information on the barriers, challenges, and facilitators for EWS use based on the experiences of those directly involved in EWS application in maternity care provision. PROSPERO registration: CRD42021235137 (08/04/2021)
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Nelson, Jennifer M., Cria G. Perrine, David S. Freedman, Letitia Williams, Brian Morrow, Ruben A. Smith, and Deborah L. Dee. "Infant feeding-related maternity care practices and maternal report of breastfeeding outcomes." Birth 45, no. 4 (February 7, 2018): 424–31. http://dx.doi.org/10.1111/birt.12337.
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Alshangiti, Fatma, and Roa Altaweli. "Conceptual Framework for Implementing the Saudi Childbirth Initiative." International Journal of Childbirth 11, no. 2 (April 16, 2021): 58–64. http://dx.doi.org/10.1891/ijcbirth-d-20-00045.
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There are many efforts internationally to achieve safe and respectful Mother-Baby–Family maternity care. This article is the first to provide a conceptual framework for implementing the Saudi Childbirth Initiative (SCI) in all health institutions in Saudi Arabia. It introduces the 10 Steps of the SCI to strategically achieve a safe and respectful Mother-Baby–Family maternity care in order to improve maternal and infant outcome and implement evidence-based maternity care in Saudi Arabia. The SCI is developed upon previous initiatives and integrates and supports much of the current work being carried out by many organizations. The aim of the SCI's 10 Steps is to improve care throughout the childbearing continuum, to save lives, prevent illness and harm from the overuse of obstetric technologies, and promote health for mothers and babies and to provide clear guidelines for providing optimal maternity care. Safe and respectful Mother-Baby–Family Maternity Care is measurable and for each of the 10 Steps, there is an associated assessment tool to ensure these guidelines are being established by health institutions. SCI envisions that successful implementation of the 10 Steps can be measured and monitored using the a combination of statistical information and key performance indicators (KPIs) to measure maternal mortality and morbidity outcomes (currently in development) using local assessors.
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Rimes, Karina Abibi, Maria Inês Couto de Oliveira, and Cristiano Siqueira Boccolini. "Maternity leave and exclusive breastfeeding." Revista de Saúde Pública 53 (January 30, 2019): 10. http://dx.doi.org/10.11606/s1518-8787.2019053000244.
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OBJECTIVE: To analyze the association between maternity leave and exclusive breastfeeding and to estimate the prevalence of exclusive breastfeeding in children under six months of life. METHODS: Cross-sectional study, with mothers of children under six months of life, attended in primary health care units with Breast Milk Collection Services in the municipality of Rio de Janeiro, Brazil, in 2013 (n = 429). We analyzed characteristics concerning: maternal sociodemographic aspects, household, prenatal care, childbirth, maternal lifestyle, the child, health care, and infant feeding. Adjusted prevalence ratios (APR) were obtained by Poisson regression with robust variance according to hierarchical approach, and we kept in the final model variables that were associated (p ≤ 0.05) with exclusive breastfeeding (outcome). RESULTS: Among the interviewed mothers, 23.1% were on maternity leave and 17.2% were working. The prevalence of exclusive breastfeeding was 50.1%. The maternal work with maternity leave was associated with higher prevalence of the outcome (APR = 1.91; 95%CI 1.32–2.78), compared with mothers who worked without maternity leave. CONCLUSIONS: Maternity leave has contributed to the practice of exclusive breastfeeding for children under six months of life, which indicates the importance of this benefit in protecting exclusive breastfeeding for women inserted in the formal labor market.
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Janse van Rensburg, Liska, Riette Nel, and Corinna M. Walsh. "Knowledge, opinions and practices of healthcare workers related to infant feeding in the context of HIV." Health SA Gesondheid 21 (October 11, 2016): 129–36. http://dx.doi.org/10.4102/hsag.v21i0.943.
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Background: The importance of healthcare workers' guidance for women infected with human immunodeficiency virus (HIV) regarding infant feeding practices cannot be overemphasised.Objective: To determine the knowledge, opinions and practices of healthcare workers in maternity wards in a regional hospital in Bloemfontein, Free State Province, South Africa, regarding infant feeding in the context of HIV.Methods: For this descriptive cross-sectional study, all the healthcare workers in the maternity wards of Pelonomi Regional Hospital who voluntarily gave their consent during the scheduled meetings (n = 64), were enrolled and handed over the self-administered questionnaires.Results: Only 14% of the respondents considered themselves to be experts in HIV and infant feeding. Approximately 97% felt that breastfeeding was an excellent feeding choice provided proper guidelines were followed. However, 10% indicated that formula feeding is the safest feeding option. 45% stated that heat-treated breast milk is a good infant feeding option; however, 29% considered it a good infant feeding option but it requires too much work. Only 6% could comprehensively explain the term “exclusive breastfeeding” as per World Health Organisation (WHO) definition. Confusion existed regarding the period for which an infant could be breastfed according to the newest WHO guidelines, with only 26% providing the correct answer. Twenty per cent reported that no risk exists for HIV transmission via breastfeeding if all the necessary guidelines are followed.Conclusion: Healthcare workers' knowledge did not conform favourably with the current WHO guidelines. These healthcare workers were actively involved in the care of patients in the maternity wards where HIV-infected mothers regularly seek counselling on infant feeding matters.
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Friedman, Susan Hatters, and Phillip J. Resnick. "Postpartum Depression: An Update." Women's Health 5, no. 3 (May 2009): 287–95. http://dx.doi.org/10.2217/whe.09.3.
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Postpartum depression occurs in at least one in seven new mothers, usually within the first 6 months after delivery. By the time of onset of postpartum depression, the mother has usually long since been discharged from the maternity hospital. Early identification and treatment of these mothers reduces both maternal and infant suffering. Careful risk–benefit decision-making regarding various treatment options in the postpartum should be discussed with the mother. Risks of untreated depression include poor bonding with the infant, lack of self care, infant neglect and infanticide.
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Buckley, Sarah J. "Executive Summary of Hormonal Physiology of Childbearing: Evidence and Implications for Women, Babies, and Maternity Care." Journal of Perinatal Education 24, no. 3 (2015): 145–53. http://dx.doi.org/10.1891/1058-1243.24.3.145.
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ABSTRACTThis report synthesizes evidence about innate hormonally mediated physiologic processes in women and fetuses/newborns during childbearing, and possible impacts of common maternity care practices and interventions on these processes, focusing on four hormone systems that are consequential for childbearing. Core hormonal physiology principles reveal profound interconnections between mothers and babies, among hormone systems, and from pregnancy through to the postpartum and newborn periods. Overall, consistent and coherent evidence from physiologic understandings and human and animal studies finds that the innate hormonal physiology of childbearing has significant benefits for mothers and babies. Such hormonally-mediated benefits may extend into the future through optimization of breastfeeding and maternal-infant attachment. A growing body of research finds that common maternity care interventions may disturb hormonal processes, reduce their benefits, and create new challenges. Developmental and epigenetic effects are biologically plausible but poorly studied. The perspective of hormonal physiology adds new considerations for benefit-harm assessments in maternity care, and suggests new research priorities, including consistently measuring crucial hormonally mediated outcomes that are frequently overlooked. Current understanding suggests that safely avoiding unneeded maternity care interventions would be wise, as supported by the Precautionary Principle. Promoting, supporting, and protecting physiologic childbearing, as far as safely possible in each situation, is a low-technology health and wellness approach to the care of childbearing women and their fetuses/newborns that is applicable in almost all maternity care settings.
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Power, C., C. Williams, and A. Brown. "Does childbirth experience affect infant behaviour? Exploring the perceptions of maternity care providers." Midwifery 78 (November 2019): 131–39. http://dx.doi.org/10.1016/j.midw.2019.07.021.
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Drever-Smith, Cassia, Fiona Bogossian, and Karen New. "Co-Sleeping and Bed Sharing in Postnatal Maternity Units." International Journal of Childbirth 3, no. 1 (2013): 13–27. http://dx.doi.org/10.1891/2156-5287.3.1.13.
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BACKGROUND: This 2-part article reviews the primary research on co-sleeping and bed sharing in maternity units and critiques clinical practice guidelines on co-sleeping and bed sharing in maternity units.METHODS: Electronic search strategies were used to identify primary research and to access clinical practice guidelines about co-sleeping and bed sharing on maternity units. Primary research was reviewed and compared. Clinical practice guidelines were critiqued against the United Nations Children’s Fund (UNICEF; 2004) document, Babies sharing their mothers’ bed while in hospital: A sample policy.FINDINGS: There is little published primary research about co-sleeping and bed sharing in maternity units but that which is available is of high standard. Clinical practice guidelines are more plentiful but vary in quality and scope. The primary research and clinical practice guidelines recognize the positive correlates between co-sleeping and bed sharing and the establishment of breastfeeding and the potential for risks to infant safety. There are differences in the acceptance of co-sleeping and bed sharing between geographic regions. The role of health care providers in educating about the benefits and risks of co-sleeping and bed sharing in maternity units is acknowledged but not well explored.CONCLUSION: Further research on co-sleeping and bed sharing in maternity units is needed to provide evidence to inform clinical practice guidelines.KEYWORDS: infant sleep location; policy development and dissemination; risk assessment; maternal education and behavior modeling; co-sleeping; bed sharing
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Best, Elizabeth. "Closing the gap through innovative maternity care (The Aboriginal Maternal and Infant Health Service)." Women and Birth 24 (October 2011): S16. http://dx.doi.org/10.1016/j.wombi.2011.07.064.
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Tyrala, Eileen, Michael H. Goodstein, Erich Batra, Barbara Kelly, Judy Bannon, and Ted Bell. "Post-Partum Skin-to-Skin Care and Infant Safety: Results of a State-Wide Hospital Survey." Global Pediatric Health 8 (January 2021): 2333794X2198954. http://dx.doi.org/10.1177/2333794x21989549.
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Objectives. Survey current experience with Skin to Skin care (SSC) in Pennsylvania Maternity Centers. Study Design. The nursing director of each Maternity Center in PA (n = 95) was sent an on-line confidential survey querying SSC practices. Responses were compared by delivery size, location, and nature of affiliation. Statistics analyzed by chi-square and student t-test. Results. Of these 64/95 MCs (67%) responded. All allowed SSC after vaginal deliveries, 55% after C-section, 73% mother’s room. Monitoring included delivery room nurse (94%) with support from other providers (61%), family members (37%), and electronic monitoring (5%). If SSC occurred in mother’s room all reported family education on safe practices. 40% were aware of adverse SSC events, including falls and suffocation. About 80% educated staff about infant safety during SSC. Conclusions. Gaps in education and supervision during SSC were identified. Additional education and standardization of best practices are needed to reduce risks from falls and suffocation during SSC.
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Kildea, Sue, Sophie Hickey, Carmel Nelson, Jody Currie, Adrian Carson, Maree Reynolds, Kay Wilson, et al. "Birthing on Country (in Our Community): a case study of engaging stakeholders and developing a best-practice Indigenous maternity service in an urban setting." Australian Health Review 42, no. 2 (2018): 230. http://dx.doi.org/10.1071/ah16218.
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Developing high-quality and culturally responsive maternal and infant health services is a critical part of ‘closing the gap’ in health disparities between Aboriginal and Torres Strait Islander people and other Australians. The National Maternity Services Plan led work that describes and recommends Birthing on Country best-practice maternity care adaptable from urban to very remote settings, yet few examples exist in Australia. This paper demonstrates Birthing on Country principles can be applied in the urban setting, presenting our experience establishing and developing a Birthing on Country partnership service model in Brisbane, Australia. An initial World Café workshop effectively engaged stakeholders, consumers and community members in service planning, resulting in a multiagency partnership program between a large inner city hospital and two local Aboriginal Community-Controlled Health Services (ACCHS). The Birthing in Our Community program includes: 24/7 midwifery care in pregnancy to six weeks postnatal by a named midwife, supported by Indigenous health workers and a team coordinator; partnership with the ACCHS; oversight from a steering committee, including Indigenous governance; clinical and cultural supervision; monthly cultural education days; and support for Indigenous student midwives through cadetships and placement within the partnership. Three years in, the partnership program is proving successful with clients, as well as showing early signs of improved maternal and infant health outcomes. What is known about the topic? Birthing on Country has been described as a metaphor for the best start in life for Aboriginal and Torres Strait Islander babies, and services that incorporate Birthing on Country principles can improve outcomes for mothers and babies. Currently, few such models exist in Australia. What does this paper add? This paper demonstrates that Birthing on Country principles can be successfully applied to the urban context. We present a real case example of the experience of setting up one such best-practice, community-engaged and informed partnership model of maternity and child healthcare in south-east Queensland. We share our experience using a World Café to facilitate community engagement, service delivery and workforce planning. What are the implications for practitioners? Health professionals providing maternity care for Aboriginal and Torres Strait Islander families are encouraged to incorporate Birthing on Country principles into their model of care to address the specific needs and demands of the local Indigenous community and improve maternal and infant health outcomes.
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Renbarger, Kalyn M., Margaret Moorman, Kenzie Latham-Mintus, Carol Shieh, and Claire Draucker. "Factors Associated With a Trusting Relationship Between Pregnant and Postpartum Women With Substance Use Disorders and Maternity Nurses." International Journal of Childbirth 10, no. 4 (December 1, 2020): 180–97. http://dx.doi.org/10.1891/ijcbirth-d-20-00018.
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Trusting relationships between pregnant and postpartum women with substance use disorders (SUDs) and maternity nurses can improve health outcomes for women and their infants. This study was conducted to identify factors associated with the formation of trust in these nurse–patient relationships. Using a qualitative description approach, semi-structured interviews were conducted with 10 women who used substances during pregnancy and 15 maternity nurses. The narratives were analyzed with standard content analytic techniques. Findings revealed that six characteristics of nurses and five characteristics of women fostered or hindered the formation of trusting relationships. The characteristics of the maternity nurses were (a) interpersonal connections, (b) demeanor toward women, (c) ways of providing care, (d) approaches to providing information, (e) attitudes toward substance use, and (f) addiction expertise. The characteristics of the women were (a) engagement with nurses, (b) demeanor toward nurses, (c) attitudes toward care, (d) investment in recovery, and (e) ways of interacting with infant. The characteristics provide a framework by which maternity nurses can examine their attitudes and behaviors toward women with SUDs and inform the development of strategies to enhance their practice with this population.
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Fujiwara, Takeo, Aya Isumi, Makiko Sampei, Yusuke Miyazaki, Fujiko Yamada, Hisashi Noma, Kazuhide Ogita, and Nobuaki Mitsuda. "Effectiveness of an Educational Video in Maternity Wards to Prevent Self-Reported Shaking and Smothering during the First Week of Age: A Cluster Randomized Controlled Trial." Prevention Science 21, no. 8 (July 22, 2020): 1028–36. http://dx.doi.org/10.1007/s11121-020-01145-z.
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Abstract This study aimed to investigate whether watching an educational video on infant crying and the dangers of shaking and smothering within 1 week after delivery at maternity wards reduces self-reported shaking and smothering, at a 1-month health checkup. A cluster randomized controlled trial, stratified by area and hospital function, was employed in 45 obstetrics hospitals/clinics in Osaka Prefecture, Japan. In the intervention group, mothers watched an educational video on infant crying and the dangers of shaking and smothering an infant, within 1 week of age, during hospitalization at maternity wards, without blinding on group allocation. Control group received usual care. A total of 4722 (N = 2350 and 2372 for intervention and control group, respectively) mothers who delivered their babies (still birth and gestational age < 22 weeks were excluded) between October 1, 2014, and January 31 were recruited. Outcomes were self-reported shaking and smothering behaviors, knowledge on infant crying and shaking, and behaviors to cope with infant crying, assessed via a questionnaire at a 1-month health checkup. In all, 2718 (N = 1078 and 1640) responded to the questionnaire (response rate: 58.3%), and analytic sample size was 2655 (N = 1058 and 1597 for intervention and control group, respectively). Multilevel analysis was used to adjust for correlation within the cluster. Prevalence of shaking was significantly lower in the intervention group (0.19%) than in the control group (1.69%). Intention-to-treat analysis showed an 89% reduction in the reported prevalence of self-reported shaking (OR: 0.11, 95% CI: 0.02–0.53) due to watching the educational video. However, self-reported smothering behavior showed no significant reduction (OR: 0.66, 95% CI: 0.27–1.60). No side effects were reported. Watching an educational video on infant crying and the dangers of shaking and smothering within 1 week after delivery at maternity wards reduced self-reported shaking at 1 month of age. UMIN Clinical Trial Registry UMIN000015558.
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Hutchinson, Alison M., Cate Nagle, Bridie Kent, Debra Bick, and Rebecca Lindberg. "Organisational interventions designed to reduce caesarean section rates: a systematic review protocol." BMJ Open 8, no. 7 (July 2018): e021120. http://dx.doi.org/10.1136/bmjopen-2017-021120.
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IntroductionThere is a growing body of evidence to indicate that both primary and subsequent caesarean sections are associated with increased maternal and perinatal morbidity. Efforts to reduce the number of clinically unnecessary caesarean sections are urgently required. Our objective is to systematically review published evidence on the effectiveness of maternity service organisational interventions, such as models of maternity care, that aim to reduce caesarean section rates.Methods and analysisDatabases will be searched, including the Cochrane Central Register of Controlled Trials, Cumulative Index to Nursing and Allied Health Literature, MEDLINE, Maternity and Infant Care, EMBASE and SCOPUS. Search terms related to caesarean section and organisational intervention will be used. Research published before 1980 will be excluded and only randomised controlled trials, cluster-randomised controlled trials, quasi-randomised controlled trials, controlled before and after studies and interrupted time series studies will be included. Data extraction and quality assessments will be undertaken by two authors.Ethics and disseminationEthics approval is not required for this systematic review. The results of this study will be disseminated via peer-reviewed publication and presentation at professional conferences.PROSPERO registration numberCRD42016039458.
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Al-Safar, Thafar S., Reem H. Khamis, and Sabah R. H. Ahmed. "Exclusive Breastfeeding Duration to Six Months: A Literature Review of Factors and Barriers from 2010 to 2020." International Journal of Health, Medicine and Nursing Practice 2, no. 2 (January 20, 2021): 1–20. http://dx.doi.org/10.47941/ijhmnp.435.
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Background: In the form of mothers’ talent, the most imperative food for infants is human milk. Exclusive breastfeeding is recommended by World Health Organization during the first six months of life with well-established benefits to the mother and child.Aim: The aim of this study was to develop a midwifery and physician as health care-givers to prolong breastfeeding.Methods: Studies published between 2010 and 2020 were reviewed. An online literature search was carried out between January and July 2020; articles were gathered from Maternity and Infant Care, PsychINFO, CINAHL, Medline, PubMed, Google and Cochrane Database of systematic reviews as well as from references in published research and reviews. The search plan included the following keywords: breastfeeding, exclusive, initiation, factors, preterm, kangaroo care, education, partner, intention, social support, confidence, self-efficacy and extending the duration of paid maternity leave.Results: Adjustable factors and barriers that influence women’s exclusive breastfeeding duration to six months are breastfeeding intention, breastfeeding self-efficacy, maternal age, maternal occupation, parent's educational level, social-economic status, insufficient milk supply, infant health problems, preterm baby, parity, mode of delivery and other related factors.Conclusion: Based on the currently available information, there are many adjustable factors and barriers that are associated with exclusive breastfeeding duration to six months such as the woman’s breast feeding intention, breast feeding self-efficacy and social support.Recommendations: Enlightenment campaign about exclusive breastfeeding benefits should be done to pregnant women. Breastfeeding counseling from midwives and health care givers to pregnant women during antenatal care should be centered on solving problems associated with BF.
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Stevens-Simon, Catherine. "Pattern of Prenatal Care and Infant Immunization Status in a Comprehensive Adolescent-Oriented Maternity Program." Archives of Pediatrics & Adolescent Medicine 150, no. 8 (August 1, 1996): 829. http://dx.doi.org/10.1001/archpedi.1996.02170330055009.
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Strauss, Nan, Carol Sakala, and Maureen P. Corry. "Overdue: Medicaid and Private Insurance Coverage of Doula Care to Strengthen Maternal and Infant Health." Journal of Perinatal Education 25, no. 3 (2016): 145–49. http://dx.doi.org/10.1891/1058-1243.25.3.145.
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ABSTRACTContinuous labor support by a trained doula has proven benefits and is recognized as an effective strategy to improve maternal and infant health, enhance engagement and satisfaction with maternity care, and reduce spending. Community-based doula programs can also reduce or eliminate health disparities by providing support to women most at risk for poor outcomes. The most effective way to increase use of this evidence-based service would be to eliminate cost barriers. Key recommendations identify numerous pathways to pursue Medicaid and private insurance coverage of doula care. This comprehensive and up-to-date inventory of reimbursement options provides the doula, childbirth, and quality communities, as well as policy makers, with many approaches to increasing access to this high-value form of care.
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Kotch, Jonathan B., Martha L. Coulter, Carol Q. Porter, and C. Arden Miller. "Productivity and selected indicators of care in Maternity and Infant Care and Children and Youth Projects according to sponsorship." Journal of Medical Systems 12, no. 5 (October 1988): 285–94. http://dx.doi.org/10.1007/bf00996579.
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Keith, L. G., R. Depp, M. W. Method, R. Wittman, J. Lopez-Zeno, J. Minoque, R. Nearhing, and D. M. Keith. "The Northwestern University Twin Study. V: Twin Deliveries at Prentice Women's Hospital and Maternity Center, 1978-83." Acta geneticae medicae et gemellologiae: twin research 37, no. 1 (January 1988): 1–10. http://dx.doi.org/10.1017/s0001566000004189.
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AbstractTwo hundred fifty-one twin deliveries between January 1, 1978 and June 30, 1983 at Prentice Women's Hospital and Maternity Center were reviewed. Cases were excluded if birth weight was less than 500 g, if gestational age was less than 26 weeks or if an antenatal fetal demise had occurred. Maternal demographic characteristics, delivery data and infant characteristics are described. The effect of providing care to a high-risk population of mothers in whom approximately 60% either deliver thair infants preterm or with a birth weight of less than 2,500 g is discussed in terms of costs of care.
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Horan, Holly, Melissa Cheyney, Yvette Piovanetti, and Vanessa Caldari. "La Crisis de la Atención de Maternidad: Experts’ Perspectives on the Syndemic of Poor Perinatal Health Outcomes in Puerto Rico." Human Organization 80, no. 1 (March 1, 2021): 2–16. http://dx.doi.org/10.17730/1938-3525-80.1.2.
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The purpose of this study was to center the voices of maternal and infant health care (MIH) clinicians and public health experts to better understand factors associated with persistently high rates of poor perinatal health outcomes in Puerto Rico. Currently, Puerto Rican physicians, midwives, and other care providers’ perspectives are absent from the literature. Guided by a syndemics framework, data were collected during eighteen months of ethnographic fieldwork and through open-ended, semi-structured interviews (n=20). Three core themes emerged. The first two themes: (1) Los estresores diarios: poor nutrition, contaminated water, and psychosocial stress; and (2) Medicina defensiva: solo obstetrics and fear-based medicine, describe contributing factors to Puerto Rico’s high preterm and cesarean birth rates. The third theme: (3) Medicina integrada: midwives, doulas, and comprehensive re-education explores potential solutions to the island’s maternity care crisis that include improved integration of perinatal care services and educational initiatives for both patients and providers. Collectively, participants’ narratives expose a syndemic of poor perinatal health outcomes that emerges from the structural vulnerability generated by decades of colonial domination embedded in the daily lives of island residents and in the Puerto Rican maternity care system.
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Ribeiro, Valdinar S., Antônio A. M. Silva, Marco A. Barbieri, Heloisa Bettiol, Vânia M. F. Aragão, Liberata C. Coimbra, and Maria T. S. S. B. Alves. "Infant mortality: comparison between two birth cohorts from Southeast and Northeast, Brazil." Revista de Saúde Pública 38, no. 6 (December 2004): 773–79. http://dx.doi.org/10.1590/s0034-89102004000600004.
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OBJECTIVE: To obtain population estimates and profile risk factors for infant mortality in two birth cohorts and compare them among cities of different regions in Brazil. METHODS: In Ribeirão Preto, southeast Brazil, infant mortality was determined in a third of hospital live births (2,846 singleton deliveries) in 1994. In São Luís, northeast Brazil, data were obtained using systematic sampling of births stratified by maternity unit (2,443 singleton deliveries) in 1997-1998. Mothers answered standardized questionnaires shortly after delivery and information on infant deaths was retrieved from hospitals, registries and the States Health Secretarys' Office. The relative risk (RR) was estimated by Poisson regression. RESULTS: In São Luís, the infant mortality rate was 26.6/1,000 live births, the neonatal mortality rate was 18.4/1,000 and the post-neonatal mortality rate was 8.2/1,000, all higher than those observed in Ribeirão Preto (16.9, 10.9 and 6.0 per 1,000, respectively). Adjusted analysis revealed that previous stillbirths (RR=3.67 vs 4.13) and maternal age <18 years (RR=2.62 vs 2.59) were risk factors for infant mortality in the two cities. Inadequate prenatal care (RR=2.00) and male sex (RR=1.79) were risk factors in São Luís only, and a dwelling with 5 or more residents was a protective factor (RR=0.53). In Ribeirão Preto, maternal smoking was associated with infant mortality (RR=2.64). CONCLUSIONS: In addition to socioeconomic inequalities, differences in access to and quality of medical care between cities had an impact on infant mortality rates.
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K., Srinivasa, Abhishek Patel, Ajay J., and Manjunath G. A. "Infant feeding practices among nursing mothers at rural tertiary care hospital." International Journal of Contemporary Pediatrics 4, no. 3 (April 25, 2017): 837. http://dx.doi.org/10.18203/2349-3291.ijcp20171525.
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Background: Breastfeeding (BF) is nature’s way of providing nutrition required for healthy growth and development of the young infant. The early child growth needs healthy infant feeding practices including exclusive breastfeeding and timely complementary feeds. The present study was carried out to assess the pattern of infant feeding and its relation to certain care practices of maternity and the newborn, and to assess the knowledge of mothers, who had delivered in the last one year.Methods: A cross sectional descriptive study was conducted among 202 mothers in the pediatric and obstetrics department of tertiary care hospital. The mothers with children under the age of 1 year were interviewed following which descriptive statistics were obtained.Results: Out of 202 mothers, majority of the mothers were of age less than 30 years (79.7%) and were Hindus (74.2%). The majority were housewives (98.5%), illiterate (71.7%), multiparous (67.8%). Most of the mothers were belonged to a lower socioeconomic class (95.5%). About 17.8% babies had not received colostrum. Majority of the mothers had initiated breastfeeding (79.2%) within 24 hours of delivery. About 46.5% of the respondents were not aware of the benefits of exclusive breastfeeding. About 25% of the mothers started complementary feeding before the child was six months old. The most common type of complementary food given was semisolid (53.4%). About 14.1% of the mothers had started giving semi-solid foods before the baby was six months of age. A majority of the mothers had no advice on infant feeding.Conclusions: Knowledge regarding the timely initiation of breast feeding, advantages of exclusive breast feeding and proper weaning practice is less among the mothers of rural area. So, advice about breastfeeding and complementary feeding during antenatal check-ups, postnatal, and during Immunization visits might improve feeding practices.
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Edwards, Roger A., and Barbara L. Philipp. "Using Maternity Practices in Infant Nutrition and Care (mPINC) Survey Results as a Catalyst for Change." Journal of Human Lactation 26, no. 4 (September 27, 2010): 399–404. http://dx.doi.org/10.1177/0890334410371212.
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Grytten, Jostein, Lars Monkerud, Irene Skau, and Rune Sørensen. "Regionalization and Local Hospital Closure in Norwegian Maternity Care-The Effect on Neonatal and Infant Mortality." Health Services Research 49, no. 4 (January 30, 2014): 1184–204. http://dx.doi.org/10.1111/1475-6773.12153.
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Ross, Sue. "An Illustration of the “Inverse Care Law”: A Commentary on Giving Birth in Canada: Providers of Maternity and Infant Care." Journal of Obstetrics and Gynaecology Canada 27, no. 1 (January 2005): 51–53. http://dx.doi.org/10.1016/s1701-2163(16)30172-4.
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Kerstis, Birgitta, Anna Richardsson, Alexandra Stenström, and Margareta Widarsson. "An Overview of Guidelines for Supplemental Feeding of Infants in Swedish Maternity Clinics." Nursing Reports 11, no. 1 (February 7, 2021): 95–104. http://dx.doi.org/10.3390/nursrep11010010.
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This study aims to describe the local guidelines for the supplemental feeding of infants of Swedish women’s clinics with maternity wards. Purposeful sampling was used during a four-week data collection time in 2019. Guidelines from 41 of the 43 Swedish women’s clinics with maternity wards were analysed using qualitative and quantitative content analysis. The information provided, and length of the guidelines varied widely in 38 guidelines. Feeding methods were included in 28 guidelines, but 10 provided no information about feeding methods. The most common feeding methods were cup feeding and feeding probes. Suggestions for supplemental feeding included infant formula (32), breast milk (27) and no suggestions (6). The methods to support breastfeeding were skin-to-skin contact (25), breastfeeding freely (22), a caring plan (18), extra supervision (3), optimising the caring environment (2), supplying a breast pump (1) and breastfeeding observation (1). Twenty-two guidelines included information about how long formula should be given and that the feeding should be phased out gradually. We conclude that a national guideline for the supplemental feeding of infants is needed to ensure equal best practice care for infant safety and the support of parents to increase the breastfeeding rate. More national guidelines are needed in general because it is easier to update only one set of guidelines.
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Tang, Di, Xiangdong Gao, Mayvis Rebeira, and Peter C. Coyte. "Effects of Migration on Infant and Maternal Health in China." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 56 (January 2019): 004695801988418. http://dx.doi.org/10.1177/0046958019884189.
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We assess the association between maternal migrant status and health outcomes in China, which has one of the world’s largest migrant populations. Health records from the Shanghai First Maternity and Infant Hospital from January 1, 2013, to June 30, 2017, were used to analyze 104 681 live births for Shanghai native-born and migrant women based on International Classification of Diseases, Tenth Revision diagnosis codes and demographic data. Regression analysis including propensity score matching was conducted to investigate the association between maternal migrant status and adverse infant birth outcomes (fetal disease, congenital malformation, neonatal disease) and maternal health after controlling for pregnancy status and socioeconomic factors. The results demonstrate that migrant women had statistically significant increased odds (9.1%-10%, P < .001) of having infants with adverse health outcomes compared with their urban counterparts and that migrant mothers have less likelihood of pregnancy complications and gestational diabetes mellitus. Our results show the mixed effects of migration on infant and maternal health may be a possible outcome of China’s Hukou system that often represents an important barrier in accessing prenatal health care by migrant women. Current reforms that improve access to prenatal health care services for migrant women may enhance the health outcomes of their infants.
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Asmuji, Asmuji, and Diyan Indriyani. "APLIKASI MODEL EDUKASI POSTNATAL MELALUI PENDEKATAN FAMILY CENTERED MATERNITY CARE (FCMC) SEBAGAI STRATEGI OPTIMALISASI COMPETENT MOTHERING." Jurnal NERS 11, no. 1 (April 1, 2016): 17. http://dx.doi.org/10.20473/jn.v11i12016.17-28.
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Introduction: Indonesia’s rate of MMR and IMR remains high among other ASEAN countries. This issue needs to be seriously addressed, particularly in dealing the mother-and-infant related problems, through developing the postnatal education model which focuses on postpartum mother by involving family as the social support. Methodology: This research is conducted at dr. Soebandi Regional Hospital Jember and the Kaliwates Primary Health Service Jember Regency. This research employs participative approach (qualitative) and Participatory Action Research (PRA), with the intention of conducting the try-out to the postnatal education model comprehensively, as well as evaluating the perfection attempts to the model in order to generate the fittest model. The data collection technique used in this research is survey/observation, interview, FGD, in-depth interview to postpartum mothers and family (100 respondents), as well as healthcare extension agents. Result: This research has successfully formulated the postnatal education model through FCMC approach as the optimization of competent mothering strategy in lowering the infant and maternal mortality rate. This model has undergone comprehensive trial to postpartum mothers and family as well as the healthcare extension agents by providing modules and booklet concerning the treatment of postpartum mother and newly born infants in accordance with the postpartum stages. The results of this research revealed that the effect of postnatal education model through the FCMC approach on the perception of postpartum mothers and their family regarding the self-care treatment during the immediately post partum period, the infant and self-care treatment at the early and late postpartum stages by using the α = 0,05 existed as shown by the p value of 0,00 each. Furthermore, there was also an impact of the extension attempt of postnatal education model through the FCMC towards the perception of the healthcare extension agents with the p value of 0,00. Discussion: This research recommended that the postnatal education model through family centered maternity care (FCMC) as the optimization of competent mothering is implemented as one of the attempts in lowering the Maternal and Infant Mortality Rates, respectively. Keywords: Postnatal Education Model, FCMC, Competent Mothering
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Heidarzadeh, Mohammad, Behzad Jodeiry, Mohammad Baqer Hosseini, Kayvan Mirnia, Forouzan Akrami, Abbas Habbibollahi, Sara Moazzen, and Saeed Dastgiri. "High Risk Infants Follow-Up: A Case Study in Iran." International Journal of Pediatrics 2015 (2015): 1–5. http://dx.doi.org/10.1155/2015/817540.
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Background. A follow-up program for high risk infants was initiated in Alzahra Maternity Hospital in Tabriz city, Iran, in 2013. The aim of this paper is to give a brief report of the program.Material and Methods. Two groups of high risk neonates were studied. The first group comprising 509 infants received services in Alzahra Maternity Hospital implemented by the follow-up program. This included a full package for family to look after high risk infant and periodic clinical evaluation at two and four weeks after birth and then two, three, four, five, and six months later again. The second group including 131 infants in Taleqani Maternity Hospital received routine services after birth with no specific follow-up care.Results. Some anthropometric indices showed a significant improvement in the intervention hospital compared to control group. These included the following: head circumference at first and second months; weight in the first, fourth, fifth, and sixth months; and height in sixth month only. Clinical evaluation of infants showed an improvement for some of the medical conditions.Conclusion. Follow-up care program for a minimum of six months after discharge from maternity hospitals may help to avoid adverse and life threatening consequences in high risk infants.
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Gomes Queiroz, Renata, Maria Alzeni Coelho Ponte, Izabelle Mont’Alverne Napoleão Albuquerque, Antonia Siomara Rodrigues Silva, Juliana Mendes Gomes, and Josélia Maria Lopes dos Prazeres. "Knowledge of primiparous puerperal adolescents on the care of the newly born infant." Revista de Enfermagem UFPE on line 5, no. 7 (August 20, 2011): 1731. http://dx.doi.org/10.5205/reuol.1262-12560-1-le.0507201122.
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ABSTRACTObjective: to analyze the knowledge of primiparous puerperal adolescents on the care of the newly born infant. Method: this is a descriptive-exploratory research with a qualitative approach, carried out in the maternity ward of Santa Casa de Misericórdia de Sobral, with 13 primiparous puerperal adolescents. The data, collected through a semi-structured interview, were classified under the following categories: breastfeeding as the main standard, breastfeeding as an essential health care strategy, knowledge gained from the family, and lack of advice from the maternity ward. The research was approved by the Ethics and Research Committee of the Health Sciences Center of Universidade Estadual Vale do Acaraú, under the Protocol number 864. Results: the categories showed the importance given to breastfeeding, both from the health care professionals, through instructions provided during prenatal care, and the puerperal adolescents, who consider it an essential practice for the care of the newly born infant. Another observation was that there is a distancing between the health care professionals and the puerperal adolescents in the maternity ward concerned. Conclusion: considering this, one expects the professionals reflect and improve on their role in the health care team, coming nearer to the adolescent girls, sharing their feelings, dissipating their doubts, and breaking down barriers. Descriptores: knowledge; infant care; teen.RESUMOObjetivo: analisar o conhecimento de adolescentes primíparas puérperas sobre os cuidados com o recém-nascido. Método: pesquisa exploratória descritiva com abordagem qualitativa, desenvolvida na maternidade da Santa Casa de Misericórdia de Sobral, com 13 adolescentes puérperas primíparas. Os dados, coletados por entrevista semiestruturada, foram classificados, mostrando as categorias: amamentação como principal orientação, amamentação como cuidado considerado essencial, ensinamentos advindos de experiências junto à família e ausência de orientações na maternidade. A pesquisa foi aprovada pelo Comitê de Ética e Pesquisa do Centro de Ciências da Saúde da Universidade Estadual Vale do Acaraú, tendo número de protocolo 864. Resultados: as categorias mostraram a importância dada à amamentação, tanto por parte dos profissionais da saúde, por meio de orientações oferecidas durante o pré-natal, como pelas adolescentes puérperas, que a consideram um cuidado essencial para o recém-nascido. Observou-se também que há distanciamento entre os profissionais da saúde e as puérperas adolescentes na maternidade em questão. Conclusão: diante disso, espera-se que os profissionais reflitam e reavaliem seu papel dentro da equipe de saúde, tornando-se mais próximos das adolescentes, compartilhando seus sentimentos, esclarecendo suas dúvidas e rompendo barreiras. Descritores: conhecimento; cuidado do lactente; adolescente.RESUMEN Objetivo: analizar el conocimiento de adolescentes primíparas puérperas sobre los cuidados con el recién nacido. Método: investigación exploratoria descriptiva con abordaje cualitativo, desarrollado en la maternidad de la Santa Casa de Misericordia de Sobral, con 13 adolescentes puérperas primíparas. Los datos, recogidos en entrevistas semi-estructuradas, se clasificaron, mostrando las siguientes categorías: amamantamiento como principal orientación, amamantación como cuidado considerado esencial, enseñanzas provenientes de experiencias con la familia y ausencia de orientaciones en la maternidad. La investigación fue aprobada por el Comité de Ética e Investigación del Centro de Ciencias de la Salud de la Universidad Estadual Valle de Acaraú, bajo el número de protocolo 864. Resultados: las categorías dejaron ver la importancia otorgada a la amamantamiento, tanto por parte de los profesionales de la salud, por medio de orientaciones ofrecidas durante el prenatal, como por las adolescentes puérperas, que la consideran un cuidado esencial para el recién nacido. Se observo asimismo que hay una distancia entre los profesionales de salud y las puérperas adolescentes en la maternidad objeto de estudio. Conclusión: vistos los resultados, se espera que los profesionales de salud reflexionen y reevalúen su papel dentro del equipo de salud, haciéndose más cercanos a las adolescentes, compartiendo sus sentimientos, aclarando sus dudas y rompiendo barreras. Descriptores: conocimiento, Cuidado del Lactante, adolescente.
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Brunstad, Anne, Katrine Aasekjær, Ingvild Aune, and Anne Britt Vika Nilsen. "Fathers’ experiences during the first postnatal week at home after early discharge of mother and baby from the maternity unit: A meta-synthesis." Scandinavian Journal of Public Health 48, no. 4 (November 14, 2018): 362–75. http://dx.doi.org/10.1177/1403494818809856.
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Aim: The aim of this study was to explore and describe fathers’ experiences during the first postnatal week after early discharge of mother and baby from the maternity unit. Methods: A meta-synthesis. Inclusion criteria: peer-reviewed qualitative single studies of fathers’ experiences during the first week after early discharge (defined as less than 72 hours postpartum) from hospital after the birth of a healthy singleton baby born between weeks 37 and 40. Databases: Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline, Maternity and Infant Care, Joanna Briggs, SweMed+ and PsycInfo were searched in May 2015 and May 2018. Of the 940 titles scanned for eligibility, three articles met the inclusion criteria. The consolidated criteria for reporting qualitative research checklist was used. Findings: All included studies were conducted in Sweden during the period 2002–2012. The total sample of participants in the meta-synthesis comprised 35 fathers. Analysis of the included studies generated two themes: building confidence and coping with responsibility. Conclusions: The fathers’ experiences were affected by the emotional support of midwives, which boosted their confidence. This seems to be a premise for taking and coping with responsibility during the first days at home. Good cooperation between hospitals and municipalities is vital, and midwives must be available and present in order to ensure continuity in maternity care.
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Fredbo-Nielsen, L. "1871 Intervention Project: Integration of Maternity Care into the Neonatal Intensive Care Unit, Keeping Mother and Infant Together Directly after Birth." Archives of Disease in Childhood 97, Suppl 2 (October 1, 2012): A528—A529. http://dx.doi.org/10.1136/archdischild-2012-302724.1871.
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Lindsay, Pat. "Complications of the newborn baby." British Journal of Healthcare Assistants 15, no. 2 (March 2, 2021): 64–70. http://dx.doi.org/10.12968/bjha.2021.15.2.64.
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Most babies adapt well to extrauterine life and make good progress. However, there are some risks in the early days of life and the care given is directed at observing progress, spotting the early signs of trouble and acting to mitigate them before serious damage is done. Maternity support workers give most of the care healthy term babies receive after birth and they will often be the first person, after the mother, to notice when an infant is not progressing well. It is important that these key caregivers know the problems newborn babies might develop, and that they recognise when one is starting. The focus of this paper is potential complications of healthy term babies, rather than those babies with recognised health or care needs, such as preterm or low birthweight infants.
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Wilkinson, Shelley A., Leyanne Duncan, Catherine Barrett, Robin Turnbull, and Sally McCray. "Mapping of allied health service capacity for maternity and neonatal services in the southern Queensland health service district." Australian Health Review 37, no. 5 (2013): 614. http://dx.doi.org/10.1071/ah13047.
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Objective Allied health professionals (AHPs) in maternity and neonatology services are essential for quality care and outcomes, reflected in the minimum service delivery requirements in the Queensland Health clinical services capability framework (CSCF). However, allied health (AH) capacity across the Southern Queensland Health Service Districts (SQHSD) is not known. The aim of this project was to redress this knowledge gap to inform ongoing service planning and delivery. Methods Maternity and neonatal AH clinicians in all birthing facilities in SQHSD were surveyed between October and December 2011 to investigate AHP staffing, practices and models of care. The professions surveyed included dietitians, occupational therapists, physiotherapists, psychologists, social workers and speech pathologists. Results were grouped per question, with stratification by CSCF and/or profession. Results Fifty-five valid surveys from the 16 facilities were received. All professions were represented. Gaps in maternity AH services were identified. Awareness and use of evidence-based practices were more likely to be reported where higher full-time equivalents (FTE) were allocated. Conclusion Very low staffing levels have been recorded in all Maternity and Neonatology Services AHPs in the SQHSD. Gaps exist between actual and recommended CSCF staffing standards across all levels and professions. The results indicate that profession-specific support networks for AHPs have positive effects in the spreading of information, and continued promotion, support and involvement in these profession-specific networks is suggested for all facilities. What is known about the topic? Maternity and neonatology service allied health (AH) professionals provide essential services for quality maternal and infant care and outcomes, reflected in their inclusion in several Queensland Health maternity and neonatal clinical guidelines. Queensland Health has also released a clinical services capability framework, which outlines minimum requirements for the provision of health services in Queensland public facilities, including minimum service and workforce structure. These include AH staff in the provision of key elements of care. What does the paper add? Staffing levels and description of models of care for AH professionals across the (former) Southern Queensland Health Service District is not known. This paper describes the outcome of a mapping process that provides a clear picture of AH staffing levels and service gaps, models of care in use, and models of care or resources that may be shared within the network for the professions of nutrition and dietetics, occupational therapy, physiotherapy, psychology, social work and speech pathology. What are the implications for practitioners? This profile of AH practitioners across the district provides a baseline reference that may prove useful for future planning of maternity and neonatology services in Queensland Health. Very low levels of staffing were identified and the staffing requirements outlined in the clinical services capability framework was not met at some sites. The results indicate that profession-specific support networks for AH practitioners have positive effects in the spreading of information; in addition, the continued promotion, support and involvement in these profession-specific networks are suggested for all facilities.
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Sitorus, Jonni. "Upaya penurunan jumlah kematian ibu dan bayi melalui peran stakeholder." Inovasi 17, no. 2 (October 21, 2020): 141–50. http://dx.doi.org/10.33626/inovasi.v17i2.297.
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The number of maternal deaths in North Sumatra in 2017 was recorded in Labuhanbatu Regency and Deli Serdang Regency as many as 15 deaths, Langkat Regency with 13 deaths, and Batubara Regency with 11 deaths. Efforts to accelerate the reduction of Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are carried out to ensure that every mother is able to access quality maternal health services, such as maternal health services, delivery assistance by trained health personnel in health care facilities, postpartum care for mothers and babies, special care and referrals if complications occur, the ease of obtaining maternity and childbirth leave and family planning services. Efforts to reduce MMR and IMR are not only the responsibility of one sector, but need the involvement and roles of other stakeholders to accelerate the reduction of MMR/IMR. This study aims to provide recommendations for the reduction of MMR/IMR through the role of stakeholders in North Sumatra. The study used a qualitative method with a phenomenological approach which was conducted from May to September 2019. The research locations were: Mandailing Natal Regency, Deli Serdang Regency, Simalungun Regency, and Sibolga City. The research subjects consisted of 3 (three) elements, namely: Government, Private and Community. Data collection was carried out through observation and through Focus Group Discussion (FGD). This study concludes that the model of efforts to reduce maternal and infant mortality rates must be carried out in a holistic and integrative manner with medical, social, and cultural approaches, starting from health services for adolescent girls, women of productive age, pregnant women, maternity, newborns and toddlers. Efforts to reduce MMR and IMR are the responsibility of all DPOs and elements of academia, business and community, whose programs and activities are integrated. Efforts to reduce MMR and IMR must be viewed from various perspectives, including from a medical, social and cultural perspective.
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Bruns, Debra Pettit, Lisa Pawloski, and Cecil Robinson. "Can Adoption of Cuban Maternity Care Policy Guide the Rural United States to Improve Maternal and Infant Mortality?" World Medical & Health Policy 11, no. 3 (September 2019): 316–30. http://dx.doi.org/10.1002/wmh3.312.
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PALCICH, GABRIELA, CINTIA de MORAES GILLIO, LINA CASALE ARAGON-ALEGRO, FRANCO J. PAGOTTO, JEFFREY M. FARBER, MARIZA LANDGRAF, and MARIA TERESA DESTRO. "Enterobacter sakazakii in Dried Infant Formulas and Milk Kitchens of Maternity Wards in São Paulo, Brazil." Journal of Food Protection 72, no. 1 (January 1, 2009): 37–42. http://dx.doi.org/10.4315/0362-028x-72.1.37.
Full textAbstract:
This study was the first conducted in Brazil to evaluate the presence of Enterobacter sakazakii in milk-based powdered infant formula manufactured for infants 0 to 6 months of age and to examine the conditions of formula preparation and service in three hospitals in São Paulo State, Brazil. Samples of dried and rehydrated infant formula, environments of milk kitchens, water, bottles and nipples, utensils, and hands of personnel were analyzed, and E. sakazakii and Enterobacteriaceae populations were determined. All samples of powdered infant formula purchased at retail contained E. sakazakii at <0.03 most probable number (MPN)/100 g. In hospital samples, E. sakazakii was found in one unopened formula can (0.3 MPN/100 g) and in the residue from one nursing bottle from hospital A. All other cans of formula from the same lot bought at a retail store contained E. sakazakii at <0.03 MPN/100 g. The pathogen also was found in one cleaning sponge from hospital B. Enterobacteriaceae populations ranged from 101 to 105 CFU/g in cleaning aids and <5 CFU/g in all formula types (dry or rehydrated), except for the sample that contained E. sakazakii, which also was contaminated with Enterobacteriaceae at 5 CFU/g. E. sakazakii isolates were not genetically related. In an experiment in which rehydrated formula was used as the growth medium, the temperature was that of the neonatal intensive care unit (25°C), and the incubation time was the average time that formula is left at room temperature while feeding the babies (up to 4 h), a 2-log increase in levels of E. sakazakii was found in the formula. Visual inspection of the facilities revealed that the hygienic conditions in the milk kitchens needed improvement. The length of time that formula is left at room temperature in the different hospitals while the babies in the neonatal intensive care unit are being fed (up to 4 h) may allow for the multiplication of E. sakazakii and thus may lead to an increased health risk for infants.