Who plans to give birth with a doula? Demographic factors and perceptions of birth

Women and Birth, Journal Year: 2025, Volume and Issue: 38(2), P. 101880 - 101880

Published: Feb. 11, 2025

Research has demonstrated the benefits of continuous care during childbirth, particularly with doula support. However, much less is known about factors underlying pregnant women's plans to have Doulas provide one-on-one care, emotional support, and advocacy, in a culturally sensitive way. We aimed investigate characteristics women who consider support whether it related their birth experiences, beliefs concerns, including fear childbirth staff, as natural medical process, expectations motherhood. A cross-sectional study, which (N = 1593) recruited prenatal clinics completed questionnaires regarding socio-demographics, obstetric history, concerns birth, maternal expectations, for mode place having care. Women planned were more likely be nulliparous plan birth. was prevalent among recent immigrants, religious women, viewed not medical, concerned staff's attitude control In medicalised maternity system, view they will receive, are Understanding may uncover unmet needs, need personal choices.

Language: Английский

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Women’s preferences for care delivery during labour and birth in Dutch hospitals: A Q-methodology study

Women and Birth, Journal Year: 2025, Volume and Issue: 38(1), P. 101842 - 101842

Published: Jan. 1, 2025

Women's preferences regarding care delivery during labour and birth remain insufficiently understood. Obtaining a clear understanding of these is important to realise maternity system that future-proof person-centred.

Language: Английский

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Suboptimal care factors and stillbirths during the COVID-19 pandemic in Victoria: A state-wide linkage study of stillbirths and Consultative Council on Obstetric and Paediatric Mortality and Morbidity case reviews

Women and Birth, Journal Year: 2025, Volume and Issue: 38(1), P. 101855 - 101855

Published: Jan. 1, 2025

The COVID-19 pandemic affected perinatal outcomes globally, with some regions reporting an increase in stillbirths.

Language: Английский

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‘Every woman deserves that’: A qualitative exploration of the impact of Australia’s national maternity strategy

Women and Birth, Journal Year: 2025, Volume and Issue: 38(2), P. 101871 - 101871

Published: Jan. 21, 2025

Since 2019, maternity care in Australia has been guided by the national policy, Woman-centred care: Strategic directions for Australian services (the Strategy). The Strategy four core values (safety, respect, choice and access), which underpin 12 principles of woman-centred care. To describe women's experiences receiving explore how their aligned with Strategy. A qualitative descriptive approach was used. Fifty women from across Australia, including each priority populations within Strategy, were interviewed. Data analysis conducted using Braun Clarke's reflexive thematic analysis. Women described misaligned Workforce shortages impacted sense safety, they frequently had to self-advocate individualised that made them feel safe. wanted a holistic provision where listened to, heard, choices respected providers, but felt need arm themselves information achieve this. They also expressed desire better postnatal period months included appropriate affordable mental health support. Receiving aligns is on an ad hoc basis, not consistent Australia. greater commitment implementation adoption required at service level if its intent be fully realised.

Language: Английский

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Young mothers’ experiences of maternity care: A synthesis of qualitative research

Midwifery, Journal Year: 2025, Volume and Issue: unknown, P. 104305 - 104305

Published: Jan. 1, 2025

Language: Английский

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The future midwifery workforce: A survey of the education experiences of midwifery students in Australia

Nurse Education in Practice, Journal Year: 2025, Volume and Issue: 84, P. 104321 - 104321

Published: Feb. 26, 2025

Language: Английский

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Women’s desire to have a midwife they know during labor and birth has increased significantly over time

Journal of Psychosomatic Obstetrics & Gynecology, Journal Year: 2025, Volume and Issue: 46(1)

Published: March 11, 2025

Background In Sweden, women often meet with different midwives during antenatal, intrapartum, and postpartum care, due to the structure of maternity few alternatives which provide continuity. This study aims explore women's interest in having a midwife they know present labor birth identify characteristics who prefer this option.

Language: Английский

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Healthcare professionals’ perceptions of risk management on pregnancy and childbirth: An integrative review

Midwifery, Journal Year: 2025, Volume and Issue: 145, P. 104376 - 104376

Published: March 12, 2025

Risk management in maternity care aims to reduce incidents and harm women babies, contributing quality care. However, there is growing concern that risk policies may lead unnecessary interventions during pregnancy childbirth, resulting both short- long-term morbidity for their babies. To evaluate healthcare professionals' perceptions of the effect on childbirth. A five-stage methodological framework was utilised this review. comprehensive integrative review undertaken using a computer-assisted database approach including CINAHL, EMBASE, MEDLINE (Pubmed), PsycINFO Scopus from 2016-2024. This reported line with Preferred Reporting Items Systematic Reviews Meta-analysis Scoping (PRISMA-ScR). The identified five papers four different countries. Two overarching themes were generated: impact dominant medical model decision-making differences similarities professional's management. increasing medicalisation childbirth shifts focus towards documentation administrative tasks, driven by liability fears, rather than addressing clinical risks providing woman-centred Complex factors influence affecting way professionals think operate. reveals significantly shapes management, often undermining midwives' autonomy impacting Education training are essential restore autonomous roles, ensuring receive most appropriate, safest highest

Language: Английский

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‘Great in theory’: Women’s care experiences in relation to Australia’s national maternity Strategy—Qualitative survey responses

PLoS ONE, Journal Year: 2025, Volume and Issue: 20(4), P. e0319249 - e0319249

Published: April 15, 2025

Background The provision of woman-centred maternity care in Australia is guided by a national Strategy released November 2019 titled Woman-centred care: Strategic directions for Australian services (the Strategy). upholds four values (safety, respect, choice, and access) that underpin twelve principles care. Aim To examine the experiences women explore how these align with stated Strategy. Methods A online survey was undertaken between February June 2023. Women who received all their since 1 January 2020 were invited to participate. consisted predominantly closed questions; however, six open-text questions included give participants opportunity provide in-depth responses about its values. This paper presents qualitative content analysis free-text responses. Findings completed submitted 1750 eligible participants, whom 1667 provided 3562 this analysis. These showed while definition safety favours physically safe care, preferred more holistic, providing emotional psychological safety. Participants expressed need respectful relationships providers where they felt listened heard. They wanted be made aware choices have decisions supported without coercion. also desired access continuity particularly midwives, greater mental health support across episode. Conclusion intent has not yet been fully realised. nationally coordinated response required if move from policy practice, ensuring receive true as intended.

Language: Английский

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Exploring midwifery role and scope in acute early pregnancy care: a survey of midwives and midwifery students in Australia

BMC Pregnancy and Childbirth, Journal Year: 2025, Volume and Issue: 25(1)

Published: April 16, 2025

Abstract Background The scope of practice the contemporary midwife encompasses a range sexual and reproductive healthcare, including care throughout pregnancy. Midwives are experts in pregnancy care, but many do not provide for women with unexpected (acute) complications early (< 20 weeks) Australia. Women experiencing acute < weeks usually attend an emergency department rather than maternity unit. These settings typically employ midwives may meet women’s need timely informed physical psychosocial support. A gap evidence exists relation to role provision Methods midwifery students Australia were purposively sampled invited complete online cross-sectional survey exploring care. Data collected from July 1st September 30th, 2024. Quantitative data analysed using descriptive inferential statistics. Free-text responses inductive content analysis. Results Responses 294 46 ( n = 340) analysed. Participants recognised that should pregnancy, had knowledge, confidence or experience this area. most reported setting was general department; assessment service models also common. Some prioritised employment registered nurses over services. Challenges providing included inadequate clinical exposure as qualified midwives, being placed non-maternity settings. Conclusion supported confirming midwives’ professional be impacted by gestation outcome. However, current education programs adequately preparing comprehensive complications. Those who fulfilling scope. Findings have utility supporting policy, review, highlight further gaps future research.

Language: Английский

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