Attitudes of Swedish midwives towards management of extremely preterm labour and birth

Danerek, Margaretha; Maršál, Karel; Cuttini, Marina; Lingman, Göran; Nilstun, Tore; Dykes, Anna Karin

doi:10.1016/j.midw.2011.10.009

Cited by 3 publications

(8 citation statements)

References 37 publications

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“…Five were excluded at the full-text stage; two were quantitative studies (Danerek et al, 2011;Jenkinson et al, 2015), one was an audit (Sellar, 2008), one a case study with little focus on midwifery care (Jankowski & Burcher, 2015) and one was a study that focused maternal request for elective caesarean (Karlström, Engström-Olofsson,…”

Section: Resultsmentioning

confidence: 99%

Caring for women making unconventional birth choices: A meta-ethnography exploring the views, attitudes, and experiences of midwives

2019

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This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Highlights Available research suggests midwives can be willingly facilitative or reluctantly accepting of women's unconventional birth choices. Differing attitudes were informed by differing values towards women's autonomy. Some midwives faced vulnerabilities associated with fear of reprisals or litigation. Self-employed midwives appeared to be more likely to be willingly facilitative. All midwives reported that relationships with women were central to their care.

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Section: Resultsmentioning

confidence: 99%

Caring for women making unconventional birth choices: A meta-ethnography exploring the views, attitudes, and experiences of midwives

2019

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“…Table 2 reports the characteristics of included studies. In summary, the 46 included studies were conducted in 32 countries in Region of the Americas (6 countries: United States of America [ 24 , 40 – 51 ], Canada [ 44 , 52 – 54 ], Mexico [ 55 , 56 ], Ecuador [ 56 ], El Salvador [ 56 ], and Uruguay [ 56 ]), Western Pacific Region (7 countries: Australia [ 23 , 57 – 63 ],New Zealand [ 58 – 64 ], Vietnam [ 22 ], Singapore [ 65 ], Taiwan [ 66 , 67 ], Cambodia [ 68 ], and Philippines [ 68 ]), European Region (4 countries: United Kingdom [ 69 – 72 ], Ireland [ 73 ], Sweden [ 74 ], and France [ 75 , 76 ]), Southeast Asia Region (4 countries: Thailand [ 77 ], Bangladesh [ 22 ], India [ 22 , 78 ], and Nepal [ 22 ]), Eastern Mediterranean Region (2 countries: Afghanistan [ 22 ] and Pakistan [ 22 ]), Africa region (9 countries: Cameroon [ 22 ], Democratic Republic of Congo [ 22 , 79 ], Kenya [ 22 ], Malawi [ 22 , 79 – 81 ], Nigeria [ 22 , 79 ], Uganda [ 22 , 79 ], Ethiopia [ 79 ], Sierra Leone […”

Section: Resultsmentioning

confidence: 99%

“…Most studies (32/46) reported factors on ACS use [ 22 , 24 , 40 – 47 , 49 , 50 , 52 , 53 , 55 – 57 , 59 , 61 – 64 , 68 – 70 , 73 , 74 , 77 – 81 ], while comparatively fewer reported on tocolytics (13/46) [ 24 , 40 , 44 , 51 , 53 , 54 , 57 , 59 , 66 , 67 , 73 , 76 , 80 ], magnesium sulphate for fetal neuroprotection (9/46) [ 23 , 42 , 58 , 60 , 65 , 72 , 75 , 80 , 82 ], or antibiotics for PPROM use (5/46) [ 48 , 57 , 70 , 71 , 73 ], with some studies reported use on more than one intervention, with mostly reported ACS and tocolytics at the same time [ 24 , 40 , 42 , 44 , 53 , 57 , 59 , 70 , …”

Section: Resultsmentioning

confidence: 99%

“…Five studies included perspectives of women and/or their partners [51,52,62,63,67], 3 studies included both women's and provider's perspectives [78,80,81], and the remaining 38 studies included only health providers' perspectives [22][23][24][40][41][42][43][44][45][46][47][48][49][50][53][54][55][56][57][58][59][60][61][64][65][66][68][69][70][71][72][73][74][75][76][77]79,82].…”

Section: Resultsmentioning

confidence: 99%

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Factors influencing appropriate use of interventions for management of women experiencing preterm birth: A mixed-methods systematic review and narrative synthesis

et al. 2022

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Background Preterm birth-related complications are the leading cause of death in newborns and children under 5. Health outcomes of preterm newborns can be improved with appropriate use of antenatal corticosteroids (ACSs) to promote fetal lung maturity, tocolytics to delay birth, magnesium sulphate for fetal neuroprotection, and antibiotics for preterm prelabour rupture of membranes. However, there are wide disparities in the rate and consistency in the use of these interventions across settings, which may underlie the differential health outcomes among preterm newborns. We aimed to assess factors (barriers and facilitators) affecting the appropriate use of ACS, tocolytics, magnesium sulphate, and antibiotics to improve preterm birth management. Methods and findings We conducted a mixed-methods systematic review including primary qualitative, quantitative, and mixed-methods studies. We searched MEDLINE, EMBASE, CINAHL, Global Health, and grey literature from inception to 16 May 2022. Eligible studies explored perspectives of women, partners, or community members who experienced preterm birth or were at risk of preterm birth and/or received any of the 4 interventions, health workers providing maternity and newborn care, and other stakeholders involved in maternal care (e.g., facility managers, policymakers). We used an iterative narrative synthesis approach to analysis, assessed methodological limitations using the Mixed Methods Appraisal Tool, and assessed confidence in each qualitative review finding using the GRADE-CERQual approach. Behaviour change models (Theoretical Domains Framework; Capability, Opportunity, and Motivation (COM-B)) were used to map barriers and facilitators affecting appropriate use of these interventions. We included 46 studies from 32 countries, describing factors affecting use of ACS (32/46 studies), tocolytics (13/46 studies), magnesium sulphate (9/46 studies), and antibiotics (5/46 studies). We identified a range of barriers influencing appropriate use of the 4 interventions globally, which include the following: inaccurate gestational age assessment, inconsistent guidelines, varied knowledge, perceived risks and benefits, perceived uncertainties and constraints in administration, confusion around prescribing and administering authority, and inadequate stock, human resources, and labour and newborn care. Women reported hesitancy in accepting interventions, as they typically learned about them during emergencies. Most included studies were from high-income countries (37/46 studies), which may affect the transferability of these findings to low- or middle-income settings. Conclusions In this study, we identified critical factors affecting implementation of 4 interventions to improve preterm birth management globally. Policymakers and implementers can consider these barriers and facilitators when formulating policies and planning implementation or scale-up of these interventions. Study findings can inform clinical preterm birth guidelines and implementation to ensure that barriers are addressed, and enablers are reinforced to ensure these interventions are widely available and appropriately used globally.

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“…Although many authors [21, 22] speak of the primary and essential role of nurse and midwives in the care of laboring women. However, the literature is replete with description of poorly remunerated staff [23, 24], lack of equipment and supplies [25], and high workloads [23, 26].…”

Section: Resultsmentioning

confidence: 99%

Maternal, newborn and child health needs, opportunities and preferred futures in Arusha and Ngorongoro: hearing women’s voices

et al. 2015

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Background With the approaching sunset on the Millennium Development Goals (MDGs), Tanzania continues with its final national push towards achievement of MDG #4 and MDG #5. The Mama Kwanza Socio-economic Health Initiative (MKSHI) was introduced in the hope of contributing to improving maternal, newborn, and child health in Arusha and Ngorongoro. The MKSHI project is a holistic, inter-sectoral approach to maternal, newborn, and child health which aligns with the Government of Tanzania’s Vision 2025. At the project onset, a baseline assessment was conducted to launch ongoing benchmarking, monitoring, and evaluation of the project’s impacts and implications. The aim of this baseline assessment was twofold. First it was to determine the state of maternal, newborn, and child health in the two project sites. Second it was to ensure that a baseline of key indicators was established as well as identification of unique indicators relevant to the populations of interest.ResultsThe baseline study was a mixed methods approach to identify maternal, newborn, and child risk factors and indicators in the two target sites. This paper focuses on the qualitative methods and findings. The qualitative component included a series of five community dialogue meetings and thirty-seven individual/dyad interviews with women, providers, and stakeholders. Initially, community meetings were held as open dialogues on maternal, newborn, and child health issues, opportunities, and preferred futures. Individual/dyad interviews were held with women, providers, and stakeholders who held unique information or experiences. Both community dialogue and interview data was analysed for themes and guiding or critical comments. Three over-arching findings emerged: What took you so long to come? How do we know what you know? and How will it change for our daughters?ConclusionsParticipant voices are vital in ensuring the achievement of local and global efforts and preferred futures for maternal, newborn, and child health services. This study contributes to the inclusion of women in all aspects of the planning, implementation, and delivery of maternal, newborn, and child health services in the target areas and beyond.

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Attitudes of Swedish midwives towards management of extremely preterm labour and birth

Cited by 3 publications

References 37 publications

Caring for women making unconventional birth choices: A meta-ethnography exploring the views, attitudes, and experiences of midwives

Caring for women making unconventional birth choices: A meta-ethnography exploring the views, attitudes, and experiences of midwives

Factors influencing appropriate use of interventions for management of women experiencing preterm birth: A mixed-methods systematic review and narrative synthesis

Maternal, newborn and child health needs, opportunities and preferred futures in Arusha and Ngorongoro: hearing women’s voices

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