VIDM 2020 Research Posters

As an alternative to presenting at the Virtual International Day of the Midwife conference we received a number of posters in several languages. These are available during the conference and throughout the month of May.  Later check the Conference Archives to review these for the foreseeable future.

Some presenters opted to be interviewed about their posters. Click on the podcast recordings found under their names to hear what they have to say.

Midwifery student posters are HERE

Click on a poster image for a larger view.

VIDM 2020 Poster Presentations

Presenter informationAbstractPoster / Title
Antonella Nespoli and Simona FumagalliIn order to adhere to the recommended guidelines suggesting to delay cord clamping for at least 60 seconds after a baby is born, to find the best technique to collect the cord blood sample at birth without altering the BGA appears crucial. The poster present the blood collection from an unclamped cord as a safe option, not only for a high-risk but also for low-risk population. Blood taken from the pulsating and unclamped cord group showed no clinically relevant changes in pH and BE values. This means that it is important to adopt an appropriate technique of care for birth.
Poster: The effect of clamped and unclamped cord samples on blood gas analysis
The effect of clamped and unclamped cord samples on blood gas analysis
Denyse King
Healthcare education is recognised to be significant for betterment of health, yet the World Health Organisation has highlighted the limited access globally to education and practical skills teaching equipment.

Virtual Reality Learning Environments (VRLE) is offered as a computer-generated virtual simulation of a clinical workspace. The VRLE can be experienced on mobile handheld devices, laptops and PCs. Research participants interact with simulations of patients, their families and other healthcare professionals. A range of clinical skills from practical, to more intuitive aspects of healthcare competency can be experienced.

VRLE are profession generic and topic specific so clinical skills can be practiced by healthcare students from a wider variety of disciplines. VRLE flexibility means educational institutions, worldwide, can provide access to clinical training and experiences which cannot otherwise be guaranteed. The pilot research and other feedback indicate that the VRLE will be welcomed by healthcare students, teachers and healthcare professionals.
Poster: The VRLE Project - Virtual Reality Learning Environments: Reconfiguring healthcare education
The VRLE Project - Virtual Reality Learning Environments: Reconfiguring healthcare education
Sarah Esegbona-Adeigbe.This study explores migrant Nigerian mothers and midwives perceptions of cultural competency in antenatal care. This is justified by the increased risk of migrant black African women, particularly Nigerian women, dying in childbirth compared to other ethnic minority groups (Centre for Maternal and Child Health Enquiries (CMACE), 2011; Knight et al., 2018). Poor or no antenatal care has also been noted as a significant risk factor for maternal deaths in the UK (Knight et al., 2018). Cultural factors has been suggested by maternal mortality reports as one reasons why women do not engage with antenatal care but no further clarification has been provided. Cultural perceptions of Nigerian women in relation to the antenatal care they access will provide knowledge that can be used to increase their engagement and satisfaction with antenatal care, thus increasing maternal and fetal wellbeing.
Poster: A qualitative study of the perceptions of Nigerian mothers and midwives of cultural competency in antenatal care
A qualitative study of the perceptions of Nigerian mothers and midwives of cultural competency in antenatal care
Cheryl Dunn, Northumbria UniversityIn most developed countries, women have been increasingly delaying childbearing to later in life which ultimately leads to rising birth rates among older women (Daly Bewley, 2013). Whilst there is a plethora of evidence, to illustrate the higher rates of medical complications in mothers of advanced reproductive age (Joseph et al., 2005; Schmidt, 2012), there is less known about their experience of pregnancy and childbirth.

The overall aim of the research is twofold. Firstly, to study women with advanced reproductive age and their psychological well being during pregnancy, childbirth and the postnatal period. Secondly, to compare the psychological well being of women with advanced reproductive age, with a group of women with a non-advanced reproductive age.

This study has a quantitative, non-experimental, longitudinal, prospective design.
Poster: Psychological health and adaptation to motherhood in women with advanced reproductive age
Psychological health and adaptation to motherhood in women with advanced reproductive age
Dr Luisa Cescutti-Butler, Bournemouth University; Dr Jacqui Hewitt-Taylor; Professor Ann Hemingway Background: Rates of late preterm births are on the rise and there is minimal research exploring women's experiences of caring for this subset of preterm babies.
Aim: What are the experiences of women who are caring for a late preterm baby? A feminist lens was the key philosophical underpinning. Fourteen women participated.
Findings: Becoming a mother to a late preterm baby is complex, compounded by:
Separation
Babies in unfamiliar and highly technical environments
Perceived experts are healthcare professionals
Institutional and professional barriers to mothering/caring are numerous
Discussion: Women separated from their babies had difficulties conceiving themselves as mothers. They were allowed and expected to care for their babies, but only with powerless responsibility and were often excluded from decisions.
Conclusion: Women whose babies are born late preterm would benefit from greater consideration in relation to their needs, rather than the focus being almost exclusively on their babies.
Poster: Powerless responsibility: A feminist study of women's experiences of caring for their late preterm babies
Powerless responsibility: A feminist study of women's experiences of caring for their late preterm babies
Tabia Volqvartz, Department of Obstetrics and Gynecology, Randers Regional Hospital, Randers, Denmark; Department of Biomedicine, Pharmacology, Aarhus University, Aarhus, Denmark; A.L. VESTERGAARD (1,2); S.K. AAGAARD (1,2); M.F. ANDREASEN (3); I. LESNIKOVA (4); N. ULDBJERG (5); A. LARSEN (2); P. BOR (1); (1) Department of Obstetrics and Gynecology, Randers Regional Hospital, Randers, Denmark; (2) Department of Biomedicine, Pharmacology, Aarhus University, Aarhus, Denmark; (3) Section for Forensic Chemistry, Department of Forensic Medicine, Aarhus University, Aarhus, Denmark; (4) Department of Pathology, Vidant Medical Center, Greenville NC, USA; (5) Department of Obstetrics and Gynecology, Aarhus University Hospital, Aarhus, Denmark As known since the thalidomide catastrophe, intrauterine drug exposures may affect perinatal and late-life health. In later years, especially the use of OTC drugs has received attention due to suspicion on adverse effects. We gathered blood samples and information on use of medication and stimulants among 225 unselected Danish women attending free-of charge national perinatal risk assessment (first trimester).Twenty-four percent reported use of prescription drugs, 48% used OTC drugs, mainly acetaminophen (42%). Also, 9.3% were habitual smokers, 44% used caffeinated beverages daily. High-resolution-time-of-flight mass spectrometry analyse found that 5.3% had traces of prescription drugs and 8.9% of OTC drugs (acetaminophen 7.1%). Smoking were identified in 8.0%, caffeine in 84%. In conclusion, blood test and self-reports seemed aligned, though many appear unaware of their caffeine intake. Danish pregnant women also have a high intake of aceteaminophen. Healthcare professionals should inquire about such habits to limit risk of adverse pregnancy outcomes.
Poster: Use of stimulants, over-the-counter and prescription drugs among Danish pregnant women
Use of stimulants, over-the-counter and prescription drugs among Danish pregnant women
Miriam Guana and Lira Viviana
Università degli Studi di Brescia
These training activities are recognized as continuing education. The Degree course in Midiwfery of the University of Brescia(Lombardia, Italy) has organized several laboratories to be considered tutoring activities within a professionalising internship, carried out by a multi-professional team of midwives and gynecologists (teachers and tutors) in collaboration with the Midwifery chef of the course. The aim is to learn practical skills: "Perineal suturing", "Management of water birth", "Management of shoulder dystocia". The courses were created using different teaching methods, in particular the use of devices and tools such as dummies / simulators.For the quality of the contents, the trainers referred to best practices.
Poster: I laboratori di formazione professionale ne Corso di Laurea in Obstetricia. Educational workship in midwifery school and activities of tutoring (Italian)
I laboratori di formazione professionale ne Corso di Laurea in Obstetricia. Educational workship in midwifery school and activities of tutoring (Italian)
Roisin Lennon
In 2016, a service needs analysis identified the need for an alternative pathway to provide care for women with pre-existing medical problems, raised BMI and those wishing to have a vaginal birth after CS. The Irish National Maternity Strategy helped validate the need for an advanced practice service in Sligo that offers choice and continuity for women outwith traditional midwife led care inclusion criteria.
The service has proven to be a safe and popular option with a high number of vaginal births, a lower CS rate, reduced number of interventions yet with no increase of adverse outcomes. This has been shown through ongoing review and service users’ feedback. 2017-155 (18%) AMP care. 82% vaginal birth (69% SUH). 18% CS (31% SUH) 2018-226 (17%) AMP care. 79% vaginal birth (63% SUH). 21% CS (37% SUH) AMP care. 83% vaginal birth (65% SUH). 17% CS (35% SUH).
Poster: Normalizing pregnancy and increasing vaginal bitth rated with advanced midwifery practice in Sligo University Hospital
Normalizing pregnancy and increasing vaginal bitth rated with advanced midwifery practice in Sligo University Hospital
Salvatore Carlo Napoli, Lira Viviana, Soldati Luigia, Guana Miriam; Università degli Studi di BresciaThe term "obstetric violence" refers to the abuse that occurs in obstetric and gynecological care. A survey of 2018 reported a medicalized summary and the presence of the
phenomenon in Italian delivery rooms. Meanwhile, the WHO has released new
recommendations for a "positive" birth experience. Investigate the mothers’ experience in the delivery room, the care path offered and detect if there are situations of obstetric violence.It is a cross-sectional study. The tool used is an anonymous semi structured
questionnaire. 223 women were interviewed.82% of the sample reported respectful behaviors by the obstetric team; the negative opinions (18%) refer to excessive haste, lack of attention and interest in the parturient. Women are adequately informed, their choices are shared and their needs are met, according to a holistic approach. The data shows a woman-centered are of model, not medicalized, respectful of the parturient and newborn, as who 2018 guidelines suggest.
Poster: Violenza ostretica o parto positivo? Presentazione di un'indagine (Italian)
Violenza ostretica o parto positivo? Presentazione di un'indagine (Italian)
Erika Agung Mulyaningsih, Stikes Pemkab Jombang; Kolifah
Psychological problems in post partum women received very little attention, mostly midwives and other health workers focused more on physical problems. Psychological changes in postpartum women are experienced by all women, and there are 1 in 10 mothers who experience PPD. PPD is a major risk to the safety of both mother and baby, and can continue for up to two years. The purpose of this study was to Early Detection of Post Partum Depression in women 1-2 weeks post Section caesarean. Edinburgh Postnatal Depression Scale as instrument in this research. Retrieval of data in the form of interviews and questionnaires, and analyzed descriptively. The results of this study found that 43 respondents and 47.1% had post partum depression by evaluating using EPDS and getting a score of 10-15.
Poster: Early detection of post partum depression (PPD) in women 1 - 2 weeks post partum
Early detection of post partum depression (PPD) in women 1 - 2 weeks post partum
Kirsty MacInnesTransitional care is a new and innovative service within this Health Board. Maternity and Neonatal services  are working collaboratively to support parents and babies to stay together within the post natal ward setting and in doing so reduce the number of admissions to Neonatal Unit. Parents are supported to be the primary carers for their baby, improving attachment and bonding at the earliest and most important stage in a baby's life.All mothers and babies will be offered an evidenced based, family centred, safe and compassionate approach to their care. Partners and other family members will also be actively encouraged to become an integral part of all aspects of this care. Mother and baby will always be at the centre
of any care planning.

As identified in the Scottish Governments review of maternity and neontatal services, Best Start: A Five-Year Forward Plan for Maternity and Neonatal Care in Scotland (2017)
Poster: The 'Best Start' Implementation of Transitional Care
The 'Best Start' Implementation of Transitional Care
Sara Humbert, Columbia UniversityIn 2017, 862,320 abortions were performed in the US, a 7% decline since 2014. (Guttmacher Institute, 2017). In the US, restrive state abortions policy and law persists, but is not the leading factor in continuously declining rates of abortion. As 24% of US women will seek and have an abortion by age 45 (Guttmacher Institute, 2017), it is crucial to maintain access even if rates of abortion are dropping. Post-abortion syndrome, and other non-evidence-based medical
diagnoses, affect policy that limits individuals’ access to safe and quality care. Belief in non-evidence-based medical diagnosis surrounding abortion perpetuates misinformation and increases stigma around seeking out or obtaining abortion services. The purpose of this research is to best understand what factors affect emotional and mental health following an abortion.
Based on a review of literature, and a synthesis of 8 quantitative and qualitative studies, the available research presents that post-abortion emotional or psychological sequelae are associated with stigma surrounding abortion and pre-existing mental health risk factors individual to each person. The evidence suggests that there is a gap in mental health research in women that occurs preabortion, leading to a wrongful assumption that post-abortion emotional and psychological health of a woman can be attributed exclusively to the abortion itself.
Poster: Termination of Pregnancy and Emotional Sequelae
Termination of Pregnancy and Emotional Sequelae
Geovanny de Jesús GarcíaObjetivo: Evidenciar los beneficios del Parto Lotus en usuarios atendidos en la unidad de partería alameda de Chilpancingo, año 2019.Material y Métodos: Estudio retrospectivo, descriptivo y observacional.La población fue conformada por 630 usuarios que recibieron atención de trabajo en la unidad de partería Alameda de Chilpancingo en 2019. La muestra fue realizada bajo la orientación y consentimiento informado de 86 usuarios equivalentes al 13.66% que recibió atención y se recibió esta práctica.Resultados: Disminución del sangrado al momento del alumbramiento a comparación del alumbramiento dirigido, menor resistencia al rotar la placenta, membranas integras y una mejor experiencia respetada para la familia.
Poster: Beneficios del Parto Lotus en usuarias atendidas en la unidad de parteria alameda de Chilpancingo, 2019 (Spanish)
Beneficios del Parto Lotus en usuarias atendidas en la unidad de parteria alameda de Chilpancingo, 2019 (Spanish)
Fanzoni Giada and Lira VivianaThe experience of pain during labor is highly subjective and it is the result of the interaction of stirrings that make it difficult to predict, for the woman and the caregiver, the experience of pain. Different socio-demographic, individual, clinical, cultural and opinions about pain influence the decision-making process of women regarding the use of epidural analgesia. The obstetric counselling obtains particular importance for supporting the shared decision-making process and for the empowerment of women, promoting informed choices supported by evidence-based information. The aim of the study is to investigate the characteristics of women who choose epidural analgesia, the factors that influence the decision-making process and the adequacy of the obstetric counseling. The study was conducted at the “Spedali Civili di Brescia”. All the labouring women, regardless the use of epidural analgesia, was recruited. The sample consists of 161 women. Each woman completed a questionnaire within 48 hours of the delivery and data was collected from the medical record. The poster shows the results of the research.
Poster: Il processo decisionale nelle donne che scelgono L'analgesia epidurale: Indagine su un campione bresciano
Il processo decisionale nelle donne che scelgono L'analgesia epidurale: Indagine su un campione bresciano (Italian)