All sessions of the VIDM 2021 Conference are held using BigBlueButton. All times are in UTC. A link to the time in your location can be found with each session. Headsets are strongly recommended for best audio.
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Speaker: Sarah Smits
To educate on trauma-informed care and how to improve the maternity care experiences for women with a history of sexual abuse. Education on trauma-informed care intends to reduce further trauma and consequently improve the maternity care experiences, health outcomes and thus the sexual health and wellbeing of women who have a history of sexual abuse. Individuals with a history of sexual trauma experience poorer maternal health outcomes, are more likely to report their births as traumatic and are less likely to seek healthcare. It is reported that provider mannerisms and encounters are the biggest contributors to a health care experience being perceived as traumatic or triggering. Care provider discomfort due to lack of knowledge prevents appropriate opportunity for women to disclose a history of abuse, which impacts their maternity care. Topics covered are incidence, awareness, presentation, women’s current experiences of maternity care and recommendations on trauma-informed care.
Speaker: Belinda Bruce
Background: Midwives are integral to providing safe and supportive care to women in labour. One clinical intervention commonly performed by midwives is the administration of intravenous (IV) fluids. At present, there is a limited amount of robust evidence available to guide practice. To define and ensure safe IV fluid practices, research into practices surrounding the administration of IV fluids to women in labour is essential. Methods: A retrospective chart review and audit of fluid balance documentation for 107 primiparous women was conducted at a single Australian tertiary referral hospital. Secondly, qualitative semi-structured interviews of 11 Australian registered midwives were conducted to further explore midwifery behaviour and practice. Summary of findings: This study found a wide variation in clinical practice and incomplete fluid balance documentation at a single, metropolitan tertiary referral hospital. Six major themes were identified in analysis of the interviews. These included foundational knowledge and perception of risk.
Speaker: Claire Wood. PhD Supervision team: Mary Chambers, Jayne Marshall
Facilitator: Red Miller
Purpose: Healthcare practitioner wellbeing is threatened globally (Montgomery et al., 2019). This study explored enhancing practitioner wellbeing on one United Kingdom consultant-led Labour Ward.
Methodology: Following ethical approval and using Insider Participatory Action Research (IPAR) with approximately 900 hours non-clinical insider presence, clinical and non-clinical colleagues identified experiences enhancing their workplace wellbeing. Participants’ interview (62) and questionnaire (96) excerpts were displayed for all colleagues, and three Action Groups were initiated. Six midwives thematically co-analysed data. Preliminary findings Disseminating accounts of positive experiences encouraged behaviour change. Evaluations reported increased compassionate behaviours, teamworking, and appreciative communications within/between occupational groups; morale/positive culture; and women’s care initiatives. Feeling listened to by the insider-researcher engendered a sense of being valued. A compassionate workplace concept model encompassed themes nourishing wellbeing.
Conclusions: Using IPAR fostered wellbeing across occupational groups. A non-clinical presence reportedly sustained wellbeing. These factors, and the concept model, offer applicability to other workplace settings.
References: Montgomery, A., Panagopoulou, E., Esmail, A., Richards, T., and Maslach, C. (2019). Burnout in healthcare: the case for organisational change. British Medical Journal 366:193-195
Speaker: Barbara Montani
The presentation will focus on midwifery care for survivors of childhood sexual abuse (CSA). CSA is defined as any act which involves a child for the sexual gratification of another person. Prevalence is difficult to determine because it is substantially under-reported, however an estimated 1 in 20 children in the UK are sexually abused. Therefore, many midwives will care for CSA survivors during their career, sometimes without knowing it. Literature shows that a common theme for many survivors is the need to feel safe and in control during the childbearing experience, as loss of control can trigger flashbacks and dissociation. Midwives should therefore employ universal precautions and practice trauma-informed care, give multiple chances to disclose abuse and be aware of the risk of retraumatisation. Sensitive midwifery practice, spiritual midwifery and advocacy for survivors are key tools midwives can employ to help CSA survivors have a positive, empowering birth experience
Check the time in your location: http://bit.ly/VIDoM21-session-11
Speaker: Caterina Montagnoli
Facilitator: Joeri Vermeulen
The health of migrants is determined by complex sets of factors such as healthcare coverage or integration policies. Migrants’ sexual and reproductive outcomes are usually poorer than those of locals are. Emerging research has conversely proved that maternal outcomes and antenatal care might not always be related. To explain the paradox on migrants’ reproductive practices reported in the literature, I will make use of an interdisciplinary approach, merging clinical data collection with social interventions. In this presentation I give an ovierview of the initiatives in the field for guaranteeing access to antenatal care and improve maternal outcomes among undocumented migrant mothers in Geneva. Qualitative and quantitative data presented were the object of an interdisciplinary review of the literature study conducted by the main presenter.
Check the time in your location: http://bit.ly/VIDoM21-session-13
Speaker: Leila Daniela Arguello
Facilitator: Julia Pecovich
OBJETIVO: Comparar los resultados perinatales adversos en mujeres que realizaron un control prenatal insuficiente o nulo vs. las que realizaron un control prenatal satisfactorio, que finalizaron su embarazo en el Hospital Municipal Ostaciana B. de Lavignolle durante el año 2019. MATERIALES Y METODOS: Estudio de tipo observacional, analítico de casos y controles. RESULTADOS: Apgar menor a 7 a los 5 minutos de vida (OR = 5.66; IC del 95%: 3.20- 10.01), mortalidad fetal (OR=11,82; IC del 95%: 4.77-29.29), bajo peso al nacer (OR=3,46; IC del 95%: 2.59-4.61), macrosomía fetal (OR= 0.62; IC del 95%: 0.46-0.85) y parto prematuro (OR = 3.73; IC del 95%: 2.84-4.90). CONCLUSIÓN: Observamos un aumento significativo en las probabilidades de que las mujeres que presentaron control prenatal insuficiente o nulo tengan resultados perinatales adversos. Generar estrategias para la captación y seguimiento de las embarazadas desde el equipo de salud, disminuiría la incidencia de resultados perinatales adversos.
English: OBJECTIVE: To compare adverse perinatal outcomes in women who underwent insufficient or no prenatal care vs. those who underwent a satisfactory prenatal check-up, who ended their pregnancy at the Ostaciana B. de Lavignolle Municipal Hospital during 2019.MATERIALS AND METHODS: An observational, analytical case-control study. RESULTS: Apgar score less than 7 at 5 minutes of life (OR = 5.66; 95% CI: 3.20-10.01), fetal mortality (OR = 11.82; 95% CI: 4.77-29.29), low birth weight (OR = 3.46; 95% CI: 2.59-4.61), fetal macrosomia (OR = 0.62; 95% CI: 0.46-0.85) and preterm delivery (OR = 3.73; 95% CI: 2.84-4.90) . CONCLUSION: We observed a significant increase in the chances that women who had insufficient or no prenatal care would have adverse perinatal outcomes. Generating strategies for the recruitment and monitoring of pregnant women from the health team would reduce the incidence of adverse perinatal outcomes.
Speaker: Jennifer Akumoah-Boateng
Facilitator: Tim Morley
Bowser and Hill seminal work increased the recognition of the mistreatment of women during facility-based birth in low-income countries. Research-led strategies have since focused on respectful maternity care for childbearing women. The perspectives of midwives have, however, received less attention. A focused ethnographic study was therefore carried out in Ghana to investigate the views and beliefs of midwives and some stakeholders in midwifery about respectful maternity care. The findings of the study indicate that respect is relational and embodies a mutual satisfaction with the outcome of care provided and reciprocal respect between the midwife and the woman. However, systemic deficiencies and constraints had resulted in women’s lack of trust in the system and midwives’ skill leading to a rejection of midwives’ identity and their care. These have become contributing factors not only to the abuse of women but of midwives resulting in the fracture of the midwife-woman relationship conceptualized by midwives.
Check the time in your location: http://bit.ly/VIDoM21-session-18
Speaker: Stella Nickolay
Facilitator: Elisa Segoni
The UK-based Helen Loewenstein Memorial Trust (HLMT) makes grants to student midwives in Liberia who would not otherwise have sufficient funds to train, by covering course-fees and essential study expenses. Liberia has the world’s third-lowest GDP. Its rate of maternal mortality is 80 times higher than the UK, and its proportion of qualified midwives 24 times lower. 44% of Liberian women give birth without professional help. The presentation will outline how HLMT has raised funds and twinned with a midwifery training institute in Zorza, Liberia, and is sponsoring students. Key issues include: • Building trust with key stakeholders in Liberia • Ensuring that HLMT supports the school’s and students’ needs rather than impose its agendas from afar • Ensuring that its funds are spent for the purposes intended. In exploring HLMT’s work, the presentation will cover these ethical and logistical issues and will enable participants to engage in active discussion
Check the time in your location: http://bit.ly/VIDoM21-session-20
Speaker: Antonio Ignacio Sierra Garrocho
Facilitator: Eliza Segoni
Professional guidelines recommend midwives and obstetricians actively involve women and birthing people in making decisions about their care. To date, breech research has focused mainly on assessing the effectiveness of different management options, but little attention has been given to women’s feelings regarding breech presentation and management. This presentation will discuss the findings from a primary research undertaken by the author, which explores women’s experience of breech presentation and their perception of choice and support in making decisions with regards to breech management. In doing so, the author will provide an introduction, aims of the study and an overview of the research methods used for data analysis. The results from this research will be discussed within the context of women and birthing people’s rights in the UK.
Check the time in your location: http://bit.ly/VIDoM21-session-22