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. NOTE: The same link is used to access the VIDM Conference Rooms. See the instructions “How to Access the Conference”. Headsets are strongly recommended for best audio.
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Speaker: Susana Ku
Current pandemic has impacted all systems and has demonstrated the weaknesses of health systems around the world, highlighting the absence of health equity. In response to this phenomena, in June 2020, WHO released a guideline to call countries around the world to ensure continuity of provision of essential care services, including sexual and reproductive health. In addition to this report, different stakeholders called for actions to respect and advocate for sexual and reproductive rights. But what does this mean to Latin-American countries, where basic sexual and reproductive rights are sometimes non-existent? How can midwives advocate for women or birthing person rights in a context where gender violence is so deeply immersed in our society? The speaker will present a rapid grey literature on advocacy for sexual and reproductive rights during pandemic, then it will evolve in a series of reflections on how midwifery profession contributes to this matter.
Otras metodologías educativas de aprendizaje para el logro del liderazgo en Obstetricia
Speakers: Devora Pumacahua Aira and Diego Huamani
La pandemia por covid-19 desenmascaró un sinnúmero de falencias y problemas para lo que en general, no estábamos preparados en el mundo entero. Uno de estos problemas que se evidenció es la continuidad en la formación de nuevos cuadros de profesionales de la salud.
Desde el 2019 la OMS ha visto la necesidad de usar redes sociales que son de uso muy frecuente en especial por los jóvenes y a pesar de que la pandemia a alejado a los estudiantes de los centros de formación, no es un impedimento para continuar estudios. Es por eso por lo que, desde la Escuela profesional de Obstetricia, de la Universidad San Martín de Porres, los jóvenes estudiantes se han involucrado más activamente en su formación utilizando tecnologías digitales y estrategias comunicacionales que les permite empoderarse de su formación y aprender a ser líderes, de líderes consolidados, así como apoyar y alentar desde el ciberespacio a los profesionales que se encuentran en la primera línea de atención.
Facilitator: Justine Powell
The presence of a midwife mentor constantly is not possible for the many health facilities and women friendly spaces providing midwife led care, supported by UNFPA, in the rural Cox’s Bazar district in Bangladesh. A weekly paper reporting system was tick-box orientated and provided no substantial feedback mechanism. This was replaced in late 2020 by an online chat (private Whatsapp group) that requires national midwifery supervisors to submit photos and videos of evidence-based practice and teaching including role-play in the facilities they supervise to the midwife mentors. This enables constant feedback and support to be provided to all health facilities between midwife mentor visits. This system also encourages shared learning and empowers professional Bangladeshi midwives, a new profession in Bangladesh, to lead education, implement change and develop leadership skills. This ‘story’ will be told by the midwife mentors of UNFPA and the Midwife Supervisors of Cox’s Bazar and the Rohingya Refugee camps.
Speaker: Latha Balasundaram
Facilitator: Red Miller
Background: Fernandez Hospitals was introduced to a training in spinning babies approach as a part of maternity services in 2018 Methods: Retrospective analysis of data collected from 340 mothers from March of 2018 to December 2020. Results: 211(62%) babies turned into cephalic from breech and 117 (35%) babies continued to be in breech. Out of the 211 women , 111(53%) had normal vaginal births and 85(40%) had caesarean sections. Out of the 85 women who had LSCS, 35(41%) women opted elective cesarean section and 46 (54%) had a trial for vaginal birth but had an emergency cesarean section. Conclusion: We should offer exercises for body balance and optimal fetal positioning to help breech babies turn into cephalic enabling women to choose a trial for a normal vaginal birth and support informed choices
Facilitators: Catherine Shimechero and Sylvia Hamata
Background: Ensuring quality skilled care and accessing emergency cesarean section are universally accepted strategies to avert maternal tragedies. Objectives: the aim was to explore the contribution of non-physician clinician midwives (NPCM) in accessing emergency obstetric care to rural communities in Ethiopia. Methods: An exploratory phenomenology design was done in Ethiopia in 2020. Participants were selected using purposeful maximum variation sampling technique and data was collected from 5 FGDs and 14 KII. Thematic analysis was used. Result: Three major themes were emerged from the qualitative analysis of the transcripts NPCMs has contributed to access to maternal health services and improved client satisfaction, reduce unnecessary referral and increased service volume. However, lack of policy and regulatory documents including scope of practice that recognize Clinical Midwife specialist from both MOH and RHBs found to be a major challenge for underutilization and deployment. Conclusion: Investing in non-physician midwifery education, licensing and deployment can potentially yield a significant fold return on investment in terms of lives saved
Speakers: Santhoshi Jeedipally and Sowmya Thota
Facilitators: Goodson Mukosa Mpumba and Isa Abubakar
BACKGROUND: Evidence highlights that having a birth companion of choice will support women during labor and reduces the need for medical intervention. METHODS: Retrospective data and analysis of data collected from 104 antenatal mothers who birthed in public health facilities in the month of December 2020. RESULTS: When analyzed based on age groups, 62% (20-25), 23% (26-30), 3% (above 30 years of age). Amongst, the 104 pregnant women, 56% are primigravida and 44% are multigravida. For the Primigravida, the first choice of birth companion was their “husband” (41%) and for multigravida women, their “mother” (50%) was the birth companion of choice. 70% of women shared that the hospital encouraged a birth companion and for 30%, the hospital did not encourage due to the COVID 19 restrictions. CONCLUSION: The results raises few questions – Is this due to a lack of awareness or hospitals policies about having husband as their birth
Check the time in your location: http://bit.ly/VIDoM21-session-12
Speaker: Chelsea Beckford-Procyk
Facilitator: Diane Fox
Description: Last year saw an upsurge in awareness of the system of racism, the Black Lives Matter movement gained momentum globally and more people are having uncomfortable but necessary conversations around race. In the UK Black women and birthing people are 4-5 times more likely to die due to complications during pregnancy and childbirth than their white counterparts. While the National Health Service “acknowledge and regret this disparity” they have no target to end it. We must therefore examine how the education of healthcare professionals can also play a part in dismantling racism in clinical practice. I will discuss the ways in which student midwives, women, birthing people and society as a whole would benefit from the decolonisation of midwifery education and how being actively anti-racist can positively improve practice.
Check the time in your location: http://bit.ly/VIDoM21-session-14
Speaker: Edythe Mangindin
Facilitator: Jane Houston
As the Icelandic population has changed from being homogenous to being a multicultural society with 15.6% immigrants, it is important to address the health status and needs of migrant childbearing women as well as access to the healthcare system and experience of maternity care in Iceland. Currently, research is very limited.
Objective: The objective of this study is to test the hypothesis that migrant women experience less respect and autonomy and more mistreatment than native-born Icelandic women in maternity care. Method: An online survey including internationally standardized instruments measuring respect (MOR index), autonomy (MADM scale), mistreatment (MCPC indicators) and childbirth experience (CEQ2) will be sent out using convenience sampling. Participants: Women who have received services and given birth in Iceland 2015-2020. Data analysis will include descriptive analysis, logistic regression and regression models. Predictions: Migrant women experience less respect, less autonomy and more mistreatment than native-born women. (Data collection in progress)
Check the time in your location: http://bit.ly/VIDoM21-session-16
Facilitator: Raquel Kelly Justiniano
En el Perú, los servicios de atención diferenciada para adolescentes presentaban múltiples barreras, además la situación de la coyuntura actual ha provocado limitaciones en el acceso al servicio de salud. Como respuesta, los profesionales de Obstetricia desarrollaron la propuesta de Teleconsejería en Salud y Reproductiva, con participación de profesionales de Ingeniería de Sistema. El proyecto pone la inteligencia artificial al servicio de la salud, a través del desarrollo de un chatbot de Teleconsejería sobre salud sexual y reproductiva, para lo cual se requirió la creación de una página de Facebook, además, se eligieron temas prioritarios definidos por el Estado Peruano. Para el desarrollo de la Teleconsejería se adaptó los 5 pasos de la consejería en salud sexual y reproductiva al entorno virtual. Se necesitó también la implementación de una estrategia digital, que consistía en la construcción de la identidad del chatbot (TeleNanu) y la publicación periódica de información científica.
English: In Peru, differentiated care services for adolescents presented multiple barriers, in addition the current situation has caused limitations in access to health services. In response, the Obstetrics professionals developed the proposal for Teleconsultation in Health and Reproductive Health, with the participation of System Engineering professionals. The project puts artificial intelligence at the service of health, through the development of a Tele-counseling chatbot on sexual and reproductive health, for which the creation of a Facebook page was required, in addition, priority topics defined by the State were chosen Peruvian. For the development of Tele-counseling, the 5 steps of counseling in sexual and reproductive health were adapted to the virtual environment. It was also necessary to implement a digital strategy, which consisted of the construction of the identity of the chatbot (TeleNanu) and the periodic publication of scientific information.
Check the time in your location: http://bit.ly/VIDoM21-session-18
Speaker: Danielle Macdonald
Facilitator: Tanya Belcheff
Purpose: Midwifery has been integrated into health care across Canada over the past 25 years. In Nova Scotia, midwifery services were first offered in 2009. There was a gap in understanding the experiences of midwives and nurses who worked together. Our research question was; How do midwives and nurses collaboration during the provision of birthing care in Nova Scotia? Method: In this case study, we explored feminist poststructuralist concepts of power, gender, discourses, and language in relation to the research question. Following ethical approvals, we conducted; 18 individual interviews, document review, and recorded field notes. Feminist poststructuralist discourse analysis was used. Results: We identified four main themes; 1) Negotiating Roles and Practices, 2) Sustaining Relationships, 3) Reconciling Systemic Tensions, 4) Moving Forward: A Modern Model of Collaboration. Conclusions: The findings of this study illustrated an innovative collaborative approach that could be used to support sustainable midwifery services across Canada.
Check the time in your location: http://bit.ly/VIDoM21-session-21
Speaker: Karline Wilson-Mitchell
Facilitator: Niessa Meier
This project documents and analyzes the history of racialized midwives in Canada and their roles in the communities they served. Midwives of colour in Canadian settlement communities of the 19th-20th century are not represented in historical records. Many of these midwives were enslaved African refugees and indentured worker immigrants, and our goal is to trace and examine their histories. Our Pilot Study focused on Black midwives in Ontario and Nova Scotia between 1800-1970 where we looked at the many factors that contributed to the erasure of Black midwives, such as defacto segregation. Preliminary findings revealed issues of belonging and legitimacy as it relates to Black midwives’ credentials and access to health resources for their communities. This is significant in juxtaposition with reports by Black immigrants of their dissatisfaction with the child-bearing experience. Although only in the beginning stages, this project outlines the importance of uncovering a notable piece of history.
Check the time in your location: http://bit.ly/VIDoM21-session-23