As an alternative to presenting at the Virtual International Day of the Midwife conference we received a number of posters. These 23 posters are available online during the conference and throughout the month of May.  Later check the Conference Archives to review these for the foreseeable future. Some of the poster presenters opted to be interviewed about their posters. Podcast recordings will be added under their names as completed.  Click on a poster image for a larger view.
Presenter InformationAbstractPoster / Title
Linda Sweet, Deakin University

Little research exists to support the administration of corticosteroids to pregnant women with diabetes booked for planned caesarean section at term. The PRECeDe pilot randomised controlled trial (RCT) was conducted to determine the acceptability, feasibility, and robustness of study methods for up-scaling to a multicentre randomised controlled trial. Pregnant women are often excluded from clinical trials due to concerns of harm to the fetus. This study aimed to understand women’s and clinicians’ experiences of participating in the PRECeDe pilot RCT to determine the acceptability of the study protocol. Women and clinicians participating in the pilot trial were invited to complete a telephone interview regarding their experiences of participating. Qualitative data were collected and subsequently analyzed using thematic analysis. A total of 13 women and 9 clinicians participated. Participating in the study was deemed acceptable by women and clinicians. Women chose to participate in the study due to the perceived low risk of harm associated with the intervention and altruistic reasons. The high level of clinical support and information provided for the duration of the trial was valued by women and clinicians. All clinicians highlighted the importance of conducting the trial to inform evidence-based practice. Concerns about potential fetal harm have limited the evidence available to support drug interventions during pregnancy. Women are more likely to participate in clinical trials when perceived risks are low and they are well-informed during decision-making. Clinicians will support clinical trials when they perceive a benefit to practice and feel assured of safety.Pregnant women with diabetes and clinician’s experiences of participating in a feasibility randomised controlled trial of corticosteroids in late pregnancy
Poster: Pregnant women with diabetes and clinician’s experiences of participating in a feasibility randomised controlled trial of corticosteroids in late pregnancy
Helen Recchia; Helen Bedford; Mona Kanaan; Paul Galdas Research Question: What is the influence of resilience in midwives’ career-related decisions?
Rationale/background: Scant evidence is available on the influence of resilience in midwifery, despite being widely seen as a positive attribute for midwives to possess and a key strategy for mitigating the impact of current workforce challenges relating to recruitment and retention.
Methodology: Constructivist Grounded Theory (GT) using individual semi-structured interviews. Thirty-six participants were recruited from sites in the North of England using a theoretical sampling strategy. The analytical process followed Charmaz’s (2014) approach to GT analysis, where coding, concurrent data collection and analysis, theoretical sensitivity and the use of memos were adhered to. Ethical approval for the study was granted following Health Research Authority (HRA) processes, in September 2019.
Findings: The Grounded theory (GT), ‘Optimising opportunities’ was developed and found that the resilience levels of a midwife did influence their career-related decisions. The theory illustrates how some participants recognised their resilience levels fluctuating and then reflected upon this by making changes to their working lives. The study findings identified four core concepts: ‘Not fitting in,’ ‘Being valued,’ ‘Feeling in control’ and ‘Getting the balance right’.
Implications & Conclusion: The current study suggests that the resilience of an individual midwife is not static but fluctuates at different points during their career and can be influenced by several external factors. Participants in the study who were able to ‘Optimise opportunities’ and pursue a career choice or decision felt more resilient at work, in general.
‘Optimising Opportunities’-A Grounded Theory Study Exploring the Influence of Resilience on Midwives' Career-Related Decisions
Sydney Soganich and Steph SmithGIVE LIGHT is a 55-minute documentary that explores the experiences of indigenous midwives in their home environments on five continents to highlight the systemic suppression of their profession juxtaposed to the aggressive and often unnecessary interventions currently in the medical industry worldwide.
GIVE LIGHT explores the maternity care crisis worldwide and moves audiences towards bridging the gap between traditional wisdom and modern technology.

For more information:
GIVE LIGHT: Stories From Indigenous Midwives
Ang Broadbridge and Rachel McDonald

Community link workers support women and families with what matters to them, this prototype project across four sites in the North East of England takes a place-based approach to addressing health inequalities and improving access to care, receiving referrals from midwives and other health professionals, connecting across settings including community, maternity and children’s services and amplifying maternal voices. Our poster shares findings from our prototypes as well testimonials from midwives and women who have received support about the value of collaborative working across health and voluntary and charitable sectors.A Mosaic of Maternal Mental Health Factors: Findings from four maternal mental health link work prototypes in the North East of England; understanding maternal mental health, health inequalities and unmet needs

Adelle Dora Monteblanco, Pacific University; Susana Ku, McMaster University ; Kiren Cohen, York University

According to the World Health Organization, the largest threat to humanity is the ongoing climate crisis. In fact, scientists predict that natural hazards (e.g., heat waves, hurricanes, floods) will occur with increasing frequency, duration, and severity due to human-caused climate change. No matter what community is impacted, there will always be people in need of sexual and reproductive health services, including pregnant people, new parents, and infants with time-sensitive and specialized medical needs. Although hospitals provide the backbone for most medical responses during a disaster event, disasters increase the demand for medical care and simultaneously reduce medical systems’ abilities to provide essential primary care, such as prenatal care, newborn feeding support, contraception or abortion care, just to name a few.
Yet emergency managers and climate leaders continue to overlook a profession that has been in practice since 40,000 BC. This poster highlights the role that midwives hold as climate change mitigators and adaptors, particularly those working at the community level. Drawing on a diversity of research, the authors examine midwives’ commitment to a small environmental footprint, a model of care that prepares them for disaster response, and their prior preparation and response to a variety of natural hazards and humanitarian crises. Lastly, we envision a future in which midwives actively contribute to climate resilience and welcome examples of climate change mitigation and adaptation efforts from our virtual audience.
Midwives as Climate Change Mitigators and Adaptors
Adelle Dora Monteblanco, Pacific University; Susana Ku, McMaster University ; Kiren Cohen, York University

SPANISH: Según la Organización Mundial de la Salud, la mayor amenaza para la humanidad es la actual crisis climática. De hecho, los científicos predicen que los peligros naturales (por ejemplo, olas de calor, huracanes, inundaciones) se producirán con mayor frecuencia, duración y gravedad debido al cambio climático provocado por el hombre. Sea cual sea la comunidad afectada, siempre habrá personas necesitadas de servicios de salud sexual y reproductiva, como mujeres embarazadas, padres primerizos y niños con necesidades médicas urgentes y especializadas. Aunque los hospitales son la columna vertebral de la mayoría de las respuestas médicas durante una catástrofe, las catástrofes aumentan la demanda de atención médica y, al mismo tiempo, reducen la capacidad de los sistemas médicos para proporcionar atención primaria esencial, como atención prenatal, apoyo a la alimentación del recién nacido, anticoncepción o atención del aborto, por nombrar sólo algunos. Sin embargo, los gestores de emergencias y los líderes climáticos siguen pasando por alto una profesión que se lleva ejerciendo desde 40.000 años antes de Cristo. Este póster destaca el papel de las matronas como mitigadoras y adaptadoras al cambio climático, especialmente las que trabajan a nivel comunitario. Basándose en diversas investigaciones, los autores examinan el compromiso de las matronas con una huella medioambiental reducida, un modelo de atención que las prepara para responder ante catástrofes, y su preparación y respuesta previas ante diversos peligros naturales y crisis humanitarias. Por último, imaginamos un futuro en el que las matronas contribuyan activamente a la resiliencia climática y agradecemos los ejemplos de esfuerzos de mitigación y adaptación al cambio climático de nuestra audiencia virtual.Midwives as Climate Change Mitigators and Adaptors
Lee-anne LynchEvaluating clinical equipoise was a secondary outcome to our PRECeDe Pilot Trial - analysing the proportion of otherwise eligible women who received ACS outside the context of the RTC. The PRECeDe Pilot Trial was a triple blind, placebo-controlled, pilot RCT, which aimed to assess the feasibility of undertaking a larger mulitcentre trial in women with pregestational or gestational diabetes, with a planned CS between 35+0 and 38+6 weeks gestation.
Data was collected from May 2020 to May 2022: Of the 490 women who were not enrolled into the randomised control trial, 23 (4.7%) received ACS. In accordance with the guidelines, 6 of the 23 women received ACS prior to 34+6 weeks. The remaining 17 of the 23 received ACS between 35+0 and 38+6 weeks gestation.
Few patients received ACS outside of the context of the PRECeDe Pilot Trial confirming that clinicians have sufficient equipoise regarding this research and it is not a common practice to administer ACS to this cohort of women.
The PRECeDe Pilot Trial: Evaluating Clinical Equipoise
Prasuna Nellure, Midwifery educator Sri Padmavathamma Government College State Midwifery training institute Tirupati Andhra Pradesh India; Hemalatha B.S., Midwifery Educator; and Madhavi Pannaluru, NPM Trainee at Sri Padmavathamma Govt. College SMTI, Tirupati.In 2015, India became one of the 193 countries to commit to the sustainable development goals (SDG) which aims to trans form the world by 2030 more prosperous more equal no secure planet for all. Health is central to commitments made by the Government of India which include maternal and infant mortality.skilled and respectful care during childbirth to predict complications before during and immediately after child birth.Evidence shows that quality midwifery care provided by midwives educated to International Standards reduces Maternal and Newborn mortality and still birth rates 83%. The Government of India has taken a historical landmark policy decision to initiate midwifery services in the country. Guidelines on midwifery services in India was released in 2018 at New Delhi. The NPM program was initiate and being followed of International confederation of midwife Standards and is consistent with the National curriculum. The two SMTI centres were identified in the state of Andrapradesh, India. One SMTI Centre at Tirupati, another SMTI established at Guntur in the state ofA.Pin India.60 in-service staff nurses were selected as NPM trainees through written test and OSCE on their merit basis on 2022.
The NPM program is expected to create a cadre a nurse practitioner in midwifery. It is expected that the program will improve the situation of maternal and neonatal health in Andhrapradesh and aims to reduce MMR and IMR in Andhrapradesh and decreased C- Section also. There was little emphasis on developing a cadre of midwives who would have primarily focused on maternal health.
Midwifery education initiatives in the State of Andhra Pradesh, India
Poster: Midwifery education initiatives in the state of Andra Pradesh, India. Prasuna Nellure
Istri Bartini, School of Health Sciences Akbidyo and Corien Van der Haar, senior expert, PUM Netherlands

Indonesian Midwives Association (IMA) at Bantul District managed 840 midwives with 40 midwives as the board who very active and enthusiastic members. This characteristic of human resources in this organization have played a vital role to gain the goals, save mother and her babies. However, Maternal Mortality Rate in this region was high and draw a fluctuated trend. It pointed to IMA Bantul branch to ensure a quality organization management that directly impact to midwifery care. Global partnership project has run with midwife who representative from PUM Netherlands senior expert.
The aim is to issue a number of recommendations that contribute to improving the organization of midwives.
Method: A two weeks mission by midwife, a Senior Expert Health Care Services PUM. This Partnership project done by workshop, site-visit, meeting and discussing.
Result and Recommendation: There were 4 main activities; organizational support, support at community setting, personal midwife support, meet with midwife students and lecturer. These activities consist of interviews with those involved, observations on location, conversations with students and teachers, but also with pregnant women and women who have given birth. In addition, a number of workshops has been given. Those activities have produced a valuable suggestion for IMA Bantul to develop online system in their work, create a class for family preparedness and rise the income by optimize their asset.
Conclusion: Peer support among midwives gave opportunity to adapt and initiate for the new idea. Furthermore, for those suggestions would contribute to increase capacity of midwives organization.
Peer Support in Capacity Building For Midwifery Association at Bantul

Giulia Maga, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy; Cristina Arrigoni (2); Lia Brigante (3,4); Rosaria Cappadona (5); Rosario Caruso (6,7); Marina Alice Sylvia Daniele (8); Elsa Del Bo (9); Chiara Ogliari (9); Arianna Magon (6): (2) Department of Public Health, Experimental and Forensic Medicine, Section of Hygiene, University of Pavia, Pavia, Italy; (3) Department of Women’s and Children’s Health, Faculty of Life Sciences and Medicine, King’s College London, London, UK; (4) Royal College of Midwives, London, UK; (5) Department of Medical Sciences, University of Ferrara, Ferrara, Italy; (6) Health Professions Research and Development Unit, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy; (7) Department of Biomedical Sciences for Health, University of Milan, Milan, Italy; (8) Department of Midwifery and Radiography, School of Health and Psychological Sciences, City, University of London, UK; (9) Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy

Midwifery interventions require a specific definition and classification consistent with the current midwifery standard care practices, focused on promoting a salutogenic approach to maternity care. As a result, this protocol aims to describe the developmental strategy and the methodological direction for validating a Midwifery Interventions Classification (MIC) based on the Italian context with the potential for international transferability, implementation, and scaling up. The scope of the MIC will cover healthy women with low-risk pregnancies and their newborns, from antenatal to birth and postnatal care.
This protocol designs a multi-phase approach. Stage 1 (Developmental phase) was recently completed and included a literature review to develop a preliminary and evidence-based version of the MIC; Stage 2 (Consensus process) will validate the classification through a Delphi survey involving key stakeholders: healthcare professionals, healthcare researchers, and service users. Midwifery interventions resulting from Stage 2 will be taxonomized into domains and classes encompassing the final version of the MIC.
The preliminary version of the MIC consists of an initial list of 165 midwifery interventions based on a salutogenic maternity care framework. This preliminary version was outlined after extracting, translating, merging, and retitling 520 midwifery interventions provided by the 16 studies included in the literature review performed on PubMed, CINAHL, and Scopus.
The MIC will support audit and quality improvement, education, and comparable data collections for research, sustaining public recognition of midwifery interventions to promote optimal maternal, newborn, and public health outcomes.
Developmental Strategy and Validation of the Midwifery Interventions Classification (MIC): A Delphi Study Protocol and Results from the Developmental Phase
Siti Khuzaiyah, Nursing and Midwifery, PAPRSB Institute Health Sciences, Universiti Brunei Darussalam; Sarena Binti Hj Hashim, Nursing and Midwifery, PAPRSB Institute Health Sciences, Universiti Brunei Darussalam

Adolescent pregnant women are a vulnerable group. They frequently experience emotional and physical issues related to their pregnancy. Understanding adolescent mothers is crucial, particularly in understanding healthcare-seeking behavior (HSB) and factors influencing HSB among pregnant adolescents.
Aim: To summarise the existing literature to provide insight into healthcare-seeking behavior among adolescent pregnant women.
Methods: The review adapted the five stages of Arskey and O’Malley’s framework. Six databases were searched using the terms. Data searching identified 1952 records. Twenty-five studies met inclusion and exclusion criteria.
Findings: Three key themes emerged; (1) women's experience of adolescent pregnancy, (2) Factors influencing HSB and ANC among adolescent pregnant women, and (3) The utilization of health services and antenatal care among adolescent pregnant women.
Discussion: Adolescents experience various feelings during their pregnancy, and responses to their surroundings will contribute to their HSB. Utilizing health services also gives adolescents tremendous experiences affecting their subsequent follow-up visits. Conclusion: This review identified a number of enabling factors influencing HSB and ANC among adolescent pregnant women, including age, education, location, marital status, socio-economic position, and family support. The barriers to HSB included: difficulty getting permission, distance from health facilities, a lack of funds, a lack of knowledge, a lack of decision-making authority, a lack of education, a lack of wealth, negative emotions, negative perceptions, stigma from others, fear, violence, abuse, and negative experiences with health care and adolescent pregnancy.
Health Seeking Behaviour (HSB) of Pregnant Adolescent: A Scoping Review
Archana Rawat1; * Harleen Kaur2; Kanchan Bala3:
1. Assistant professor, Obstetric and Gynecological Nursing Dept., Kalka College of Nursing Meerut, UP
*2. Associate Professor and HOD Fundamentals of Nursing, Himalayan College of Nursing, Swami Rama Himalayan University, Jolly Grant, Dehradun, UK
3. Assistant Professor Obstetric and Gynecological Nursing Dept. Nursing, Himalayan College of Nursing, Swami Rama Himalayan University, Jolly Grant, Dehradun, UK
Hormonal changes during pregnancy, the production of estrogen decreases and due to which the wall of the urinary tract becomes thin. Urinary Tract Infection during pregnancy divided into two categories i.e. symptomatic and asymptomatic. Aims & Objective: To evaluate the effectiveness of structured teaching programme regarding prevention and management of urinary tract infection during pregnancy among women. Methodology: A quasi experimental research one group pretest and posttest design was used. 60 pregnant women were selected by convenient sampling technique, data was collected by structured knowledge questionnaire and self-reported practice checklist. Result: The mean post test knowledge score (20.98± 1.18) were significantly higher than the mean pretest knowledge score (11.90 ±2.26) and mean post test practice score (9.93 ± .7561) were significantly higher than the mean pretest practice score (9.40 ±1.26). Conclusion: Structured teaching programme was effective to improve the knowledge, and practices regarding prevention and management of urinary tract infection during pregnancy.Effectiveness of Structure Teaching Programme regarding Prevention and Management of Urinary Tract Infection during Pregnancy among Women

Geeta Singh and Kanchan BalaBreast milk is one of the greatest gifts a mother can give to her baby. Breast feeding should be initiated within first half to one hour of birth or as soon as possible1. It is one of the physical acts which is necessary as well as beneficial for both mother and the infant.2 So, breast feeding deserves encouragement from all concerned in the welfare of children. 1The aim of the present study was to assess the knowledge of postnatal mother regarding breast feeding techniques A cross sectional study was done to assess the knowledge of breast-feeding techniques among postnatal mother and 63 mothers were selected through consecutive sampling technique and data were collected by using structured knowledge questionnaire in HIHT, Dehradun. Result shows that the maximum possible range of knowledge score was 26, range of obtained score was between 3-22and the obtained mean ±SD were (15.06±3.90) and median was 15. Arbitrary category scoring of knowledge revealed that the majority of postnatal mothers (55.56%) had good level of knowledge at pretest level, (42.86%) mother showed average level of knowledge (1.58%) mother had poor level of knowledge regarding breast feeding techniques and there was statistical significant association with the type of delivery and previous knowledge of postnatal mothers except other variable such as age, education, occupation, parity, type of family, dietary pattern and area of residence has no statistical significant association with the pretest level of knowledge score.KNOWLEDGE OF POSTNATAL MOTHERS REGARDING BREASTFEEDING TECHNIQUES

Leanne CumminsWomen want localised hospital-based information to be available on-line to help support them through pregnancy and when they go home. We asked women what they wanted as part of a broader study and initiated the development of a hospital-based website. Women with GDM will seek localised hospital-based on-line resources if they do not receive consistent breastfeeding information from caregivers in hospital and when breastfeeding challenges occur at home.Impact of hospital-based on-line information for women with GDM
Jean Watson

The Participatory Action Research study involved three phases, Exploration (Phase One), Intervention (Phase Two) and Evaluation (Phase Three). Phase One involved a World Café event where an Expert Working Group (n=19) created the DOC Learning Tool based on the NMC Standards. One hundred percent face and content validity of the Tool was achieved. Phase Two involved mixed methods of data collection: Testing the DOC Learning Tool over four cycles .24 clinical midwives from one Health Board in Scotland took part. In total 224 DOC Learning Tools were completed and analysed. Quantitative data was examined through descriptive statistics, revealing that over the four test cycles rater agreement changed from a mean of 68.10, to 78.17. Descriptive statistics revealed a reduced range in the variation of scores and a steadily increased mean score. Results showed gradual increase while Cycle Four becomes significantly different from Cycle One. One inferential test was carried out ( one-way ANOVA) which revealed significant difference between Cycle One and Cycle Four. Qualitative data was obtained through three focus groups (n=9) and qualitative comments from the completed DOC Learning Tools. Thematic analysis (Braun and Clarke (2006) revealed two overarching themes relating to the DOC Learning Tool, including Mechanisms and Practicalities and Person Centred Engagement and Enhancement through Learning. There was clear evidence the DOC Learning Tool was in alignment with the NMC professional standards. Phase Three- Although triangulation of findings enhanced the areas of convergence and divergent resulting in ongoing improvements to the DOC Learning Tool over the study.The DOC Learning Tool
Miriam Guana and Rebecca Parmigiani
National online survey carried out in the months of September and November 2022. Participated in study no. 127 student. For data collection, an anonymous questionnaire was administered electronically through a "snowball" sampling. The results. - 99.2% (f 126) of the students are female. The experience of learning the 1st birth takes place mainly in the 2nd year (49.6%) in university structures and in the public health system. Under the guidance of the midwife tutor, the students participated in the various stages of childbirth where observation was privileged as a learning method. Instead, they directly experienced the preparation of the instruments and the sterile field, the support/support for the parturient, the aftercare, the assesment of maternal-fetal vital parameters. 2/3 consider their midwives tutor a good, expert trainer who knows how to transmit practical skills.aim of the research is to investigate, at a national level, the educational experience of midwifery students during assistance in the first birth; one of the essential clinical learning skills in the most complex, most significant and most emotionally impactful study path of the Degree Course in Midwifery. Conclusions : the survey conducted represents a valid contribution for those belonging to the midwifery science , considering that the topic is little investigated in the literature, in particular for the student tutors engaged in the clinical training of the students in the Degree Course It can also provide important information to those in coordination and management roles in midwifery learning.Italian: ASSISTENZA AL PRIMO PARTO: INDAGINE TRA GLI STUDENTI E LE STUDENTESSE DEI CORSI DI LAUREA IN OSTETRICIA ITALIANI
First childbirth care experience learning: a survey among the students of Italian Midwifery
Poster: Assistenza al primo parto: Indagine tra le studenti dei corsi di laurear in ostetricia Italiani. Guana et al
Fransisca Retno Asih, STIKES Banyuwangi (Institute of Health Science of Banyuwangi) Banyuwangi, Indonesia; Weryca Hestin Santoso; Silvia Tri Puspitasari; Denok Indah Retno Palupi Most decisions regarding breastfeeding initiation are made in the preconception or prenatal period. But, it's can change after delivery. But, only 44% of infants under six months of age are exclusively breastfed, 68% continue for one year and 44% for two years. It's important to promotion breastfeeding during pregnancy. Promotion breastfeeding during pregnancy is one of 10 steps to successful breastfeeding to inform all pregnant women about the benefits and management of breastfeeding and build the woman’s confidence in her ability to exclusively breastfeed her baby. The aims of this poster is to Invite and encourage midwives to promoting breastfeeding during pregnancy step to step. (1) Identification the woman’s knowledge, beliefs and feelings about breastfeeding and discuss about the importance of exclusive breastfeeding and the importance of continuing breastfeeding after 6 months in praconception or early pregnancy; (2) Identification the woman’s breast and discuss with the women and family about the importance of breastfeeding to the baby and mother in trimester 1; (3) Identification the women who need extra attention and discuss with the women and family about the importance of skin-to-skin contact, early initiation of breastfeeding, and rooming in 24 hours a day in trimester 2; (4) Identification other condition of woman and discuss with the women and family about the importance of feeding on demand and frequently and pratice of good positioning and attachment in trimester 3.Promotion Breastfeeding During Pregnancy
POSTER: Promotion breastfeeding during pregnancy. Asih et al.
Grace Daniel Respectful maternity care is “care organized for and provided to all women in a manner that maintains their dignity, privacy and confidentiality, ensures freedom from harm and mistreatment, and enables informed choice and continuous support during labor and childbirth Every woman has the right to respectful maternity care and midwives play a vital role in providing such care.
Objective: This study therefore aimed at exploring the experiences of midwives in providing respectful maternity care during childbirth.
Methods: This was a qualitative research performed using a phenomenological approach involving 10 in-depth interviews conducted on purposively selected midwives providing services in the labour ward of a selected hospital in Jos, Plateau State. Thematic analysis process was used to generate explanatory accounts of the research data which was analysed using Nvivo software.
Results: Midwives expressed expectations from the pregnant women during childbirth aligning with the believe of preservation of patients’ dignity. Additionally, opinion of the midwives pointed to justification of disrespect with some patients acting outside acceptable behaviours and composure in labour. Furthermore, health system constraints were also expressed to influence the experience of the midwives.
Conclusion: Midwives are favourably disposed to providing respectful care during childbirth but are limited when their expectations are not being met and when there are health system constraints. A number of strategies could improve the experiences of midwives which includes system-level changes and a collaborative shared model of care delivery between the antenatal clinic and labour wards.
Experiences of midwives in providing respectful maternity care during childbirth in Jos, Nigeria

Miriam Guana, Università degli Studi di Brescia; Anna Romano; Laura GarbelliObjective: This study therefore aimed at exploring the experiences of midwives in providing respectful maternity care during childbirth.ITALIAN: L'ecografia office nella pratica ostetrica: indagine sull'offerta formativa in Italia. - Midwifery ultrasounds for midwifery practice: survey about training of Italian Midwives.POSTER: L'ecografia office nella pratica ostetrica: indagine sull'offerta formativa in Italia. - Midwifery ultrasounds for midwifery practice: Survey about training of Italian Midwives. Guana et al
Grace Madonna Singh, Associate Professor, Himalayan College of Nursing, Swami Rama Himalayan University, Jollygrant, DehradunPregnancy is one of the most miraculous journeys that a woman can have in her life. The most recognizable blessing is to be promising of a new life. Pregnancy is full of new changes, responsibilities, new roles and joys, so it is very important to look at Psychological Wellbeing and Physical Health of mother. Study Objective: To assess the psychological wellbeing and explore associated factors among antenatal mothers. Material and method: In this study descriptive research design was adopted, by the simple random sampling technique setting was selected that is Doiwala, Dehradun, sample size calculation was done, total 109 antenatal mothers were selected through purposive sampling technique, data was collected by administering Likert scales. Results: Psychological wellbeing of antenatal mothers was good 81.09% and among all six domains of psychological wellbeing, autonomy got highest score (84.34%) whereas personal growth (56.21%) was got least score. Antenatal mothers were aware about the factors affecting psychological wellbeing and among all ten domains antenatal mothers got highest score (88.75%) in the domain of Pregnancy whereas motherhood domain got least score (38%) was less known area. There was a positive correlation between psychological wellbeing and associated factors. Conclusion: It was concluded that psychological wellbeing was good in those antenatal mothers who were having adequate family support and having sound financial condition. Study suggested that identifying the negative factors and screening of psychological wellbeing are very important factors among antenatal mothers.

Hughes, J, Vasilevski, V; Rasheed, A; and Sweet LPremature infants are at increased risk for mortality and long-term comorbidities. Mother’s own breastmilk is considered the nutritional ‘gold standard’.
Low birth-weight infants may exhibit physiological maturity to breastfeed after birth. Mothers are encouraged to express their milk 8-12 times per day to establish and maintain their milk supply, this facilitates the provision of expressed breastmilk feeding via the infant’s enteral feeding tube.
Objective: To respond to women’s need for low-cost breast pump hire, double electric hospital-grade breast pumps were made available to hire at a significantly reduced cost. To be eligible, women needed to have given birth to an infant 32 weeks and/ or 1500gm. The aim of this study was to determine women’s satisfaction of using the low- cost hire program and infant feeding outcomes at hospital discharge.
Methods: A prospective telephone survey was undertaken to evaluate women’s experiences and satisfaction of using the hire program. A retrospective audit was undertaken to evaluate infant feeding outcomes at hospital discharge.
Results: The majority of women surveyed were extremely satisfied with the low-cost hire program. All infants of mothers who had hired a breast pump received breastmilk during their admission and most were receiving some breastmilk at hospital discharge. There were no breast pump losses or damages and all but one woman paid their hire fees.
Conclusion: The implementation of a low-cost breast pump hire service supported the provision of equitable care, increasing women’s ability to access a double electric hospital-grade breast pump and provide expressed breastmilk for their infant.

Jessica Hughes Poster references
Aqsha Wijaya, Padjadjaran University (student)Methods: This was a qualitative research performed using a phenomenological approach involving 10 in-depth interviews conducted on purposively selected midwives providing services in the labour ward of a selected hospital in Jos, Plateau State. Thematic analysis process was used to generate explanatory accounts of the research data which was analysed using Nvivo software.iPosyandu, improving health promotion using artificial intelligence (AI)
Eka Febiola (student); and Annisa Sri WahyuniResults: Midwives expressed expectations from the pregnant women during childbirth aligning with the believe of preservation of patients’ dignity. Additionally, opinion of the midwives pointed to justification of disrespect with some patients acting outside acceptable behaviours and composure in labour. Furthermore, health system constraints were also expressed to influence the experience of the midwives.Education About The Benefits Of Eating Moringa Vegetables as An Effort to Prevent Stunting in Women of Reproductive Age in Kayen, Sendangsari Pajangan, Bantul

Hannah Heard, American Association of Birth Centers Perinatal Data Registry (Student); and Diana Jolles PhD, CNMConclusion: Midwives are favourably disposed to providing respectful care during childbirth but are limited when their expectations are not being met and when there are health system constraints. A number of strategies could improve the experiences of midwives which includes system-level changes and a collaborative shared model of care delivery between the antenatal clinic and labour wards.Postpartum Outcomes by Payment Status and the Role of the Midwifery-Led Birth Center Model of Care

Jordan Flowers, American Association of Birth Centers, University of Arizona MEZCOPH (student)Cesarean birth rates have dramatically increased since the 1990’s. This mode of delivery is often associated with significant maternal and fetal risks. The beneficial effects of exercise during pregnancy have been clearly established. Exercise represents a parameter that can be manipulated to help reduce the occurrence of cesarean delivery. This research explores the association between exercise and cesarean delivery in pregnant women. Methods: This analysis includes data from 336,041 pregnant women. Data were collected using the American Association of Birth Centers (AABC) Perinatal Data Registry. Chi-square tests were used to test for association and logistic regression methods were utilized to predict the probability of outcome. Results: Statistically significant and protective effects of exercise on cesarean delivery were demonstrated in women that ran ([OR], 0.79; 95% CI, 0.67-0.93; p=.005), walked ([OR], 0.72; 95% CI, 0.60-0.86; p= .001), and did yoga ([OR], 0.83; 95% CI, 0.72-0.97; p=.017). These results suggest that participation in running, walking, and yoga reduce the odds of cesarean. In a sub-analysis of multiparous and nulliparous women performance was similar, yet indicative of slightly higher odds of outcome in women who have not previously given birth. Conclusion: These findings provide evidence of a significant association between running, walking, and yoga and reduced odds of cesarean. This corroborates the role of exercise during pregnancy and can be utilized to help develop, inform, and tailor appropriate interventions and educational resources to better serve women. Further research is required to understand how to support populations to increase physical exercise in pregnant women.Exploring the Association Between Exercise and Cesarean Delivery within the Birth-Center Model of Care