VIDM 2025 Programme

Speaker: Brenda Araujo Salas 

Facilitator: Paloma Terra

A partir de las ilustraciones elaboradas por Yaquemilsa Matiashi Vicente, una joven madre del pueblo Matsigenka, perteneciente a la amazonía peruana, describiremos las prácticas tradicionales en salud materna que aún se mantienen vigentes en las comunidades más alejadas de la vida moderna. Se describirán las concepciones y prácticas culturales durante la primera menstruación, los cuidados en el embarazo, la atención del parto por parte de la familia y parteras, y los cuidados en el posparto.

Conocer gráficamente las prácticas en salud materna a través de la mirada de una mujer del mismo pueblo, nos permite visualizar detalles significativos que se dan en la los cuidados de las mujeres gestantes y los recién nacidos. La importancia de este material es educativa y en favor de una mejora en la atención del parto para fundar la comprensión y el respeto a las costumbres y participación de las parteras y especialistas tradicionales de salud, ya que, actualmente, gran parte de las comunidades amazónicas tienen acceso a establecimientos de salud, pero estos ofrecen servicios sin pertinencia cultural. Por otro lado, el material también permite el reconocimiento de la importancia de los conocimientos de las mujeres Matsigenka en los niños, niñas y adolescentes.

English:

From the illustrations elaborated by Yaquemilsa Matiashi Vicente, a young mother of the Matsigenka people, belonging to the Peruvian Amazon, we will describe the traditional practices in maternal health that are still in force in the communities farthest away from modern life. We will describe the cultural conceptions and practices during the first menstruation, pregnancy care, childbirth care by the family and midwives, and postpartum care.

The graphic presentation of maternal health practices through the eyes of a woman from the same village allows us to visualize significant details in the care of pregnant women and newborns. The importance of this material is educational and in favor of an improvement in childbirth care, in order to establish understanding and respect for the customs and participation of midwives and traditional health specialists, since, at present, most Amazonian communities have access to health facilities, but these offer services without cultural relevance. On the other hand, the material also allows the recognition of the importance of Matsigenka women’s knowledge in children and adolescents.

Recording: https://youtu.be/voZyHiTevvw

Speaker: Lucia Monetta

Facilitator: Susana Ku

In 2020, our Argentina Midwifery Association  launched a pilot program to develop a committee to strengthen two areas that have been less explored in our profession: research and leadership.

With the group of 4 young midwives, this committee developed a purpose, objetives and structure that will allow argentinian midwives to develop skills that will equip them to make a visible impact on their communities, by positioning midwifery in the Research Health field and to take on leadership roles in the Health Care Systems and organizations that tackle Sexual, Reproductive, Maternal & Newborn Health injustices and inequities. 

From this initiative, several program were born: internships/mentoring program, educational programs in research studies, conferences, seminars and one of the biggest accomplishments: a registered Midwifery Journal. 

The leadership program has grown over the past three years, achieving important leadership roles, mentoring midwives, as well as, more publishing and research opportunities. 

The Midwifery Journal “OBSTETRIX” continues to grow with more collaborations, more midwives publishing their research work from central, Latin America, and more  than two thousand subscribers. 

In this presentation, we want to encourage midwives to initiate this kind of programs and innovation to develop in their countries. We would like to explore the experiences and opportunities and that can be achieved by working with a unique working environment that allows midwives to develop their full potential and the lessons learned throughout this program. 

Recording: https://youtu.be/vC2DOEfLsLQ

Speaker: Amy Goh, Dia Kapoor, and Anna Nguyen

Facilitator: Olajumoke Ojeleye

Asians and Asian Americans (Asians) have the second highest rate of caesarean birth in the U.S. Asians have the lowest rate of out-of-hospital birth and are low utilizers of midwifery care. This presentation examines cesarean birth amongst Asians who have birthed at U.S. institutions participating in the AABC’s Perinatal Data Registry (PDR). 

Methods: Data from the PDR from 2007-2020 was utilized. Logistical regression was completed to determine the odds of cesarean birth for nulliparous and multiparous Asians in medically low-risk and elective hospitals categories.

Results: 2,983 Asian birthing people were sampled. Multiparous birthing people had 1.5 greater odds of caesarean birth compared to nulliparous birthing people (OR = 1.54; 95% CI, 1.19 – 2.03; p .01). The elective hospitalization group had higher adjusted odds of caesarean births compared to the low-risk and total population (OR = 1.54; 95% CI, 1.23 -1.93; p; .01). Nulliparous people in the elective hospitalization category had a rate of caesarean birth 1.5 times higher than the total (OR = 1.26; 95% CI, 1.09 -1.46; p .01) and 1.36 times higher than the low-risk sample (OR = 1.36; 95% CI, 1.13 -1.63; p .01). 

Conclusion: This study highlights inequities in multiparous and nulliparous cesarean birth among medically low-risk Asians. Further research is needed in disaggregation of perinatal outcomes and on reasons for low utilization of midwifery care and out-of-hospital births amongst U.S. Asians.

Recording: https://youtu.be/jc1ZxhkUvrc

Speaker: Jialu Qian

Facilitator: Heather Brigance

Purpose: The psychological outcomes for many parents who experience perinatal loss depend on nurses’ and midwives’ ability to provide effective bereavement support. However, most nurses and midwives lack the ability in this field. The aim of the study was to explore obstetric nurses and midwifery professionals’ experiences with the Perinatal Bereavement Care Training Programme (PBCTP) after implementation.

Method: This qualitative study was conducted at a tertiary level maternity hospital in China. The PBCTP was implemented from March to May 2022. A total of 127 nurses and 44 midwives were invited to participate in the training. Obstetric nurses and midwives studied a 5-module training programme comprised of 8 online theoretical courses. Semi-structured telephone interviews were conducted with 12 obstetric nurses and 4 midwives from May to July 2022 as a post-intervention evaluation. Thematic analysis was used in the data analysis.

Results: Six main themes within participants’ experiences of PBCTP intervention were identified: aims of the training; personal growth and practice changes after training; the most valuable training content; suggestions for training improvement; directions for practice improvement; influencing factors of practice optimisation.

Conclusion: Nursing and midwifery professionals described the PBCTP as satisfying their learning and skills enhancement needs and supporting positive changes in their care providing for bereaved families. The optimised training programme should be widely applied in the future. More efforts from the hospitals, managers, obstetric nurses and midwives are needed to contribute to forming a uniform care pathway and promoting a supportive perinatal bereavement care practice. 

Recording: https://youtu.be/sx7DJdpik9I

Speaker: Ines Rothman

Facilitator: Elisa Segoni

The population of low-risk pregnant women whose birth is induced has been increasing steadily in many countries. Considerable inter- and intraprofessional variation regarding the medical indications for induction, induction methods and induction term exists. 

The Flemish Association for Midwives did a systematic literature review on the effects of induction of labour at 41 and 39 gestational weeks, both compared to expectant management, on maternal and neonatal outcomes, and on maternal birth experience. This research included almost 40 studies across the 3 PICOs between 2017-2022 and 9 guidelines.

Clinical guidelines and current care policy are based on a limited number of research studies, with significant study limitations. The evidence from our systematic literature review shows that induction does not unambiguously lead to more favourable maternal and neonatal outcomes; new systematic reviews and the wealth of observational studies in recent years more often point to no or unfavourable iatrogenic effects of induction. Induction appears to have a higher chance of a negative birth experience and the shared informed decision-making process is flawed. Women receive insufficiently balanced information about the benefits and risks of induction, the different indications, the induction process, other interventions that may accompany an induction, the impact of induction on freedom of mobility, and the right to refuse an induction. Women often experience the induction recommendation as binding rather than as a choice, sometimes feeling pressured. An open, constructive, interdisciplinary dialogue is urgently needed to evaluate current induction policies. Our research points to several implications which can enrich this debate.

Recording: https://youtu.be/iyoz_CNYZv8

Speaker: Tracy Donegan

Facilitator: Portia Shanduka

80 – 90% of women who stop breastfeeding in the first six weeks are not ready to do so. Initiatives to improve breastfeeding rates have traditionally focused mainly on social policies, support and health promotion activities. In recent years therapeutic interventions such as mindfulness and self-compassion practices are emerging as an effective tool to increase breastfeeding self-efficacy while reducing mental health complications. Traditional antenatal breastfeeding preparation overlooks the influence of a dysregulated emotional state on breastfeeding outcomes. Antenatal breastfeeding classes are a prime opportunity for midwives to provide parents with evidence-based tools to manage psychological distress during this intense transition.

Mindfulness practices support parents to manage emotional turmoil and overwhelm including those who may experience breastfeeding grief. A mindful breastfeeding class can prepare parents with more than position, latch and newborn nursing information. This hybrid approach facilitates the development of cognitive skills to cultivate mental flexibility and emotional resilience to meet common challenges of early breastfeeding with self-compassion and self-kindness. This is critically important for parents with a baby in NICU who are at increased risk of developing mental health complications due to high stress levels. Recent primary evidence suggests that a mindfulness based approach to breastfeeding and postpartum is associated with an increase in breastfeeding initiation, duration, self-efficacy, parenting confidence and improved relationship quality. Infant mental health is also impacted positively.

Recording – https://youtu.be/X_5TJjN7PR0

Speaker: Patricia Marianella 

Facilitator: Paloma Terra

El objetivo fue comparar los resultados materno-neonatales y costos de la resolución de embarazos, en mujeres obesas y con peso normal pregestacional.

Métodos: Estudio transversal realizado en 60 gestantes con obesidad y 120 con peso normal pregestacional atendidas en un hospital público de Lima durante el 2018, seleccionadas aleatoriamente. Se recolectaron datos sociodemográficos, indicadores maternos (índice de masa corporal pregestacional, controles prenatales, edad gestacional, días de hospitalización), neonatales (Apgar, peso, morbilidad, edad gestacional por examen físico, días de hospitalización) y datos de los costos (medicamentos, procedimientos e insumos). Se utilizó la prueba estadística U de Mann Whitney.

Resultados: Se encontraron diferencias entre mujeres obesas y con peso normal pregestacional en los días de hospitalización materna (3 ±1,2 días vs 2,0 ±1,2 días; p=0,000); en el peso del recién nacido (3 615 ± 518,03 gr vs 3 245 ± 426,25 gr; p=0,000), en el costo de medicamentos ($ 19,78 ±16,47 vs $ 3,21 ±15,57; p=0,000), en el costo de procedimientos ($ 40,65 ±46,78 vs $ 27,67 ±49,47; p=0,001), y en el costo de insumos ($ 54,08 ±29,02 vs $ 9,32 ±28,26; p=0,000).

Conclusión: Las mujeres obesas presentaron recién nacidos con mayor peso, contaron con más días de hospitalización y los costos de medicamentos, procedimientos e insumos fueron superiores en comparación con las mujeres de peso normal.

English: 

The objective was to compare maternal-neonatal outcomes and costs of pregnancy resolution in obese women and women with normal pregestational weight. Methods: Cross-sectional study conducted in 60 pregnant women, randomly selected, with obesity and 120 with normal pregestational weight attended in a public hospital in Lima during 2018. Sociodemographic data, maternal indicators (pregestational body mass index, prenatal controls, gestational age, days of hospitalization), neonatal (Apgar, weight, morbidity, gestational age by physical examination, days of hospitalization) and cost data (drugs, procedures and supplies) were collected. The Mann Whitney U statistical test was used. Results: Differences were found between obese and pregestational normal weight women in maternal hospitalization days (3 ±1.2 days vs. 2.0 ±1.2 days; p=0.000); in newborn weight (3 615 ± 518.03 gr vs. 3 245 ± 426.25 gr; p=0.000), in the cost of medications ($ 19.78 ±16.47 vs $ 3.21 ±15.57; p=0.000), in the cost of procedures ($ 40.65 ±46.78 vs $ 27.67 ±49.47; p=0.001), and in the cost of supplies ($ 54.08 ±29.02 vs $ 9.32 ±28.26; p=0.000).Conclusion: Obese women had heavier newborns, more days of hospitalization and the costs of medications, procedures and supplies were higher compared to women of normal weight.

Recording: https://youtu.be/McAV7M1Ub4M

Title: Considering evidence and wisdom in professional reality

Speaker: Céline Lemay

Facilitator: Elisa Segoni

With EBM we also see a proliferation of guidelines and recommendations directed targeting practitioners that are expected to “apply” them and valuing a standardised care. In their daily practice midwives are facing two different important professional orientations: following guidelines/protocols and also providing a woman centered individualized care. How to take the most appropriate decision for the patient then? The reality is complex and often hold ethical tensions. How can we demonstrate a good quality of care? In past years there was a number of publications promoting the importance of more practical wisdom or “phronesis” in health care professional practice. A review of literature on the subject was undertook and 37 papers were selected to answer the main question: how can we understand the meaning of practical wisdom and its place for a good quality of healthcare? Can practical wisdom be learned, taught, developed and cultivated? We will develop the mean findings of our review, highlighting the fundamental place of professional judgement in the profession. It is a question of using discernment and deliberation to decide the best action for the good of a unique person in a context of care.  There is also the valorisation of a reflexive practice in clinical places as well as using narratives of experiences to learn discussion and reflection during undergraduate period. In all context of care practical wisdom can help midwives to use the strengths of EBM AND have a woman centered care. It is seen as a mean to flourish as a professional.

Recording: https://youtu.be/Ir1AJXKZVQs

VIDM is not over yet! Following the closing Keynote speaker, stay right where you are for the closing events. 

Facilitator: Lorraine Mockford

VIDM founder Sarah Stewart is back with a taste of her comedy routine: Donuts, Fireman Sam, and living with a hoarder!

Sarah Stewart is a midwife, nurse and stand up comedian. Sarah has performed comedy around Australia and is a member of the very successful comedy team, The Women’s Room, who have just had 2 sold out seasons at the Canberra Comedy Festival. Sarah has lots to say about being a wife, mother, getting old and of course….being a midwife.  Sarah will be performing in her pyjamas, in bed, and feeling like a right wally because virtual comedy is weird. The good news for Sarah is if you heckle her, she can just mute you! 

Then join the VIDM Organizing Committee, volunteers, and delegates as we say thank-you for another year by sharing our closing video with you.

Recording FINAL closing slideshow selfie photos – https://youtu.be/5r7DqvZ5or4

Title: Changing the course of history – Midwives, Midwifery

Speaker: Jacqueline Dunkley-Bent

Facilitator(s): Cecilia Jevitt

This session describes the impact of midwives as a ripple through generations and the significant contribution midwives make throughout the life course. Listeners will be challenged to reflect on their contribution to childbirth experiences and outcomes within the context of the changing world. Years from now will we throw up our hands or role up our sleeves? The session will end with a call to action.

Recording: https://youtu.be/RNcRroY3U2k

Speakers: Linley Taylor and Claire Macdonald

Facilitator: Linda Deys

Abstract:

Background – Natural disasters are usually unexpected and sudden, carrying prolonged after-effects for communities. Throughout disasters, pregnant women and people continue to give birth, so midwives must continue providing essential care for pregnancy, labour and birth and postpartum. Aotearoa New Zealand has universal health coverage for maternity care through a community midwifery continuity-of-care model, integrated with hospital-based midwifery and obstetric services. This enabled continuous care provision throughout the Canterbury earthquakes in 2011-2012, and Cyclone Gabrielle in Hawke’s Bay in 2023. However, there were unforeseen challenges. In a high-resource country, the unexpected loss of transport (including road damage) and phone/internet connectivity during the cyclone highlighted our heavy reliance on technology. Discussion – We share experiences from practice in the midwifery caseloading model which enabled a nimble and often autonomous response to meet clients’ needs. Factors supporting midwives’ care provision were: responsibility for a caseload; carrying full homebirth kits in their cars; group practice arrangements; strong interdisciplinary collegial relationships; integration with hospital services; and national support from the College of Midwives. Planning for the future should include infrastructural support for community midwives; satellite internet phone connectivity; access to generators and fuel; the inclusion of community health provision in Civil Defence planning; and contemplation by midwives as to how ready they might be in their personal lives if disaster struck today. Conclusion – Community caseloading midwifery models should be protected, supported and included in future disaster planning.

Recording: https://youtu.be/vEe1E2iBTJY

Speakers: Gina Kruger and Linda Sweet

Facilitator: Caitlin Goodwin

Abstract:

Background: Midwives have a central role in working with women to provide safe and appropriate care across pregnancy, childbirth, and the early parenting period. Midwives being supported in their practice role influences their capacity to promote healthy birthing for women. This study aimed to explore midwives’ perceptions and experiences of peer support in a hospital setting in Australia. Methods – Twenty-three midwives participated in four focus group discussions, which were recorded and professionally transcribed. Thematic analysis of the grouped data identified areas to inform the development of supportive peer support strategies to enhance midwives’ practice role in the provision of woman-centered care. Results – The themes identified were: communicating effectively with emphasis on the quality of intra-professional relationships; having a sense of belonging and being trusted in decision-making; being able to access individualised peer support; and, initiating support-seeking behaviours to meet the midwife’s needs. Discussion: Participants felt the need for greater peer support. This is a dynamic concept in that the timing and type of peer support required can influence midwives’ scope of practice with women in the changing, complex nature of the practice environment. Conclusions: Study findings inform the development of informal and formal peer support systems for midwives. With the development and piloting of peer support practice strategies tailored to value and promote midwives’ fulfilling our scope of practice while achieving healthy maternity care experiences for women and their babies.

Recording: https://youtu.be/NJK7xWhJ6hY

Speaker: Alison Eddy and Carol Bartle

Facilitator(s): Catherine Salam (Izza Alifina)

Abstract:

Te Kāreti O Nga Kaiwhakawhanau Ki Aotearoa | The NZ College of Midwives and their college members are promoting midwifery action on climate change and working towards supporting national and global initiatives which reduce the negative impacts of climate change. Wherever they work midwives can consider the environment and identify ways to minimise their impact both personally and professionally. Small actions can grow into a significant movement and midwives can advocate for social change in relation to sustainability and healthy environments. The ‘fingerprint of climate change’ has been described as beginning before a baby is born due to pregnant women already enduring environmental crises that their children will be exposed to after birth.[1] This presentation tracks how an increased awareness of the impact of climate change sparked the College into action aimed at supporting some mitigation of climate change via a lens on midwifery practice related to pregnancy, birth, and infant feeding.  The College recognises the potential for midwifery globally to develop a model of excellence for climate action and sustainability and we will present what we have achieved so far, and the steps we are taking towards collective action.

[1] Pacheco, S. (2020). Catastrophic effects of climate change on children’s health start before birth. The Journal of Clinical Investigation, 130(2),562-564.

Recording: https://youtu.be/LRidySKzuBU

Speaker: Robin Cronin

Facilitator(s): Cecilia Jevitt and Erni Rosita Dewi (Shadow)

Abstract:

Background: Diabetes in pregnancy is diagnosed in 6% of pregnancies annually in Aotearoa-New Zealand, disproportionately affecting multi-ethnic, low socio-economic women. Little is known about the care experience of this population within the model of midwifery continuity-of-care, including views of telehealth care. Aim: Increase understanding of the experience of diabetes in pregnancy care, including telehealth, among multi-ethnic, low socio-economic women receiving midwifery continuity-of-care. Methods: Qualitative interview study with primarily indigenous and migrant women who had diabetes in pregnancy and gave birth 6-18 months previously. Interviewers were matched with participants by ethnicity. Transcripts were analysed using Framework analysis. Results: Participants were 19 women (5 Māori, 5 Pacific Peoples, 5 Asian, 4 European). Data analysis revealed three key themes: 1) ‘shock, shame, and adjustment’ to the diagnosis 2) ‘learning to manage diabetes in pregnancy’ and 3) ‘preparation for birth and beyond’ to the postpartum period. Discussion: Receiving the diagnosis of diabetes in pregnancy was a shock. Managing diabetes during pregnancy was particularly challenging for indigenous and migrant women, who wished for better access to culturally appropriate dietary and lifestyle information. Women appreciated having options of telehealth and face-to-face consultations. Preparation for birth and postpartum diabetes follow-up were areas requiring significant improvement. Challenges were mitigated through care from a consistent diabetes specialist midwife and community-based midwifery continuity-of-care. Conclusion: Midwives were the backbone of diabetes in pregnancy care for this multi-ethnic, low socio-economic population. Care could be improved with more culturally appropriate diet and lifestyle information, better birth preparation, and expanded postpartum diabetes support.

Recording: https://youtu.be/aWiwZak0Jog

Speaker: Lesley Pascuzzi

Facilitator: Catherine Salam

Abstract: 

The journey to parenthood is a time of significant change. For most, pregnancy is a time of great joy. However, this period can be associated with an increase in mental health difficulty. In Australia, it is estimated that 1 in 5 mothers and 1 in 10 partners will experience perinatal anxiety and depression with an estimated national cost of $877m annually. There is well established screening for risk of perinatal mental illness during routine maternity care in both public and in some private hospitals using the Edinburgh Postnatal Depression Scale. As defined by World Health Organization (WHO), complete health is “physical, mental and social wellbeing, not merely the absence of disease or infirmity”. Routine practice within maternity care at present, offers women physical screening to detect pathology and disease but has no standardized screening for promotion of mental health and emotional wellbeing. Informed by the current “detect disease” orientation of maternity care, Australian women screened by a midwife to be without risk for mental illness, are perceived to be emotionally well in the absence of a clear definition of what it means to be emotionally well. In everyday maternity healthcare, this presents an opportunity lost for midwives to have meaningful conversations with women to align with the sustainable midwifery practice of prioritizing the holistic wellbeing of the mother first and foremost. This presentation will share the findings of a scoping review to explore the needs and barriers facing midwives to work to their full scope of practice in this area.

Recording: https://youtu.be/6xkJlS4APDk

Speaker: Erin Hanlon

Facilitator: Cecilia Jevitt and Akusmayra Ambarwati(Shadow)

Abstract:

Since 1990, New Zealand midwives have been privileged to elect to work within tertiary or primary health settings, employed, self-employed (case-loading), or a hybrid variation of both. However, despite the availability of midwife-led care, the local home birth rate has not substantially increased nor have medical interventions decreased, despite having a continuity of care. Narrative Inquiry methodology and methods were used to investigate the changes in the birthing culture in New Zealand from 1990 to today. The elements of temporality (time), sociality (social context), and place were borrowed from Connelly and Clandinin (2006) to collect and analyze stories from midwives and consumer participants nationally. This presentation initially maps the history of midwives gaining autonomy in New Zealand, then explores the experiences of midwives who spoke about a transition in their clinical practice from working within a highly medicalised model across the spectrum to attend home births. These hospital-trained midwives’ shared their stories of how performing highly technological services in labour instilled fears around birth. Participants discussed that in order to become home birth midwives, they needed to unlearn and then relearn the skills required to attend women birthing at home. Using temporality and sociality contextualized their accounts, as participants shared their experiences of how they discovered what birth ‘could be’ with less interference, which separated them apart from the dominant medicalised culture surrounding birth. As they relayed their stories around their relearning, they expressed a collegiality with other practitioners, and supportive, trusted relationships with women.

Recording: https://youtu.be/cG21rLXEzmo

Speakers: Monique Vermeulen and Michelle Gray

Facilitator: Caitlin Goodwin

Abstract: 

PURPOSE: Case-based learning (CBL) is often used in nursing and midwifery education to explore authentic clinical scenarios to support student learning. Some curricula use new cases each semester/trimester, some continue cases across the year, and others use a ‘caseload’ of women across a midwifery degree, enabling students to follow the history of women in their caseload. This study aimed to explore students’ perceptions of varied models of CBL used to support student learning to prepare for clinical midwifery practice and continuity of care. METHODS: Midwifery students from three universities across Australia, were recruited to participate in online and face to face group interviews in this exploratory descriptive study. Audio recordings were transcribed and thematically analysed. RESULTS: Students across all programs valued CBL for developing their critical thinking and clinical decision-making. They felt they were good discussion starters to learn together and reflected clinical practice. Students appreciated when the CBL case was used across multiple areas of learning however found they were generally not reflective of continuity of care with new cases introduced each week. Recommendations included increasing accessibility with transcripts, video subtitles, audio cases and images to connect the text with a ‘woman’. Whilst some wanted more cases, having too many cases at a time was considered not reflective of clinical practice. More detail, akin to a medical record, was desired. CONCLUSION: Scaffolding learning across the duration of a degree is a critical pedagogical practice. CBL is beneficial, but it is important to seek student feedback to improve educational practices.

Recording https://youtu.be/_oU0l0aqMVs

Speakers: Fabella Elisa Cahyaningtyas and Zalfa Dinah

Facilitator: Caroline Maringa

Abstract:

Background: The increase in cesarean sections has occurred throughout the world, especially in developing and developed countries, over the last few decades and has led to increased research, debate, and concern among health professionals, governments, policymakers, scientists, and clinicians. So, to overcome the increasing number of cesarean sections, the VBAC technique was developed, namely vaginal birth for pregnant women who have had a history of cesarean sections in previous pregnancies. 90% of women who have a cesarean section are possible candidates for VBAC during a subsequent pregnancy. 60%–80% of them are able to give birth successfully vaginally. Mentoring is defined as the process of providing convenience to clients in identifying needs and solving problems, as well as encouraging the growth of initiative in the decision-making process, in this case, the decision to choose VBAC. So this study article aims to describe assistance for a successful VBAC. Case Report: Assistance for a 36-year-old pregnant woman with G4P2013 since 25/26 weeks of gestation at one of the PUSKESMAS in Surabaya. BSC 2x: history of a happy pregnancy in the first pregnancy and history of curettage abortion in the second pregnancy. The last child is 2 years old. Have the desire to give birth naturally. Mother had a successful VBAC without tearing on 7/7/2022 at 39/40 weeks of gestation. Conclusion: Assistance provided to pregnant women is a strategy that really determines the success of the maternal and neonatal health empowerment program in making birth decisions using the VBAC technique

Recording: https://youtu.be/953OjyMpdtc

Speaker: Isabella Garti

Facilitator: Caitlin Goodwin

Abstract:

Midwifery holds relevance across diverse settings, as the proficiency of midwives plays a crucial role in the provision of care for women facing complications. In Low- and Middle-Income Countries (LMICs), such as Ghana, a significant number of maternal and neonatal deaths result from insufficient or delayed handling of preventable complications, notably pre-eclampsia. Continuous training is particularly essential for midwives in LMICs, to effectively respond to the increasing demand for specialised care in pre-eclampsia. As part of a mixed method evaluation of multi-level factors influencing midwives’ management of pre-eclampsia in Ghana, we conducted a hospital-based quantitative cross-sectional study in 2021 to determine the pre-eclampsia specific training needs of midwives. Midwives completed an adapted version of the WHO Hennessy-Hicks Training Needs Analysis questionnaire. Midwives required training in 14 priority areas mainly in the research and clinical domains. Training courses were identified as the preferred approach to address training needs and improve overall proficiency. Midwifery is an essential sustainable resource for improved pre-eclampsia outcomes in LMICs. The implementation of context-specific training, integrating innovative and contemporary approaches, holds paramount significance in this regard.

Recording – not available

Speaker: Melanie Welfare

Facilitator: Cecilia Jevitt

Abstract:

Many midwives enter the profession with a dream and internalised vision of the midwife they want to be, how they will work with women, families, and other healthcare professionals. This vision becomes part of and adds to their midwifery identity. However, within the profession, there is often a dichotomy between the midwife you want to be and the increasingly challenging climate of midwifery. This can lead to midwives having to consider how they remain personally and professionally sustainable within the workforce. There is a growing body of evidence scrutinising the issue of retaining midwives in the workforce, with several studies highlighting midwifery burnout, exacerbated by increasing workload, bullying, and financial constraints. Themes from qualitative research conducted in New Zealand with employed and self-employed midwives will be presented. These included continuity of care/partnership, midwifery identity, and career progression. One of the main themes that emerged was the notion of being an ‘ideal’ midwife who was able to remain personally and professionally sustainable by changing work settings. This presentation will discuss what midwives felt made them an ideal/good midwife and the guilt and stress that arose when they were unable to maintain their own internalised midwifery identity

Recording: https://youtu.be/l4fZUwZLYu4

Speaker: Linda Deys

Facilitator: Liz McNeill

Abstract:

The problem: Obstetric violence creates visions of a brutal and purposeful assault, however more covert practices cause similar psychological harm, are less understood, and more likely to be disregarded. Separating women from their well-baby at a caesarean section birth can cause long-lasting trauma. Method: A feminist phenomenological study, using birthing theories to understand the experience of women separated from their baby at caesarean section birth without a medical indication. Results: We identified four main themes that were interlinked: Disconnection, Emotional Turmoil, Insight and Influence. This presentation expands on Influence and the sub-themes of power & control, maternal choice & consent, coercion and staff actions. While obstetric violence was perceived with the physically forceful actions that some of these women experienced, it also showed more insidious events which caused comparable traumatic responses. The term ‘obstetric neglect’ was coined to symbolise maternity care where maternal choice and consent was voided by health care providers using power, control and coercion that influenced participant birth outcomes and experience. Conclusion: Birthing in an operating theatre environment limited the capacity of the participants to bodily autonomy and this vulnerability was not accounted for with woman-centred care. Midwifery training and values align with the need for the protection of, and advocacy for, women. These findings demonstrate the importance of a respectful, empowering and supportive midwifery contribution through every pregnancy and birth, in the development of policies and procedures, done in partnership with women.

Recording: https://youtu.be/bCUeuCB2cLU

Title:- Essential Midwifery Skills, Experience and Practice in the Face of Disaster

Speaker: Ibu Robin Lim

Facilitator: Linda Wylie

Abstract:

Earthquakes, Tsunamis, Volcanic Eruptions, Fires, Floods, Conflicts, Migrations, Pandemics, Typhoons, Landslides, Liquefaction, Tornadoes… Your midwifery skills and experience are needed more than ever in the era of bigger more frequent disasters driven by the Climate Crisis and global conflicts. My aim in this hour is to help you feel prepared. The times are radical, and we must be ever more responsible. Collaborative care including Midwives ~ Doulas ~ Nurses ~ Doctors, balancing Science with Nature and Spirit is the Grandmother’s sacred way, I invite you to walk with me.

Recording: https://youtu.be/nvFPp9aVF24

Speaker: Elizabeth Yip

Facilitator: Belle Bruce

Abstract:

Spilt Milk Honest Breastfeeding Stories This discussion will talk about Spilt Milk Honest Breastfeeding Stories, a collection of over 80 heartfelt, intimate, and ofttimes difficult stories of breastfeeding experiences from women and their partners. These stories were collected by Elizabeth Yip, a recently retired nurse, registered midwife, and lactation consultant with 47 years of experience. This showcases that breastfeeding is about more than how breasts work. It is about the mother, her breasts, her baby, and who supports her journey – positively or negatively. Many of the stories are current but some from each decade since the 1950s highlighting many of the ways we could have done better in midwifery and all other areas of health care. While many go on to breastfeed, others are about getting permission to stop doing what is distressing them. They are at times very raw and are heartwarming, cathartic and healing stories. We need to look at the past and current practices, stop making up rules that are not working for mothers and babies, do research into what really is the range of human normal and fight for a better future for all mothers and babies. www.spiltmilkstories.com

Recording: https://youtu.be/wSpgnsOCfQk

Speakers: Siti Fatimah and Andari Wuri Astuti

Facilitator: Raissa Manika Purwaningtias

Abstract:

Background: Teenage decision-making ability is a crucial stage of development. Marriage and adolescent pregnancy have an effect on decision-making ability. Inappropriate decision-making leads to the emergence of health problems, delays in getting health services, and an increased risk of complications during pregnancy and childbirth, all of which have negative effects on maternal and neonatal health. Objective: This study aims to determine the decision-making experiences of adolescents who marry at a young age during pregnancy and childbirth. Method: This qualitative investigation employed a generic exploratory methodology. This study’s sample was selected using homogenous purposive sampling to include five pairs of adolescents who were married and had children younger than one year. The research analysis was conducted according to the Collaizi step and analyzed using NVivo. Result: There are four major themes that emerge from the research findings: prior knowledge, skills, and preparedness to become parents, decision making, obstacles, and expectations. Teenagers who marry at a young age and have children younger than one year lack the knowledge, skills, and maturity to become parents, and are therefore incapable of making decisions. Parents and spouses have a significant impact on decision-making because they are perceived to have superior knowledge, skills, and experience. Conclusion: During pregnancy and childbirth, decision-making autonomy is influenced by a lack of parental knowledge, skills, and preparation. It is expected that training and education that involves family decision-makers will increase the knowledge, skills, and readiness of couples to become parents. It is also expected to increase participation.

Recording: Not available

Speakers: Billie Bradford and Margaret Murphy

Facilitator: Meron Tessema

Abstract:

An estimated 2 million babies are stillborn at or before the time of their birth and 2 million babies die in the first month of life each year around the world. The International Stillbirth Alliance (ISA) is a global organization, aimed at ending preventable stillbirths and neonatal deaths via collaborations with researchers, clinicians and parent advocates. As midwives are key providers of pregnancy and perinatal healthcare globally there is the potential to advance the aims of ending preventable perinatal deaths and improving support and care of bereaved parents through collaboration between ISA and the global midwifery community. To enable this ISA has launched its Health Provider Advocacy and Parent Advocacy toolkits which are readily adaptable to different country settings and easily utilised by midwives globally. The Health Provider Advocacy toolkit provides information for midwives wanting to improve their skills in achieving deeper and more open communication with parents after a stillbirth by providing respectful bereavement care. The toolkit includes suggestions on ways to approach delivering the news, acknowledging parents’ grief, talking with parents about how and why their baby may have died, making room for them to express their need for support, and discussing a safe plan for future pregnancies. This presentation will provide an overview of the outputs developed by the International Stillbirth Alliance to support healthcare providers including the toolkits, the Global Guide for Stillbirth Advocacy and Implementation supported by the Gates Foundation, and resources available through our Western Pacific Regional Office the Stillbirth Centre of Research Excellence.

Recording: https://youtu.be/kAAXRbw01IY

Speakers: Tanya Capper and Bridget Ferguson

Facilitator(s): Linda Deys

Abstract:

Safe and high-quality maternity care is crucial for ensuring the best possible health outcomes for both mothers and newborns (Renfrew et al., 2014). Unfortunately, recent incidents of preventable harm taking place within maternity services have underscored the importance of whistleblowing (Kirkup, 2022; Ockenden, 2022). Whistleblowing involves reporting incidents of wrongdoing with the goal of putting an end to poor practices and reducing risk. However, the act of whistleblowing may be met with significant barriers and adversity for the individual blowing the whistle. This presentation aims to discuss the findings of a scoping literature review that explores the experiences of health professionals, including midwives, who find themselves in the position of whistleblowing. The presentation will explain the key issues, barriers, and challenges that current literature has reported regarding whistleblowing in maternity services. These include the structural power that enforces silence, inadequate responses to whistleblowing, and the mechanisms by which whistleblowing is suppressed. It will also delve into the process of weighing up the personal risk to the whistleblower versus the moral obligation to protect mothers and infants.

Recording: https://youtu.be/DL-1qHliG9Y

Speaker: Ang Broadbridge and Rachel McDonald

Facilitator: Raissa Manika Purwaningtias

Abstract:

Abstract summary: Sharing learning from four prototypes in the North East of England where we have developed new maternal mental health supports through collaboration and co-production across sectors, with key indicators of building sustainability Background – Project demonstrates improved maternal mental health through integrating third sector support into the pathway to reduce health inequalities and increase sustainability supporting the best start in life agenda with benefits for women, partners, their babies and the whole family unit in the perinatal period. The MMHS social prescribing link worker model aims to provide evidence based maternal mental health support based in the third sector: • The perinatal period is a time when women have regular contact with services, when there is a crucial window of opportunity to support a best start. • Building and integrating flexible third sector provision with referrals from midwifery, health visiting, mental health and community teams to overcome workforce capacity and waiting list pressures and threshold barriers complementing statutory offers through specialist, personalised non-clinical support Discussion • Project addresses health inequalities, issues for ethically minoritised communities and social determinants of health including sustainability and accessibility in rural and remote communities • Evidences benefits for mum and infant as well as wider family unit • Indicators of sustainability – developing sustainable community support networks, reducing duplication, developing eco-friendly accessible digital resources and supports and increasing digital inclusion Conclusion – Innovative and flexible approaches developed through cross-sector collaboration leading to sustainable practice and initiatives

Recording: https://youtu.be/ZwyvGbl7eNw

Speaker: Maria Velo Higueros

Facilitator: Stella Katuku

Abstract:

Purpose: Freebirth or unassisted birth is currently defined as the deliberate choice to give birth without a regulated healthcare professional in countries where maternity care is available and easily accessible. Empirical evidence on this practice is limited and has mostly focused on understanding women’s motivations to freebirth as a matter of individual choice. Previous traumatic experiences, alongside rejection of medicalised models of care and trust in the birth process have been identified as factors influencing women’s choice. Yet, there is limited evidence on how women experience maternity care in the pregnancy leading to freebirth and the impact this care has on their choice. Methods: A qualitative evidence synthesis was conducted to explore women’s perceptions of maternity care provision and their experiences of care when choosing to freebirth. 22 publications between 2008 and 2023 and from ten different high-income countries were included. Thematic synthesis, underpinned by a feminist standpoint, was used to analyse the data. Results: Freebirth was rarely women’s primary choice. Faced with restrictive policies, inequitable access, and unequal power relationships with care providers, women used peer support and engaged in extensive research to develop their self-care agency. Becoming midwives to themselves generated a sense of personal transformation and empowerment. Conclusion: When healthcare services fail to provide unrestricted, equal and free access to a wide range of maternity care options, women’s choice to freebirth becomes a matter of reproductive justice. Self-care in the form of freebirth helped women to achieve a safer birth experience and to protect their reproductive self-determination

Recording: https://youtu.be/N4-EZr3j4bw

Speaker: Belle Bruce

Facilitator: Louela Cordova-Acedara

Abstract:

Background: There is a major research gap relating to the impact of intravenous (IV) fluids administration during labour on maternal and neonatal outcomes. It is biologically plausible that a relationship between volume of IV fluids and primary postpartum haemorrhage (PPH) exists. Aim: To investigate the relationship between intrapartum IV fluids and PPH. Methods: A retrospective cohort study was conducted in a tertiary hospital from September 2021 to September 2022. Inclusion criteria were singleton pregnancy, planning a vaginal birth, and admitted for labour and birth care between 37-42 weeks gestation. The study factor was IV fluids during labour. The primary outcome was primary PPH. Birth and postnatal data were obtained from the electronic medical records and paper fluid order documentation. Secondary outcomes included caesarean section and neonatal weight loss following birth. Results: 1023 participants were included of which 339 had a PPH (33.1%). Our main finding was that there was no association between high-volume IV fluids (≥2.5L) and PPH after adjusting for demographic and clinical factors (ORadj1.02 CI: 0.72, 1.44). However, there was a positive association between high-volume IV fluids and caesarean section (ORadj 1.99; CI: 1.4, 2.8) and neonatal weight loss (ORadj 1.8; CI: 1.09, 2.0). Conclusions: These findings are important to further knowledge relating to the administration of IV fluids in labour and the potential impact of this common practice. It identifies future research priorities around documentation of IV fluids and their relationship with pregnancy and perinatal outcomes.

Recording: https://youtu.be/sjOijsnYkWM

Speaker: Aisha Sani Lugga

Facilitator: Rizka Ayu Setyani

Abstract:

Knowledge of modern contraceptive choices among postpartum women in secondary health facilities in katsina state cross sectional descriptive survey was employed for the study The research was aimed at assessing the knowledge of postpartum women on modern contraceptives and the most common methods of modern contraceptives used 414 women were recruited for the study and the study was conducted in some selected secondary health facilities in the state ,two each from each senoeterial zone Using questionnaire as the tool for collecting data the result was analyses using the SPAS version 23 result from the study revealed that the women use modern contraceptives but with low knowledge on the methods and oral contraceptive pills was found to be the most commonly used among postpartum women in katsina state followed by injectable contraceptives and then implants .surgical methods/permanent contraceptives are not used at all for the women In conclusion strengthening policy and creating awareness at both individuals family and community level including male involvement in reproductive health and health education and awareness creation to women at every entry point of the health facility especially the antenatal clinics so that immediate postpartum initiation can be effectively implemented ,male involvement as partners in contraceptive usage and improve accessibility and availability of contraceptives services even at the grassroots will pave a great way toward achieving good knowledge and use of modern contraceptives methods and having a significant impact In reducing the burden maternal death in the region and also birth compliance can be tacked appropriately.

Check the time in your location: https://bit.ly/VIDM24-session-12

Access: https://frontier.zoom.us/j/85247108685?pwd=IrHHzQGfo3YDsowtZYSKVGKzcYkH84.1

Recording: TBA

Speaker: Alys Einion

Facilitator: Aisha Salihu Abdullahi

Abstract:

Research Focus: Mothers’ experiences of childbearing during the Covid19 Pandemic (2020 to 2021) – A Narrative Exploration Qualitative Design: Using the Listening Guide Approach Created as a relational method of analysing qualitative data, focusing on the individual voice (Gilligan et al, 2003), the Listening Guide (LG) is a means of ensuring that the voice of the under-represented is heard through research. It is a way of focusing on the voices of women, ensuring these are effectively represented in research (Petrovic et al, 2015). Population and Sample New parents who were pregnant and gave birth during the Covid 19 pandemic March 2020 to August 2021. The sample is a convenience sample of volunteers who agreed to take part. Total sample size is six. Data Collection Online /digital narratives of the birth experience sent in response to a series of social media posts across a range of media and networks. Accounts were sent in via email following initial contact, full information sharing and informed consent. Ethics: Ethical Approval granted by Swansea University College of Human and Health Sciences Research Ethics Committee Themes: 1. The service user voice “the world of mothering remained pretty isolating” 2. Themes relating to the experience which can inform practice and future service development, including sustainability of midwifery services. ” 3. Service responses: “I did feel quite forgotten by” 3. I-poems from the service user accounts which may be integrated to form one I-poem to summarise the maternal experience.

Check the time in your location: https://bit.ly/VIDM24-session-13

Access: https://frontier.zoom.us/j/88600513376?pwd=Lno6e7eW3jwwEPXBW6DavNuwY2uAwg.1 

Recording: TBA

Speaker: Imelda Fitzgerald

Facilitator: Linda Wylie and Dwi Tampubolon(Shadow)

Abstract:

Childbirth is a unique experience for women. In Ireland, Major Obstetric Haemorrhage (MOH) is the most frequently reported severe maternal morbidity (SMM) with an incidence of 3.27 per 1,000 maternities. Much is known now about the management of PPH and there is some research on women and their partner’s experience, less is known about how the woman feels emotionally following a PPH, or what informational needs and emotional support is required. The aim of this study was to understand how women felt after experiencing a severe PPH, to listen to their first-hand experience and learn what improvements could be made for future care for women who experience a PPH. A descriptive, quantitative approach was conducted using semi structured interviews with women who had a severe PPH of 2.5 litres or above within four and fourteen months postpartum. five women took part in this study. The women identified a lack of information provided to them about the reason for the significant bleed. The women voiced they could overhear information about the event discussed between health care professionals but not with the woman. The care the women received in the HDU was significantly different to the care they received on the postnatal wards, and the women were not informed they were clinically well for transfer to the postnatal ward. It was reported the postnatal wards were busy and short staffed and the women looked for more emotional support from staff, which was not available, this had an effect on the postnatal wards.

Recording: https://youtu.be/6hvN0HJaZXw

Speakers: Rachael Ame Maima and Linda Deys

Facilitator: Caroline Maringa (Nyambura)

Abstract:

Maternal and newborn mortality rates in Papua New Guinea are among the highest in the world, with around 170 deaths for every 100, 000 women and 20 neonatal deaths per 1000 live births each year. The causes for many of these deaths are preventable or treatable when women have equal access to safe, quality health care. Lack of midwives and resources increases the impact for remote communities but also for those living in cities such as Port Moresby.

In April 2024 the fourth group of the PNG Midwifery Leadership Buddy Project met in Port Moresby with 14 PNG and 7 Australian midwifery mentors, aiming to improve maternal and newborn outcomes in PNG. This twinning program of the PNG Midwifery Society and the Australian College of Midwives is funded by Rotary and informed by the ICM Member Association Capacity Assessment Tool (MACAT). PNG buddies identified quality improvement projects within their workplaces, with the Australian midwives supporting the development of leadership and advocacy skills for the projects to be completed.

This presentation will introduce one of the 2024 buddy relationships and project which aimed to increase the known haemoglobin level of women accessing antenatal care in a clinic in Port Moresby. It will describe the importance of a known Hb and demonstrate the processes, challenges, successes and setbacks experienced and highlight the importance of resilience and patience. It will emphasise how professional midwifery connections and mentorship can promote leadership, improve maternity outcomes, and strengthen the role of midwives across countries.

Check time in your location https://bit.ly/VIDM25-session-13

Speaker: Betsy Arnold-Leahy

Facilitator: Ally Anderson

Abstract:

Occiput Posterior position is a variation of the normal birthing process, a complication of birth requiring patience, intervention, or something in between. Occiput Posterior Position of the fetus is often referred to as “the most common” fetal malposition or as a variation of normal. As many as 30% of fetuses spend some time in this position during labor only 5-12% will remain so for the actual birth. Persistent Occiput Posterior Position may account for up to 18% of cesarean births as well as increased operative births, along with maternal and neonatal morbidity and mortality.  Anecdotally, many birthing people are increasingly worried if their fetuses are posterior even at early gestations because of the knowledge available in the media.

Midwives and accoucheurs have encountered this fetal position as documented into the Middle Ages (Louise Bouchard, Jane Sharp). Current data and research and strategies the management of Occiput Posterior position present the intersection of the ART and SCIENCE of midwifery. However most current data is based in Eurocentric literature. Only recently has there been literature from Spain, China, Japan, and Iran to name a few midwives from. Even these studies often reference the primarily English language literature aforementioned in their citations. Very rarely is there an article from a non-Eurocentric area where midwives and traditional birth attendants are prevalent.

This presentation will focus on other perspectives on midwifery management of Occiput Posterior the non-primarily English-speaking voices that are emerging in literature focusing on this topic. The purpose is to highlight what strategies and options are available to those midwives providing care for birthing people particularly in those areas prone to disruptions in care due to conflict and disaster. What can we learn and how can we further support one another?

Check the time in your location: https://bit.ly/VIDM24-session-14

Access: zoom link here: https://frontier.zoom.us/j/81953226873?pwd=tnaEumJ5LXfI521IKce2l9KyWkxieT.1

Recording: https://youtu.be/3PNmcSoyfHE

Speaker: Constance Odonkor

Facilitator(s): Caroline Maringa and Natnael Dechasa Gemeda(Shadow)

Abstract:

A Focus on Preeclampsia Care in Ghana” In line with the VIDM 2024 theme, “Sustainable Midwifery: Caring for Tomorrow’s World,” this discussion focuses on advancing maternal health in Low- and Middle-Income Countries (LMICs), with a particular emphasis on sustainable preeclampsia care in Ghana. Drawing from 15 years of experience as a seasoned midwife at Ghana’s largest tertiary health center, the Korle Bu Teaching Hospital, I will highlight the urgent need to address preeclampsia, especially considering the limited time to achieve SDG 3.1, having surpassed the halfway point. This discussion will delve into the challenges faced in LMICs, particularly Ghana, where preeclampsia emerged as the leading cause of maternal mortality in 2023. I will share a poignant case study, offering a firsthand account of the acute and often dire presentations of preeclampsia cases referred from the peripheries. Proposed initiatives will be explored, including a data-driven approach to inform targeted interventions. The discussion will emphasize collaborative efforts, involving healthcare professionals visiting facilities with poor outcomes to train teams and implement sustainable, standardized care protocols for improved preeclampsia management. Innovative strategies, such as leveraging television broadcasts to educate patients on preeclampsia and related topics, will be presented. This aligns with the theme’s focus on sustainable midwifery practices by creating awareness, promoting early reporting of symptoms, and reducing complications This discussion seeks to inspire collaborative solutions, aligning with the VIDM 2024 theme to ensure sustainable midwifery.

Recording: https://youtu.be/ylLXOZFmrNQ

Speaker: Arafin Happy Mim

Facilitators:Raissa Manika Purwaningtias & Constance Odonkor(shadow)

Abstract:

I am Mim, a Young Midwife Leader from Bangladesh. One year ago, I assumed the role of supervisor of midwives on Basanchar, a remote island near Hatiya Upazilla, Bangladesh, catering to 32,574 people and 7899 families, many of whom were Rohingya refugees relocated from Coxs Bazar. The island faces numerous health challenges, especially for women and children, with limited access to medical facilities, requiring Navy Frigate transportation twice weekly. Upon arrival, I encountered midwives lacking confidence and support in their practice. As the first midwife supervisor, doubts surrounded my leadership abilities, compounded by the democratic system’s challenges. Despite skepticism, I prioritized listening, reflection, and evidence-based advocacy to empower midwives and amplify their voices. Through collaborative efforts, we transformed the team, nurturing leadership skills and expanding their scope of practice. With a multidisciplinary approach, we now offer comprehensive sexual and reproductive health services and manage most complications locally, minimizing the need for external transfers. Looking ahead, our focus is on community awareness, affirming the pivotal role of midwives, and ensuring their practice aligns with standards. Continued education and research will further enhance our contributions to midwifery in Bangladesh, fostering a culture of quality care and acceptance in Basanchar.

Recording: https://youtu.be/_PO0Pisbxww

Speaker: Divya Raghavan

Facilitator(s): Rizka Ayu Setyani & Mutiari Safitri(shadow)

Abstract:

Midwives play a pivotal role in providing comprehensive support to women navigating the challenges of recurrent pregnancy loss (RPL). This abstract outlines key aspects of midwife support in this context. Emotional support is fundamental, with midwives fostering open communication and offering empathetic counseling to address the emotional toll of RPL. Education and information dissemination involve explaining medical procedures, test results, and providing insights into lifestyle factors affecting pregnancy. Care coordination is crucial, emphasizing collaboration with healthcare professionals to ensure well-rounded, personalized care. Midwives engage in proactive preconception care, assessing health factors and developing tailored plans for subsequent pregnancies. Support groups, facilitated by midwives, create spaces for women to share experiences and access community resources. Advocacy is integral, empowering women to actively participate in their care and collaborating with healthcare providers for comprehensive support. Continuity of care is established through building strong relationships, fostering trust, and providing ongoing support throughout the reproductive journey. Taking a holistic approach, midwives address both physical and emotional needs, recognizing the interconnected nature of well-being. Ultimately, by embracing these multifaceted roles, midwives contribute significantly to enhancing the overall care and resilience of women facing recurrent pregnancy loss.

Recording: https://youtu.be/7Gn5Xt0T4sE

The Role of Midwifery in Respectful Maternal Care and Mental Health through the Wellbeing Foundation Africa’s Mamacare360 Program

Speaker: Toyin Saraki

Co-Presenters: Dr. Pragya Vishwakarma, Ms. Eunice AlexGreat Akhigbe

Facilitator(s): Halima Abdul

Abstract:

The Mamacare360 program, implemented by the Wellbeing Foundation Africa (WBFA) Midwives, is aligned with Goal 3 of the United Nations Sustainable Development Goals, which aims to ensure good health and wellbeing for all. Central to its mission is the enhancement of maternal health through the promotion of Respectful Maternity Care (RMC) for all women throughout the continuum of pregnancy, childbirth, and the postnatal period. Recognising the pivotal role of the relationship between pregnant women and their primary healthcare providers in shaping health outcomes for both mother and newborn, WBFA highlights the significance of this connection in fostering postnatal health and wellbeing. 

Respectful maternity care is upheld as a fundamental human right, deserving of every childbearing woman within every healthcare system globally (WRA, 2010). WBFA advocates for this principle, emphasising the inherent dignity and autonomy of women throughout the childbirth process. This ethos is echoed in the Lancet Midwifery Series (2014), which asserts that midwifery is indispensable in addressing the challenges associated with delivering high-quality maternal and newborn care universally. Moreover, it is recognized as an effective strategy for promoting the health and wellbeing of women of reproductive age, newborns, and their families, thereby exerting a significant and sustainable impact on population health outcomes.  Through a grassroots and community-led approach, Mamacare360 not only delivers essential maternal and child health services but also fosters a culture of empowerment and resilience among women.

This presentation will explore the multifaceted impact of Mamacare360, with a particular emphasis on the transformative power of midwifery. By bringing skilled midwives directly to the doorsteps of communities, the program ensures access to quality prenatal, childbirth, and postnatal care, thereby reducing maternal and infant mortality rates. By engaging with local women as advocates and educators, Mamacare360 cultivates a sense of ownership over maternal health, fostering sustainable improvements in healthcare-seeking behaviours.  

The Mamacare360 program also acknowledges the often-overlooked aspect of maternal mental health. Recognising the profound impact of psychological wellbeing on maternal and child outcomes, the program integrates mental health support into its holistic approach. Through counselling, peer support groups, and community outreach initiatives, Mamacare360 addresses the unique challenges faced by mothers, promoting mental resilience and overall wellbeing.

Recording: https://youtu.be/8l4fhB_1C88

Speakers: Rowsan Ara, Joy Kemp and Nabila Purno

Facilitator: Linda Wylie

Abstract:

Bangladesh is one of the most climate-change affected countries. Regular natural disasters, extreme heat, air-pollution and outbreaks of vector-borne diseases put thousands of pregnant women at risk, particularly in hard-to-reach locations with limited access to healthcare services. Midwives play a crucial role in addressing these challenges; they are often the first point-of-contact for women in the healthcare settings and can orient women about birth preparedness, disaster preparedness and in general protecting their health from known environmental and climate risks. The Government of Bangladesh has a workforce of 7,230 midwives. In 2023, a training manual on the Climate-Change Impacts on Sexual and Reproductive Health in Bangladesh was developed by CCHPU and UNFPA then reviewed with national experts. Existing curriculum review found commendable inclusion of gender equality, reproductive health and rights, and disaster management but weak content on the intersection between climate change and health. A three-day Training of Trainers (ToT) program was thus developed, targeting 20 Nursing and Midwifery faculty, serving as a catalyst to disseminate essential knowledge and equip educators with the tools to integrate climate change perspectives into their teaching methodologies. A series of cascade training ensued, with a day-long training for final-year Midwifery students and a specialized session for 50 practicing midwives across various health facilities. These efforts underscore the government’s commitment to ensuring a health-workforce well-versed in addressing climate-change impacts, particularly concerning sexual and reproductive health. This content must now be integrated into nursing and midwifery curricula across all education levels.

Recording: https://youtu.be/B7-f0VGqkUo?si=HB11ncEYw0WI3Ydz

Speaker: Nell Tharpe

Facilitator: Kate Frith

Abstract:

In this presentation, new ideas for teaching suturing, assessment and approximation of birth tears are presented. Learning the complex skill set for suturing birth tears takes time and lots of practice. Faculty and preceptors can support new learners with skill development activities and competencies that build these skills a little at a time from the ground up. Objective assessment tools help learners know where they are in their learning, and aid faculty in identifying skills that need more work and providing learners with activities to improve their skills. Becoming proficient at suturing takes 3-7 years. While we want to prevent birth tears as much as possible, let’s give new midwives the tools to keep refining their skills so every person who receives midwifery care gets the care they need and the best opportunity to heal well. Come listen to Nell’s story about new ways of teaching suturing developed after decades of working on these skills with midwives.

Recording: https://youtu.be/hKMUZyIKJZk

Speaker: Romina Gallardo Duarte

Facilitator: Susana Ku

Abstract:

What do Uruguayan women perceive as Obstetric Violence? Do they question the role of informed consent, agency or autonomy? Is legislation enough to protect women at the time of childbirth? What answers do women who initiate a complaint seek? What can midwifery improve or contribute to prevent these experiences? Why is a feminist and reproductive justice vision necessary in the monitoring of these cases? These are some of the questions that I raise and whose answers I will try to give, based on the analysis of 35 cases of women at the stage of reporting obstetric violence in Uruguay. It is a view that starts from legal practice, as a lawyer who accompanies and advises these complaint processes.

Recording: https://youtu.be/iIB-42tZoOg

Speakers: Cindy Farley, Jo Lethermon and Emily Western

Facilitators: Ally Anderson & Kinanthi Lebdawicaksaputri(shadow)

Abstract:

Moxibustion refers to the practice of burning the herb “moxa”- mugwort or Artemistae argyi – for its health properties. This practice originated from traditional Chinese medicine. Its most common use in childbearing populations is to assist in turning a breech presenting fetus to vertex prior to labor. This practice has an abundance of evidence attesting to its effectiveness with limited or no harm, and yet it is not often used, in part, due to providers’ lack of understanding. Hypnobirthing is a set of techniques that aim to give women and birthing people a more serene and joyful birthing experience by minimizing the pain and stress commonly associated with labor. Hypnobirthing involves training related to physiologic birth processes, relaxation techniques, self-hypnosis, visualization, light touch, and breathwork. It is taught in classes or workshops and can be supplemented with audio recordings and reading materials. It does not guarantee a completely pain-free labor, however, studies show that many women who use hypnobirthing techniques report having a less painful and more positive birthing experience. Sustaining midwifery mastery of alternative and complementary therapies that provide options to our patients requires education and support. Two Georgetown midwifery students will share the latest information about these therapies in the 9th annual Georgetown University Student Café at the VIDM. Integrative therapies offer a more wholistic approach to health care that combines techniques from several disciplines to be used in lieu of or in conjunction with medical treatments depending on the conditions and patient preference.

Recording: https://youtu.be/JCJzjLVHoN8

Speaker: Ally Anderson

Facilitator(s): Kate Frith

Abstract:

Background: Midwives are the foundation to reducing maternal and neonatal mortality. Midwives facilitate physiological birth processes to support and enable women to have an optimal birth. Maternity care in the Czech Republic is obstetric led, medicalised and patriarchal. The Midwifery Unit Network collaborated with a Czech hospital to provide training for midwives on optimal birth techniques as part of a wider initiative to develop the first midwife-led unit in Prague. Aim: To explore the facilitators and barriers for implementing the learning objectives of a bespoke ‘Optimal Birth’ Programme into practice in a state hospital in Prague, Czech Republic. Method: A qualitative descriptive phenomenological approach was followed. Purposive sampling was used to select nine participants who met the selection criteria, were willing to participate, and signed the consent form. Data collection was via two participation observations and semi-structured interviews. Thematic analysis was carried out on the data retrieved. Results: Six main themes emerged: politics and society, organisational culture, supporting physiology, models of care and technology use, resources to support practice shift and supporting the practice shift. Discussion: Many facilitators and barriers were discussed, ranging from the political and organisational level to the funding and resources available and the confidence of the individual practitioners.

Recording: https://youtu.be/VUdhypSe8B4

Speakers: Yasmin Vaughan, Kathleen Pfohl and Mariama Massaquoi

Facilitator: Hayat Gomaa

Abstract:

Skilled birth attendants, particularly midwives, play a crucial role in reducing preventable maternal and newborn deaths. In January 2024, Helping Children Worldwide collaborated with six other organizations to host a 5-day training conference on emergency procedures in maternal and newborn health in Sierra Leone. Our presentation will argue that organizations should prioritize investments in training and supporting midwives in LMICs, highlighting the positive and sustainable impact on both health outcomes and broader development goals. Further, presenters will talk in a panel discussion about best practices for these trainings, highlighting practical steps to planning a training conference, lessons learned, and the value that collaboration brings to this work.

Recording: https://youtu.be/4hH_S_kiCis

Speaker: Mo Tabib

Facilitator: Megan Arbour and Josephine Nkosi 

Abstract:

Background: The role of the midwife is emotionally demanding with many midwives experiencing high levels of stress and burnout, and a great number considering leaving the profession. This has serious implications for the delivery of high-quality, safe maternity care. One of the major factors leading to job dissatisfaction is the conflict between midwives’ aspiration of truly ‘being’ with the woman and the institutional expectations of the role which focuses on the ‘doing’ aspects of the job. ‘Being’ present to a woman’s psychological needs, whilst meeting the institutional demands, requires high levels of emotional intelligence (EI) in the midwife. Therefore, enhancing midwives’ EI could be beneficial. EI education programme: An EI programme was made available to midwives with the intention to promote their emotional intelligence and enable them to utilise relaxation techniques for those in their care. Aim: To explore midwives’ perspectives on the influence of the EI education programme on their emotional wellbeing and experiences of practice. Method: The study took a descriptive qualitative approach. Thirteen midwives participated in focus group interviews. The data were analysed using thematic analysis. Findings: The overarching theme of ‘The Ripple Effect’ included three themes of ‘Me and my relationships’, ‘A different approach to practice’ and ‘Confidence and empowerment’. The programme was seen to create a positive ripple effect, influencing midwives personally, their approach to practice, and feelings of confidence in their role. Conclusion: EI education can reduce emotional stress in midwives, enhance their empathy and feelings of confidence, thus, improving the quality of care.

Recording: https://youtu.be/eDPQfAy2xzo

Speaker: Margaret Jowitt

Facilitator: Caroline Maringa

Abstract: The uterus is a wonder of bioengineering. If only we could respect its mechanism better, we could encourage more babies to be born into the hands of a midwife, who can then swiftly transfer them into the arms of their mother. Within the space of a few hours, the uterus is transformed from a safe haven, a strong fortress for a vulnerable fetus – into the means of their transition to the outside world. Since the mid twentieth century, birth workers have been given a one dimensional view of uterine activity – that contractions start from the fundus and push downwards. Managing labour using this flawed model has tethered women to the obstetric bed, encouraged overuse of synthetic oxytocin and denied the uterus its full directive power. It’s time to think again. We need to learn to respect the uterus, to respect its owner and to respect its occupant, the baby, who also plays an active part in birth. Fortunately, we can rehumanise childbirth with a far more accurate user-friendly model – The Womb’s a Balloon.

Recording: https://youtu.be/DmRj1vII8qk

Speaker: Laura Quevedo

Facilitator: Susana Ku

Abstract: 

Childbirth and midwifery have consistently belonged to and been carried out by women, for women, among women. Anthropological studies posit midwifery as the world’s oldest profession, with midwives, nurses, and healers often facing persecution together. The lack of coincidence in these events lies in the fact that women’s autonomy, freedom, and sexuality have perpetually been perceived as threats by those seeking control. Human childbirth behavior stands in contrast to other primates, as human mothers actively seek assistance during childbirth, primarily from another woman who can provide support and share experiences acquired from predecessors or previous births. Despite centuries of evolution, midwives continue to play a crucial role in human survival and women’s health. The World Health Organization (WHO) includes the care of girls, adolescents, and adult women throughout the pregnancy continuum in its responsibilities. The presence of midwives in perinatal care has proven to significantly reduce rates of cesarean sections and maternal and neonatal morbidity and mortality. The professionalization and adaptation of midwives to the changing needs of diverse populations have occurred over history. Despite being historically expelled, prohibited, belittled, insulted, devalued, and even persecuted to the point of extermination during the inquisition, midwives currently advocate both nationally and internationally for the recognition of their profession and autonomy. Organizations like the WHO, ICM, and RELACAHUPAN have underscored the importance of midwives’ autonomy. Updating knowledge about the historical struggle for midwives’ autonomy is crucial to grasp the significance of protecting the profession, benefiting both midwives and the women’s sexual health.

Recording: https://youtu.be/iEcjGYL5Qmo

Speaker: Kate Stringer

Facilitator: Portia Khanyile Shanduka

Abstract:

An exploratory assessment of a global health partnership (GHP) for midwives between the UK and India. India has recently embarked on a transformative maternal health program to strengthen midwifery training across the country. UK midwives from a South East NHS Trust were partnered with midwives in Hyderabad, India in a project designed to strengthen midwifery leadership. Education resources were provided via online systems and a clinical site visit was undertaken. Aim To explore Indian and UK midwives’ experiences of participating in a global health partnership including what were the reciprocal perceived benefits and challenges in knowledge and leadership capability and development for both groups of midwives participating in the project. Method A qualitative exploratory study using semi-structured qualitative interviews to provide insight into participants’ experience of participating in the GHP following the conclusion of the project. Participants consisted of 14 UK and Indian midwives. Results Midwives in all settings found the partnership beneficial. Participants shared enhanced leadership capacity including examples of compassionate leadership and emotional intelligence. The GHP had provided a renewed sense of worth and encouraged continuing advocacy in a challenging environment Conclusion Midwives in all settings demonstrated enhanced leadership skills. The UK midwives reported increased joy and satisfaction in their UK roles. The research findings suggest GHP opportunities for UK midwives may offer leadership growth and retention opportunities for the NHS.

Recording: https://youtu.be/yWZ1hjKxrB4

Speaker:Jennifer Moffitt

Facilitator: Caitlin Goodwin

Abstract:

Bringing the practices of mindfulness to our patients and ourselves can significantly impact our patients’ relationship to pain and fear in labor, birth, and life. In this presentation, participants will have an opportunity to experience a mindfulness practice and learn ways to implement mindfulness in midwifery, including for childbirth and parenting. Participants will be exposed to how mindfulness meditation can decrease stress during pregnancy and beyond and hear about mindfulness skills for working through pain and fear in childbirth. Further, participants will learn how to encourage mindfulness life skills for parenting with wisdom, kindness, and connection from the moments of birth, as well as how mindfulness skills may be implemented as a way to disrupt intergenerational patterns of suffering. In particular, this presentation will offer concrete ways to bring mindfulness to the contractions of labor, and to the space in between the contractions of labor. The potential for separating “pain” from “suffering” using mindfulness practices will be explored, which can be applied to labor, and of course, to life. We will examine the research around mindfulness-based interventions, the relationship between perinatal stress and outcomes, and the potential that mindfulness strategies have for reducing health disparities.

Recording: https://youtu.be/9VIUNKd_WoY

Speaker: Yennifer Márquez-Mosquera  & Pia Rodriguez Garrido

Facilitator: Susana Ku

Abstract:

Background: Counter-hegemonic practices among midwives as a way to carry out their work from a situated position concerned about socio-cultural changes carries a strong social and political commitment. Reaching this point is not an easy road, hence the importance of knowing and analyzing the counter-hegemonic processes of midwifery and its impact on the profession in Chile. Method: Qualitative design within the paradigm of descolonial feminist epistemologies; theoretical/practical/methodological proposal which works with the body, subjectivity, and the territory. Three body maps were developed by the midwives who also acted as authors of this study, and were analyzed via image analysis. Results: The body maps and their narratives indicate processes, stages, people, and key scenarios which let the midwives learn various counter-hegemonic ways to exercise their profession. These processes were not always linear, and we can also observe a continual questioning of traditional, sometimes violent forms, of carrying out midwifery. Discussion: The emergence of critical reflections around the exercise and tasks of midwifery is a phenomenon which has drawn increasing attention. In this sense, the counter-hegemonic practices of Chilean midwives and the critical reflections from midwives in Europe and the Anglo-Saxion nations have important and necessary encounter points, key elements to move towards a midwifery which is concerned with people and their experiences, with greater meaning and socio-political commitment.

Recording not available

Speaker:  Tracy Donegan

Facilitator: Portia Khanyile Shanduka

Abstract:

In recent years, the integration of light therapy into healthcare has emerged as a groundbreaking innovation. This novel approach, also known as photobiomodulation (PBM,Red Light Therapy, LLLT) harnesses the therapeutic potential of specific wavelengths of light (Red, Blue and Near Infrared) to accelerate wound healing, reduce the risk of infections and enhance overall well-being for mothers. The benefits of light therapy in postpartum care are multifaceted. PBM has been shown to alleviate acute pain by activating TGF-B1 and TRPV 1 in the cells promoting a more comfortable recovery without medication. The non-invasive, quick acting, harmless nature of light therapy makes it an important option for mothers seeking alternative methods to manage pain without relying solely on pharmaceutical interventions. Light therapy stimulates cellular repair and regeneration, expediting the healing of perineal tissues/cesarean incision, reducing inflammation and supports faster healing. This accelerates recovery from labor and birth contributing to a quicker return to normal functionality and comfort. PBM increases cellular energy (ATP) through the mitrochondria in our cells therefore reducing postpartum depletion. This abstract briefly explores the transformative potential of light therapy in postpartum care, emphasizing its holistic approach to recovery.

Recording: https://youtu.be/8K29SqDP4uc

Enhancing Obstetric Prehospital Care: Insights from Midwives in Lima, Peru

Speaker: Ginger Garcia

Facilitator(s): Susana Ku

Abstract:

This presentation delves into the experiences of a dedicated group of midwives in Lima, Peru, who possess specialized training to provide prehospital care during natural disasters. Peru’s diverse climate often leads to natural disasters that directly impact communities, underscoring the critical need for immediate attention in such situations. While the overarching approach is holistic, special emphasis is placed on the most vulnerable populations, including women, children, and the elderly. The goal is to deliver swift and timely care, focusing on prevention and support for women amidst crises. Furthermore, sustainability is prioritized, with an emphasis on resource efficiency and waste reduction, promoting natural childbirth, exclusive breastfeeding, and optimal nutrition. Recognizing the adverse effects of climate change on maternal and fetal health, proactive measures are taken to address eventualities swiftly and effectively.

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Recording: Not Available

Speakers: Marjolein Pijnappels and Susana Ku Carbonell

Facilitator: Catherine Salam

Abstract:

The Birth Future International Project explores innovative future scenarios for birth care, grounded in developments shaped by birthing communities and midwives as key agents of change. This study employs a qualitative method approach, integrating traditional participatory research methodologies with innovative, arts-based practices to guide participants through immersive processes of exploration and co-creation. Our cross-cultural sampling includes midwives from the Netherlands (#) and Peru 90 (30), alongside service users (#) from India, offering diverse perspectives on the evolving dynamics of birth care.

Analysis: Our data analysis is based on action research analysis. Preliminary data analysis has informed the development of a zine, which synthesizes participant contributions into an accessible, creative format. This zine unveils a transformative vision for birth care, such as different ways of developing perinatal technology (technology for autonomy, rather than control), the role of the community in which birth (care) is embedded, addressing systemic injustice and inequality in global north and south, midwives as educated birth advocates/portals for bridging new ways of (birth) care, those articulated through critical reflections on participants’ lived experiences and current practices. Participants then identified innovative, community-centered care models that emphasize equity, cultural responsiveness, and inclusivity. Furthermore, the preliminary findings underscore the potential of participatory, arts-based research to amplify underrepresented voices and foster critical discourse on the future of maternal and newborn care. By integrating interdisciplinary methodologies and global perspectives, this study contributes to the growing body of literature on the co-creation of equitable, humane, and sustainable birth care practices. 

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