May
4
Thu
2023
00 Pre-conference :: World Health Organization recognises and celebrates the worldwide contribution of midwives
May 4 @ 19:00 – 20:30
00 Pre-conference :: World Health Organization recognises and celebrates the worldwide contribution of midwives @ Room B

Facilitator: Jane Houston 

Join us at this pre-conference event with colleagues from the World Health Organization (WHO) celebrating the worldwide contribution of midwives.

Welcome and introduction from the World Health Organization (WHO) by Frida Berg with video greetings from 

We will then explore the following topics: 

  1. Evidence to reality in 6 countries, strategic findings  (Clara Fischer and Prof. Lorena Binfa)  
  2. Evidence to reality – From STAGE – recommendations on midwifery and how to take this forward  (Justine Le Lez)
  3. Essential Childbirth care course and the Interprofessional Midwifery Education Toolkit  (Dr Florence West and Indie Kaur)
  4. What’s new in WHO? (Dr Emily McWhirter)

Following a Question and Answer period, Dr Anshu Banerjee will provide closing remarks from WHO. 

 

Recording: https://www.youtube.com/watch?v=6OAqCOOGfz0

 

01 Keynote :: Sarah Stewart
May 4 @ 22:00 – 22:50
01  Keynote :: Sarah Stewart @ Room D

Onwards and upwards. Turning a pandemic into midwifery opportunities

Speaker: Sarah Stewart

Facilitator: Deborah Davis

Fifteen years ago I started the Virtual International Day of the Midwife (VIDM) on my kitchen table. The first year I pretty much spent talking to myself. Who could have guessed all these years later that a global pandemic, which would cause such devastation, would also make virtual conferencing an everyday occurrence. And that the organising committee could leverage COVID-19 into an opportunity to grow the VIDM to an audience of thousands across the world. In this presentation I will be reflecting on the lessons I learned over the years I was facilitating the VIDM about leadership, collaboration and innovation which are critical elements we need to influence and shape midwifery and women/people-centred care as we transition out of the pandemic.

Recording: https://youtu.be/TeuD1XwAEU0

02 Relating across cultures – Birth in the circumpolar North
May 4 @ 23:00 – 23:50
02  Relating across cultures - Birth in the circumpolar North @ Room A

Speaker: Elisabeth (Lizi) Jones

Facilitator: Caitlin Goodwin

Indigenous peoples and others living in Alaska and the circumpolar north are geographically remote and face climate conditions that can be extreme. They live in close connection to their environment and have developed characteristics of hardiness and resilience in the face of global pressures such as climate change and colonialism. Long-standing cultural traditions influence birth practices and expectations and are valuable to maintaining a shared sense of connection and caring for one another in these remote communities. Temporary relocation for childbirth has deleterious social effects and there is considerable support for traditional communal birthing in combination with modern techniques and technology. This presentation will describe a selection of Alaska Native and circumpolar childbirth traditions and outcomes, as well as the importance of birth in cultural continuity. Consideration will be given to the preservation of traditions and reflection on one’s own cultural humility and sensitivity, the value of incorporating ancient ways of knowing into modern medical practice, and the importance of promoting sovereignty and reclamation of birth by indigenous midwives worldwide. This presentation draws from a student assignment called “Celebrating Diversity in Childbirth” and is the 8th Annual Georgetown University Midwifery Student Café at the VIDM.

Recording: https://youtu.be/F6hXGnr4pP4

May
5
Fri
2023
03 Invited Speaker :: CHIRAPAQ with Tania Pariona Tarqui (Spanish)
May 5 @ 00:00 – 00:50
03 Invited Speaker ::  CHIRAPAQ with Tania Pariona Tarqui (Spanish) @ Room A

Title: Arte de la Partería Indígena: Resistencias, desafíos y continuidades

Speaker: Tania Pariona Tarqui

Facilitator: Paloma Terra

Se trata de la presentación de los hallazgos obtenidos del Mapeo de organizaciones y experiencias de parteras indígenas de las Américas.
Los objetivos de este mapeo son: identificar organizaciones de parteras indígenas, además de delinear la situación en la que se encuentran y las experiencias que se han generado cada país, acorde a su contexto histórico y aspectos legales. Finalmente, indicar las buenas prácticas, recomendaciones y retos señalados por las organizaciones de parteras de cada país.
Uno de los elementos relevantes del mapeo, es las diferencias que existen entre el ejercicio de la partería y la relación con el Estado, esto de acuerdo al nivel organizativo alcanzado por los grupos de parteras y los avances legales en el reconocimiento de la misma. Por ejemplo, algunas parteras en sus países presentan un estado de sobrevivencia por el poco o nulo reconocimiento de los pueblos originarios y la partería indígena, en otros casos por su nivel de organización hay parteras indígenas que en sus países exigen autonomía al Estado.
Sin embargo, en todos los países se dan prácticas de control, desprestigio y criminalización. Esto realza la importancia de fortalecer las organizaciones de parteras y de los pueblos originarios para la construcción de propuestas desde los sistemas de salud indígenas y la articulación horizontal con los Estados.
Como parte de sus recomendaciones se destaca la necesidad de fortalecer el tejido organizativo entre las parteras tanto a nivel nacional como en la región, el politizar la lucha por el respeto a las parteras y todas las mujeres como sujetos de derechos para que puedan tomar decisiones informadas sobre su cuerpo, su maternidad y la atención del parto desde su propia tradición y la necesidad del cuidado de las abuelas parteras que viven en situaciones vulnerables como garante de la continuidad generacional para el cuidado de las mujeres y comunidades de los pueblos indígenas.

Recording: https://youtu.be/zuIlj3va4E4

05 “Where’s my baby?”: How do women experience separation from their baby at caesarean section birth?
May 5 @ 02:00 – 02:50
05  “Where’s my baby?": How do women experience separation from their baby at caesarean section birth? @ Room A

Speaker: Linda Deys

Facilitator: Linda Sweet

Midwives traditionally guide, create safety and share goals with women through labour and birth. Childbirth is recognised as a woman’s right of passage, with a positive experience associated with a sense of control and  how she is treated and made to feel. When the birthing landscape is an operating theatre, women lose their autonomy and the midwives’ role of being ‘with-woman’ is challenged. Separation of mothers from their infant is common. 

Design: Using a feminist phenomenological framework, fifteen women who experienced non-medically indicated separation from their infant at caesarean section were interviewed. 

Results: Preliminary data analysis using a Modified van Kaam approach shows feelings of powerlessness, loneliness, sadness and frustration which lasts well beyond the perinatal period. It impacts their personal relationships and plans for future births. The results reflect a patriarchal, staff-focused environment where women are disregarded and do not feel safe.

Conclusion:  Separating mothers and babies at caesarean section negatively impacts birth experience. Midwives have the opportunity to recognise power imbalance and create a sanctum within the surgical environment. Recognising that birth is more than the mode of delivery, midwives are often the only ones in a position to be the woman’s advocate at a caesarean birth. Midwives have the opportunity to create an environment where the woman has power and agency over her body and baby. Separating a mother from her baby can negatively impact her birth experience and future personal relationships. 

Recording: https://youtu.be/is7ho3NoP4w

06 The Green Maternity project: A midwife-led initiative to promote correct waste segregation on an Australian postnatal ward
May 5 @ 03:00 – 03:50
06  The Green Maternity project: A midwife-led initiative to promote correct waste segregation on an Australian postnatal ward @ Room A

Speaker: Linda Sweet and Vidanka Vasilevski

Facilitators: Paola Wilkin and Diana Adarmes

Waste disposal is a significant cost to healthcare organisations. This study sought to understand the impact of a midwife-led intervention to improve waste segregation on staff knowledge and attitudes, waste volume, and waste management-related costs. 

Design: A multi-method study including pre and post intervention staff waste management knowledge and attitude surveys and waste audits of bins located on the postnatal ward. 

Methods: The intervention included education sessions, posters and signage by waste bins, and monthly newsletters distributed throughout 2021 to raise staff awareness of correct waste segregation processes. Pre-and post-intervention surveys were distributed in early 2021 and early 2022 respectively. The waste audits occurred on three occasions in 2021. The waste audit included total waste in kilograms, waste in kilograms by segregation, and identification of correct and incorrect segregation. Waste audit and quantitative staff survey data were analysed using descriptive statistics and Chi square. Qualitative data from the staff surveys were analysed using content analysis. 

Results: Knowledge and attitudes to waste management were similar across pre- and post-intervention staff surveys. Knowledge of accurate allocation of specific items to waste streams was variable with errors identified in both the pre-and post-surveys. Waste audit data showed reductions in clinical waste at each measurement, with a 71.2% decrease in clinical waste from baseline to the final audit. The accuracy of waste segregation also improved from the baseline to final audit, resulting in a 48% reduction in waste management costs. 

Conclusion: The midwife-led initiative improved waste segregation and achieved waste management cost reduction.

Recording: https://youtu.be/54KV1prNN_w

08 Keynote :: Inderjeet Kaur
May 5 @ 05:00 – 05:50
08  Keynote :: Inderjeet Kaur @ Room D

Title: Professional Midwifery: Revolutionising Maternal Care in India

Speaker: Indie Kaur

Facilitators: Red Miller and Suman Lata

Research shows that midwife-led care reduces unnecessary interventions, and mothers go on to have better birth experiences. In 2011, Fernandez Hospital piloted an in-house professional midwifery education and training program when such a cadre did not exist in India. Unnecessary interventions like episiotomies and epidurals decreased, and women’s positive feedback increased yearly. Looking at this success, the Government of Telangana and UNICEF partnered with Fernandez Hospital to pilot midwifery training in its public hospitals.

These midwives created a paradigm shift in maternity care, helped increase normal births, and promoted respectful maternity care in the state’s public facilities. This led to the government investing in the need for separate training for midwives in India and launching ‘Guidelines on Midwifery Services’ in 2018. This was a historic moment for midwifery in the country, recognising the need for a separate professional training building on a strong cadre and rolling our midwifery care to women and new-born in the country.

The Foundation has since partnered with The Government of India and Telangana State with the support of The World Health Organisation (WHO) and UNICEF to train midwifery educators in India, strengthening midwifery services.

Recording: https://youtu.be/m-SDNI7B7dA

09 Kejadian Depresi Postpartum pada Ibu Remaja: Scoping Review (Indonesian)
May 5 @ 06:00 – 06:50
09  Kejadian Depresi Postpartum pada Ibu Remaja: Scoping Review (Indonesian) @ Room A

Speaker: Nurul Hidayah 

Facilitator: Gita Nirmala Sari and Mahanutabah Hamba Qurniatillah

Latar Belakang: Kehamilan remaja merupakan kehamilan yang terjadi pada usia remaja kurang dari 20 tahun. Depresi postpartumadalah suatu kondisi depresi berat yang terjadi dalam 4-6 minggu setelah melahirkan. Tujuan: Menggali bukti ilmiah kebidanan terkait kejadian depresi postpartum pada ibu remaja. Desain: scoping review menggunakan ceklist PRISMA-ScR Metode: Penulis menggunakan kerangka Arksey dan O’Malley. Pencarian artikel menggunakan tiga databased PubMed, Proquest, Science Direct yang mencakup dari Januari 2012 sampai 2022. Alat penilaian digunakan. Seleksi review dan karakterisasi dilakukan dengan penilaian critical appraisal menggunakan studi Joanna Briggs Institude (JBI) tool. Hasil: Dari 809 artikel yang berpotensi relevan, 7 artikel dimasukan. Artikel penelitian tersebut berasal dari 5 Negara yang berbeda, dan metode RCT, Cross sectional dan kualitatif. Hasilnya disajikan dalam tiga tema : Prevalensi depresi postpartum pada ibu remaja, faktor resiko depresi postpartum pada ibu remaja dan pelaksanaan layanan kesehatan dan hambatan dalam menangani depresi postpartum pada ibu remaja.

Kesimpulan: Berdasarkan 7 artikel yang dilakukan review, ditemukan bahwa bahwa 32% ibu remaja memiliki kemungkinan depresi postpartum yang memerlukan tindakan segera pada penilaian awal, deteksi dan intervensi. Faktor-faktor yang berkontribusi terhadap perkembangan depresi postpartum pada ibu remaja termasuk dukungan sosial yang tinggi, masalah perkawinan, tekanan dari orang tua dan masalah ekonomi. Asuhan kebidanan berkesinambungan, strategi dan tindakan pencegahan yang tepat termasuk skrining secara berkala untuk ibu remaja dan penyedia layanan mental diperlukan untuk mengurangi resiko depresi postpartum pada ibu remaja.

English: 

Background: Teenage pregnancy is a pregnancy that occurs in adolescents less than 20 years old. Postpartum depression is a condition of major depression that occurs within 4-6 weeks after delivery. Objective: Explore obstetric scientific evidence related to the incidence of postpartum depression in adolescent mothers.

Design: scoping reviews using PRISMA-ScR checklist Method: The author uses the Arksey and O’Malley frameworks. The article search uses three databases PubMed, Proquest, Science Direct covering from January 2012 to 2022. Assessment tools are used. Review selection and characterization were carried out by critical appraisal assessment using the Joanna Briggs Institude (JBI) tool.Result: Of the 809 potentially relevant articles, 7 were entered. The research articles are from 5 different Countries, and RCT, Cross sectional and qualitative methods. The results are presented in three themes: The prevalence of postpartum depression in adolescent mothers, risk factors for postpartum depression in adolescent mothers and the implementation of health services and obstacles in dealing with postpartum depression in adolescent mothers.

Conclusion: Based on 7 articles reviewed, it was found that 32% of adolescent mothers have a chance of postpartum depression that requires immediate action on initial assessment, detection and intervention. Factors contributing to the development of postpartum depression in adolescent mothers include high social support, marital problems, pressure from parents and economic problems. Ongoing obstetric care, appropriate strategies and precautions including periodic screening for adolescent mothers and mental care providers are needed to reduce the risk of postpartum depression in adolescent mothers.

 

Recording: https://youtu.be/x2ko_70X4qY

10 The importance of cord-blood for fetus transition
May 5 @ 07:00 – 07:50
10  The importance of cord-blood for fetus transition @ Room A

Speaker: Yasmin Rose

Facilitator: Caroline Cherotich Bii

This lecture will walk through the journey of the cord blood from the moment a baby is born, what purpose it serves and why it is paramount babies receive the full amount of blood. The cord blood not only increases the volume of the blood, but is instrumental in setting up the lungs properly. We will look at the difference between fetus circulation and newborn circulation, the difference between waterborn babies and land born babies, and understand why 1 minute cord-clamping is not sufficient. The aim is to achieve optimal cord clamping for every birth.

Recording: https://youtu.be/wVhJ9z3UEsA

12 Fit-for-purpose antenatal care services: Perspectives from women with physical disabilities and midwive
May 5 @ 09:00 – 09:50
12  Fit-for-purpose antenatal care services: Perspectives from women with physical disabilities and midwive @ Room A

Speaker: Ponsiano Kabakyenga Nuwagaba 

Facilitator: Hayat Gommaa

In low- and middle-income countries, several barriers impede utilisation of antenatal care (ANC) services by women with disabilities, yet ANC is a critical entry point for pregnant women to receive quality maternity care services. We investigated the experiences of pregnant women with physical disabilities in utilising ANC services to suggest strategies for improving the services. 

Methods: A qualitative study using a multiple case study design was conducted. Twelve women with physical disabilities and six midwives from three health facilities in Sheema District in rural south-western Uganda, were selected as study participants. Women were sampled using snowball sampling. Midwives and health facilities were sampled using purposive sampling. Data was gathered through face-to-face interviews and a focus group discussion between November 2020 to January 2021. Data was transcribed, translated and thematically analysed. Ethical approval was obtained from University of Cape Town and Uganda National Council for Science and Technology. No competing interests declared. 

Results: Women had mixed experiences of midwives and other health workers, noting that sometimes midwives would be supportive and other times, they would be unapproachable. Participants felt that midwives had limited knowledge on disability and were emotionally unprepared to attend to pregnant women with disabilities. There were suggestions for disability inclusion, including a dedicated ANC clinic and making connections with stakeholders, for fit-for-purpose ANC services. 

Conclusion: Midwives have limited understanding of the implications of physical disability on women’s utilisation of ANC services. Respect for women with disabilities’ dignity and needs should be emphasized in midwifery education and training. 

Recording: youtube.com/watch?v=ihQOrbHdI2M

14 Pregnancy in Prison Partnership – International (PiPPi): Building a collaborative global network of best practice for and with women prisoners
May 5 @ 11:00 – 11:50
14  Pregnancy in Prison Partnership – International (PiPPi): Building a collaborative global network of best practice for and with women prisoners @ Room A

Speaker: Laura Abbott and Tanya Capper

Facilitator: Liz McNeill

It is well understood being pregnant in prison results in risks to the safety and wellbeing of women and their unborn babies. Pregnancy in Prison Partnership – International (PIPPI) is a midwifery and health academic collaboration between Australia, UK, USA, New Zealand and Canada. PIPPI is committed, through collaboratively working with and/or undertaking research, to illuminate the plight of and improve the health and wellbeing of pregnant women and new mothers in prison around the world as well as be global network to build best practice for and with women prisoners. Our presentation will focus upon how our philosophy of working together lead to the birth of PIPPI. Our current and projected international collaborative work will provide a worldwide perspective with recommendations to improve the health of perinatal women in prison highlighting the known health impacts, inconsistencies and challenges of delivering midwifery care within patriarchal carceral institutions designed for punishment rather than health. As an inclusive international group, we look forward to presenting our work and exploring opportunities for future collaborations.

 

Recording: https://youtu.be/GjL2D3C1INk

16  Keynote :: Molly O’Brien
May 5 @ 13:00 – 13:50
16  Keynote ::  Molly O'Brien @ Room D

Title: Biomechanics for birth: New learning & insights for practice: The 3 R’s

Speaker:  Molly O’Brien

Facilitator: Linda Wylie

Midwifery work is wide ranging. In essence we are public health practitioners, protecting, maintaining and enhancing the health and wellbeing of women and their families. As skilled practitioners we seek to understand and mitigate myriad factors that contribute to ill health while aiming to support and optimise birth physiology as per our code of proficiency. 

Specifically, the presentation focuses on labour dystocia and the midwifery skill of recognising when birth goes awry using the art and science of watchful attendance. It looks at ways to support physiology to reduce difficulties during the birth process and seeks to resolve mechanical difficulties by optimising physiology including the use of biomechanical techniques.  

This presentation highlights areas of midwifery training and education that hinder understanding of anatomy and physiology in relation to the birth process and the baby’s journey through the pelvis. It examines the impact the dominant biomedical model of care has on midwifery practice, the profession as a whole and the women who use the service. 

Recording: youtube.com/watch?v=FVN63zUtXXI

18 Traditional midwifery organizing: The Algodão Roxo Association (Portuguese and English)
May 5 @ 15:00 – 15:50
18  Traditional midwifery organizing: The Algodão Roxo Association  (Portuguese and English) @ Room A

Speaker: Paloma Terra and Maria do Perpétuo Socorro da Silva Rodrigues 

Facilitator: Susana Ku

This presentation will be based on the research project Midwives of the Brazilian Amazon by Paloma Terra funded by Huron University of Canada. The project uses Critical and Decolonial research methodology and did interviews with Traditional Midwives of the Brazilian upper Amazon Region. This discussion will be a joint presentation in Portuguese with Maria do Socorro who is the president of the Midwifery Association Algodão Roxo a Traditional Midwives Association of the State of Amazonas. We will discuss the place of Traditional Midwifery in the modern world and why it is important to work to preserve and strengthen it. Socorro will present in Portuguese the history of the formation of the Association and their current work and struggles. Paloma will share some of the main take aways from the research project in both English and Portuguese.

Recording: https://youtu.be/RQco_ouNrCU

21  Variation in caesarean birth amongst Asian American birthing people within the Perinatal Data Registry
May 5 @ 18:00 – 18:50
21  Variation in caesarean birth amongst Asian American birthing people within the Perinatal Data Registry @ Room A

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

22 Systematic literature review induction of labour: Exploring the sense or madness
May 5 @ 19:00 – 19:50
22  Systematic literature review induction of labour: Exploring the sense or madness @ Room A

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

23 Mindfulness in breastfeeding preparation: A missed opportunity to optimize breastfeeding duration and mental health
May 5 @ 20:00 – 20:50
23 Mindfulness in breastfeeding preparation: A missed opportunity to optimize breastfeeding duration and mental health @ Room A

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

 

24 KEYNOTE :: Céline Lemay
May 5 @ 21:00 – 21:50
24 KEYNOTE ::  Céline Lemay @ Room D

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

May
4
Sat
2024
01 Opening keynote: Jacqueline Dunkley-Bent
May 4 @ 22:00 – 22:50
01 Opening keynote: Jacqueline Dunkley-Bent @ Zoom

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

May
5
Sun
2024
8 Keynote Ibu Robin Lim
May 5 @ 05:00 – 05:50
8 Keynote Ibu Robin Lim @ Zoom

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

16 Keynote Toyin Saraki
May 5 @ 13:00 – 13:50
16 Keynote Toyin Saraki @ Zoom

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

24 Closing keynote: Ginger Garcia
May 5 @ 21:00 – 21:50
24 Closing keynote: Ginger Garcia @ Zoom

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