Speaker: Rizka Ayu Setyani
Facilitator: Terri Downer and Scarlet Woolcott
One of the obstacles to handling HIV is late diagnosis due to a lack of access to diagnostic services in health facilities. In addition, the negative stigma against this disease also makes people reluctant to diagnose at health facilities. Early diagnosis needs to be done, especially in pregnant women, as an essential condition that needs to be known in childbirth and breastfeeding. Unfortunately, the HIV testing policy in Indonesia still has loopholes for the mother or the patient to refuse to take the HIV test. Health workers are required to offer HIV testing, but the mother’s voluntary willingness determines the HIV test. This implementation trial pilot study used random cluster sampling to select seven intervention and seven control sites in Yogyakarta city, Indonesia. Seven intervention health facilities used the EKSTRIM website for three months, from January through April 2022, to educate and do HIV counselling with pregnant women patients. EKSTRIM website was designed for use on mobile phones to improve HIV testing among pregnant women. Health workers managed to record 1,594 visits and were able to increase HIV testing by 6.7% in pregnant women. The EKSTRIM pilot demonstrated the feasibility of implementing a digital healthcare-integrated solution in a low-resource setting, health worker capacity building and patient self-care into a single robust and responsive system. Although the implementation phase was only three months, the pilot generated evidence that EKSTRIM could increase HIV testing uptake.
Recording: https://youtu.be/tG1Vs6rwvHQ
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
Speaker: Lieselotte Vandeputte and Elke Van Den Bergh
Facilitator: Eunice Atsali and Hannah Yawson
The annual report on midwifery-led care during childbirth focusses on midwifery-led care in Belgium. It is the second report to address the underreporting and need for transparency of the work that midwives do autonomously in Belgium.
Design and setting: The research was conducted through an online registrations form. Midwives could register each birth they attended or autonomously performed. 31 midwifery practices with 108 self-employed midwives primarily employed in Flanders and Brussels participated in this registration. Measurements and findings: In total 1,587 labours that started in first line and were also initially planned to give birth in first line under supervision of the midwife were registered. Of these 1,587 registrations, 1,311 deliveries were performed autonomously by the midwife: 695 deliveries took place at home, 278 deliveries were assisted in a hospital, 155 deliveries in a birthing house and 182 in a midwifery led unit inside of a hospital. One delivery took place on the way to the hospital. Finally, 276 women were referred intrapartum to the hospital for medical reasons after which delivery took place under the supervision of the gynecologist.
Key conclusions: MLC is safe and of high quality. Women have a higher chance of a physiological birth. Maternal and neonatal outcomes are excellent and in line with scientific literature. Implications for practice: There is a need for expanding the research into French speaking Belgium and to disseminate more the good results of midwifery led care as a safe and valid birth choice, given the increased demand for it.
Recording: https://youtu.be/99ko4df0kdc
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
