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
Speakers: Bhavya Reddy
Facilitator: Heather Brigance and Sabina Ojil
Despite decades of considerable economic investment in improving the health of families and newborns world-wide, aspirations for maternal and newborn health have not been attained in many regions. The global turn toward recognizing the importance of positive birth experiences and reducing adverse outcomes signals a critical change in maternal and newborn health care conversations and research priorities. In this session we will introduce QMNC’s new program, communications platform, and approach designed to facilitate our focus on answering “different research questions,” drawing on evidence presented in the 2014 Lancet Series on Midwifery and a research prioritization study conducted with the World Health Organization from 2016. The objective of this workshop is to orient midwifery researchers, and especially future researchers, as well as those in the global south, to connect, collaborate, and develop capacity in research aimed at improving maternal and newborn health outcomes globally. It is critical that the professions of midwifery and midwifery science develop strong collaborative networks and research capacity aimed at answering critical research questions whose answers can reduce preventable maternal and infant death and suffering. The QMNC Research Alliance has acquired the preliminary funding needed to build a global platform and to hire support staff to facilitate this work. This session will be interactive, guiding attendees to identify where their research interests and expertise aligns with the three priorities. Participants who continue to engage with the QMNC beyond this session will also be invited to publish on the process of working together via the QMNC online platform.
Recording: https://youtu.be/Ut7r1QqyREQ
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
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: 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
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.
