Speaker: Wendy Foster
Facilitators: Belle Bruce and Siti Khuzaiyah
Problem: Across the globe midwives are leaving the profession. Moral distress may contribute to this attrition. While moral distress is broadly understood within health care disciplines a contextual understanding of moral distress in midwifery is limited. Current tools available to screen for moral distress are not as suitable for use in midwifery practice.
Methodology: This project is an exploratory sequential mixed methods design that occurred across four phases; concept analysis, in-depth interviews, an e-Delphi study and a pilot study. This presentation will present key findings from the first three phases.
Results: Midwives report feeling demoralised and confirmed the presence of moral distress in practice due to excessive workloads, unnecessary intervention and hierarchical medical systems. Health care organisations are identified as placing midwives in morally compromising situation that are significant factors in the development of moral distress. Negative psychological outcomes are a key feature in moral distress with midwives describing symptoms of work-related stress and anxiety, increased sick/personal leave, feelings of powerlessness and burnout. Importantly it was identified that moral distress was likely to occur across a continuum from low (moral frustration), moderate (moral distress) and severe (moral injury). A pilot tool to screen for moral distress across a continuum has been developed.
Conclusion: Moral distress is a significant issue in midwifery practice. The development of the midwifery moral distress screening tool has enhanced the conceptual understanding. This study has provided additional language for midwives to describe their experiences and may assist organisations to identify and address ethical challenges within workplaces.
Recording https://youtu.be/Czfj3EUg6g4
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: 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
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: 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
