Speaker: Jessie Johnson-Cash
Facilitator: Mutiara Dien Safitri
Background: Midwifery students juggle academic pressures, personal obligations, and the transition to clinical practice, often leading to burnout and stress. Activities that build resilience are beneficial in facilitating student engagement and promoting emotional wellbeing.
Objectives: This study evaluates the effectiveness of Student Midwife Support Circles (SMSC) as a co-curricular peer support activity, in building a sense of belonging and professional identity, and developing emotional wellbeing.
Methods: Participants were recruited from past and current midwifery students at a regional Australian university. A mixed-method approach used a cross-sectional online survey and individual interviews. Quantitative data (n=31) was reported as descriptives and compared based on attendance at the SMSCs. Qualitative data from both the survey (n=31) and interviews (n=3) was analysed using thematic analysis.
Results: Compared to students (n=9) who had not attended SMSCs, students who attended any number of SMSCs (n=22) reported greater compassion satisfaction and slightly higher self-efficacy. In addition, attendance significantly improved students’ views that support groups reduced stress whilst on placements, improved belonging to the profession and in becoming a better midwife, and increased student well-being. The thematic analysis confirmed these results, and the value of an academic run the support group.
Conclusions: Students who have been to any number of SMSCs have much more favourable views of the usefulness of these groups and there is some improvement in the satisfaction of care they provide and their confidence in dealing with challenges.
Speaker: Melese Siyoum
Facilitator: Indri Astuti Purwanti
Back ground: Pelvic organ prolapse (POP) is a common condition that can significantly impact a woman’s quality of life. Pelvic floor muscle training (PFMT) is recommended as a first-line conservative treatment for prolapse, but evidence from low-resource settings is limited.
Objectives: This study aimed to assess midwife-led pelvic floor muscle training on prolapse symptoms and health-related quality of life (HRQoL) among women with mild to moderate prolapse in Ethiopia, 2024.
Methods: A community-based, parallel, two-arm cluster randomized controlled trial was conducted in Dale and Wonsho districts of Sidama Region, Ethiopia. Women with symptomatic POP stage I-III were randomized by cluster to receive either midwife-led PFMT plus lifestyle counseling (intervention group) or lifestyle counseling alone (control group). The primary outcomes were change in prolapse symptom score (POP-SS) and prolapse quality of life (P-QoL). Mixed-effects generalized linear model was used to determine the effect size at 99% confidence level.
Results: A total of 187 women were randomized (intervention = 89 and control = 98). At sixth month, the intervention group showed significantly greater improvements with a mean change difference of: -4.1 (99% CI: -5.38, -2.83) in prolapse symptoms; -11.48 (99% CI: -15.9, -7.1) in physical domain, -12.65 (99% CI: -19.3, -6.1) in psychological domain and -9.47 (99% CI: -15.5, -3.5) in personal relationship domain of P-QoL. A significantly higher number of women in the intervention group perceived their condition as ‘better’ after the intervention. Women with earlier stages of prolapse (stage I and II) experienced higher benefits compared to stage III.
Conclusions: A midwife-led PFMT combined with lifestyle counseling significantly improves prolapse symptoms and quality of life in mild to moderate POP. This strategy can be integrated into the existing maternal and reproductive health programs to address POP in low-income settings where access to trained specialist is limited.
