Speakers: Angelica Mercedes Lozano Rivera, Marlene Magallanes Corimanya & Lalescka Araceli Soria Gonzales
Facilitator: Marcela Mendoza
Introduccion: La anticoncepción postaborto es vital para reducir embarazos no deseados y prevenir la mortalidad materna.
Objetivo: Determinar si la nacionalidad y la edad están asociadas con el uso de anticonceptivos prescritos en el postaborto, tras un seguimiento de seis meses.
Metodos: Se realizaun estudio observacional analitico con mujeres que aceptaron un mettodo anticonceptivo inmediatamente despues de un aborto en un hospital publico peruano (N = 399). De ellas, se contactó telefónicamente a 175 participantes seis meses después.
Resultados: Solo el 39,42% de las mujeres mantuvo el uso del método anticonceptivo. Se hallo una asociacion significativa entre la edad (p = 0,049) y la nacionalidad venezolana (p = 0,043) con el uso de metodos anticonceptivos seis meses despues del aborto.
Conclusion: Seis meses después del alta hospitalaria, se observa una asociación entre el uso de métodos anticonceptivos postaborto y las variables edad y nacionalidad.
Introduction: Post-abortion contraception is vital to reduce unwanted pregnancies and prevent maternal mortality.
Objective: To determine whether nationality and age are associated with the use of prescribed contraceptives in the post-abortion period, after a six-month follow-up.
Methods: An analytical observational study was conducted with women who accepted a contraceptive method immediately after an abortion in a Peruvian public hospital (N = 399). Of these, 175 participants were contacted by telephone six months later.
Results: Only 39.42% of the women continued using the contraceptive method. A significant association was found between age (p = 0.049) and Venezuelan nationality (p = 0.043) with the use of contraceptive methods six months after the abortion.
Conclusion: Six months after hospital discharge, an association was observed between the use of post-abortion contraceptive methods and the variables age and nationality.
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Speakers: Rachael Ame Maima and Linda Deys
Facilitator: Caroline Maringa/Nyambura
Maternal and newborn mortality rates in Papua New Guinea are among the highest in the world, with around 170 deaths for every 100, 000 women and 20 neonatal deaths per 1000 live births each year. The causes for many of these deaths are preventable or treatable when women have equal access to safe, quality health care. Lack of midwives and resources increases the impact for remote communities but also for those living in cities such as Port Moresby.
In April 2024 the fourth group of the PNG Midwifery Leadership Buddy Project met in Port Moresby with 14 PNG and 7 Australian midwifery mentors, aiming to improve maternal and newborn outcomes in PNG. This twinning program of the PNG Midwifery Society and the Australian College of Midwives is funded by Rotary and informed by the ICM Member Association Capacity Assessment Tool (MACAT). PNG buddies identified quality improvement projects within their workplaces, with the Australian midwives supporting the development of leadership and advocacy skills for the projects to be completed.
This presentation will introduce one of the 2024 buddy relationships and project which aimed to increase the known haemoglobin level of women accessing antenatal care in a clinic in Port Moresby. It will describe the importance of a known Hb and demonstrate the processes, challenges, successes and setbacks experienced and highlight the importance of resilience and patience. It will emphasise how professional midwifery connections and mentorship can promote leadership, improve maternity outcomes, and strengthen the role of midwives across countries.
Speaker: Roisin Lennon
Facilitator: Adebukunola Olajumoke Afolabi
Background: Labour hopscotch, a visual tool that encourages activity during pregnancy and childbirth, has been used in one advanced midwife practitioner (AMP) service since 2017 and in Ireland since 2020. A rise in caesarean births and birth weights over 4kg, prompted the introduction of targeted weight gain as per Institute of Medicines (IOM) guidelines in 2022. Conversations about healthy eating and exercise in pregnancy occur at each antenatal visit with the labour hopscotch being a visual prompt to facilitate fetal optimal positioning.
Findings: Annual retrospective audits of both interventions have demonstrated the benefits of using them. Body mass index (BMI) rates over 25 account for 61-63% of the AMP caseload. Excess weight gain was 24% (2023) and 29% (2024) with a resulting EMCS rate of 42% (2023) and 29% (2024) which is higher than the AMP 16% (2023) and 19% (2024). Before the interventions, there was a 57% spontaneous onset of labour (SOL) rate, with 33% birthing before 41 weeks. After the implementation, there was a 72% SOL rate 2023 and 73% 2024. In 2023 92% birthed before 41 weeks and 83% in 2024. IOL dropped from 43% to 28% (2023) and 27% (2024), with emergency caesarean section (EMCS) rates following induction dropping from 33% to 23% (2023) and 25% (2024).
Conclusions: Pregnancy is an opportunity to encourage healthy eating and exercise. These interventions should be viewed as a long-term investment by reducing maternal and childhood complications associated with excess pregnancy weight gain as demonstrated in these retrospective audits
Speaker: Elsie Gayle
Facilitator: Celine Lemay
Mothers and Babies of African Descent have some of the poorest outcomes of the childbearing continuum irrespective of their gross national income (GNI) per capita, whether low, medium or high income countries.
The establishment of the Permanent Forum on People of African Descent at the United Nations (Geneva) in December 2022 began the journey to create a dedicated forum to focus on midwives and mothers who are on the ground delivering and receiving maternity care within those communities. Mother and Midwives Across the Diaspora has made intervention at each Permanent Forum Session to support this work.
The aim of the presentation is to share the journey to date of this unique network, to refocus on the value of midwifery to ameliorating mortality and morbidity of Black mothers and babies worldwide. It will describe the approach being used to garner the knowledge and skills of midwives across the world, utilising every means of supporting professional and vocational approaches to achieve its aims. It will share outcomes and achievements. The presentation will welcome ongoing support of delegates in the furthering of good global midwifery relationships.
https://www.ohchr.org/en/permanent-forum-people-african-descent
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