Speaker: Prima Kusrini and Karita Aulia Tama
Facilitator: Alifina Izza
Background: Adolescent pregnancy is a global health concern that affects the well-being of both mothers and newborns. Adolescent pregnancy is linked to risk factors that contribute to adverse pregnancy and perinatal outcomes.
Objective: This review aims to ascertain the factors contributing to adverse adolescent pregnancy outcomes.
Method: The primary databases for the review were PubMed, Google Scholar, and Science Direct. From 2020 to 2024, 1103 papers were identified, of which 121 were chosen for full-text review after thoroughly screening and eliminating duplicates. Fifteen studies were included in the review.
Result: An analysis of fifteen articles indicated that adolescent pregnancy is substantially associated with adverse pregnancy outcomes, affected by factors including inadequate education, psychological and social pressures, low socioeconomic status, poor nutritional health, harmful behaviors during pregnancy, an unfavorable social environment, and insufficient antenatal care. Improving primary health services for adolescent pregnancy is essential, including the delivery of early sexual education and contraception options.
Conclusion: Adolescent pregnancy is often associated with adverse pregnancy outcomes. Improving the use of adolescent maternal health services, along with the execution of focused sex education programs and contraceptive methods in families, educational institutions, and primary health care centers, is essential for reducing the incidence of adolescent pregnancies.
Key message: Adolescent pregnancy is associated with adverse pregnancy outcomes. By identifying the characteristics that lead to adverse pregnancy outcomes in teenagers, it is anticipated that health education can be delivered to both adolescents and their familial or social contexts to avert these problems.
Speaker: Fatimah Azzahra
Facilitator: Isabella Garti
Introduction: The success of Vaginal Birth After Cesarean (VBAC) is associated with the increasing global prevalence of cesarean sections. VBAC presents a feasible alternative for numerous women, reducing the necessity for repeat cesarean sections and the related risks.
Objective: Our review identifies essential medical, psychological, and institutional factors that affect VBAC outcomes.
Methods: This study examined 21 peer-reviewed articles sourced from PubMed, ScienceDirect, and Google Scholar, following PRISMA-ScR guidelines. The examined factors included maternal age, prior vaginal birth experience, cervical dilation, access to healthcare, and psychosocial support.
Results: A successful VBAC is often associated with younger maternal age, a prior history of vaginal birth, spontaneous onset of labor, and adequate cervical dilation at the time of admission. Psychosocial support, encompassing familial encouragement and guidance from healthcare professionals, significantly influenced decisions regarding VBAC. Hospital policies supporting VBAC and improving access to emergency services have increased success rates.
Conclusion: The success of VBAC is determined by multiple medical, social, and institutional factors. Our review underscores the necessity for standardized practices that facilitate VBAC and enhanced counseling to empower women’s decisions regarding childbirth. Future research should investigate large, diverse, multicenter cohorts to validate the predictors of VBAC success and assess long-term outcomes compared to repeat cesarean sections.
Key message: Empowering natural birth after a cesarean requires a multifaceted approach, with a particular focus on medical factors. Equally important are continuous care and fostering a positive mindset, which is essential to achieving a successful natural birth and is supported by midwives, obstetricians, and all birth workers.
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: Yvonne Meyer
Facilitator: Celine Lemay
Sages-femmes dans certaines publications. C’est le cas pour l’inscription de notre activité professionnelle au patrimoine immatériel UNESCO où, dans l’annonce en français, le mot sage-femme est absent du titre. Comment sont présentées les sages-femmes ailleurs ? Neuf documents ont été repérés qui ont pour titre l’art, les soins, la pratique, les sciences ou la profession de sage-femme. Les résumés de ces documents seront présentés, ainsi que l’analyse réalisée, basée sur les critères de soins centrés sur le patient (Rycroft-Maloine, 2004). Les résultats montrent que toutes ces formulations sont polysémiques et qu’elles n’ont pas exactement la même portée. Par contre, toutes présentent haut et fort les sages-femmes et ce qui les caractérise. Si UNESCO avait titré « Les soins de sage-femme : connaissances, savoir-faire et pratiques », les sages-femmes seraient visibles partout dans le monde francophone.
The theme of the intervention is motivated by a regrettable problem of visibility of midwives in certain publications. This is the case for the inclusion of our professional activity in UNESCO’s intangible heritage list, where, in the French announcement, the word sage-femme is absent from the title. How are midwives presented elsewhere? Nine documents have been identified that deal with the art, care, practice, science or profession of midwifery. Summaries of these documents will be presented, along with the analysis carried out, based on the criteria of patient-centred care (Rycroft-Maloine, 2004). The results show that all these formulations are polysemous and do not have exactly the same scope. However, they all make a strong case for midwives and what characterises them. If UNESCO had published the title « Les soins de sage-femme: connaissances, savoir-faire et pratiques » (‘Midwifery: knowledge, skills and practices’), midwives would be visible throughout the French-speaking world.
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