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.
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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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: Loredana Zordan
Facilitator: Margaret Adongo
Induction of labour is increasing worldwide , and acupressure with its holistic approach to care offers a potential opportunity to reduce the medicalisation of childbirth. Practising acupressure would allow midwives to provide better care to women, enabling them to experience a safer and a more natural childbirth .Acupressure is an ancient Chinese technique based on the principle of acupuncture which involves the use of finger pressure (without the needle) on acupuncture points, situated on the meridians. The acupressure points most commonly used for induction of labour have a very strong effect on blood flow to the uterus ,promoting cervical dilatation, increasing the release of prostaglandin and oxytocin facilitate the production of endorphins, helping the mother to relax, promoting physical and emotional wellbeing.
Acupressure for induction of labour should be an option available to women in childbirth as it would allow them to regain some control of their birth experience ,as well as facilitating a more natural and less medicalized childbirth.
Acupressure is a non-invasive technique that can be easily applied by a birthing partner and/or midwives, promoting birthing partner involvement. It is considered comfortable, safe and non-painful, potentially reducing the need for pharmacological induction methods. Acupressure can offer increased choice and control and is argued to increase the chances of achieving a physiological birth. This approach may also reduce the cascade of intervention and reduce healthcare costs.
Speakers: Seda Serhatlioglu and Tuba Kizilkaya
Facilitator: Farah Sajidah
Abstract:
Health literacy is defined as the ability to access, understand, and use health information to make informed health-related decisions, while health perception refers to individual’s evaluations of their own health status.This study examines the relationship between health literacy and health perception among 353 midwifery students in Turkey, conducted between January 2023 and March 2024. Data were collected using the Student Information Form, Turkey Health Literacy Scale-32 (THLS-32), and Health Perception Scale (HPS). Statistical analyses, including Mann-Whitney U, Spearman’s rho correlation, and Kruskal-Wallis tests, were performed. The results highlight significant correlations between health literacy and health perception, emphasizing the importance of improving health literacy to enhance health perceptions and outcomes among future midwives. The findings show that most participants have adequate health literacy and positive health perception. It was found that factors such as internet usage and the desire to read written materials had significant effects on health literacy and health perception (p 0.05). These findings suggest that increasing the health literacy levels of midwifery students can contribute to better health outcomes in the populations they will serve. The study underscores the importance of targeted health education strategies in midwifery curricula to strengthen both health literacy and health perception.
Speaker: Carla Godoy
Facilitator: Susana Ku
Las parteras desempeñan un papel fundamental en la salud y el bienestar de nuestras comunidades, pero han enfrentan desafÃos como la falta de reconocimiento, apoyo institucional y oportunidades laborales. Es esencial fortalecer su rol, generar empleo y garantizar el respeto por su labor.
Más que un oficio, ser partera es una vocación que implica acompañar a las madres en momentos cruciales con profesionalismo y seguridad. Sin embargo, a pesar de su importancia histórica, muchas veces no reciben el reconocimiento que merecen. Para cambiar esta realidad, es clave impulsar oportunidades laborales en hospitales, clnicas y programas comunitarios de salud.
La solución pasa por la organización, la creación de redes de apoyo y la búsqueda de alianzas con el sector público y privado. Al unir fuerzas, es posible reducir el desempleo dentro de la comunidad de parteras y asegurar que su labor sea vista como indispensable para el bienestar social.
El camino hacia un mayor reconocimiento y estabilidad laboral requiere compromiso y trabajo conjunto. La unión de las parteras es su mayor fortaleza para lograr que su profesión sea valorada y esencial en la sociedad.
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Midwives play a fundamental role in the health and well-being of our communities, but they have faced challenges such as a lack of recognition, institutional support, and job opportunities. It is essential to strengthen their role, create jobs, and ensure respect for their work.
More than a profession, being a midwife is a vocation that involves accompanying mothers in crucial moments with professionalism and confidence. However, despite their historical importance, they often do not receive the recognition they deserve. To change this reality, it is key to promote job opportunities in hospitals, clinics, and community health programs.
The solution lies in organization, the creation of support networks, and the pursuit of partnerships with the public and private sectors. By joining forces, it is possible to reduce unemployment within the midwifery community and ensure that their work is seen as indispensable to social well-being.
The path to greater recognition and job stability requires commitment and collaborative work. The unity of midwives is their greatest strength in ensuring that their profession is valued and essential in society.
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Speakers: Marjolein Pijnappels and Susana Ku Carbonell
Facilitator: Catherine Salam
The Birth Future International Project explores innovative future scenarios for birth care, grounded in developments shaped by birthing communities and midwives as key agents of change. This study employs a qualitative method approach, integrating traditional participatory research methodologies with innovative, arts-based practices to guide participants through immersive processes of exploration and co-creation. Our cross-cultural sampling includes midwives from the Netherlands and Peru 90 , alongside service users from India, offering diverse perspectives on the evolving dynamics of birth care.
Our data analysis is based on action research analysis. Preliminary data analysis has informed the development of a zine, which synthesizes participant contributions into an accessible, creative format. This zine unveils a transformative vision for birth care, such as different ways of developing perinatal technology (technology for autonomy, rather than control), the role of the community in which birth (care) is embedded, addressing systemic injustice and inequality in global north and south, midwives as educated birth advocates/portals for bridging new ways of (birth) care, those articulated through critical reflections on participants’ lived experiences and current practices. Participants then identified innovative, community-centered care models that emphasize equity, cultural responsiveness, and inclusivity. Furthermore, the preliminary findings underscore the potential of participatory, arts-based research to amplify underrepresented voices and foster critical discourse on the future of maternal and newborn care.
By integrating interdisciplinary methodologies and global perspectives, this study contributes to the growing body of literature on the co-creation of equitable, humane, and sustainable birth care practices.
