Speaker: Elisabeth (Lizi) Jones
Facilitator: Caitlin Goodwin
Indigenous peoples and others living in Alaska and the circumpolar north are geographically remote and face climate conditions that can be extreme. They live in close connection to their environment and have developed characteristics of hardiness and resilience in the face of global pressures such as climate change and colonialism. Long-standing cultural traditions influence birth practices and expectations and are valuable to maintaining a shared sense of connection and caring for one another in these remote communities. Temporary relocation for childbirth has deleterious social effects and there is considerable support for traditional communal birthing in combination with modern techniques and technology. This presentation will describe a selection of Alaska Native and circumpolar childbirth traditions and outcomes, as well as the importance of birth in cultural continuity. Consideration will be given to the preservation of traditions and reflection on one’s own cultural humility and sensitivity, the value of incorporating ancient ways of knowing into modern medical practice, and the importance of promoting sovereignty and reclamation of birth by indigenous midwives worldwide. This presentation draws from a student assignment called “Celebrating Diversity in Childbirth” and is the 8th Annual Georgetown University Midwifery Student Café at the VIDM.
Recording: https://youtu.be/F6hXGnr4pP4
Speaker: Linda Deys
Facilitator: Linda Sweet
Midwives traditionally guide, create safety and share goals with women through labour and birth. Childbirth is recognised as a woman’s right of passage, with a positive experience associated with a sense of control and how she is treated and made to feel. When the birthing landscape is an operating theatre, women lose their autonomy and the midwives’ role of being ‘with-woman’ is challenged. Separation of mothers from their infant is common.
Design: Using a feminist phenomenological framework, fifteen women who experienced non-medically indicated separation from their infant at caesarean section were interviewed.
Results: Preliminary data analysis using a Modified van Kaam approach shows feelings of powerlessness, loneliness, sadness and frustration which lasts well beyond the perinatal period. It impacts their personal relationships and plans for future births. The results reflect a patriarchal, staff-focused environment where women are disregarded and do not feel safe.
Conclusion: Separating mothers and babies at caesarean section negatively impacts birth experience. Midwives have the opportunity to recognise power imbalance and create a sanctum within the surgical environment. Recognising that birth is more than the mode of delivery, midwives are often the only ones in a position to be the woman’s advocate at a caesarean birth. Midwives have the opportunity to create an environment where the woman has power and agency over her body and baby. Separating a mother from her baby can negatively impact her birth experience and future personal relationships.
Recording: https://youtu.be/is7ho3NoP4w
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
Speakers: Heather Bradford and Jeremy Neal
Facilitator: Catherine Salam
Healthcare providers’ weight bias has been associated with negative patient interactions and poor quality of care. This dissertation is the first to measure weight bias among midwives and determine if the weight bias scores differ from other health professionals and the U.S. public. A research study was conducted which involved electronically surveying AMCB-certified midwives during the 2022 ACNM Annual Meeting and via email. Preliminary findings reveal that AMCB-certified midwives have a preference for people with underweight or normal body weights. The findings may inform future studies to determine if there is an association between perinatal providers’ weight bias and clinical decision-making, quality of care, and perinatal outcomes such as cesarean birth rates among birthing persons with higher body weights.
Recording: https://youtu.be/L-TScIK_7A0
Speaker: Amy Goh, Dia Kapoor, and Anna Nguyen
Facilitator: Olajumoke Ojeleye
Asians and Asian Americans (Asians) have the second highest rate of caesarean birth in the U.S. Asians have the lowest rate of out-of-hospital birth and are low utilizers of midwifery care. This presentation examines cesarean birth amongst Asians who have birthed at U.S. institutions participating in the AABC’s Perinatal Data Registry (PDR).
Methods: Data from the PDR from 2007-2020 was utilized. Logistical regression was completed to determine the odds of cesarean birth for nulliparous and multiparous Asians in medically low-risk and elective hospitals categories.
Results: 2,983 Asian birthing people were sampled. Multiparous birthing people had 1.5 greater odds of caesarean birth compared to nulliparous birthing people (OR = 1.54; 95% CI, 1.19 – 2.03; p .01). The elective hospitalization group had higher adjusted odds of caesarean births compared to the low-risk and total population (OR = 1.54; 95% CI, 1.23 -1.93; p; .01). Nulliparous people in the elective hospitalization category had a rate of caesarean birth 1.5 times higher than the total (OR = 1.26; 95% CI, 1.09 -1.46; p .01) and 1.36 times higher than the low-risk sample (OR = 1.36; 95% CI, 1.13 -1.63; p .01).
Conclusion: This study highlights inequities in multiparous and nulliparous cesarean birth among medically low-risk Asians. Further research is needed in disaggregation of perinatal outcomes and on reasons for low utilization of midwifery care and out-of-hospital births amongst U.S. Asians.
Recording: https://youtu.be/jc1ZxhkUvrc
Speakers: Tanya Capper and Bridget Ferguson
Facilitator(s): Linda Deys
Abstract:
Safe and high-quality maternity care is crucial for ensuring the best possible health outcomes for both mothers and newborns (Renfrew et al., 2014). Unfortunately, recent incidents of preventable harm taking place within maternity services have underscored the importance of whistleblowing (Kirkup, 2022; Ockenden, 2022). Whistleblowing involves reporting incidents of wrongdoing with the goal of putting an end to poor practices and reducing risk. However, the act of whistleblowing may be met with significant barriers and adversity for the individual blowing the whistle. This presentation aims to discuss the findings of a scoping literature review that explores the experiences of health professionals, including midwives, who find themselves in the position of whistleblowing. The presentation will explain the key issues, barriers, and challenges that current literature has reported regarding whistleblowing in maternity services. These include the structural power that enforces silence, inadequate responses to whistleblowing, and the mechanisms by which whistleblowing is suppressed. It will also delve into the process of weighing up the personal risk to the whistleblower versus the moral obligation to protect mothers and infants.
Recording: https://youtu.be/DL-1qHliG9Y
Speaker: Nell Tharpe
Facilitator: Kate Frith
Abstract:
In this presentation, new ideas for teaching suturing, assessment and approximation of birth tears are presented. Learning the complex skill set for suturing birth tears takes time and lots of practice. Faculty and preceptors can support new learners with skill development activities and competencies that build these skills a little at a time from the ground up. Objective assessment tools help learners know where they are in their learning, and aid faculty in identifying skills that need more work and providing learners with activities to improve their skills. Becoming proficient at suturing takes 3-7 years. While we want to prevent birth tears as much as possible, let’s give new midwives the tools to keep refining their skills so every person who receives midwifery care gets the care they need and the best opportunity to heal well. Come listen to Nell’s story about new ways of teaching suturing developed after decades of working on these skills with midwives.
Recording: https://youtu.be/hKMUZyIKJZk
Speaker: Yennifer Márquez-Mosquera & Pia Rodriguez Garrido
Facilitator: Susana Ku
Abstract:
Background: Counter-hegemonic practices among midwives as a way to carry out their work from a situated position concerned about socio-cultural changes carries a strong social and political commitment. Reaching this point is not an easy road, hence the importance of knowing and analyzing the counter-hegemonic processes of midwifery and its impact on the profession in Chile. Method: Qualitative design within the paradigm of descolonial feminist epistemologies; theoretical/practical/methodological proposal which works with the body, subjectivity, and the territory. Three body maps were developed by the midwives who also acted as authors of this study, and were analyzed via image analysis. Results: The body maps and their narratives indicate processes, stages, people, and key scenarios which let the midwives learn various counter-hegemonic ways to exercise their profession. These processes were not always linear, and we can also observe a continual questioning of traditional, sometimes violent forms, of carrying out midwifery. Discussion: The emergence of critical reflections around the exercise and tasks of midwifery is a phenomenon which has drawn increasing attention. In this sense, the counter-hegemonic practices of Chilean midwives and the critical reflections from midwives in Europe and the Anglo-Saxion nations have important and necessary encounter points, key elements to move towards a midwifery which is concerned with people and their experiences, with greater meaning and socio-political commitment.
Recording not available
