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
Speaker: Arafin Happy Mim and Toma Ray
Facilitator: Margaret Aoro Adongo and Yosef Alemayehu Gebrehiwot
We are two young midwife leaders (23 years old) in Bangladesh who are board members of our midwives’ association (MA) and have recently graduated from an international leadership development programme. One works in a government health centre, the other in a Rohingya refugee camp. During 2022 we used quality improvement (QI) methodology to help our MA recruit and retain its members, and to develop guidance on responding to various types of emergency situations, which happen frequently in Bangladesh.
Discussion: MAs are examples of women-led civil-society organisations that can improve gender-equity and access to sexual and reproductive health rights, and act as agents for the profession (Mattison et al 2021). They have potential to impact each element of the ICM’s professional framework for midwifery. As midwifery is a new profession in Bangladesh, the midwives association (the Bangladesh Midwifery Society) is led by young women who are enthusiastic but inexperienced in organisational governance and leadership. A structured programme that taught us QI methodology was helpful for our leadership development, enabling us to drive change in our workplaces and in our MA.
Conclusions/Summary: We found it hard to apply QI methods to organisational development but we made it work. By sharing our lessons learned we hope to help other midwives and midwives’ associations understand how they can improve the quality of their services.
Reference: Mattison et al (2021) doi:10.1136/bmjgh-2020-004850
Recording: youtu.be/IcuXTEOj7WQ
Speaker: Paloma Terra and Maria do Perpétuo Socorro da Silva Rodrigues
Facilitator: Susana Ku
This presentation will be based on the research project Midwives of the Brazilian Amazon by Paloma Terra funded by Huron University of Canada. The project uses Critical and Decolonial research methodology and did interviews with Traditional Midwives of the Brazilian upper Amazon Region. This discussion will be a joint presentation in Portuguese with Maria do Socorro who is the president of the Midwifery Association Algodão Roxo a Traditional Midwives Association of the State of Amazonas. We will discuss the place of Traditional Midwifery in the modern world and why it is important to work to preserve and strengthen it. Socorro will present in Portuguese the history of the formation of the Association and their current work and struggles. Paloma will share some of the main take aways from the research project in both English and Portuguese.
Recording: https://youtu.be/RQco_ouNrCU
Speaker: Lucia Monetta
Facilitator: Susana Ku
In 2020, our Argentina Midwifery Association launched a pilot program to develop a committee to strengthen two areas that have been less explored in our profession: research and leadership.
With the group of 4 young midwives, this committee developed a purpose, objetives and structure that will allow argentinian midwives to develop skills that will equip them to make a visible impact on their communities, by positioning midwifery in the Research Health field and to take on leadership roles in the Health Care Systems and organizations that tackle Sexual, Reproductive, Maternal & Newborn Health injustices and inequities.
From this initiative, several program were born: internships/mentoring program, educational programs in research studies, conferences, seminars and one of the biggest accomplishments: a registered Midwifery Journal.
The leadership program has grown over the past three years, achieving important leadership roles, mentoring midwives, as well as, more publishing and research opportunities.
The Midwifery Journal “OBSTETRIX” continues to grow with more collaborations, more midwives publishing their research work from central, Latin America, and more than two thousand subscribers.
In this presentation, we want to encourage midwives to initiate this kind of programs and innovation to develop in their countries. We would like to explore the experiences and opportunities and that can be achieved by working with a unique working environment that allows midwives to develop their full potential and the lessons learned throughout this program.
Recording: https://youtu.be/vC2DOEfLsLQ
Title: Considering evidence and wisdom in professional reality
Speaker: Céline Lemay
Facilitator: Elisa Segoni
With EBM we also see a proliferation of guidelines and recommendations directed targeting practitioners that are expected to “apply” them and valuing a standardised care. In their daily practice midwives are facing two different important professional orientations: following guidelines/protocols and also providing a woman centered individualized care. How to take the most appropriate decision for the patient then? The reality is complex and often hold ethical tensions. How can we demonstrate a good quality of care? In past years there was a number of publications promoting the importance of more practical wisdom or “phronesis” in health care professional practice. A review of literature on the subject was undertook and 37 papers were selected to answer the main question: how can we understand the meaning of practical wisdom and its place for a good quality of healthcare? Can practical wisdom be learned, taught, developed and cultivated? We will develop the mean findings of our review, highlighting the fundamental place of professional judgement in the profession. It is a question of using discernment and deliberation to decide the best action for the good of a unique person in a context of care. There is also the valorisation of a reflexive practice in clinical places as well as using narratives of experiences to learn discussion and reflection during undergraduate period. In all context of care practical wisdom can help midwives to use the strengths of EBM AND have a woman centered care. It is seen as a mean to flourish as a professional.
Recording: https://youtu.be/Ir1AJXKZVQs
Title: Changing the course of history – Midwives, Midwifery
Speaker: Jacqueline Dunkley-Bent
Facilitator(s): Cecilia Jevitt
This session describes the impact of midwives as a ripple through generations and the significant contribution midwives make throughout the life course. Listeners will be challenged to reflect on their contribution to childbirth experiences and outcomes within the context of the changing world. Years from now will we throw up our hands or role up our sleeves? The session will end with a call to action.
Recording: https://youtu.be/RNcRroY3U2k
Speaker: Robin Cronin
Facilitator(s): Cecilia Jevitt and Erni Rosita Dewi (Shadow)
Abstract:
Background: Diabetes in pregnancy is diagnosed in 6% of pregnancies annually in Aotearoa-New Zealand, disproportionately affecting multi-ethnic, low socio-economic women. Little is known about the care experience of this population within the model of midwifery continuity-of-care, including views of telehealth care. Aim: Increase understanding of the experience of diabetes in pregnancy care, including telehealth, among multi-ethnic, low socio-economic women receiving midwifery continuity-of-care. Methods: Qualitative interview study with primarily indigenous and migrant women who had diabetes in pregnancy and gave birth 6-18 months previously. Interviewers were matched with participants by ethnicity. Transcripts were analysed using Framework analysis. Results: Participants were 19 women (5 Māori, 5 Pacific Peoples, 5 Asian, 4 European). Data analysis revealed three key themes: 1) ‘shock, shame, and adjustment’ to the diagnosis 2) ‘learning to manage diabetes in pregnancy’ and 3) ‘preparation for birth and beyond’ to the postpartum period. Discussion: Receiving the diagnosis of diabetes in pregnancy was a shock. Managing diabetes during pregnancy was particularly challenging for indigenous and migrant women, who wished for better access to culturally appropriate dietary and lifestyle information. Women appreciated having options of telehealth and face-to-face consultations. Preparation for birth and postpartum diabetes follow-up were areas requiring significant improvement. Challenges were mitigated through care from a consistent diabetes specialist midwife and community-based midwifery continuity-of-care. Conclusion: Midwives were the backbone of diabetes in pregnancy care for this multi-ethnic, low socio-economic population. Care could be improved with more culturally appropriate diet and lifestyle information, better birth preparation, and expanded postpartum diabetes support.
Recording: https://youtu.be/aWiwZak0Jog
Speaker: Arafin Happy Mim
Facilitators:Raissa Manika Purwaningtias & Constance Odonkor(shadow)
Abstract:
I am Mim, a Young Midwife Leader from Bangladesh. One year ago, I assumed the role of supervisor of midwives on Basanchar, a remote island near Hatiya Upazilla, Bangladesh, catering to 32,574 people and 7899 families, many of whom were Rohingya refugees relocated from Coxs Bazar. The island faces numerous health challenges, especially for women and children, with limited access to medical facilities, requiring Navy Frigate transportation twice weekly. Upon arrival, I encountered midwives lacking confidence and support in their practice. As the first midwife supervisor, doubts surrounded my leadership abilities, compounded by the democratic system’s challenges. Despite skepticism, I prioritized listening, reflection, and evidence-based advocacy to empower midwives and amplify their voices. Through collaborative efforts, we transformed the team, nurturing leadership skills and expanding their scope of practice. With a multidisciplinary approach, we now offer comprehensive sexual and reproductive health services and manage most complications locally, minimizing the need for external transfers. Looking ahead, our focus is on community awareness, affirming the pivotal role of midwives, and ensuring their practice aligns with standards. Continued education and research will further enhance our contributions to midwifery in Bangladesh, fostering a culture of quality care and acceptance in Basanchar.
Recording: https://youtu.be/_PO0Pisbxww
The Role of Midwifery in Respectful Maternal Care and Mental Health through the Wellbeing Foundation Africa’s Mamacare360 Program
Speaker: Toyin Saraki
Co-Presenters: Dr. Pragya Vishwakarma, Ms. Eunice AlexGreat Akhigbe
Facilitator(s): Halima Abdul
Abstract:
The Mamacare360 program, implemented by the Wellbeing Foundation Africa (WBFA) Midwives, is aligned with Goal 3 of the United Nations Sustainable Development Goals, which aims to ensure good health and wellbeing for all. Central to its mission is the enhancement of maternal health through the promotion of Respectful Maternity Care (RMC) for all women throughout the continuum of pregnancy, childbirth, and the postnatal period. Recognising the pivotal role of the relationship between pregnant women and their primary healthcare providers in shaping health outcomes for both mother and newborn, WBFA highlights the significance of this connection in fostering postnatal health and wellbeing.
Respectful maternity care is upheld as a fundamental human right, deserving of every childbearing woman within every healthcare system globally (WRA, 2010). WBFA advocates for this principle, emphasising the inherent dignity and autonomy of women throughout the childbirth process. This ethos is echoed in the Lancet Midwifery Series (2014), which asserts that midwifery is indispensable in addressing the challenges associated with delivering high-quality maternal and newborn care universally. Moreover, it is recognized as an effective strategy for promoting the health and wellbeing of women of reproductive age, newborns, and their families, thereby exerting a significant and sustainable impact on population health outcomes. Through a grassroots and community-led approach, Mamacare360 not only delivers essential maternal and child health services but also fosters a culture of empowerment and resilience among women.
This presentation will explore the multifaceted impact of Mamacare360, with a particular emphasis on the transformative power of midwifery. By bringing skilled midwives directly to the doorsteps of communities, the program ensures access to quality prenatal, childbirth, and postnatal care, thereby reducing maternal and infant mortality rates. By engaging with local women as advocates and educators, Mamacare360 cultivates a sense of ownership over maternal health, fostering sustainable improvements in healthcare-seeking behaviours.
The Mamacare360 program also acknowledges the often-overlooked aspect of maternal mental health. Recognising the profound impact of psychological wellbeing on maternal and child outcomes, the program integrates mental health support into its holistic approach. Through counselling, peer support groups, and community outreach initiatives, Mamacare360 addresses the unique challenges faced by mothers, promoting mental resilience and overall wellbeing.
Recording: https://youtu.be/8l4fhB_1C88
Enhancing Obstetric Prehospital Care: Insights from Midwives in Lima, Peru
Speaker: Ginger Garcia
Facilitator(s): Susana Ku
Abstract:
This presentation delves into the experiences of a dedicated group of midwives in Lima, Peru, who possess specialized training to provide prehospital care during natural disasters. Peru’s diverse climate often leads to natural disasters that directly impact communities, underscoring the critical need for immediate attention in such situations. While the overarching approach is holistic, special emphasis is placed on the most vulnerable populations, including women, children, and the elderly. The goal is to deliver swift and timely care, focusing on prevention and support for women amidst crises. Furthermore, sustainability is prioritized, with an emphasis on resource efficiency and waste reduction, promoting natural childbirth, exclusive breastfeeding, and optimal nutrition. Recognizing the adverse effects of climate change on maternal and fetal health, proactive measures are taken to address eventualities swiftly and effectively.
Check the time in your location: https://bit.ly/VIDM24-closing-session
Recording: Not Available
