Title: Arte de la Partería Indígena: Resistencias, desafíos y continuidades
Speaker: Tania Pariona Tarqui
Facilitator: Paloma Terra
Los objetivos de este mapeo son: identificar organizaciones de parteras indígenas, además de delinear la situación en la que se encuentran y las experiencias que se han generado cada país, acorde a su contexto histórico y aspectos legales. Finalmente, indicar las buenas prácticas, recomendaciones y retos señalados por las organizaciones de parteras de cada país.
Uno de los elementos relevantes del mapeo, es las diferencias que existen entre el ejercicio de la partería y la relación con el Estado, esto de acuerdo al nivel organizativo alcanzado por los grupos de parteras y los avances legales en el reconocimiento de la misma. Por ejemplo, algunas parteras en sus países presentan un estado de sobrevivencia por el poco o nulo reconocimiento de los pueblos originarios y la partería indígena, en otros casos por su nivel de organización hay parteras indígenas que en sus países exigen autonomía al Estado.
Sin embargo, en todos los países se dan prácticas de control, desprestigio y criminalización. Esto realza la importancia de fortalecer las organizaciones de parteras y de los pueblos originarios para la construcción de propuestas desde los sistemas de salud indígenas y la articulación horizontal con los Estados.
Como parte de sus recomendaciones se destaca la necesidad de fortalecer el tejido organizativo entre las parteras tanto a nivel nacional como en la región, el politizar la lucha por el respeto a las parteras y todas las mujeres como sujetos de derechos para que puedan tomar decisiones informadas sobre su cuerpo, su maternidad y la atención del parto desde su propia tradición y la necesidad del cuidado de las abuelas parteras que viven en situaciones vulnerables como garante de la continuidad generacional para el cuidado de las mujeres y comunidades de los pueblos indígenas.
Recording: https://youtu.be/zuIlj3va4E4
Speaker: Tsegaw Biyazin
Facilitator: Caroline Maringa and Meron Tessema Bekele
Antenatal fetal surveillance is a method of monitoring fetal welling during intrauterine life. Fetal movement counting is one parameter of antenatal fetal surveillance and it has a vital role to reduce stillbirth and prenatal mortality. This study aimed to assess maternal knowledge of fetal movement among pregnant women in Jimma Medical center, Jimma, Ethiopia.
Method: A facility-based cross-sectional study was conducted at Jimma Medical center from June 1 to July 30, 2022. A structured and pretest questionnaire was used to collect data. A systematic sampling technique was applied to collect data through a face-to-face interview. Binary and multivariate logistic regression was carryout to identify candidate predictors and significant variables respectively.
Result: A total of 422 respondents involved in the study. The majority of respondents 189(46.7%) were in the age group of 25-31 years. Regarding marital status, more than three-fourths of 323(79.8%) participants were engaged. Only one hundred twenty-two (30.1%) of respondents had good knowledge regards to their fetal movement count. predictors includes residence [AOR=.29, 95% CI (.16-.56), P value;.000], gestational age [AOR=.42, 95% CI (.24-.76);P-value;.004], high-risk pregnancy [AOR=5.34, 95% CI (2.46-11.60); P-value;.000] and health care provider [AOR=2.61,95% CI (1.49-4.56); P-value;.001) were among significant variables with knowledge of fetal movement counting.
Conclusion: the overall maternal knowledge regards fetal movement is unsatisfactory. Respondents’ residence, gestational age, pregnancy status, and source of information were significant predictors of maternal knowledge. Health care providers.
Recording: https://youtu.be/1P-fOkA9tPg
Speaker: Amina Abdulraheem
Facilitator: Caroline Maringa
Hypothermia is known to be a major cause of neonatal mortality as it complicates other diseases at early neonatal period. Pregnant adolescents are at high risk of having preterm birth, low-birth-weight babies and sub optimal thermal care practices. The study aimed to evaluate the effect of nursing intervention program on thermal care of pregnant adolescents attending antenatal clinic in Zaria town. A quasi-experimental design using a multistage sampling technique to obtain data from 302 adolescent mothers; assigned to the study and control groups; 151 participants to each group. Data were collected using structured and validated interviewer-administered questionnaire and observation checklist before and after the intervention. Descriptive statistics, chi-square and segmented Poisson regression were used to evaluate the effect. At pretest, no statistically significant difference in the pretest means knowledge (p-value= 0.8179) scores of mothers between the study and control groups. At post-tests, the mean knowledge and practice scores of mothers in intervention group improved significantly (P value < 0.05) at first week, 6th week, 10th week, 14th week and 6th month postpartum. Mothers in intervention group were more satisfied with their role of thermal care than those in control group (p-value 0.0000). The result of the current study is in line with a study in Egypt by Ali Abd El-Salam et al., (2019) and that of Nasir et al., (2017) in Indonesia who reported statistically significant improvement of mothers’ knowledge and practice of thermal care at posttest. There is need for midwives to continue training pregnant adolescents on thermal care.
Recording: https://youtu.be/g8SydgM09jU
Speaker: Isabella Garti
Facilitator: Caitlin Goodwin
Abstract:
Midwifery holds relevance across diverse settings, as the proficiency of midwives plays a crucial role in the provision of care for women facing complications. In Low- and Middle-Income Countries (LMICs), such as Ghana, a significant number of maternal and neonatal deaths result from insufficient or delayed handling of preventable complications, notably pre-eclampsia. Continuous training is particularly essential for midwives in LMICs, to effectively respond to the increasing demand for specialised care in pre-eclampsia. As part of a mixed method evaluation of multi-level factors influencing midwives’ management of pre-eclampsia in Ghana, we conducted a hospital-based quantitative cross-sectional study in 2021 to determine the pre-eclampsia specific training needs of midwives. Midwives completed an adapted version of the WHO Hennessy-Hicks Training Needs Analysis questionnaire. Midwives required training in 14 priority areas mainly in the research and clinical domains. Training courses were identified as the preferred approach to address training needs and improve overall proficiency. Midwifery is an essential sustainable resource for improved pre-eclampsia outcomes in LMICs. The implementation of context-specific training, integrating innovative and contemporary approaches, holds paramount significance in this regard.
Recording – not available
