Speaker: Lesley Pascuzzi
Facilitator: Catherine Salam
Abstract:
The journey to parenthood is a time of significant change. For most, pregnancy is a time of great joy. However, this period can be associated with an increase in mental health difficulty. In Australia, it is estimated that 1 in 5 mothers and 1 in 10 partners will experience perinatal anxiety and depression with an estimated national cost of $877m annually. There is well established screening for risk of perinatal mental illness during routine maternity care in both public and in some private hospitals using the Edinburgh Postnatal Depression Scale. As defined by World Health Organization (WHO), complete health is “physical, mental and social wellbeing, not merely the absence of disease or infirmity”. Routine practice within maternity care at present, offers women physical screening to detect pathology and disease but has no standardized screening for promotion of mental health and emotional wellbeing. Informed by the current “detect disease” orientation of maternity care, Australian women screened by a midwife to be without risk for mental illness, are perceived to be emotionally well in the absence of a clear definition of what it means to be emotionally well. In everyday maternity healthcare, this presents an opportunity lost for midwives to have meaningful conversations with women to align with the sustainable midwifery practice of prioritizing the holistic wellbeing of the mother first and foremost. This presentation will share the findings of a scoping review to explore the needs and barriers facing midwives to work to their full scope of practice in this area.
Recording: https://youtu.be/6xkJlS4APDk
Speakers: Siti Fatimah and Andari Wuri Astuti
Facilitator: Raissa Manika Purwaningtias
Abstract:
Background: Teenage decision-making ability is a crucial stage of development. Marriage and adolescent pregnancy have an effect on decision-making ability. Inappropriate decision-making leads to the emergence of health problems, delays in getting health services, and an increased risk of complications during pregnancy and childbirth, all of which have negative effects on maternal and neonatal health. Objective: This study aims to determine the decision-making experiences of adolescents who marry at a young age during pregnancy and childbirth. Method: This qualitative investigation employed a generic exploratory methodology. This study’s sample was selected using homogenous purposive sampling to include five pairs of adolescents who were married and had children younger than one year. The research analysis was conducted according to the Collaizi step and analyzed using NVivo. Result: There are four major themes that emerge from the research findings: prior knowledge, skills, and preparedness to become parents, decision making, obstacles, and expectations. Teenagers who marry at a young age and have children younger than one year lack the knowledge, skills, and maturity to become parents, and are therefore incapable of making decisions. Parents and spouses have a significant impact on decision-making because they are perceived to have superior knowledge, skills, and experience. Conclusion: During pregnancy and childbirth, decision-making autonomy is influenced by a lack of parental knowledge, skills, and preparation. It is expected that training and education that involves family decision-makers will increase the knowledge, skills, and readiness of couples to become parents. It is also expected to increase participation.
Recording: Not available
Speaker: Ang Broadbridge and Rachel McDonald
Facilitator: Raissa Manika Purwaningtias
Abstract:
Abstract summary: Sharing learning from four prototypes in the North East of England where we have developed new maternal mental health supports through collaboration and co-production across sectors, with key indicators of building sustainability Background – Project demonstrates improved maternal mental health through integrating third sector support into the pathway to reduce health inequalities and increase sustainability supporting the best start in life agenda with benefits for women, partners, their babies and the whole family unit in the perinatal period. The MMHS social prescribing link worker model aims to provide evidence based maternal mental health support based in the third sector: • The perinatal period is a time when women have regular contact with services, when there is a crucial window of opportunity to support a best start. • Building and integrating flexible third sector provision with referrals from midwifery, health visiting, mental health and community teams to overcome workforce capacity and waiting list pressures and threshold barriers complementing statutory offers through specialist, personalised non-clinical support Discussion • Project addresses health inequalities, issues for ethically minoritised communities and social determinants of health including sustainability and accessibility in rural and remote communities • Evidences benefits for mum and infant as well as wider family unit • Indicators of sustainability – developing sustainable community support networks, reducing duplication, developing eco-friendly accessible digital resources and supports and increasing digital inclusion Conclusion – Innovative and flexible approaches developed through cross-sector collaboration leading to sustainable practice and initiatives
Recording: https://youtu.be/ZwyvGbl7eNw
