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
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: Divya Raghavan
Facilitator(s): Rizka Ayu Setyani & Mutiari Safitri(shadow)
Abstract:
Midwives play a pivotal role in providing comprehensive support to women navigating the challenges of recurrent pregnancy loss (RPL). This abstract outlines key aspects of midwife support in this context. Emotional support is fundamental, with midwives fostering open communication and offering empathetic counseling to address the emotional toll of RPL. Education and information dissemination involve explaining medical procedures, test results, and providing insights into lifestyle factors affecting pregnancy. Care coordination is crucial, emphasizing collaboration with healthcare professionals to ensure well-rounded, personalized care. Midwives engage in proactive preconception care, assessing health factors and developing tailored plans for subsequent pregnancies. Support groups, facilitated by midwives, create spaces for women to share experiences and access community resources. Advocacy is integral, empowering women to actively participate in their care and collaborating with healthcare providers for comprehensive support. Continuity of care is established through building strong relationships, fostering trust, and providing ongoing support throughout the reproductive journey. Taking a holistic approach, midwives address both physical and emotional needs, recognizing the interconnected nature of well-being. Ultimately, by embracing these multifaceted roles, midwives contribute significantly to enhancing the overall care and resilience of women facing recurrent pregnancy loss.
Recording: https://youtu.be/7Gn5Xt0T4sE
