Speakers: Eunice Iluobe Akhigbe and Ridwan Abdusalam
Facilitator: Linda Wylie
Neonatal jaundice is a common but potentially serious condition caused by elevated bilirubin levels, which, if left untreated, can lead to kernicterus, an irreversible neurological disorder. While advances in neonatal care have improved management, myths and misconceptions continue to delay timely healthcare-seeking behavior, particularly in underserved communities.
This study explores the impact of cultural beliefs on neonatal jaundice management, emphasizing the critical role of midwives in community education, early diagnosis, and timely medical intervention. A review of clinical data, community health reports, and maternal health education programs highlights key misconceptions, including: The belief that jaundice is harmless and does not require medical attention. The misconception that sunlight exposure alone can cure jaundice, delaying hospital visits. Cultural remedies discouraging breastfeeding, leading to dehydration and worsening hyperbilirubinemia.
To combat these challenges, this study recommends:
- Community education campaigns to promote awareness of neonatal jaundice risks and medical care.
- Midwife training and engagement to strengthen their role in addressing myths and guiding caregivers.
- Integration of traditional and medical practices through collaboration with community leaders.
- Improved access to phototherapy and neonatal care, especially in rural areas.
- Mother-to-mother peer support networks, such as the Wellbeing Foundation Mamacare WhatsApp groups.
- Policy advocacy for neonatal jaundice screening programs at birth and early postnatal visits.
By addressing misconceptions through midwife-led education and advocacy, this approach enhances early intervention, reduces neonatal complications, and improves health outcomes for vulnerable populations.
Speaker: Jamie Hanson
Facilitator: Celine Lemay
Non-access to Perinatal mental health services for Black African Women can lead to increased perinatal morbidity and mortality in relation to mental health. Three quarters of Black and Brown Women’s morbidity is associated with suicide in the postnatal period, and they are more likely to experience adverse outcomes during pregnancy and the postnatal period compared to white women (MBRRACE, 2023). Health inequalities within maternity services also increase the risk of mental health challenges which is exacerbated by unemployment, poverty and homelessness which adds to the challenges of the women accessing perinatal mental health services (Rothman et al, 2020). There is also the associated stigma within the Black African community in declaring mental health challenges and it being viewed as ‘shameful’ and embarrassing to admit to feeling depression leading to alienation and preventing the women form seeking help from health professionals (Watson et al, 2019). The reluctance to access support is also compounded by negative experiences from health professionals and engagement with primary care (Edge and Mackian, 2010). What we don’t know is how the women can be supported in accessing services and what is required to be on place. The contribution to knowledge is exploring and describing attitudes to perinatal mental health, listening to the women’s voices and understanding the service and how it can be improved. Methods An Exploratory Descriptive Qualitative (EDQ) study design was employed which allows for a social constructivist and interpretivist approach (Reid and Happell, 2012).
Speaker: Yvonne Meyer
Facilitator: Celine Lemay
Sages-femmes dans certaines publications. C’est le cas pour l’inscription de notre activité professionnelle au patrimoine immatériel UNESCO où, dans l’annonce en français, le mot sage-femme est absent du titre. Comment sont présentées les sages-femmes ailleurs ? Neuf documents ont été repérés qui ont pour titre l’art, les soins, la pratique, les sciences ou la profession de sage-femme. Les résumés de ces documents seront présentés, ainsi que l’analyse réalisée, basée sur les critères de soins centrés sur le patient (Rycroft-Maloine, 2004). Les résultats montrent que toutes ces formulations sont polysémiques et qu’elles n’ont pas exactement la même portée. Par contre, toutes présentent haut et fort les sages-femmes et ce qui les caractérise. Si UNESCO avait titré « Les soins de sage-femme : connaissances, savoir-faire et pratiques », les sages-femmes seraient visibles partout dans le monde francophone.
The theme of the intervention is motivated by a regrettable problem of visibility of midwives in certain publications. This is the case for the inclusion of our professional activity in UNESCO’s intangible heritage list, where, in the French announcement, the word sage-femme is absent from the title. How are midwives presented elsewhere? Nine documents have been identified that deal with the art, care, practice, science or profession of midwifery. Summaries of these documents will be presented, along with the analysis carried out, based on the criteria of patient-centred care (Rycroft-Maloine, 2004). The results show that all these formulations are polysemous and do not have exactly the same scope. However, they all make a strong case for midwives and what characterises them. If UNESCO had published the title « Les soins de sage-femme: connaissances, savoir-faire et pratiques » (‘Midwifery: knowledge, skills and practices’), midwives would be visible throughout the French-speaking world.
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