Abstract:
OBJECTIVE:to uncover local beliefs regarding pregnancy and birth in remote mountainous villages of Nepal in order to understand the factors which impact on women's experiences of pregnancy and childbirth and the related interplay of tradition, spiritual beliefs, risk and safety which impact on those experiences. DESIGN:this study used a qualitative methodological approach with in-depth interviews framework within social constructionist and feminist critical theories. SETTING:the setting comprised two remote Nepalese mountain villages where women have high rates of illiteracy, poverty, disadvantage, maternal and newborn mortality, and low life expectancy. Interviews were conducted between February and June, 2010. PARTICIPANTS:twenty five pregnant/postnatal women, five husbands, five mothers-in-law, one father-in-law, five service providers and five community stakeholders from the local communities were involved. FINDINGS:Nepalese women, their families and most of their community strongly value their childbirth traditions and associated spiritual beliefs and they profoundly shape women's views of safety and risk during pregnancy and childbirth, influencing how birth and new motherhood fit into daily life. These intense culturally-based views of childbirth safety and risk conflict starkly with the medical view of childbirth safety and risk. KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE:if maternity services are to improve maternal and neonatal survival rates in Nepal, maternity care providers must genuinely partner with local women inclusive of their cultural beliefs, and provide locally based primary maternity care. Women will then be more likely to attend maternity care services, and benefit from feeling culturally safe and culturally respected within their spiritual traditions of birth supported by the reduction of risk provided by informed and reverent medicalised care.
journal_name
Midwiferyjournal_title
Midwiferyauthors
Kaphle S,Hancock H,Newman LAdoi
10.1016/j.midw.2013.06.002subject
Has Abstractpub_date
2013-10-01 00:00:00pages
1173-81issue
10eissn
0266-6138issn
1532-3099pii
S0266-6138(13)00175-7journal_volume
29pub_type
杂志文章相关文献
MIDWIFERY文献大全abstract::A randomised controlled trial of 554 women was carried out to compare the effects of late and early umbilical cord clamping on the time of cord separation. In addition data were collected on maternal and neonatal outcomes. There were no significant differences between the two groups in the duration of cord adherence a...
journal_title:Midwifery
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0266-6138(05)80195-0
更新日期:1991-12-01 00:00:00
abstract:OBJECTIVE:This study aimed to characterize the Portuguese general population's knowledge and attitudes about postpartum depression, and analyze its sociodemographic and clinical correlates. DESIGN:A cross-sectional internet survey. SETTING:Participants were recruited through advertisements on social media websites, i...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2019.06.016
更新日期:2019-10-01 00:00:00
abstract:OBJECTIVE:To examine breastfeeding experiences up to 6 weeks postpartum for mothers administered intranasal fentanyl, subcutaneous fentanyl or intramuscular pethidine for intrapartum analgesia. DESIGN:A secondary analysis was undertaken using the per-protocol dataset to examine the third phase of a larger randomised c...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2017.03.024
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVE:this analysis aims to explore midwives' insights into the provision of long-acting and permanent methods of contraception (LAPMs) in the selected areas of East Java and Nusa Tenggara Barat (NTB) Provinces, Indonesia. DESIGN:a qualitative study using in-depth interviews was conducted with 12 village midwives ...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2017.07.014
更新日期:2017-10-01 00:00:00
abstract:BACKGROUND:rural auxiliary midwives are central to clinical maternal care in Mali. However, little is known about their social role within the villages they serve. Exploring the social connectedness of midwives in their communities can reveal areas in which they need additional support, and ways they could benefit thei...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2013.03.002
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to examine the ways in the decision to access a planned epidural in labour was topicalised and negotiated between pregnant women and midwives. DESIGN:This article uses conversation analysis to examine how decision-making unfolds in antenatal consultations in a large metropolitan...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2019.102618
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVE:To investigate use of pharmacological and non-pharmacological methods of perineal analgesia used by midwives during the second stage of labour and perineal repair in the UK. DESIGN:Postal survey. METHODS:Self-complete questionnaires were sent to Heads of Midwifery in all 219 maternity units in the UK. Infor...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2004.12.003
更新日期:2005-06-01 00:00:00
abstract::This commentary discusses the 10th Step of the Baby-Friendly Hospital Initiative (BFHI), the only step that goes beyond the hospital to provide for the mother to receive breast-feeding support after she returns to the community. The reasons why such support is needed, and how this support has been provided in differen...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2015.06.006
更新日期:2015-09-01 00:00:00
abstract:UNLABELLED:Previous research on pregnant women with a disability and their experience of maternity care demonstrated that these mothers perceived themselves to be the 'perennial outsiders' with midwives automatically categorising them as 'high risk' because of their disability. They also felt that their ability to make...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2011.10.007
更新日期:2013-04-01 00:00:00
abstract:OBJECTIVE:to assess the association between non-clinical factors and the incidence of caesarean section (CS); to estimate the effect of a prenatal instructor's presence during childbirth on birth outcome (vaginal or CS). DESIGN:cross-sectional study from a register of women who attended prenatal classes. Multivariate ...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2004.04.002
更新日期:2004-12-01 00:00:00
abstract:OBJECTIVE:the objective of this study was to describe and compare perinatal and neonatal outcomes of women who received care from independent midwives practicing home births and at birth centres in Tokyo. DESIGN:a retrospective cohort study. SETTINGS:birth centres and homes serviced by independent midwives in Tokyo. ...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2012.12.020
更新日期:2013-08-01 00:00:00
abstract:BACKGROUND:the predicted midwifery workforce shortages in several countries have serious implications for the care of women during pregnancy, birth and post partum. There are a number of factors known to contribute to midwifery shortages and work attrition. However, midwives assessment of their own professional identit...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2016.06.008
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVE:to address the social aspects of pregnancy and the views of pregnant women regarding prenatal assistance in Brazil. DESIGN:this qualitative study was focused on describing the Social Representations of prenatal care held by pregnant women. The discourse of the collective subject (DCS) framework was used to a...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2009.04.008
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVE:to explore midwives' experiences and perceptions of skin-to-skin contact between mothers and their healthy full-term infants immediately and during the first day after caesarean section. DESIGN:qualitative interviews with semi-structured questions. SETTING AND PARTICIPANTS:eight midwives at three different ...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2014.08.014
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:To assess the role of the mother's mother and mothers' previous personal experiences with breastfeeding and childcare in breastfeeding practices. DESIGN AND SETTING:The analysis included 13,774 mother-infant dyads from the French national birth cohort ELFE. Feeding practices were assessed by face-to-face int...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2018.10.020
更新日期:2019-02-01 00:00:00
abstract:OBJECTIVE:to investigate the association between country of origin of women and their use of complementary pain reduction methods (i.e. non-pharmacological) during childbirth in Sweden. DESIGN:cross-sectional design. SETTING:a national register-based study. PARTICIPANTS:215,497 singleton deliveries (including the fi...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2008.10.005
更新日期:2010-08-01 00:00:00
abstract:OBJECTIVE:This study aims to understand paternal involvement within the six-month postpartum period to identify the challenges and needs of Singaporean fathers. DESIGN:The study used a descriptive qualitative design. SETTING AND PARTICIPANTS:This research is a follow-up study of 50 first-time and experienced fathers ...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2018.12.003
更新日期:2019-03-01 00:00:00
abstract:OBJECTIVE:the aim of this study was to compare the use of synthetic oxytocin for augmentation, duration of labour and birth and infant outcomes in nulliparous women randomised to birth on a birth seat or any other position. STUDY DESIGN:a randomised controlled trial in Sweden where 1002 women were randomised to birth ...
journal_title:Midwifery
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.midw.2011.12.014
更新日期:2013-04-01 00:00:00
abstract:OBJECTIVE:to compare the labour and birth experiences of women who delivered at home without complications with the experiences of women who delivered in a birth centre without complications. DESIGN:a descriptive study using postal questionnaires at 1-6 months after birth of a consecutive sample of postpartum women. ...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2005.12.004
更新日期:2006-12-01 00:00:00
abstract:OBJECTIVE:The objective of this study is to identify perceived job demands and job resources of newly qualified midwives (NQMs), working in primary midwifery care during their first years in practice. DESIGN/SETTING:A qualitative study, with semi-structured group interviews was conducted. Midwives working less than th...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2018.10.012
更新日期:2019-02-01 00:00:00
abstract:BACKGROUND:Early initiation of breastfeeding and exclusive breastfeeding can reduce infant mortality. Breastfeeding support interventions such as counselling may improve adherence to recommended practices. However, it is not known if these interventions work at the population level. OBJECTIVE:The aim of this study was...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2019.102601
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVE:childbirth self-efficacy has been found to be a factor that influences women's decision about their choice of delivery. Greece is a country with a high caesarean section rate and the validation of the Childbirth Self-Efficacy Inventory (CBSEI) would help explore Greek pregnant women's emotional preparation of...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2015.03.013
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVE:To describe African American and White women's perceptions of weight gain, physical activity, and nutrition during pregnancy and to explore differences in perceptions by race. DESIGN:Qualitative interview study. SETTING:Two Ob/Gyn clinics in South Carolina, USA. PARTICIPANTS:Thirty pregnant women (15 Afric...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2015.11.005
更新日期:2016-03-01 00:00:00
abstract:OBJECTIVE:to explore the role, expectations and meanings that individual fathers ascribe to their presence at birth. DESIGN:a Heideggerian phenomenological approach utilising in-depth interviews at two different time points. SETTING:large tertiary maternity unit in the North West of England. PARTICIPANTS:11 first-ti...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2010.06.013
更新日期:2011-10-01 00:00:00
abstract:AIM:to investigate how and why Chinese midwife numbers are dwindling, and to help understand the role of midwives in society in general. METHOD:to critically examine Chinese midwifery in three stages: (1) historical literature overview; (2) identification and reinterpretation of Chinese midwifery and its development; ...
journal_title:Midwifery
pub_type: 历史文章,杂志文章
doi:10.1016/j.midw.2007.03.001
更新日期:2009-06-01 00:00:00
abstract:INTRODUCTION AND OBJECTIVE:The novel coronavirus outbreak has caused substantial changes in societal norms as well as adjustments in health systems worldwide. To date the impact of these pandemic-related variations has yet to be fully understood also in the field of maternal health for which continuity of care is a pro...
journal_title:Midwifery
pub_type: 杂志文章,评审
doi:10.1016/j.midw.2020.102916
更新日期:2020-12-26 00:00:00
abstract::Every year 85,000 women die from obstructed labour and many many more lose their baby and have debilitating physical damage as a result. In this paper the extent of the problem is described. Methods by which obstructed labour can be prevented are given. Early detection and prompt referral for appropriate treatment are...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/s0266-6138(05)80060-9
更新日期:1992-03-01 00:00:00
abstract::The aim of this study was to reveal what enables, safeguards and sustains midwives to provide labour care in freestanding midwifery-led units. DESIGN:A hermeneutic phenomenological study was undertaken in the Auckland region of New Zealand. In-depth interviews were conducted with 14 participants: 11 midwives who prov...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2018.08.016
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVE:to evaluate a pilot project, which used a community participatory approach to introduce birth preparedness in rural Cambodia. DESIGN:a feasibility and outcome evaluation. This included observation, interview, document analysis and costing. SETTING:the project was undertaken in 15 villages linked to five hea...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2008.01.006
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:birth plans detailing a woman׳s preferences for intrapartum care are a common feature in British maternity units, and are a means of encouraging the implementation of choice. Proforma versions may be incorporated routinely in antenatal case notes, or the woman may devise her own unique birth plan. Although w...
journal_title:Midwifery
pub_type: 杂志文章
doi:10.1016/j.midw.2014.03.004
更新日期:2014-07-01 00:00:00