Experiences of women with impaired physical mobility during pregnancy, childbirth and postpartum: A case study.

INTRODUCTION: The research deals with a little-studied topic in Estonia: the experiences of women with impaired physical mobility (IPM) during pregnancy, childbirth, and in the postpartum period. Women with IPM, a vulnerable group, have a higher risk of complications and a higher probability of missing out on comprehensive maternity care. METHODS: The method of the present research is qualitative. It is a case study of three women with IPM with whom semi-structured interviews were conducted. RESULTS: It was found that women with IPM encountered several obstacles and problems during pregnancy, childbirth, and the postpartum period; despite this, women's experiences with maternity care were mostly positive. Furthermore, there are several areas for improvement to ensure more comprehensive maternity care. Women with IPM need more support and help, and midwives are expected to have additional knowledge regarding the specifics or limitations resulting from mobility impairments. CONCLUSIONS: In the future, the topic needs greater attention and improvement in the Estonian context to ensure more comprehensive maternity care for women with IPM. It is important to provide midwives the knowledge and skills to assist women with IPM during pregnancy, childbirth, and the postpartum period.

Midwife students and hospital mentors satisfaction with professional practice in Estonia.

INTRODUCTION: Mentoring has played an important role in the development and support of healthcare students during the last 15 years. Constant monitoring performed by a mentor and their constructive feedback is a useful tool in professional practice. The greatest factor having a negative influence is lack of time. Mentors and midwifery students' satisfaction with practical training can be significantly affected by the clinical practice environment. This study aims to analyze the satisfaction of the mentors at women's clinics and midwifery students with the clinical practice. METHODS: The mixed methods study included midwifery mentors from the women's clinic and students who completed internships at the clinic in Estonia. The duration of the study was three years (2016-2019). Mentors were surveyed through focus group interviews. Students were surveyed through a semi-closed questionnaire. The study involved 15 midwives and 127 midwifery students. RESULTS: The mentors are aware that their responsibilities include the instruction, training, and assessment of the trainees, and they believe that a safe environment has an important role in passing the training successfully. Additionally, the most challenging aspect of providing instruction from the view of the mentors is the resultant lack of time. Students are satisfied with the mentors, co-workers, wards, and overall practical training at the women's clinic. CONCLUSIONS: The most challenging aspect of providing instruction from the view of the mentors is the resultant lack of time. Students' satisfaction with the said mentors is based on how well the students thought cooperation worked amongst mentors and co-workers. It is a problem for students from time to time that they are expected to have higher levels of skills than the knowledge they have acquired allows.

Peer group supervision is an efficient method to assist midwives to solve complicated cases: A case-study in the Women's Clinic, East-Tallinn Central Hospital, Estonia.

INTRODUCTION: Midwives have a remarkable influence on various outcomes in healthcare, of which the activities related to the management during the childbirth are emphasised the most. Midwives like all healthcare workers encounter many different stressors in clinical practice, including time pressure, excessive workload, different roles, and emotional issues. The profession of the midwife requires much knowledge, competence, good attitude and self-confidence in order to cope with many different complicated situations and dilemmas. This study has been conducted under the project: 'Increasing midwives' ethical competence: a European educational and practice development project (INEC)'. METHODS: This is a qualitative case study. The current case study involved 7 midwives of the Women's Clinic, East-Tallinn Central Hospital, Estonia; the midwives expressed their willingness and agreed to take part in the activities of the peer group supervisors. The aim of the case study was to find how peer group supervision as a method helps midwives to solve complicated cases and dilemmas, helping them to maintain self-confidence and therefore to manage stress at work more effectively. RESULTS: All the participating midwives shared the opinion that peer group supervision helps midwives to cope with complicated situations and dilemmas more effectively, it empowers professional skills and self-confidence, and so contributes to more effective stress management at work. Also, the midwives expressed hope that this topic would be useful for the professional midwives and to other employees working in the field of healthcare, that encounter complicated cases in their daily work, and so will form an active team of peer group supervision. CONCLUSIONS: Peer group supervision is an efficient method that helps midwives solve complicated cases in the Women's Clinic, East-Tallinn Central Hospital, Estonia.