Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 3.681
Filtrar
1.
Nurse Educ Pract ; 51: 102988, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33601117

RESUMO

The impact of COVID-19 on midwifery students is anticipated to be multi-faceted. Our aim was to explore Australian midwifery students' experiences of providing maternity care during the COVID-19 pandemic. In a cross-sectional study 147 students were recruited through social media. Data were collected through an online survey and semi-structured interviews. Surveys were analysed using descriptive statistics; interviews and open text responses were interpreted through qualitative analysis. Findings revealed students found communication from hospitals and universities to be confusing, inconsistent and they relied on mass media and each other to remain updated. Moving to online learning and being isolated from peers made learning difficult. During clinical placements, students felt expendable in terms of their value and contribution, reflected in essential equipment such as personal protective equipment not always being available to them. Witnessing perceived compromised midwifery care increased students' emotional burden, while personal household responsibilities and financial concerns were problematic. One silver lining witnessed was women's appreciation of an improved 'babymoon', with fewer visitors, allowing uninterrupted time to establish breastfeeding and connection with their baby. Findings may guide management of midwifery education during future pandemics or health crises for universities and hospitals.


Assuntos
Tocologia , Estudantes de Enfermagem , Adolescente , Adulto , Austrália/epidemiologia , /psicologia , Estudos Transversais , Feminino , Humanos , Masculino , Serviços de Saúde Materna , Pessoa de Meia-Idade , Tocologia/educação , Gravidez , Estudantes de Enfermagem/psicologia , Estudantes de Enfermagem/estatística & dados numéricos , Inquéritos e Questionários , Incerteza , Adulto Jovem
2.
Reprod Health ; 18(1): 50, 2021 Feb 27.
Artigo em Inglês | MEDLINE | ID: mdl-33639966

RESUMO

BACKGROUND: We aim to assess competencies (knowledge, skills and attitudes) of midwifery care providers as well as their experiences and perceptions of in-service training in the four study countries; Benin, Malawi, Tanzania and Uganda as part of the Action Leveraging Evidence to Reduce perinatal mortality and morbidity in sub-Saharan Africa project (ALERT). While today more women in low- and middle-income countries give birth in health care facilities, reductions in maternal and neonatal mortality have been less than expected. This paradox may be explained by the standard and quality of intrapartum care provision which depends on several factors such as health workforce capacity and the readiness of the health system as well as access to care. METHODS: Using an explanatory sequential mixed method design we will employ three methods (i) a survey will be conducted using self-administered questionnaires assessing knowledge, (ii) skills drills assessing basic intrapartum skills and attitudes, using an observation checklist and (iii) Focus Group Discussions (FGDs) to explore midwifery care providers' experiences and perceptions of in-service training. All midwifery care providers in the study facilities are eligible to participate in the study. For the skills drills a stratified sample of midwifery care providers will be selected in each hospital according to the number of providers and, professional titles and purposive sampling will be used for the FGDs. Descriptive summary statistics from the survey and skills drills will be presented by country. Conventional content analysis will be employed for data analysis of the FGDs. DISCUSSION: We envision comparative insight across hospitals and countries. The findings will be used to inform a targeted quality in-service training and quality improvement intervention related to provision of basic intrapartum care as part of the ALERT project. TRIAL REGISTRATION: PACTR202006793783148-June 17th, 2020.


Assuntos
Atitude do Pessoal de Saúde , Competência Clínica , Tocologia , Obstetrícia/normas , Qualidade da Assistência à Saúde , Adulto , Benin/epidemiologia , Lista de Checagem , Competência Clínica/normas , Competência Clínica/estatística & dados numéricos , Parto Obstétrico/enfermagem , Parto Obstétrico/normas , Parto Obstétrico/estatística & dados numéricos , Feminino , Grupos Focais , Conhecimentos, Atitudes e Prática em Saúde , Pessoal de Saúde/normas , Pessoal de Saúde/estatística & dados numéricos , Acesso aos Serviços de Saúde/normas , Humanos , Cuidado do Lactente/normas , Cuidado do Lactente/estatística & dados numéricos , Recém-Nascido , Malaui/epidemiologia , Tocologia/educação , Tocologia/normas , Tocologia/estatística & dados numéricos , Obstetrícia/estatística & dados numéricos , Gravidez , Inquéritos e Questionários , Tanzânia/epidemiologia , Uganda/epidemiologia , Adulto Jovem
3.
Midwifery ; 94: 102915, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33450714

RESUMO

The context of healthcare and of healthcare education has radically changed as a result of the Covid-19 pandemic. To identify positive strategies for midwifery education in this context, five case studies from the UK and beyond were conducted using an appreciative enquiry approach, from the perspectives of students, the maternity services, cross-university collaboration, and digital learning. A health system analysis was used to identify strategies to cope, adapt, and transform for the future, at the levels of individuals, teams, and the whole system. Findings showed that the implementation of effective responses was possible. Responding effectively and rapidly to a shock as profound as this pandemic requires courageous, respectful, evidence-based, innovative, collaborative, cross-sectoral working and leadership across education institutions, practice settings, the regulator, government, and with students themselves. Pre-existing trusting relationships and collaborative systems supported rapid responses. Effective digital learning requires a pro-active, student-centred approach, and addressing the problems of inequitable access to equipment and space. Joint problem-solving and focussing on the key outcomes that matter contribute to developing successful strategies and robust processes. The pandemic provides an opportunity for student midwives to be re-imagined as essential members of midwifery teams and not 'just students'. Transformative actions identified include whole-system working, tackling longstanding problems including racism, poverty, prejudice, and systemic discrimination, and keeping students at the heart of the education system.


Assuntos
Adaptação Psicológica , Mão de Obra em Saúde , Tocologia/educação , Estudantes de Enfermagem/psicologia , Bacharelado em Enfermagem , Feminino , Humanos , Gravidez , Medicina Estatal , Reino Unido
4.
Niger J Clin Pract ; 23(10): 1470-1476, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33047708

RESUMO

Background: In midwifery practice, the education model used for skill acquisition is extremely important for the management of students' stress, anxiety and self-efficacy. Innovative practices aim to improve the students' cognitive, emotional and psychomotor skills, and new research needs to be performed to evaluate the results of such practices. Aims: The present study aimed to evaluate the effects of the education model and clinical practice features, such as practice time, laboratory practice and exam evaluation, on the students' state and continuous anxiety and self-efficacy status. Methods: This was a semi-experimental non-randomised study, including three steps. Research was conducted in two institutions. Sample selection was not made in the research. The sample consisted of two groups. Group 1 included students (n = 39), who get educated in 1st institution. Group 2 included students (n = 40), who get educated in 2nd institution. In the collection of research data; Introductory Information Form, Self- Efficacy Scale, Spielberger's State/Continuous Anxiety Inventory was used. Data were analysed by Shapiro Wilk Tests, numbers, percentages, Chi-square test, analysis of single factor variance in repeated measurements, repeated measures analysis of variance, t test in indepentdent samples. Results: A significant difference was found between the three data collection steps, regarding self-efficacy as well as state and continuous anxiety scores (P < 0.001). A significant correlation was found between the mean self-efficacy scores of each group (P < 0.001). Conclusions: The results indicate that students have a high level of self-efficacy using the daily life activities model, engaging in 8 hours of clinical practice, performing clinical practice under the supervision of a midwife or a nurse.


Assuntos
Ansiedade/psicologia , Tocologia/educação , Preceptoria , Autoeficácia , Estudantes/psicologia , Adulto , Estágio Clínico , Feminino , Humanos , Masculino , Modelos Educacionais , Adulto Jovem
5.
J Interprof Care ; 34(5): 706-710, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32917099

RESUMO

This report describes the Obstetric and Neonatal Simulation (ONE-Sim) workshop run in a remote learning format for medical and midwifery students in an interprofessional setting during the COVID-19 pandemic. It explores the observation of students as participants in the online learning of using Personal Protective Equipment and simulation-based learning of perinatal emergency management. This was followed by their mutual interaction and reflections. This paper aims to understand the role of synchronous remote learning through simulation and its impact on interprofessional interactions. We describe the experience of medical and midwifery students with the ONE-Sim workshop, facilitated by medical (obstetric and neonatal) and midwifery educators. Formal thematic analysis will be performed as part of the ongoing study; however, initial direct observation demonstrated that students reacted positively to the online ONE-Sim workshop and engaged well with facilitators and peers. Students mutually interacted amongst themselves, shared their previous experiences, knowledge of roles as medical and midwifery practitioners and how they see themselves in those roles in a perinatal emergency setting. The initial observations demonstrate that interprofessional education delivered in an e-learning format can be useful and meaningful, and may be utilized across a number of specialties.


Assuntos
Infecções por Coronavirus , Educação a Distância , Comunicação Interdisciplinar , Tocologia/educação , Pandemias , Pneumonia Viral , Treinamento por Simulação , Estudantes de Medicina , Betacoronavirus , Cuidados Críticos , Humanos , Obstetrícia/educação , Assistência Perinatal , Avaliação de Programas e Projetos de Saúde , Gravação em Vídeo
6.
PLoS One ; 15(7): e0236194, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32706775

RESUMO

BACKGROUND: Neonatal resuscitation is a life-saving intervention for birth asphyxia, a leading cause of neonatal mortality. Worldwide, four million neonate deaths happen annually, and birth asphyxia accounts for one million deaths. Improving providers' neonatal resuscitation skills is critical for delivering quality care and for morbidity and mortality reduction. However, retention of these skills has been challenging in developing countries, including Ethiopia. Hence, this study aimed to assess neonatal resuscitation skills retention and associated factors among midwives and nurses in Eastern Ethiopia. METHODS: An institution-based cross-sectional study was conducted using a pre-tested, structured, observational checklist. A total of 427 midwives and nurses were included from 28 public health facilities by cluster sampling and simple random sampling methods. Data were collected on facility type, availability of essential resuscitation equipment, socio-demographic characteristics of participants, current working unit, years of professional experience, whether a nurse or midwife received refresher training, and skills and knowledge related to neonatal resuscitation. Binary logistic regression was used to analyse the association between neonatal resuscitation skill retention and independent variables. RESULTS: About 11.2% of nurses and midwives were found to have retention of neonatal resuscitation skills. Being a midwife (AOR, 7.39 [95% CI: 2.25, 24.24]), ever performing neonatal resuscitation (AOR, 3.33 [95% CI: 1.09, 10.15]), bachelor sciences degree or above (AOR, 4.21 [95% CI: 1.60, 11.00]), and good knowledge of neonatal resuscitation (AOR, 3.31 [95% CI: 1.41, 7.73]) were significantly associated with skill retention of midwives and nurses. CONCLUSION: Basic neonatal resuscitation skills of midwives and nurses in Eastern Ethiopia are not well retained. This could increase the death of neonates due to asphyxia. Being a midwife, Bachelor Sciences degree or above educational status, ever performing neonatal resuscitation, and good knowledge were associated with skill retention. Providers should be encouraged to upgrade their educational level to build their skill retention and expose themselves to NR. Further, understanding factors affecting how midwives and nurses gain and retain skills using high-level methodology are essential.


Assuntos
Asfixia Neonatal/terapia , Competência Clínica , Tocologia/educação , Enfermagem Neonatal/educação , Ressuscitação/métodos , Adolescente , Adulto , Lista de Checagem , Estudos Transversais , Educação em Enfermagem/estatística & dados numéricos , Etiópia , Feminino , Humanos , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Gravidez , Adulto Jovem
7.
Curationis ; 43(1): e1-e8, 2020 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-32633991

RESUMO

BACKGROUND: Lesotho has been experiencing health challenges as indicated by its high maternal mortality ratio of 620 per 100 000 live births for the year 2010, which has been linked to its limited human resources. OBJECTIVES: The knowledge and skills of final-year student nurse-midwives related to the active management of the third stage of labour were determined. METHOD: A quantitative, descriptive survey design was used to conduct this study with 99 final-year midwifery students at four nursing schools in Lesotho using stratified sampling. The structured questionnaire collected data on the knowledge and self-reported competency. Subsequently, the controlled cord traction marks, extracted from the objective structured clinical examination (OSCE), were compared to the self-reported competency of these midwifery students using R software version 3.4.0. RESULTS: The mean score for knowledge and the OSCE was 73.8% (n = 99) and 77.2% (n = 99), respectively. The majority of respondents (95.2%, n = 99) rated themselves highly in terms of the active management of the third stage of labour competency. There was no correlation between the self-reported competency and knowledge (r = 0.08, p = 0.4402), and self-reported competency and OSCE scores (r = -0.004, p = 0.01). CONCLUSION: The high mean scores for the knowledge and the OSCE indicate that the theoretical component of the curriculum on the active management of the third stage of labour was effective in equipping final-year midwifery students with knowledge and skills to carry out this competency.


Assuntos
Competência Clínica/normas , Terceira Fase do Trabalho de Parto/fisiologia , Tocologia/educação , Estudantes de Enfermagem/estatística & dados numéricos , Adulto , Competência Clínica/estatística & dados numéricos , Currículo/tendências , Feminino , Humanos , Tocologia/estatística & dados numéricos , Gravidez , África do Sul , Inquéritos e Questionários
8.
PLoS One ; 15(7): e0220538, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32644991

RESUMO

BACKGROUND: Various aspects of disrespect and abusive maternity care have received scholarly attention because of frequent reports of the phenomenon in most healthcare facilities globally, especially in low- and middle-income countries. Experiences of disrespect and abuse during childbirth may dissuade women from returning for facility-based postpartum services, for antenatal care, and delivery for future pregnancies and births. Midwives' knowledge of respectful maternity care is critical in designing any interventive measures to address the menace of disrespect and abuse in maternity care. However, the perspectives of skilled providers on respectful maternal care have not been extensively studied. Therefore, the present study sought to explore the views of midwives on respectful maternity care at a teaching hospital in Kumasi, Ghana. METHODS: We employed an exploratory descriptive qualitative research design using an interpretative approach. Data were generated through individual in-depth interviews of fifteen midwives, which were audio-recorded and transcribed verbatim. Open Code 4.03 was used to manage and analyse the data. FINDINGS: The midwives demonstrated some degree of awareness of respectful maternity care that comprised of the following components: non-abusive care, consented care, confidential care, non-violation of childbearing women's basic human rights, and non-discriminatory care. However, midwives' support for disrespectful and abusive practices such as hitting, pinching, and implicitly blaming childbearing women for mistreatment suggests that midwives awareness of respectful maternity care is disconnected from its practice. CONCLUSION: In view of these findings, we recommend frequent in-service training for midwives and the institutionalization of regular supervision of intrapartum care services in the healthcare facility.


Assuntos
Atitude do Pessoal de Saúde , Serviços de Saúde Materna/normas , Tocologia , Adulto , Feminino , Gana , Humanos , Pessoa de Meia-Idade , Tocologia/educação , Qualidade da Assistência à Saúde , Respeito
9.
PLoS One ; 15(6): e0235269, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32603339

RESUMO

Many high-risk conditions of pregnancy are undetected until the time of delivery in low-income countries. We developed a point-of-care ultrasound training protocol for providers in rural Uganda to detect fetal distress or demise, malpresentation, multiple gestation, placenta previa, oligohydramnios and preterm delivery. This was a mixed-methods study to evaluate the 2-week training curriculum and trainees' ability to perform a standard scanning protocol and interpret ultrasound images. Surveys to assess provider confidence were administered pre-training, immediately after, and at 3-month follow up. Following lecture and practical demonstrations, each trainee conducted 25 proctored scans and were required to pass an observed structured clinical exam (OSCE). All images produced 8 weeks post course underwent blinded review by two ultrasound experts to assess image quality and to identify common errors. Key informant interviews further assessed perceptions of the training program and utility of point-of-care ultrasound. All interviews were audio recorded, transcribed, and reviewed by multiple readers using a content analysis approach. Twenty-three nurse/nurse midwives and two physicians from one district hospital and three health centers participated in the training curriculum. Confidence levels increased from an average of 1 point pre-course to over 6 points post-course for all measures (maximum of 7 points). Of 25 participants, 22 passed the OSCE on the first attempt (average score 89.4%). Image quality improved over time; the final error rate at week 8 was less than 5%, with an overall kappa of 0.8-1 for all measures between the two reviewers. Among the 12 key informant interviews conducted, key themes included a desire for more hands-on training and longer duration of training and challenges in balancing clinical duties with ability to attend training sessions. This study demonstrates that providers without previous ultrasound experience can detect high-risk conditions during labor with a high rate of quality and accuracy after training.


Assuntos
Enfermeiras Obstétricas/educação , Complicações na Gravidez/diagnóstico por imagem , Ultrassonografia Pré-Natal , Adulto , Feminino , Humanos , Trabalho de Parto , Tocologia/educação , Obstetrícia/educação , Gravidez , População Rural , Triagem , Uganda , Ultrassonografia Pré-Natal/métodos , Ultrassonografia Pré-Natal/enfermagem
10.
Acad Med ; 95(10): 1538, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32675793
11.
Int Nurs Rev ; 67(3): 323-325, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32578218

RESUMO

The COVID-19 pandemic has disrupted clinical nursing and midwifery education. This disruption has long-term implications for the nursing and midwifery workforce and for future healthcare responses to pandemics. Solutions may include enhanced partnerships between schools of nursing and midwifery and health service providers and including schools of nursing and midwifery in preparedness planning. These suggestions notwithstanding, we call upon national and international nursing and midwifery bodies to study how to further the clinical education of nurses and midwives during pandemics and other times of crisis.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Bacharelado em Enfermagem/normas , Tocologia/educação , Pneumonia Viral/epidemiologia , Escolas de Enfermagem/organização & administração , Currículo/normas , Educação em Enfermagem/normas , Feminino , Maternidades/organização & administração , Humanos , Serviços de Saúde Materna/organização & administração , Tocologia/organização & administração , Pandemias
12.
Z Geburtshilfe Neonatol ; 224(3): 124-129, 2020 Jun.
Artigo em Alemão | MEDLINE | ID: mdl-32557432

RESUMO

The reform of the midwifery profession law was long overdue. The WHO has been demanding an academic primary qualification for midwives for years, the EU changed its corresponding directive in 2013, so that within the EU all countries had to change midwifery training accordingly, if they had not already done so. Nevertheless, the reform was controversially discussed in Germany. Especially on the part of medical representatives, numerous concerns were expressed. The need for reform in midwifery training in Germany is enormous, as the last change took place in 1985. The WHO points out that over 50 outcomes in obstetrics will be improved if the quality of midwifery training is increased. There is therefore enormous potential in the reform of legislation. Special provisions of the new midwifery law are novelties and can be exemplary for other studies for health care professions, such as the financing of practical study parts and the student salary.


Assuntos
Tocologia/tendências , Enfermeiras Obstétricas/educação , Comportamento Cooperativo , Educação de Pós-Graduação em Enfermagem , Feminino , Alemanha , Humanos , Relações Interprofissionais , Tocologia/educação , Gravidez
13.
Z Geburtshilfe Neonatol ; 224(3): 130-135, 2020 Jun.
Artigo em Alemão | MEDLINE | ID: mdl-32557433

RESUMO

The full academisation of midwifery training, which thus far has been given in technical colleges, is now beginning in Germany and poses a great challenge for both the German federal states and the universities. Against this background, the aim of this article is to identify possible risks arising from the full academisation of training and the revision of the Midwifery Act and to show possible solution strategies to promote the implementation of study programmes.


Assuntos
Educação de Pós-Graduação em Enfermagem , Tocologia/tendências , Enfermeiras Obstétricas/educação , Feminino , Alemanha , Humanos , Tocologia/educação , Gravidez
15.
PLoS One ; 15(5): e0232983, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32421737

RESUMO

BACKGROUND: Our study aimed to assess the effect of Helping Mothers Survive Bleeding after Birth on knowledge and skills of health workers and whether such effect varies by health workers characteristics. METHODS: Nested in a cluster-randomised trial to assess the effect of the training on health outcomes, we assessed changes in knowledge and simulated skills in 61 facilities. The assessments were done i) before, ii) immediately-after training session and iii) at 10-month follow-up for subset of health-workers of implementation facilities as defined by the trial. We used a self-administered questionnaire and Objective Structures Clinical Examinations to assess three skill sets: Active Management of Third Stage of Labour, removal of retained placenta and management of severe postpartum haemorrhage. We computed summary statistics and used the paired t-test to assess change of knowledge and skills immediately post-training and at 10-month follow-up. Linear regression was done to assess association of scores and health worker characteristics. RESULTS: Of the 636 health workers included, 606 (96.7%) and 591 (91.4%) completed the knowledge and skills assessments, respectively. Majority of the participants (68%) were nurse-midwives. Knowledge scores increased by 15 percentage-points from 77.5% to 93% (95% CI 14.3, 16.3, p-value <0.000), and skills scores by 47 percentage-points (95% CI 46.5, 49.2, p-value <0.000) from 37.5% to 83%. There was a 4.0% decline of skills at 10-month follow-up. The decline was higher in auxiliary staff (-11.8%) and least in nurse-midwives (-2.1%) p-value <0.001. Health workers who assisted less than 5 deliveries in the last month, those who never attended postpartum haemorrhage in-service training and profession experience >8 years were associated with lower mean skill change immediately post-training. CONCLUSION: Our study supports the potential of the Helping Mothers Survive Bleeding after Birth training to increase knowledge and skills of postpartum haemorrhage among all professional groups. Auxiliary staff benefited most from the training but also showed higher skill decline at 10-month. Our study highlights the importance to disaggregate knowledge and skills by health workers characteristics.


Assuntos
Pessoal de Saúde/educação , Capacitação em Serviço , Hemorragia Pós-Parto/terapia , Competência Clínica , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Mão de Obra em Saúde , Humanos , Tocologia/educação , Mães , Avaliação de Resultados em Cuidados de Saúde , Parto , Assistência Perinatal , Hemorragia Pós-Parto/mortalidade , Hemorragia Pós-Parto/prevenção & controle , Gravidez , Avaliação de Programas e Projetos de Saúde , Inquéritos e Questionários , Tanzânia/epidemiologia
16.
J Psychosoc Nurs Ment Health Serv ; 58(7): 42-51, 2020 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-32396208

RESUMO

The current cross-sectional study was conducted to investigate nurses' and midwives' opinions about their roles in caring for women with postpartum depression (PPD) in Saudi Arabia. Convenience sampling was used to recruit 181 nurses and 141 midwives. A self-administered questionnaire was used to collect data. Participants lacked experience assessing and managing PPD and providing health education and counseling to mothers about PPD. Moreover, participants underestimated the importance of their roles in preventing PPD risk factors, and detecting, assessing, and managing PPD. Findings show significant differences between nurses' and midwives' opinions, with more frequency of agreement among nurses than midwives regarding their roles in caring for women with PPD. Continuing health education programs for nurses and midwives are recommended to improve knowledge, skills, and awareness of their roles in assessing and managing PPD. [Journal of Psychosocial Nursing and Mental Health Services, 58(7), 42-51.].


Assuntos
Atitude do Pessoal de Saúde , Depressão Pós-Parto/terapia , Conhecimentos, Atitudes e Prática em Saúde , Tocologia/estatística & dados numéricos , Mães/psicologia , Papel do Profissional de Enfermagem/psicologia , Adulto , Aconselhamento , Estudos Transversais , Feminino , Humanos , Serviços de Saúde Mental , Tocologia/educação , Gravidez , Arábia Saudita , Inquéritos e Questionários
18.
PLoS One ; 15(4): e0231489, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32315328

RESUMO

OBJECTIVE: The objective of Sustainable Development Goal 3.1 is to reduce the global maternal mortality ratio (MMR) below 70 per 100,000 live births by 2030. One of the indicators for this objective is the proportion of births attended by skilled health attendants (SBA). This study assessed the progress of low- and middle-income countries from South and Southeast Asian (SSEA) region in SBA coverage and evaluated the contribution of women's education in this progression. METHODS: The Demographic and Health Surveys were assessed, which included 38 nationally representative surveys on women aged between 15-49 years from 10 selected SSEA region countries in past 30 years. Binary Logistic regression models were fitted adjusting the survey clusters, strata and sampling weights. Meta-analyses were conducted by collapsing effect sizes and confidence intervals of education modeled on SBA coverage. RESULTS: Results indicated that Cambodia, Indonesia and Philippines had over 80% SBA coverage after 2010, whereas Bangladesh and Afghanistan had around 50% coverage. Women with primary, secondary and higher level of education were 1.65, 2.21 and 3.14 times significantly more likely to access SBA care during childbirth respectively as compared to women with no education, suggesting that education is a key factor to address skilled delivery cares in the SSEA region. CONCLUSION: Evaluation of the existing skilled birth attendance policies at the national level could provide useful insight for the decision makers to improve access to skilled care at birth by investing on women's education in remote and rural areas.


Assuntos
Parto Obstétrico/educação , Parto Obstétrico/estatística & dados numéricos , Serviços de Saúde Materna/estatística & dados numéricos , Ásia Sudeste , Feminino , Objetivos , Acesso aos Serviços de Saúde/estatística & dados numéricos , Disparidades em Assistência à Saúde/estatística & dados numéricos , Humanos , Renda/estatística & dados numéricos , Mortalidade Materna , Tocologia/educação , Tocologia/estatística & dados numéricos , Parto , Cuidado Pré-Natal/estatística & dados numéricos , Fatores Socioeconômicos , Inquéritos e Questionários , Desenvolvimento Sustentável
19.
Artigo em Inglês | MEDLINE | ID: mdl-32295137

RESUMO

The maternal mortality ratio and neonatal mortality rate remain high in Ethiopia, where few births are attended by qualified healthcare staff. This is partly due to care providers' mistreatment of women during childbirth, which creates a culture of anxiety that decreases the use of healthcare services. This study employed a cross-sectional design to identify risk factors for positive appraisal of mistreatment during childbirth. We asked 391 Ethiopian final year midwifery students to complete a paper-and-pen questionnaire assessing background characteristics, prior observation of mistreatment during education, self-esteem, stress, and mistreatment appraisal. A multivariable linear regression analysis indicated age (p = 0.005), stress (p = 0.019), and previous observation of mistreatment during education (p < 0.001) to be significantly associated with mistreatment appraisal. Younger students, stressed students, and students that had observed more mistreatment during their education reported more positive mistreatment appraisal. No significant association was observed for origin (p = 0.373) and self-esteem (p = 0.445). Findings can be utilized to develop educational interventions that counteract mistreatment during childbirth in the Ethiopian context.


Assuntos
Atitude do Pessoal de Saúde , Serviços de Saúde Materna , Tocologia , Qualidade da Assistência à Saúde , Estudos Transversais , Parto Obstétrico , Etiópia , Feminino , Pessoal de Saúde , Humanos , Masculino , Tocologia/educação , Tocologia/normas , Parto , Gravidez , Fatores de Risco , Estudantes
20.
Rev. chil. obstet. ginecol. (En línea) ; 85(2): 115-122, abr. 2020.
Artigo em Espanhol | LILACS | ID: biblio-1115506

RESUMO

INTRODUCCIÓN: El estudio demuestra la evolución de la formación de Matronas/Matrones en Chile para proporcionar atención de salud humanizada y de calidad a la mujer en todo su curso de vida, en el ámbito de la salud sexual, reproductiva y recién nacido. OBJETIVO: Examinar los principales hitos en la formación de Matronas/Matrones, avances y sistematicidad del proceso evolutivo en Chile. Método: Se revisaron textos, publicaciones en revistas, reglamentos y normas de los últimos quince años de la historia y desarrollo de la profesión de Matrona/Matrón en Chile. La búsqueda bibliográfica se realizó entre marzo 2018 y mayo 2019. Se consultaron las bases de datos Dialnet, PubMed/Medline, Scielo, Medwave. RESULTADOS: La formación profesional de la Matrona/Matrón constituye el desarrollo académico y continuo necesario para enfrentar diversos desempeños. Transita de una formación empírica como partera a una formación profesional con la creación de la primera Escuela de Matronas de la Universidad de Chile en 1834. Desde el siglo XVIII comienza a cambiar la disciplina obstétrica con tendencia a la fundamentación científica: planes de estudio rediseñados, modificación de requisitos de ingreso, nuevas escuelas en universidades públicas y privadas. Actualmente la carrera dura cinco años, otorgándose el grado de Licenciatura y título profesional de Matrona/Matrón. CONCLUSIÓN: La Matrona chilena debe ser una profesional con talento humano y compromiso con la sociedad para otorgar cuidados de salud seguros, respetuosos y de calidad en la salud sexual y reproductiva, al recién nacido y familia.


INTRODUCTION: The study demonstrates the evolution of the training of Midwives in Chile to provide quality humanized health care to women throughout their life course in the area of sexual, reproductive and newborn health. OBJECTIVE: To examine the main milestones in the formation of Midwives, advances and systematicity of the evolutionary process in Chile. METHOD: Publications in journals, regulations and norms from the last fifteen years of the history and development of the profession of Midwives in Chile were reviewed. The bibliographic search was conducted between March 2018 and March 2019. The databases Dialnet, PubMed/Medline, Scielo, Medwave were consulted. RESULTS: The professional training of the Midwife constitutes the academic and continuous development necessary to face various performances. Transition was from an empirical formation as a midwife to a professional formation with the creation of the first School of Midwives of the University of Chile in 1834. Since the 18th century, the obstetric discipline began to change with a tendency towards scientific foundations: redesigned curricula, modification of entrance requirements, new schools in public and private universities. Currently, the course lasts five years, with a Bachelor's degree and professional title of Midwife/Matron. CONCLUSION: The Chilean midwife must be a professional with human talent and commitment to society to provide safe, respectful and quality sexual and reproductive health care to the newborn and family.


Assuntos
Humanos , Masculino , Feminino , Tocologia/educação , Tocologia/história , Chile
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...