Journal of Womens Healthcare & Midwifery Research
Journal of Womens Healthcare & Midwifery Research is an open access peer-reviewed journal from the publishers of Scientific Research and Community (SRC) which publishes articles in the form of written, video and power-point presentations from the arena of Womens Healthcare & Midwifery Research. The journal focuses to build up accessing the complete content of articles freely from online for reader’s perusal. Article acceptance will be in the form of Research, Review, Case Reports, Analysis, Magazines, Editorials, Opinion, Communications, Mini-Review, Short Communications, Picturized, Book Review, Video Type and Power Point Presentations (PPTS). You can submit your article through online http://www.onlinescientificsresearch.com/submit-online.php or can send through an e-mail with attachment for: midwifery@onlinescientificresearch.info
Renal and Cardiac Decompensation in the Early Postpartum Period in a Woman with Long standing Type 1 Diabetes and Advanced Chronic Kidney Disease: A Case Report
Background: Chronic kidney disease (CKD) in pregnant women significantly increases the risk of adverse maternal and fetal outcomes. However, data are limited regarding the risk of acute postpartum cardiorenal decompensation in women with advanced diabetic nephropathy. We report a case of acute systolic heart failure and sharp renal deterioration in the early postpartum period in a multiparous woman with insulin dependent type 1 diabetes mellitus (T1DM), stage IV CKD, and longstanding hypertension. Case: A 31-year-old grand multiparous woman with poorly controlled T1DM, advanced diabetic nephropathy (CKD stage IV), chronic hypertension, proliferative retinopathy, and hypothyroidism delivered prematurely at 33 weeks’ gestation. Two weeks postpartum she presented with acute pulmonary edema, hypertensive emergency, and acute-on-chronic kidney injury (AKI on CKD). Echocardiography showed mildly reduced left ventricular systolic function; cardiac biomarkers were markedly raised. She responded to aggressive diuresis and antihypertensive therapy, with improvement in clinical status. However, she left hospital against medical advice, opting to breastfeed and declining further inpatient management. Conclusion: This case underscores the complex interplay of diabetic nephropathy, hypertension, and pregnancy-induced hemodynamic stress which may culminate in life-threatening cardiorenal decompensation postpartum. It highlights the need for heightened surveillance, early multidisciplinary management, and comprehensive preconception counseling in women with advanced CKD and diabetes.
Copyright (c) 2026 Journal of Womens Healthcare & Midwifery Research
A Scientific Review on the Missing Conversation in Women’s Health: Understanding Perimenopause, Reducing Stigma, and Advancing Culturally Inclusive Care
Perimenopause remains one of the most misunderstood, under-recognized, and stigmatized phases of a woman’s life. Despite affecting half the global population, awareness among women and even healthcare clinicians remains remarkably low. This paper explores the sociocultural silence around female reproductive health, the multifaceted impact of perimenopause, the rising risk of chronic diseases during midlife, and the urgent need for accessible, culturally grounded education. It concludes by highlighting technology-enabled solutions such as the MeNOW companion app as a path toward empowering women with knowledge, agency, and early preventive care.
Copyright (c) 2025 Journal of Womens Healthcare & Midwifery Research
Assessment of Challenges Associated with Timely Referral of Complicated Cases During Pregnancy Among Community Health Practioners in Sagbama LGA Bayelsa State, Nigeria
Aim/Objective: This study assesses challenges associated with timely referral of complicated cases during pregnancy among community health practitioners in Sagbama LGA. Materials and Methods: Structured questionnaire was used to obtain information from all the respondents after seeking their consent and approval from the research and ethics committee of the institution. Simple random technique was also adopted in this study. Results: Outcome from this study shows age range of 18-24yrs (11.67%),25-34yrs (20.00%),35-44yrs (53.33%), and above 45yrs (15.00%) among the respondents. Married participants (51.67%) were higher followed by single (26.67%) compared with those separated (13.33%) and divorced (8.33%) among the study population. Respondents with B.Sc. level of educational qualification were 43.33% while CHEW was 31.67%. Respondents working in government facilities was 41.67% compared with private workers of 58.33% respectively. However male workers were 28.33% while females were 71.67% among the study population. Timely pre-existing referral cases during pregnancy were 93.33% compared to 6.67% that were not timely referred. Referral from higher to lower facilities was 13.33% while reverse was the case with 86.67% lowers of lower to higher facility. Findings from this study also reveal 70% of response to referral and a non-response of 30% among the respondents. Referred cases during the 3rd trimester was 91.67% in comparison with 2nd (5.00%) and 3rd (3.33%) trimesters. The period of maternal referral was mainly during pregnancy (61.67%) and delivery (30.00%) followed by 8.33% after delivery. The time interval of referred cases was mostly at 10: 00am (63.33%) and less than 10:00am (26.67%) while the mode of delivery of referred cases was 90.00% CS compared with normal vaginal delivery of 10.00% respectively. Furthermore, ambulance services were 66.67% compared with 33.33% facilities with no ambulance services that makes transportation a major hindrance (71.67%) regards to referred cases. Conclusion: Though this study observed an improved response to referral cases. However more ambulances should be provided to all facilities by the government to reduce the cost and delay in transporting referred cases because this will decrease maternal and child mortality rate.
The Intrapartum CTG Changes Associated with Chorioamnionitis and Maternal Sepsis: A Case Series
Maternal sepsis is a preventable yet leading cause of maternal and neonatal morbidity and mortality. Infection-induced inflammatory changes during labor can alter fetal heart rate (FHR) patterns on cardiotocography (CTG), serving as early indicators of fetal compromise before clinical deterioration. This case series presents five women diagnosed with chorioamnionitis or maternal sepsis during labor, highlighting specific CTG changes and their correlation with maternal and neonatal outcomes. Across cases, recurrent abnormalities included fetal tachycardia, loss of cycling, reduced baseline variability, and recurrent decelerations, often preceding fever or laboratory confirmation. Predominant pathogens included Group B Streptococcus (GBS), Staphylococcus aureus, and Streptococcus pyogenes. Timely initiation of antibiotics and appropriate obstetric intervention yielded favorable maternal outcomes, with minimal neonatal morbidity. Findings suggest that CTG may serve as a non-invasive early-warning tool for sepsis-related compromise. Further prospective studies are warranted to validate CTG-based sepsis markers and integrate them into clinical practice.
Knowledge Towards Fetal Movement Counting at Jimma MedicalCenter, Ethiopia
Background: Fetal movement counting is a method used by pregnant women to assess fetal well-being, and it is crucial for avoiding bad pregnancy outcomes. Most adverse pregnancy outcomes are associated with the mother's ability to perceive and seek help for abnormal fetal movement counts throughout intrauterine life. Hence, this study aimed to assess the maternal knowledge of Fetal Movement Counts (FMC) among pregnant women in the Jimma University Medical Center, Jimma, Southwest Ethiopia. Methods: A facility-based cross-sectional study of four hundred five participants was undertaken at Jimma University Medical Center from June 1 to July 30, 2022. A systematic sampling technique was used to gather data from pregnant women who were in the third trimester of pregnancy. A pre-tested questionnaire was employed. Data were collected using an interviewer-administered questionnaire. Bivariate and multivariate logistic regression analyses were conducted to examine the relationship between the dependent variable and predictors. Adjusted Odds ratio, 95% CI, and P-value of less than 0.05 were considered to determine the statistical association. Results: This study involved 405 participants, with a 95.97% response rate. One hundred twenty-two (30.12%) respondents had good knowledge regarding FMC. Being an urban resident (AOR=.29, 95% CI (.16-.56)), gestational age of 32-36 weeks (AOR=.42, 95% CI (.24-.76)), having a high-risk pregnancy (AOR=5.34, 95% CI (2.46-11.60)) and being seen by a midwife (AOR=2.61, 95% CI (1.49-4.56)) were all statistically significant predictors with good knowledge of FMC. Conclusion: This study reported that the overall maternal knowledge regarding fetal movement counting was low. Being an urban resident, gestational age of 32- 36 weeks, having a high-risk pregnancy, and getting midwife care were significant factors in this study. Healthcare providers and other concerned bodies should educate pregnant women about fetal movement counts and their benefits during the prenatal period.
Knowledge, Perception, and Influencing Factors of Traditional Birth Attendant Service Utilization among Pregnant Women in Khana LGA, Rivers State
Introduction: Traditional Birth Attendants (TBAs) have been recognized by the World Health Organization to play a substantial influence in lowering mother and infant mortality by means of the Safe Motherhood Program of 1987. Antenatal care and deliveries in hospitals with skilled health personnel remain a faraway dream for many women residing in the underdeveloped countries. Methodology: A descriptive cross-sectional study approach was used in the investigation and was carried out in Khana is a Local Government Area in Rivers State. The study population includes pregnant women attending primary health care centers in Khana Local Government Area of Rivers State. Data collection was conducted using semi-structured questionnaires administered through interviewer-led sessions. Data was analyzed using SPSS Version 25. Results: Majority of the respondents 159(60.2%) were married, 26(9.8%) were single, 26(9.8%) were cohabiting, 26(9.8%) were divorced, 27(10.2%) were widowed. Majority of the respondents 250(94.4%) were aware of the existence of TBAs. 106(40.2%) expressed strong agreement that Traditional Birth Attendants have sufficient skill to take delivery. Conclusion: The findings demonstrate that a significant proportion of pregnant women are knowledgeable about the existence and services of Traditional Birth Attendants (TBAs), largely influenced by family and cultural beliefs. While many are aware of the potential complications associated with TBA services, they still perceive TBAs as accessible, affordable, and culturally attuned care providers.
Provider Insights on Health System Bottlenecks in Postpartum Hemorrhage Management in Malawi: A COM-B and CoP-E-MOTIVE Framework Analysis
Background: Postpartum hemorrhage (PPH) remains the leading cause of maternal mortality globally and in Malawi, where it accounts for 20.4% of all maternal deaths. Despite high facility birth rates (91%), quality gaps in early recognition, timely intervention, and adherence to guidelines persist. The PPH Community of Practice (CoP) -E-MOTIVE approach, a bundle of evidence-based interventions supported by behavioural change strategies from the COM-B model, emphasizes capability, opportunity, and motivation for improving PPH outcomes. Methods: This qualitative study, part of the Advancing Postpartum Hemorrhage Care (APPHC) initiative, explored provider perspectives on PPH management in Malawi. In-depth interviews were conducted with 85 frontline healthcare providers across 25 facilities in four districts. Data were thematically analyzed using the COM-B framework and mapped to E-MOTIVE bundle implementation strategies. Results: Barriers to effective PPH management included: • Capability: Limited knowledge and skills, lack of self-efficacy, and absence of structured simulation practice. • Opportunity: Stock-outs of essential commodities, poor referral systems, workflow inefficiencies, and inadequate staffing. • Motivation: Low engagement, absence of champions, and fear of blame. Proposed E-MOTIVE strategies included simulation-based team learning, peer-assisted refresher training, MOTIVE emergency kits, calibrated drapes with trigger lines for early detection, local champions, and actionable feedback loops. Conclusion: Applying the COM-B lens to PPH care in Malawi reveals that closing the gap between guidelines and practice requires both health system strengthening and targeted behavioural interventions. Embedding the PPH CoP-E-MOTIVE bundles with capacity building, resource facilitation, and motivation-enhancing strategies could reduce PPH-related mortality.
Perception and utilization of epidural analgesia among antenatal attendees in a Nigerian tertiary health institution
Introduction: Pain in labor contributes significantly to many morbidities and mortalities during labor and childbirth. Labor is a naturally painful experience, and delivery process varies among women. Epidural analgesia has been developed to alleviate labor pains, which helps to have a positive health outcome for both mother and child. This necessitates the need to examine the perception and utilization of epidural analgesia among pregnant women receiving skilled antenatal care. Methods: A cross-sectional design was used with a simple random sampling technique to select 120 pregnant women attending antenatal clinic in University College Hospital Ibadan. A validated questionnaire (r= 0.72) was used for data collection. Data were analyzed using descriptive and inferential statistics. Ethical approval was obtained before the commencement of data collection. Results: The mean age of the respondents was 31.1 years. The pregnant women had a poor perception of epidural analgesia (mean=41.6) and 47.5% had a good perception. Pregnant women demonstrated low utilization (mean 17.7) and 48.3% of the respondents had high utilization of epidural analgesia. Major factors influencing their utilization of epidural analgesia include: labor pain is natural and does not need any medical intervention (77%), fear of additional cost during delivery (78%), lack of adequate knowledge about epidural analgesia (71%), husband unwillingness to support (65%), and pain from the procedure or needle (62%). Conclusion: In the light of the benefits of epidural analgesia during labor, it is important that midwives delivering health talks in antenatal clinic should improve on their effort to adequately educate pregnant women on the usage of epidural analgesia and its effect to relief labor pain.
Acceptability of Maternity Waiting Home and its Associated Factors Among Women in Southern Ethiopia; A Community-Based Cross Sectional Study
Introduction: Since 2015, Ethiopia has increased the implementation of maternity waiting home interventions as a holistic strategy to reduce its high rate of maternal mortality. However, pieces of evidence on the acceptability of maternity waiting homes and its associated factors are inadequate. This study aimed to evaluate the acceptability of maternity waiting homes and its associated factors using the ‘Theoretical Framework of Acceptability’ among women in Southern Ethiopia. Methods: We conducted a community-based cross-sectional study between April 15 to May 15/ 2023. A sample size of 834 households with eligible women was selected using a multi-stage sampling technique. We collected data using a pre-tested structured questionnaire prepared by adapting the ‘Theoretical Framework of Acceptability’ and other variables from the literature reviewed. The binary analysis was employed and variables associated in bivariate were included in multivariate analysis of binary logistic regression using a Forward-wald method and the model goodness-of-fit was tested using Hosmer Lemishow’s method. Results: A total of 834 women with complete information were included in the study and its response rate was 98.65%. The study revealed acceptability of maternity waiting homes was 21.5%. The acceptability of maternity waiting homes was associated with its perceived image in the community (AOR=6.25 (95%CI: 3.30-11.86)); perceived social influence (AOR = 3.30(95%CI: 1.73-6.30)); perceived affective attitude (AOR = 2.42(95%CI: 1.57-3.72)); and perceived burden to use (AOR = 0.40(95%CI: 0.24-0.65)). Conclusions: Acceptability of maternity waiting homes is low in the study area. Women’s perceived image, social influence, and affective attitude were key factors associated with the acceptability of maternity waiting homes. The maternity waiting home program should focus on improving women’s perceptions and attitude towards maternity waiting homes and it is better to conduct advanced-level research on the issue.
Maternal Outcome and Associated Factor of Severe Preeclampsia among Women Admitted at Asella Referral and Teaching Hospital, Oromia, Ethiopia, 2024
Background: Preeclampsia is a significant pregnancy complication characterized by high blood pressure and proteinuria. Severe preeclampsia is a more advanced stage of the condition and is associated with heightened risks for both the mother and the fetus. Understanding maternal outcomes and the factors associated with severe preeclampsia is crucial for effective management and improving overall outcomes. Objective: To assess maternal outcomes and factors associated with severe preeclampsia among patients admitted to Asella Referral and Teaching Hospital from August 1, 2024, to December 30, 2024. Methods: A hospital-based cross-sectional study was conducted to evaluate maternal outcomes and associated factors of severe preeclampsia at Asella Referral and Teaching Hospital in 2024. All cases of preeclampsia with severe features (PEWSF) after 28 weeks of gestation were prospectively registered. Data were collected using a structured, pre-tested questionnaire via face-to-face interviews and clinical chart reviews. Data were entered into EpiData V.4.6 and analyzed using SPSS V.25.0 statistical software. Binary logistic regression analysis was used to assess the association between independent and dependent variables, presenting both crude and adjusted odds ratios. Variables with p-values <0.05 at a 95% confidence interval were considered potential determinants of adverse maternal outcomes. Results: A total of 362 respondents participated in the study, yielding a 95.26% response rate. The mean age of the participants was 27.26 ± 4.94 years. The prevalence of unfavorable maternal outcomes was 34.8% (95% CI: 34.59–35.01). The most common unfavorable outcomes were abruptio placenta (28.6%), HEELP syndrome (26.2%), and postpartum hemorrhage (PPH) (10.2%). Factors significantly associated with unfavorable maternal outcomes included maternal age (35–44 years) (AOR 1.41 [95% CI: 1.01–4.19]), nulliparity (AOR 1.51 [95% CI: 1.04–5.16]), high BMI (≥30) (AOR 1.63 [95% CI: 1.12–6.20]), severe hypertension at admission (AOR 1.46 [95% CI: 1.02–3.67]), a history of preeclampsia (AOR 2.07 [95% CI: 1.09–4.84]), and the presence of headaches at admission (AOR 1.79 [95% CI: 1.01–4.72]). Conclusion: The prevalence of unfavorable maternal outcomes among women with severe preeclampsia in Asella Referral and Teaching Hospital is high. The most common unfavorable outcomes were abruptio placenta, HEELP syndrome, and PPH. Maternal age, nulliparity, high BMI, severe hypertension at admission, a history of preeclampsia, and the presence of headaches at admission were significantly associated with adverse maternal outcomes. Therefore, promoting socioeconomic development and ensuring early recognition of the severe signs and symptoms of preeclampsia are essential steps to reducing these adverse outcomes.
Utilization of Pain Relief in Labor and it’s Associated Factors Among Midwives in Selected Hospitals in Oyo State, Nigeria
Background: Pain during labor is a significant and unpleasant experience for women, making effective pain management essential in obstetric care. Midwives are instrumental in providing pain relief during labor. Objective: This study aimed to determine the utilization of pain relief during labor by midwives in selected hospitals in Oyo State, Nigeria. Methods: A descriptive cross-sectional design with purposive sampling was used for recruitment. Data were collected using a semi-structured questionnaire, with a 0.75 reliability index, and analyzed using SPSS version 22 at a 5% significance level. Results: Most midwives (61%) had above-average knowledge regarding labor pain relief, while 64% showed a positive attitude towards its use. About 82.5% of midwives occasionally used pain relief during labor. Influencing factors included knowledge (80%), information availability (80%), lack of training (76.3%), inadequate equipment (85%), and affordability (66.3%). The use of pain relief was significantly related to the socio-demographic characteristics of midwives: age (0.76), education level (0.0082), and years of experience (0.73). Conclusion: This study highlights the positive aspects of midwives' knowledge and attitudes concerning pain relief. However, the gap between knowledge and utilization suggests a need for interventions focused on developing skills, addressing resource limitations, and sharing information. These efforts can optimize pain management practices and empower midwives to provide more effective pain relief for laboring women.
Assessment of Quality of Life in Menopause among Women who had been Pregnant and gave Birth Compared to Nulliparous Women
With the increase in life expectancy, one-third of a woman's life is related to her post-menopausal life. It is known that 30 to 40% of women experience moderate to severe climacteric symptoms during the perimenopause or in the first postmenopausal years. Gender steroid levels, including endogenous estrogens, are transiently increased in pregnancy. However, it has not been investigated whether this increase, due to parity, has an impact on the later quality of life in menopause. Purpose: The purpose of the study was the self-assessment of the quality of life of menopausal women in correlation with their parity. Sample & Method: The study was conducted on a sample of 120 perimenopausal and postmenopausal women for one year, in the gynecological outpatient clinic of the University Hospital in Crete. Data was collected by using questionnaires: The Menopause Quality of Life questionnaire (MENQOL) and HFRS (Hot Flush Rating Scale), in combination with somatometric and socio-demographic data, including parity. Results: The analysis of the MENQOL questionnaire data showed that nulliparas experienced more severe menopausal symptoms than women who gave birth with statistical significance p=0.024. Additionally, the results of the evaluation of the frequency of vasomotor symptoms, with HFRS, showed that the higher the parity was, the lower the hot flashes (p= 0.027). Respectively, there was a difference in psychological (p= 0.003) and sexual (p= 0.017) symptoms between nulliparous women and those who became pregnant, as the former experienced more severe discomfort. Finally, obesity emerged as an independent risk factor for climacteric symptoms. Conclusions: Childbearing during a woman's reproductive life appears to have a positive impact on her subsequent quality of life during menopause, reducing the discomfort resulting from vasomoto, psychological and sexual symptoms.
Adult Experience of Pregnancy and Childbirth in Survivors of Underage Sexual Violence
Objective: Ms. A, who was a victim of sexual violence as a minor, spoke about pregnancy and childbirth as an adult and revealed her thoughts on the medical treatment and care she received. Methods: Semi-structured interview was conducted on zoom using an interview guide about Ms. A's thoughts on pregnancy and childbirth. The contents of the interview were coded using NVivo version 1.6.1, a qualitative data analysis support software. Content analysis was performed on 62 coded data and categorized them. Results: Seven categories were generated: resistance, disgust, pain, flashbacks, childbirth, positive emotions, and children. "Flashbacks" and "resistance" "pain" and "disgust" and "children" and "childbirth" were related. Discussion: It became clear that pregnancy and childbirth are experiences that are connected to past sexual violence victims. Consideration is required for everyone, even if it is supportive care, such as the medical treatment and care that pregnant women receive on a routine basis, or the situation where they touch the female genitals. Even if appropriate support is not available during pregnancy, it is necessary to continue to provide support during the child-rearing period so that pregnancy and childbirth can be viewed in a positive light.
Custodial Shadows: Lived Experiences of Postpartum Mothers Deprived of Liberty
Postpartum care is critical for women, particularly for those who are incarcerated, as they navigate both physical recovery and the unique challenges of their circumstances. Access to adequate healthcare within correctional systems remains severely limited, impacting the well-being of these women. While existing research has examined various prison-based programs—such as parenting classes, prison nurseries, and health initiatives—the voices and experiences of Postpartum Mothers Deprived of Liberty (PMDL) raising infants while imprisoned are often overlooked. This study aims to illuminate these experiences and how the prison environment influences their roles as mothers. Employing a descriptive phenomenological approach, this research involved a comprehensive literature review and purposive sampling to gather a targeted research sample. Specific criteria were established to identify eligible primary data sources. Data collection primarily utilized semi-structured interviews, allowing for open dialogue that facilitated a deep exploration of the informants' thoughts, beliefs, and experiences. Data analysis followed Colaizzi’s descriptive phenomenological method, ensuring credibility and trustworthiness through triangulation techniques, including audio recordings, field notes, pilot testing, and consultations with a research expert and psychometrician. Member checking was also conducted to verify the accuracy of the findings based on the informants' experiences. The analysis revealed five key themes: "Accepting the Inevitable: The Problems Arise After Birth," "Amusement Amidst Dilemma," "Supporting the Unsung: Building Bridges for Mothers Behind Bars," "Resilient Solitude: Embracing Inner Peace Amidst Maternal Separation," and "Maternal Bonds in Confinement: Underdeveloped Maternal Identity." The study concludes that while PMDLs engage in livelihood initiatives, skill development, and support networks, their separation from their infants significantly hampers their ability to fulfill maternal obligations and undermines their identity as mothers.
Postpartum Mothers Deprived of Liberty (PMDL)
Pancytopenia Caused by Methimazole in Women with Graves Basedow Disease - Case Report
Antithyroid drugs constitute one of the main pillars in the treatment of hyperthyroidism. They are associated with a variety of adverse effects, most of which are mild or minor. However, there are other rare but potentially fatal adverse effects, such as pancytopenia, of which only a few cases have been reported worldwide. This paper presents a clinical case of febrile neutropenia, associated with anemia and thrombocytopenia, secondary to treatment with methimazole.
The Value of Emotional Intelligence in Midwifery: Enhancing Care and Outcomes for Mothers and Infants through Sustainable Development Goals and Leadership
Emotional Intelligence (EI), the ability to recognise, understand, and manage emotions in oneself and others, plays a crucial role in the field of midwifery. This article explores the value of EI in midwifery practice, highlighting its impact on maternal and infant outcomes, professional relationships, and job satisfaction among midwives. Through a comprehensive literature review and case studies, the article demonstrates how high levels of EI contribute to effective communication, empathy, and stress management, leading to improved care experiences for mothers and infants. The discussion includes practical strategies for developing EI skills among midwives and recommendations for integrating EI training into midwifery education and professional development programs. The article also connects the value of EI in midwifery to the Sustainable Development Goals (SDGs), emphasising its importance in achieving gender equality, health, and well-being. Furthermore, the role of leadership in fostering a culture of EI within midwifery practice is examined. The findings underscore the importance of EI as a key competency in midwifery, essential for fostering a supportive and responsive care environment aligned with global development goals.
Struggling against Internal Turmoil: Exploring the Lived Realities of Women who Suffered from Postpartum Depression
Postpartum Depression (PPD) presents a significant mental health challenge affecting numerous women globally, including a notable percentage in the Philippines. Despite extensive research on PPD's prevalence and contributing factors, the lived experiences of women navigating this condition remain underexplored, particularly among Filipino women residing in Saudi Arabia. This descriptive qualitative phenomenological study seeks to elucidate the multifaceted experiences of ten clinically diagnosed Filipino women who suffered from PPD in Riyadh, Saudi Arabia. Utilizing semi-structured interviews, this research reveals the profound struggles and adaptive mechanisms of women facing PPD. The findings are categorized into two emergent themes: "Inner Shackles" and "Adaptive Mechanisms." The "Inner Shackles" theme captures the profound emotional, psychological, and physical challenges experienced by the participants, including unmet expectations, role transitions, physiologic changes, lack of awareness about PPD, negative feelings, and longing for support. Conversely, the "Adaptive Mechanisms" theme highlights the coping strategies employed, such as strengthened spirituality, promoting self-care, and navigating relational health. The study underscores the necessity for comprehensive, culturally sensitive support systems and tailored interventions to address the specific needs of postpartum women with PPD. By understanding the subjective realities and resilience factors of these women, healthcare providers, including midwives, can enhance their support strategies, reduce stigma, and ultimately improve the well-being of mothers during the critical postnatal period. The research contributes to the existing body of knowledge by offering a nuanced exploration of the lived experiences of women with PPD, advocating for targeted and effective mental health interventions.
Community Health Awareness and Health Education on Diphtheria among Residents of a Local Government Area in Edo State, Nigeria
This study investigated community health awareness and health education on diphtheria among residents of a local government area in Edo State. Two research questions and two hypotheses were formulated for the study. The population comprised 117,209 from which a sample of 399 was selected by means of cross sectional descriptive research design. Data collection was by means of a structured questionnaire and analyzed using descriptive and inferential statistics with hypotheses tested at 0.05 level of significance. Reliability coefficients of 0.84 and 0.79 were obtained for awareness and health education respectively. Results revealed low awareness on diphtheria among majority (93.5%), 24.1% had moderate awareness, 2.0% had high awareness. 93.5% claimed there had never been community awareness campaign on diphtheria in their community, 85.7% reported never to have attended seminar/health talks on diphtheria infection. Level of education on diphtheria was low (21.2%). Majority of the respondents (61.4%) had low level of education on diphtheria. Gender and educational background were significantly associated with community health awareness on diphtheria (p = .000). The study recommends that since the level of health awareness and education was low among the population, nursing practitioners should consider community health awareness campaign on diphtheria in communities in other to raise awareness. Females and those with low educational background, should be targeted to ensure they seek information on diphtheria to protect their health.
Continuity in Antenatal Care: Exploring Perceptions of Care and Emotional Experiences of Low-Risk Women
Perspectives and value systems inform our views of antenatal care and childbirth, influencing how they are understood and how care is organised. Professional, academic, institutional and cultural views all influence what we consider maternity care to be, how it should be delivered, and how experiences and outcomes associated with it are measured. The objective of this study was to analyse women's lived experiences of antenatal care within NHS England during the COVID-19 pandemic. In particular, I sought to understand how the continuity of the care women received influenced women’s experiences, with the aim of identifying areas for improvement with respect to well-being and satisfaction with care. I conducted semi-structured interviews with 6 women who had given birth up to 24 months prior. I analysed transcribed texts using a reflexive thematic approach, undertaken through a social constructionist lens. I developed three themes in the analysis. These were: the impacts of poor communication, the impacts of not being heard, and fear of the unknown. Participants emphasised the need for a person-centred care model and more specifically, a midwife-led continuity of care model. Early antenatal care and late antenatal care were identified as two critical periods of care when women require the greatest levels of advocacy and support. Based on this analysis, the NHS maternity framework could make improvements to information organisation and sharing, the encouragement of active patient participation in care, and the promotion of shared decision-making. Greater attention to how holistic perspectives and medical perspectives could be blended to broaden understandings of what successful birth experiences could be, is required to validate women's antenatal needs and subsequently improve maternity care outcomes.
Basic Trust is Crucial for Life. How Can a Newborn Child Gain Basic Trust?
A decisive course for life is set in the earliest phase, namely during the birth trauma and in the immediately following postpartum minutes. Here the newborn either gains its basic confidence for life or not. The consequences are not only significant for the individual, but also for society as a whole, which has to pay for the costs of psychological problems as part of health insurance solidarity. The behavior of the obstetrician, but above all the midwife, is important. The newborn needs attention, warmth and immediate contact with the mother. This empathy would be an "investment" that would certainly pay off for everyone involved.
The Psychosocial Workplace Atmosphere Experienced by Nurses in General Practice: Lithuanian Nurses Cases
Introduction: In the current era, evading heightened job demands has become nearly impracticable. The impact of these elevated expectations on mental health can vary for each individual; they may yield positive effects, fostering alertness and motivation. However, when these demands surpass manageable limits, they can lead to stress, posing risks to an individual's well-being. Furthermore, nurses are not exempt from this phenomenon. Nurses constitute approximately half of the workforce in healthcare facilities globally (HCF). Looking back, it's a recurring pattern for nurses to be at the forefront in addressing global health crises. Moreover, the COVID-19 pandemic has served as a stark reminder to everyone regarding the pivotal role nurses play in society. Methods: A quantitative research method was chosen. The analysis of scientific literature aims to uncover the concept and significance of the psychosocial work climate while exploring the specifics of psychosocial risks and nurse relationships. Through a quantitative study employing a questionnaire, the objective is to evaluate the psychosocial work environment. This quantitative research, utilizing a questionnaire survey, employs descriptive statistical calculations to scrutinize the study's findings. There were 300 nurses involved in the study. Results: The study findings indicated that the psychosocial work climate for nurses exhibits both positive and negative facets. While most nurses enjoy positive relationships with their supervisors and colleagues, challenges arise due to certain team members who may not consistently offer the needed social support, sometimes fostering gossip or conflicts. Instances of verbal aggression were noted, while physical aggression cases were absent. Occasional reports of sexual harassment and mobbing were isolated. Identified predominant psychosocial risks for nurses encompass physical strain, ergonomic deficiencies, exposure to biological materials, as well as adverse effects from protective latex gloves and disinfectants. Conclusion: High work demands, heavy workloads, rapid pace, and a prevailing lack of time were observed. Nurses expressed discontent with their salaries and reported minimal influence on work decisions despite a positive perception of work control. Concerns regarding an uncertain future and fear of medical errors were prevalent. However, nurses felt adept at balancing work and personal life.
Exercises Program in Breast Cancer Patient with Chemotherapy Induced Peripheral Neuropathy: A Case Study
Background: Breast cancer is one of the most common cancers in women worldwide, accounting for approximately 570,000 deaths in 2015. Over 1.5 million women (25% of all women with cancer) are diagnosed with breast cancer every year throughout the world. One of the most common complications after breast cancer surgery is functional limitation of the upper body. Up to 67% of breast cancer patients experience arm or shoulder impairment, including pain, numbness, loss of strength, and reduced ROM, after surgery. Breast cancer patients are presenting with chemo-induced peripheral neuropathy (CIPN) that is impacting their balance, quality of life, and overall participation, as a side effect of chemotherapy treatment. Study Design: This case study was used to highlight the role of physical therapy interventions in the management of Breast cancer patient after surgery with chemo-induced peripheral neuropathy. Case Description: A 55-years-old Saudi female, known case of diabetes mellitus on insulin, hypertension and history of DVT 27 years back on anticoagulant. She came to the combined clinic breast clinic and all workup and investigations were done and showed invasive ductal carcinoma. Referred to physical therapy department by breast and endocrine clinic for left shoulder limited range of motion, impaired mobility and managing the symptoms. PT Management and Outcome: The patient received 2 phases of rehabilitations, phase 1 the patient was seen once a week for 4 weeks, phase 2 the patient was seen 3 times per week for 6 weeks. Exercise program of patient education, therapeutic exercise of low- to - moderate intensity resistance exercise for UE and LE. Aerobic Exercise; Cardio bike progressive training for UE and LE and balance exercise. By the end of phase 1 patient’s ROM and pain improved significantly, and by the end of phase 2 of the rehabilitation program, patient’s balance (using BBS), functional ability and QOL using (FACT-B) improved. Discussion: This case study showed that physical therapy exercise program including therapeutic exercises, low- to moderate- intensity resistance exercise, aerobic exercise, balance exercise is an effective program for breast cancer patients as it improves CIPN, minimize dependency and improved QOL.
Copyright (c) 2023 Journal of Womens Healthcare & Midwifery Research
High Reproductive Risk and Contraception
Background: Patients with high reproductive risk have important risk factors for the development of complications, including maternal death. Rejection of a method is influenced by various factors, including: biological, cultural and social factors. Objective: Identify the main sociocultural and demographic factors associated with not choosing a contraceptive method in women at high reproductive risk. Material and methods: it is an observational, cross-sectional, analytical and prospective study with non-probabilistic sampling carried out in pregnant women with high reproductive risk who were offered contraception through a questionnaire. Results: 75 Patients with high reproductive risk (20%) were included, with an average age of 27 years, occupation as a housewife (48%), living in an urban area (66.7%), complete primary schooling (22.67%), Catholic religion (72%), married (57.3%), middle class (72%); alcoholism in 2 patients (2.67%) and 2 other drugs (2.67%); 68% rejected contraception; for personal reasons (76.4%). A significant relationship was found with the Jehovah's Witness religion (p = 0.018). Conclusions: Rejection of Contraception is Influenced by Personal History and Religion, with Implications for Reproductive Health.
Aborted Women's Feelings and Experiences with Abortion: A Qualitative Study
Objective: This study aimed to reveal the feelings and experiences of women who had abortions based on their own experiences. Method: The qualitatively designed study was conducted with 11 women who applied to a Training and Research Hospital in Istanbul for abortion and met the inclusion criteria. The data were collected by the researchers with an 11-question participant information form and a semistructured interview form consisting of five questions. Results: The themes obtained from the research were determined as "The meaning of abortion", "The meaning attributed to the abortion decision", "Family and social support", "Community attitude" and "Attitude of healthcare professionals". Conclusion: Women who have had abortions are influenced by the perspective of society, religious values, and the approach of health professionals. There is a need to develop procedures that will positively affect women's abortion experiences.
Female genital plastic surgery is relatively new among cosmetic procedures within plastic surgery and can be performed surgically or through erbium and/or neodymium lasers, as well as the injection of autologous fat and the application of hyaluronic acid in some areas.
Knowledge of Birth Preparedness and Complication Readiness and Associated Factors among Pregnant Women in Ibadan, Nigeria
Background: Globally, maternal mortality is a public health challenge, especially in developing countries such as Nigeria. Birth preparedness and complication readiness (BPCR) has been identified as a key strategy in reducing maternal death. Hence, the importance of identifying factors promoting BPCR to achieve the third Sustainable Development Goal. Therefore, this study assessed knowledge of BPCR among pregnant women, and identified associated factors. Methods: A descriptive cross-sectional research design was adopted for this study. A validated questionnaire was utilized for data collection from randomly selected 400 pregnant women receiving skilled antenatal care in semi-urban areas of Ibadan, Nigeria. Data were analyzed using SPSS version 22. Findings were presented using descriptive and regression analysis. Results: The mean age of the participants was 27.2±5.0 Only 60.5% of the pregnant women have good knowledge of obstetric danger signs, 50% have good knowledge of elements of BPCR, and 61.5% have good recognition of skilled birth attendants. Occupation (P = 0.005), income (P = 0.001), and educational level (P = 0.001) were found to be associated with BPCR. Conclusion and Recommendation: An average number of pregnant women have good knowledge of the three components of BPCR. Effective intervention to improve pregnant women’s knowledge of BPCR is therefore recommended especially in Nigeria.
The Association Between Number of Parity and Incidence of Woman Breast Cancer at Dr. Cipto Mangunkusumo National General hospital Jakarta A Cross Sectional Study
Background: Breast cancer remains as one of the many types of cancer that is commonly faced in all countries, including Indonesia. To this day, the leading cause of breast cancer has not yet been found but there are evidences of the probability on risk factors. One of the risk factors that may be related to breast cancer is the number of parity. This study analyzes the association between number of parity and incidence of breast cancer in woman at Dr. Cipto Mangunkusumo National General Hospital Jakarta in 2010 – 2014. Method: The study design is a cross-sectional study with 123 cases which were obtained using random sampling. The data were acquired from the patient’s medical records based on their anatomical pathology examination results and were analyzed using Fisher test. Results: The number of parity have no significant association against to breast cancer statistically in woman at Dr. Cipto Mangunkusumo National General HospitalJakarta in 2010 – 2014 (p>0,05). Conclusion: Statistically the number of parity have no significant affect to women breast cancer incidence at Dr. Cipto Mangunkusumo Hospital Jakarta. Further research is needed regarding risk factors that have significant affect for the incidence of breast cancer. This can be realized by using a case-control study design and combining other risk factors, such as age at first delivery. In addition, further research can also consider the type and stage of breast cancer.
Fakultas Kedokteran Universitas Indonesia
Association Between Preeclampsia and Hormonal Contraceptive Use among Pregnant Women in Northwest Ethiopia: A Case Control Study
Objective: This study was aimed to determine the association between preeclampsia and hormonal contraceptive use among pregnant women admitted in public hospitals in Gojjam zones, northwest Ethiopia. Methods: An institution-based unmatched case-control study was conducted in public hospitals in Gojjam zones, northwest Ethiopia. Women with preeclampsia were cases and without preeclampsia were controls. One hundred ten cases and 220 controls were selected using consecutive sampling method. The data were collected through measurements, and conducting face-to-face interviews. Then it was entered using EPI Info and exported to STATA 14 for analysis. Bivariate and multivariate logistic regressions were done to determine the association between hormonal contraceptive use and preeclampsia. Variables with p-values < 0.05 in the multivariate logistic analysis were considered as statistically significant association with preeclampsia. The results were presented using text, tables and figures. Results: A total of 330 women were involved in this study. The mean age of cases and controls was 28 ± 6 years standard deviations and 27 ± 5 years standard deviations respectively. About 65 (59.1%) of cases and 105 (47.7%) of controls had no formal education. Preeclampsia was associated with multiple gestational pregnancies (AOR = 2.75; 95% CI: 1.20-6.28); and women who used implants (AOR = 0.39; 95% CI: 0.13-0.96). There was no significant association between preeclampsia and other hormonal contraceptives. Conclusion: There was an association between hormonal contraceptive use and preeclampsia. Women who used implants prior to their pregnancy were less likely to be exposed to preeclampsia as compared with controls. Further studies should be conducted on the association of hormonal contraceptive use and preeclampsia to get more consistent findings. Women who have preferred using contraceptive are better to be encouraged to take estrogen free hormonal contraceptives.
Perceived the Utilization and Frequency of Hormonal Contraceptives among Women (15-45) Years in Abia State, Nigeria
Hormonal contraceptives are synthetic oestrogen and/or progesterone administered orally, parenterally or by implants. they suppresses ovulation, thickening cervical mucus thereby preventing sperm penetration, reducing sperm transport along the genital tract and making the endometrium unsuitable for implantation and are highly effective (0.1-0.8 pregnancies/100 women during the first year of use) within 12 hours of administration. The researcher worked on Perceive the Utilization and Frequency Hormonal Contraceptives Among Women (15-45) Years in Abia State. Objectives: To access holistic frequency and usage of hormonal contraceptives among women (15-45) years in Abia State. Methodology: The researcher adopted a cross sectional descriptive study for this research. Six Local Government Area out of 17 LGAs of the state were chosen using simple random sampling and also adopted balloting method to select the women who participated in the chosen communities of the selected six LGAs. Result: 225(42.9%) used oral contraceptives, injectable, 155(29.5%), implant while 58(11%), other types of hormonal contraceptives. 134(25.5%) have used hormonal contraceptives for 2 months to 1 year. 140(26.7%) for 2 years to 5 years, 65(12.4%) for 6 years to 10 years, 79(15%) indicated ‘Others” while 107(20.4%) did not supply the information. Conclusion: Hormonal contraceptives intake by women and young girls is on increase. Some ladies started taking hormonal contraceptives as early as thirteen years till the middle age or the go into menopause. All the hormonal methods are consumed but in oral method is more acceptable by the women.
Effects of Meperidine as a Pain Relief Method during Labor
Alterations in coagulation and decreased platelets are a frequent finding during pregnancy. This case presents an alteration of the PY2 pump of the platelets that contraindicates epidural analgesia and therefore the use of opioids such as meperidine is an option for the treatment of pain during childbirth. Objective: To show a clinical case of a pregnant woman in whom meperidine was administered as a pain relief method during labor. Presentation of the case: A full-term pregnant woman in the process of induction of labor who is administered meperidine to relieve pain during labor. A normal delivery occurs after which it is necessary to perform advanced neonatal resuscitation maneuvers due to respiratory depression in the newborn. Conclusions: The efficacy of meperidine has been proven in various studies, but if the expulsive process is expected to occur within one hour or after four hours from its administration, the use of other drugs such as fentanyl or paracetamol should be considered given the results. similar, to avoid complications such as neonatal respiratory depression at birth.