Journal articles: 'Midwives Training of Australia'

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Plint, Elke, and Deborah Davis. "Sink or Swim: Water Immersion for Labor and Birth in a Tertiary Maternity Unit in Australia." International Journal of Childbirth 6, no. 4 (2016): 206–22. http://dx.doi.org/10.1891/2156-5287.6.4.206.

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PURPOSE: This study aimed to describe and compare the attitudes and practices of midwives and obstetric doctors in a tertiary setting regarding water immersion for labor and birth and to identify strategies for improving bath usage in the facility.DESIGN: A questionnaire consisting of 47 multiple choice and 2 open-ended questions was distributed to midwives and obstetric doctors providing labor care in the facility.FINDINGS: Obstetric doctors were unsupportive. Birth suite midwives, despite assigning value to it, rarely facilitated water immersion. Only continuity midwives routinely facilitated water immersion. The main identified strategies for increasing bath usage in labor were staff training and support, antenatal education, and increased access to continuity of care.CONCLUSION: Providing bath access and supporting guidelines is not sufficient to increase water immersion for labor and birth in a tertiary setting. Additional strategies are needed to incorporate this practice into standard care in the birth suite.

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Williams, Jessica, Lyn Ebert, and Jed Duff. "Neonatal resuscitation training for midwives in Australia: A discussion of current practice." Women and Birth 33, no. 6 (November 2020): e505-e510. http://dx.doi.org/10.1016/j.wombi.2020.01.002.

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Ekeroma, Alec Joseph. "Quality intrapartum care and partnerships." Pacific Journal of Reproductive Health 1, no. 2 (December 30, 2015): 48. http://dx.doi.org/10.18313/pjrh.2015.910.

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And that is where our biggest problem with pregnancy and intrapartum care lies in the Pacific – there is an outrageous underinvestment in training opportunities to increase the numbers of nurses, midwives and doctors. We simply do not have enough nurses, midwives and doctors to have engaging discussions on relationships and guaranteeing every woman in labour has a skilled health personnel practitioner. In 2011, it was estimated that 5000 newborns and 1500 women died in childbirth in PNG per annum and there were only 152 practicing midwives.<a title="PACNEWS (PINA), 2011 #13041" href="#_ENREF_5"><sup>5</sup></a> Australian government investment in capacity building has seen 500 midwives trained in PNG in the last four years and a paper from the University of Technology Sydney team tasked with building capacity is published in this issue.

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Arrish, Jamila, Heather Yeatman, and Moira Williamson. "Nutrition Education in Australian Midwifery Programmes: A Mixed-Methods Study." Journal of Biomedical Education 2016 (December 27, 2016): 1–12. http://dx.doi.org/10.1155/2016/9680430.

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Little research has explored how nutrition content in midwifery education prepares midwives to provide prenatal nutrition advice. This study examined the nature and extent of nutrition education provided in Australian midwifery programmes. A mixed-methods approach was used, incorporating an online survey and telephone interviews. The survey analysis included 23 course coordinators representing 24 of 50 accredited midwifery programmes in 2012. Overall, the coordinators considered nutrition in midwifery curricula and the midwife’s role as important. All programmes included nutrition content; however, eleven had only 5 to <10 hours allocated to nutrition, while two had a designated unit. Various topics were covered. Dietitians/other nutrition experts were rarely involved in teaching or reviewing the nutrition content. Interviews with seven coordinators revealed that nutrition education tended to be problem-oriented and at times based on various assumptions. Nutrition content was not informed by professional or theoretical models. The development of nutrition assessment skills or practical training for midwifery students in providing nutrition advice was lacking. As nutrition is essential for maternal and foetal health, nutrition education in midwifery programmes needs to be reviewed and minimum requirements should be included to improve midwives’ effectiveness in this area. This may require collaboration between nutrition experts and midwifery bodies.

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Goshomi, Unice, Carol Bedwell, Christina Mudokwenyu-Rawdon, Malcolm Campbell, and Dame Tina Lavender. "Facilitators and barriers to competence development among students and newly qualified nurses, midwives and medical doctors: a global perspective." African Journal of Midwifery and Women's Health 15, no. 2 (April 2, 2021): 1–21. http://dx.doi.org/10.12968/ajmw.2019.0029.

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Background The availability of a skilled health professional (nurse, midwife or doctor) who has been trained and is fit for practice to provide maternity care is fundamental in scaling down and ending preventable maternal and child deaths. Knowing the determinants of the development of ideal skills for effective practice ensures that women and their babies receive quality maternity care services from skilled birth attendants who are fit for practice. This study aimed to find and build on the existing evidence addressing aspects linked to competence and confidence development during training among students, newly qualified nurses, doctors and midwives from a global perspective. Methods A literature review was undertaken, using the ‘SPIDER’ search strategy to identify relevant papers from multiple databases. Studies were included if they were written in English and related to midwives, nurses and medical doctors when they were students, newly qualified professionals or after they had been working for 3-4 months. Opinion or non-empirical papers, editorials, conference papers and empirical articles with abstracts were excluded. Search words were used to identify papers that examined competence and confidence development while training these health professionals. A total of 2281 papers were identified, from countries in Europe, Australia, Asia, America and Africa. Overall, 62 papers were analysed. Results One core category, ‘learning environment’, emerged, with two overarching subcategories, ‘internal environment’ and ‘external environment’ when examining facilitators and barriers to competence and confidence development. Conclusions Facilitators and barriers to competence and confidence development are centred on the learning and practice environment. These are difficult to separate, as they are driven by either the student's or the newly qualified professional's experience with the learning and practice environment. This highlights the need for diversity and open mindedness among mentors and administrators in manipulating the environment to the benefit of either the student or the newly qualified professional so that mothers and their babies receive quality care.

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Jefford, Elaine, Julie Jomeen, Frances Guy, Belinda Newcombe, and Colin Martin. "Applying a Midwifery-Specific Decision-Making Tool to Midwives’ Clinical Reasoning and Midwifery Practice When Managing a Woman’s Perineum in Labor: An Exploratory Study." International Journal of Childbirth 8, no. 1 (May 2018): 54–66. http://dx.doi.org/10.1891/2156-5287.8.1.54.

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Introduction: Many of the risk factors for perineal trauma are modifiable, and midwives are in an ideal position to mitigate such risks. To date, no investigation using a midwifery-specific decision-making tool has sought to determine how midwives make decisions within a midwifery philosophy/context or identify the factors that may contribute to that decision making about perineal management. We sought to apply such a tool to midwives’ narratives and explore their clinical reasoning and midwifery practice when managing a woman’s perineum in labor. Methods: A qualitative interview-based study with practicing midwives in one regional Australian maternity unit was conducted. The decision-making matrix specified by a psychometrically robust and validated measure of clinical decision making and midwifery practice-guided analysis. Results: Effective clinical decision making in response to perineal trauma is contingent on a heuristic and individualized “working hypothesis” that combines distinct elements of an optimal clinical decision-making process. Midwives’ narratives highlighted their ability to engage in some form of clinical reasoning. Some elements of midwifery practice was lacking within several midwives’ narratives, thus resulting in them abdicating their professional role.Conclusion: The manner and processes by which midwives engage effectively with perineal management are complex. However, a significant influence on this process appears to be recollections from original training in perineal management, which appears to be largely rote and taught by example. We recommend balance between practical experience and synthesis with current evidence within a midwifery philosophy to optimize perineal care and risk modification.

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Lucas, Catherine Jane, Ellen Lyell, Britney Koch, Victoria Elder, Leanne Cummins, Sarah Lambert, Anne T. McMahon, and Karen E. Charlton. "Feasibility of face-to-face and online learning methods to provide nutrition education to midwives, general practice nurses and student nurses." BMJ Nutrition, Prevention & Health 2, no. 2 (September 3, 2019): 80–85. http://dx.doi.org/10.1136/bmjnph-2019-000031.

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Midwives and general practice nurses are ideally positioned to provide nutrition education to pregnant women. However, it appears that they do not receive sufficient nutrition training to enable them to fulfil this role. This study aimed to develop, implement and evaluate a suite of learning resources developed specifically for midwives, general practice nurses and student nurses. A four-module suite of learning resources was developed based on recommendations in the Australian Antenatal Care Clinical Guidelines as well as formative evaluation with stakeholders. The feasibility of these modules was tested using a pre-test and post-test quasi-experimental design with three arms using convenient sampling (face-to-face with midwives; online with student nurses; and online with midwives, nurses and practice nurses). Completion rates across the three study arms were poor (n=40 participants in total). For the combined data, there was a significant increase in knowledge scores across all modules from the pretest score (median (IQR): 3.46 (2.09–4.13)) to the post-test score (5.66 (4.66–6.00)) (p<0.001). Studies of high quality are required to determine if changing the nutrition knowledge and confidence in delivering nutrition care of health professionals results in sustainable changes to their clinical practice.

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Steen, Mary, Shwikar Mahmoud Etman Othman, Annette Briley, Rachael Vernon, Steven Hutchinson, and Susan Dyer. "Self-compassion Education for Health Professionals (Nurses and Midwives): Protocol for a Sequential Explanatory Mixed Methods Study." JMIR Research Protocols 11, no. 1 (January 13, 2022): e34372. http://dx.doi.org/10.2196/34372.

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Background A few recent studies have reported that having the ability to provide self-compassion can reduce health professionals’ levels of anxiety and stress, the risk of compassion fatigue, and burnout, and it can generally improve their well-being. Therefore, there is evidence to support further research into the investigation and exploration of self-compassion education and training for health professionals. Objective This study aims to increase the knowledge and understanding of self-compassion and how this may enhance the health and well-being of health professionals. Methods The proposed research study will adopt a sequential explanatory mixed methods design. This study will be conducted in 3 phases. Phase 1 will use a pre-educational self-compassion questionnaire (web-based survey) to collect data from participants at 3 time points (before, immediately after, and after follow-up at 6-8 weeks) after they have attended a self-compassion education and training program. Phase 2 will use an interview schedule to explore the participants’ views and experiences through a follow-up focus group or individual interview. Finally, phase 3 will include data integration and dissemination of key findings and recommendations. Results This study was approved by the Women’s and Children’s Health Network Human Research Ethics Committee and the Human Research Ethics Committee at the University of South Australia on June 26, 2021 (ID: 204,074). A scoping review was conducted to inform this research study (focusing on nurses and midwives). The preparatory phase was completed in April 2021. Phase 1 is expected to be completed by June 2022 and phase 2 will commence in July 2022. Conclusions The key findings from the data integration for this research project will provide in-depth details and insights to broaden the discussion about self-compassion and its influence on health professionals’ health and well-being. Health professionals (nurses and midwives) may benefit from self-compassion education and training programs to improve their health and well-being. International Registered Report Identifier (IRRID) PRR1-10.2196/34372

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Turkmani, Sabera, Caroline Homer, Nesrin Varol, and Angela Dawson. "A survey of Australian midwives’ knowledge, experience, and training needs in relation to female genital mutilation." Women and Birth 31, no. 1 (February 2018): 25–30. http://dx.doi.org/10.1016/j.wombi.2017.06.009.

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Turkmani, Sabera, Caroline Homer, Nesrin Varol, and Angela Dawson. "A survey of Australian midwives’ knowledge, experience, and training needs in relation to female genital mutilation." Women and Birth 30 (October 2017): 30. http://dx.doi.org/10.1016/j.wombi.2017.08.076.

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Wriedt, Kimberley, Daryl Oehm, Brendon Moss, and Prem Chopra. "Perinatal mental health cultural responsiveness training – an evaluation." Journal of Mental Health Training, Education and Practice 9, no. 2 (June 3, 2014): 109–22. http://dx.doi.org/10.1108/jmhtep-05-2013-0020.

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Purpose – Women from culturally and linguistically diverse communities face barriers to accessing perinatal mental health care. Victorian Transcultural Mental Health (VTMH) is a state-wide service in Victoria, Australia, that supports specialist mental health service providers to improve cultural responsiveness. VTMH provided training for perinatal health professionals in cultural responsiveness. The paper aims to discuss these issues. Design/methodology/approach – A curriculum was specifically developed based on a literature review, consultation forum, and input from members of an industry-based reference group. An Evaluation Tool was designed to collect participants’ feedback regarding the perceived relevance of the training content and its impact on practice. Responses were analysed using quantitative techniques and thematic analysis. Findings – Nine face-to-face training sessions were provided, in metropolitan and rural regions. In all, 174 professionals of various backgrounds (including midwives, mental health professionals, and maternal child health nurses) attended. In all, 161 completed evaluations were received and responses indicated that the training was of high relevance to the target workforce, that the training would have implications for their practice, and support was given for further training to be delivered using online methods. Research limitations/implications – First, an assessment of the cultural competence of participants prior to enrolment in the course was not conducted, and no matched control group was available for comparison with the participants. Second, generalisability of these findings to other settings requires further investigation. Third, the sustainability of the project is an area for further study in the future. Fourth, other methods including direct interviews of focus groups with participants may have yielded more detailed qualitative feedback regarding the effectiveness of the programme. Practical implications – To facilitate the sustainability of the project, following the face-to-face training, an online training module and a resource portal were developed, offering links to relevant web sites and resources for health professionals working in this field. Originality/value – The training addressed a significant unmet need for cultural responsiveness training for a diverse range of practitioners in the field of perinatal mental health. Online training can be adapted from face-to-face training and it is anticipated that online training will facilitate the sustainability of this initiative.

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Barclay, Lesley. "How is the midwife's training and practice defined in policies and regulations in Australia today?" Health Policy 5, no. 2 (January 1985): 111–32. http://dx.doi.org/10.1016/0168-8510(85)90026-0.

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Sharplin, Greg, Pam Adelson, Kate Kennedy, Nicola Williams, Roslyn Hewlett, Jackie Wood, Rob Bonner, Elizabeth Dabars, and Marion Eckert. "Establishing and Sustaining a Culture of Evidence-Based Practice: An Evaluation of Barriers and Facilitators to Implementing the Best Practice Spotlight Organization Program in the Australian Healthcare Context." Healthcare 7, no. 4 (November 12, 2019): 142. http://dx.doi.org/10.3390/healthcare7040142.

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Background: Nurses and midwives are central to the implementation and delivery of quality care through evidence-based practice (EBP). However, implementation of EBP in nursing and midwifery is under-researched with few examples of systematic and sustained change. The Registered Nurses Association of Ontario’s Best-Practice Spotlight Organization (BPSO) Program was adopted in South Australia as a framework to systematically implement EBP in two diverse and complex healthcare settings. Methods: The study was a post-implementation, mixed-method evaluation conducted at two healthcare settings in Adelaide, South Australia utilizing qualitative and quantitative data. Proctor’s implementation evaluation framework guided the evaluation design. Information sources included; interviews, focus groups, questionnaires, and document review. Results: Clinical and executive staff (n = 109 participants) from a broad range of stakeholder groups participated in the interviews, focus groups, and returned questionnaires. A number of facilitators directly affecting program implementation were identified; these pertained to embedding continuity into the program’s implementation and delivery, a robust governance structure, and executive sponsorship. Barriers to implementation were also identified. These barriers pertained to organizational or workforce challenges; staff turnover and movement (e.g., secondment), insufficient staff to allow people to attend training, and a lack of organizational commitment to the program, especially at an executive level. As a result of successful implementation, it was observed that over three years, the BPSO program positively influenced the uptake and implementation of EBP by clinicians and the organizations into which they were introduced. Conclusions: The BPSO model can be translocated to new healthcare systems and has the potential to act as a mechanism for establishing and sustaining EBP change. This study was the first to apply an implementation evaluation framework to the BPSO program, which allowed for structured analysis of facilitating or impeding factors that affected implementation success. The findings have important implications for other health systems looking to translocate the same or similar EBP programs, as well as contributing to the growing body of implementation evaluation literature.

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Al-Adhami, Noor, Karen Whitfield, and Angela North. "CHANGING PRESCRIBING CULTURE – A FOCUS ON CODEINE POSTPARTUM." Archives of Disease in Childhood 101, no. 9 (August 17, 2016): e2.12-e2. http://dx.doi.org/10.1136/archdischild-2016-311535.2.

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AimTo eliminate the prescribing of codeine and codeine combination products postpartum to improve safety in breast fed infants.Concerns have been raised over the use of codeine and codeine combination products during breast feeding after the death of a neonate whose mother had been prescribed codeine postpartum. High concentrations of morphine were found in the infant's blood and this was attributed to the mother being a CYP2D6 ultrafast metaboliser.1 MethodsThe evidence surrounding the safety of codeine and codeine combination products in children, during the postpartum period and specifically for breast fed infants was collated. The evidence was presented to key stakeholders including obstetricians, midwives, safety and quality representatives, nurse unit managers and acute pain team representatives. Postpartum analgesia was discussed and an agreed protocol developed. Training and education sessions were undertaken to obstetric medical and nursing staff.ResultsThe evidence that was presented to key stakeholders included:▸ Reports over the safety concerns surrounding the use of codeine and codeine combination products during breast feeding▸ Guidelines and contraindications about the use of codeine in children that had been issued by international regulatory bodies (US Food and Drug Administration and European Medicines Agency).▸ Recommendations from the Australian Medicines Handbook to avoid in breast feeding2 ▸ Recommendations from Hale's Medications and Mothers Milk that reported limited data and had made a recent re-classification from L3 (limited data–probably compatible) to L4 (limited data–possibly hazardous).3 Before presenting the evidence to key stakeholders and undertaking training to nursing and medical staff, more than 90% of postpartum women were prescribed a codeine containing product as part of their ‘as required’ analgesic regimen.Since the intervention, codeine combination products have now been almost completely eliminated on medication charts for postpartum women (less than 5%). Those that are prescribed are ceased once highlighted to medical staff. The obstetric pharmacist now presents a session on postpartum analgesia at every new resident medical officer orientation outlining suitable medications to prescribe. In addition all new pharmacists to the women's and new born's team receive training about postpartum analgesia.ConclusionThis study highlights the impact that can be achieved when health care professionals work together to change the culture and prescribing habits in a hospital setting, to enhance patient safety. Evaluating the evidence and presenting to stakeholders as well as providing ongoing training and education to medical, nursing and pharmacy staff are all essential to a successful outcome.

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Mair, Judith, and Dianna Kenny. "Fetal welfare: Midwives' perspectives in Australia." Australian College of Midwives Incorporated Journal 9, no. 4 (December 1996): 9–14. http://dx.doi.org/10.1016/s1031-170x(96)80052-3.

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Johnston, Joy. "Midwives, breastfeeding, and baby friendly Australia." Australian College of Midwives Incorporated Journal 9, no. 4 (December 1996): 21–24. http://dx.doi.org/10.1016/s1031-170x(96)80054-7.

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Ciolli, P., S. Bergami, and R. Russo. "Psychosexual counselling training for midwives." Sexologies 17 (April 2008): S11. http://dx.doi.org/10.1016/s1158-1360(08)72529-5.

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Dashora, Umesh, Alban Davies Huw, Shelley Bennett, Anne Goodchild, Julia Hugason-Briem, Gail Johnson, Abigail Kitt, Annette Schreiner, Diane Todd, and Jennifer Yiallorous. "Findings of a nationwide survey of the diabetes education and training needs of midwives in the UK." British Journal of Diabetes 18, no. 4 (December 12, 2018): 147–53. http://dx.doi.org/10.15277/bjd.2018.194.

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Introduction: The incidence and prevalence of diabetes is increasing in pregnant women. Midwives manage a substantial proportion of care of these women. Currently it is notknown whether midwives have sufficient competence in managing these patients well. The Diabetes Care Trust commissioned a survey to assess the diabetes education and training needs of midwives who look after pregnant women with diabetes.Material and methods: A freedom of information request was made to all the NHS Trusts in the UK to gather relevant information about the roles and responsibilities of midwives in thematernity units in the UK. This was followed by a Survey Monkey questionnaire to midwives in the UK who are members of the Royal College of Midwives to assess their education and training level, needs, desires and views preceded by a test survey on nine midwives.Results: The survey revealed considerable variation in the roles and responsibilities, current levels of training and education needs of midwives. Over 85% of midwives expressed a desire to access additional education on diabetes management in different areas. Training in insulin initiation and titration, management during labour and ability to contribute to the antenatal clinic was desired by over 85% of midwives surveyed. Conclusions: There is an unmet need for structured education and training programmes for midwives in the management of diabetes in pregnancy. We recommend further work in producing tailored and accredited training programmes at different levels to suit the differing needs of midwives and diabetes specialist midwives in the UK.

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Nur Anisa, Diah, Detty S Nurdiati, and Wiwin Lismidiati. "HUBUNGAN PELATIHAN DENGAN PERILAKU BIDAN DALAM MELAKUKAN PENCEGAHAN PENDARAHAN POSTPARTUM DI KABUPATEN BANTUL." MEDIA ILMU KESEHATAN 8, no. 1 (November 18, 2019): 15–20. http://dx.doi.org/10.30989/mik.v8i1.251.

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Background: Postpartum hemorrhage is define as 500 cc or more bleeding after the completion of third stage (after the placenta is born). Maternal mortality due to postpartum hemorrhage occurs a lot in health services, one of the factors that influence it is the behavior of health workers in the prevention of postpartum hemorrhage. The behavior of midwives in preventing postpartum hemorrhage is closely related to the competencies seen from the training attended. Objective: To find out the relationship between training and the behavior of midwives in preventing postpartum hemorrhage in Bantul Regency. Methods: We used a correlation study with a cross sectional design. The sampling technique in this study used probability sampling with cluster sampling totaling 68 midwives in five community health centers. Retrieval of data in this study used an observation sheet to see the actions of midwives in conducting active management in the third stage as a preventive measure for postpartum bleeding and the identity sheet of respondents to see the training that had been attended by midwives. Results: There was no relationship between training with the behavior of midwives in the prevention of postpartum hemorrhage in Bantul Regency with a p value of 0.093. A total of 40 midwives (58.8%) had good behavior and 53 midwives (77.9%) had attended training. Conclusion: There is no training relationship with the behavior of midwives in the prevention of postpartum hemorrhage in Bantul Regency Keywords: Behavior, hemorrhage, postpartum, training

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Anisa, Diah Nur, Detty S Nurdiati, and Wiwin Lismidiati. "HUBUNGAN PELATIHAN DENGAN PERILAKU BIDAN DALAM MELAKUKAN PENCEGAHAN PENDARAHAN POSTPARTUM DI KABUPATEN BANTUL." Media Ilmu Kesehata 8, no. 1 (August 1, 2019): 15–20. http://dx.doi.org/10.30989/mik.v8i1.340.

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Background: Postpartum hemorrhage is define as 500 cc or more bleeding after the completion of third stage (after the placenta is born). Maternal mortality due to postpartum hemorrhage occurs a lot in health services, one of the factors that influence it is the behavior of health workers in the prevention of postpartum hemorrhage. The behavior of midwives in preventing postpartum hemorrhage is closely related to the competencies seen from the training attended. Objective: To find out the relationship between training and the behavior of midwives in preventing postpartum hemorrhage in Bantul Regency. Methods: We used a correlation study with a cross sectional design. The sampling technique in this study used probability sampling with cluster sampling totaling 68 midwives in five community health centers. Retrieval of data in this study used an observation sheet to see the actions of midwives in conducting active management in the third stage as a preventive measure for postpartum bleeding and the identity sheet of respondents to see the training that had been attended by midwives. Results: There was no relationship between training with the behavior of midwives in the prevention of postpartum hemorrhage in Bantul Regency with a p value of 0.093. A total of 40 midwives (58.8%) had good behavior and 53 midwives (77.9%) had attended training. Conclusion: There is no training relationship with the behavior of midwives in the prevention of postpartum hemorrhage in Bantul Regency Keywords: Behavior, hemorrhage, postpartum, training

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Sannomiya, Masana, Emi Sasagawa, Naoko Hikita, Kaori Yonezawa, and Megumi Haruna. "The Proportions, Regulations, and Training Plans of Male Midwives Worldwide: A Descriptive Study of 77 Countries." International Journal of Childbirth 9, no. 1 (March 1, 2019): 5–18. http://dx.doi.org/10.1891/2156-5287.9.1.5.

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ObjectivesThe proportions of male midwives as well as regulations and training plans targeting male midwives were investigated.MethodsQuestionnaires were sent to 109 United Nations member countries where midwifery associations had opened their e-mail addresses. Respondents were persons in charge of midwifery education or policy recommended by midwifery associations, researchers, or acquaintances. The questionnaire inquired about the number of midwives and obstetrician-gynecologists by gender in the country, as well as regulations and training plans relevant to male ones. For those countries that either failed to respond or provided insufficient information, supplemental Internet searches were conducted.ResultsData from 77 countries were analyzed (57 countries returned the questionnaires, and data on another 20 were obtained through Internet searches). Of the 19 countries without male midwives, five did not allow men to become midwives. In 37 countries with male midwives whose proportion data were available, the median proportion was 0.63%. Respondents in 13 countries described regulations respecting women who unwanted care by male midwives and in other two explained training plans for male midwives considering their specific characteristics.ConclusionThe proportion of male midwives is small, and regulations and training plans for male midwives varied depending on social content in countries.

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Dimitrova, Valia, Slavena Ilieva, and Rumiana Laleva. "Expectations of the training of midwives." Varna Medical Forum 5 (October 31, 2016): 41. http://dx.doi.org/10.14748/vmf.v5i0.2804.

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Dymchenko, L. N. "International cooperation and training of midwives." Journal of obstetrics and women's diseases 47, no. 1 (April 15, 1998): 92. http://dx.doi.org/10.17816/jowd87184.

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One of the areas of international cooperation carried out by the St. Petersburg Obstetric College is joint activities with the British Association Hele Prom. This nongovernmental organization assists in the development of health care in the republics of the former Soviet Union. An important part of this work is to ensure maternal and child health.

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Hassel, Holger, and Oda von Rahden. "Training for midwives in motivational interviewing." Journal of Public Health 15, no. 6 (June 29, 2007): 441–45. http://dx.doi.org/10.1007/s10389-007-0114-4.

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Robinson, Catherine. "ASUM outreach CAHPU midwives training course." Australasian Journal of Ultrasound in Medicine 20, no. 1 (February 2017): 52. http://dx.doi.org/10.1002/ajum.12044.

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Egullion, Claude. "Training traditional midwives in Manicaland, Zimbabwe." International Journal of Gynecology & Obstetrics 23, no. 4 (September 1985): 287–90. http://dx.doi.org/10.1016/0020-7292(85)90022-0.

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Barker, Megan, Jennifer Fenwick, and Jenny Gamble. "Midwives' Experiences of Transitioning Into Private Practice With Visiting Access in Australia: A Qualitative Descriptive Study." International Journal of Childbirth 9, no. 3 (September 1, 2019): 145–57. http://dx.doi.org/10.1891/ijcbirth-d-19-00031.

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BACKGROUNDA national review of maternity services in Australia in 2009 resulted in legislative changes which provided midwives with an unprecedented opportunity to offer continuity of care as a private practitioner with visiting access to a public maternity hospital. However, very few midwives have taken up this opportunity.AIMTo explore the experiences of midwives who transitioned into private practice with visiting access to a public hospital.METHODUsing a qualitative descriptive approach, six midwives participated in digitally recorded in-depth interviews. Data was analyzed using thematic analysis.FINDINGSTransitioning to private practice enabled midwives to align their core midwifery values with their practice. Midwives reported taking “a leap of faith” by venturing into private practice. Although seeking visiting access and running a small business was initially daunting, midwives were rewarded by being able to practice autonomously and provide continuity of woman centered care within a caseload model. The legislative restrictions, especially around employing other midwives posed significant challenges.DISCUSSION AND CONCLUSIONSPrivate practice with visiting access provided midwives with a service model that aligned their core midwifery values with their clinical practice. The model facilitated their ability to work as lead care professionals, provide woman centered care, and access a collaborative network of healthcare professions. However, the midwives continued to experience structural barriers that threaten the scalability and sustainability of the model. Structural barriers to midwives working to their full scope of practice and in alignment with a midwifery philosophy are a global issue. Further reforms are needed.

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Dewi, Luh Gede Kusuma, Luh Ari Arini, and Putu Riesty Masdiantini. "Pelatihan Dan Pendampingan Daring Dalam Rangka Peningkatan Literasi Keuangan Praktek Mandiri Bidan Di Kecamatan Sukasada." JATI EMAS (Jurnal Aplikasi Teknik dan Pengabdian Masyarakat) 4, no. 2 (November 1, 2020): 115. http://dx.doi.org/10.36339/je.v4i2.305.

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The midwives profession are expected to have an entrepreneurial spirit, therefore the Midwives Independent Services is one of the micro, small and medium enterprises (MSMEs) that runs in generating profits to cover operational activities and career development. Every business cannot be separated from financial recording activities. This is a control in the progress of the business being carried out. Based on the results of interviews and observations, there are still many of them that do not carry out financial records properly according to SAK EMKM. Therefore, the impact that has been felt by them is ignorance of the services that have been carried out to generate profits or not. Based on these circumstances, it is necessary to have training and mentoring to improve The midwives financial literacy. The training and mentoring online activities were greeted with enthusiasm from the midwives who have a Midwives Independent Practice business in Sukasada District. The topic presented in the training activities was knowledge about midwifery in the era of the industrial revolution 4.0; Income Tax for Midwives; and Improving Midwives' Financial Literacy through the LAMIKRO Financial Application. The topic provided at mentoring sessions are the use of the LAMIKRO application; Introduction to Financial Transactions; Midwives Independent Practice Financial Case I; and Midwives Independent Practice Financial Case II. Based on the results of the pre-test and post-test, there was an increase in the knowledge of the midwives after implementing the training. And based on the questionnaire distributed, the midwives who participated in the training and mentoring activities felt the benefits of this activity and wanted more intensive training for the next opportunity. The midwives also suggested the development of a more detailed financial transaction application specifically for their health service businesses.

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Aprillia, Dita, Jenny Anna Siauta, and Rukmaini. "Analysis Of The Role Of The Midwife In Hospital In Stunting Prevention Effort In Rsu Aulia, Jakarta Selatan." Science Midwifery 10, no. 3 (August 9, 2022): 2087–94. http://dx.doi.org/10.35335/midwifery.v10i3.614.

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Stuntingis a problem of particular concern in Indonesia and the world. Midwives as implementers and managers of health services must be able to utilize their resources effectively and efficiently in improving the health status of mothers and children so that they can contribute to stunting prevention efforts. This study aims to analyze the role of midwives in stunting prevention efforts at Aulia General Hospital, South Jakarta. This study uses an analytical survey design with a cross sectional approach. The sample, namely midwives who work at the Aulia General Hospital, South Jakarta, amounted to 112 people. The sampling technique used was purposive sampling. The instrument uses a google form questionnaire. Bivariate analysis using chi square test. The results of the study from 112 midwives who worked at RSU Aulia, South Jakarta, obtained 72.3% of midwives performed their role well in stunting prevention efforts. Bivariate analysis obtained all variables of education (p value 0.032), motivation (p value 0.000), knowledge (p value 0.001), training (p value 0.019), health facilities (p value 0.023), and SOP guidance (p value 0.025) < 0.05 was significantly related to the role of midwives in stunting prevention efforts. It is recommended that midwives improve their professional work through education to a higher level and increase competence through training or seminars on 1000 HPK. training (p value 0.019), health facilities (p value 0.023), and SOP guidelines (p value 0.025) <0.05 were significantly related to the role of midwives in stunting prevention efforts. It is recommended that midwives improve their professional work through education to a higher level and increase competence through training or seminars on 1000 HPK. training (p value 0.019), health facilities (p value 0.023), and SOP guidelines (p value 0.025) <0.05 were significantly related to the role of midwives in stunting prevention efforts. It is recommended that midwives improve their professional work through education to a higher level and increase competence through training or seminars on 1000 HPK.

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Simbolon, Juana Linda, Emilia Silvana Sitompul, and Marni Siregar. "Kemitraan Bidan dan Ibu Hamil dalam Pencegahan Covid-19." JPM (Jurnal Pemberdayaan Masyarakat) 6, no. 1 (April 23, 2021): 606–13. http://dx.doi.org/10.21067/jpm.v6i1.5115.

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COVID-19, a disease that is currently endemic in almost all over the world. COVID-19 affects anyone, including pregnant women and children. The role of midwives in maternal and child health services: ANC service providers are the highest in Indonesia (82.4%). The challenge of midwifery services during the Covid-19 pandemic: knowledge of mothers and families related to COVID-19 about the dangers of COVID-19 in pregnant women can be a motivation for screening or preventing COVID-19. The aim of the service is to increase knowledge through training midwives and pregnant women about the prevention of COVID-19 and to increase partnerships between midwives and pregnant women through training to be able to socialize the importance of preventing COVID-19 to pregnant women. The method used was conducting pre-tests for midwives and pregnant women, training for midwives on the prevention of COVID-19 in pregnant women, counseling by midwives on prevention of COVID-19, and conducting post-tests. The results obtained by pre test, the majority of midwives' knowledge was moderate, while the majority of pregnant women had less knowledge. After being given training, the results of the post test increased the majority of midwives' knowledge was high and the knowledge of pregnant women was high.

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Hughson, Jo-anne, Fiona Marshall, Justin Oliver Daly, Robyn Woodward-Kron, John Hajek, and David Story. "Health professionals' views on health literacy issues for culturally and linguistically diverse women in maternity care: barriers, enablers and the need for an integrated approach." Australian Health Review 42, no. 1 (2018): 10. http://dx.doi.org/10.1071/ah17067.

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Objective To identify health literacy issues when providing maternity care to culturally and linguistically diverse (CALD) women, and the strategies needed for health professionals to collaboratively address these issues. Methods A qualitative case study design was undertaken at one large metropolitan Australian hospital serving a highly CALD population. Semistructured interviews were conducted with a range of maternity healthcare staff. The data were analysed thematically. The study is informed by a framework of cultural competence education interventions for health professionals and a health literacy framework. Results Eighteen clinicians participated in the interviews (seven midwives, five obstetricians, five physiotherapists, one social worker, and one occupational therapist). Emergent themes of health literacy-related issues were: patient-based factors (communication and cultural barriers, access issues); provider-based factors (time constraints, interpreter issues); and enablers (cultural awareness among staff, technology). Conclusions There are significant health literacy and systemic issues affecting the hospital’s provision of maternity care for CALD women. These findings, mapped onto the four domains of cultural competence education interventions will inform a technology-delivered health literacy intervention for CALD maternity patients. This approach may be applied to other culturally diverse healthcare settings to foster patient health literacy. What is known about the topic? There are health inequities for pregnant women of culturally and linguistically diverse (CALD) backgrounds. Low health literacy compounded by language and cultural factors contribute to these inequities and access to interpreters in pregnancy care remains an ongoing issue. Pregnancy smart phone applications are a popular source of health information for pregnant women yet these apps are not tailored for CALD women nor are they part of a regulated industry. What does this paper add? This paper provides clinician and language service staff perspectives on key health literacy issues that are both patient-based and provider-based. This research confirms that the complex interplay of social and practical factors contributes to and perpetuates low health literacy, creating barriers to health access; it also highlights several enablers for increasing CALD health literacy and access. These include greater health practitioner awareness and accommodation of CALD women’s needs and the provision of culturally and linguistically appropriate eHealth resources. What are the implications for practitioners? eHealth resources are emerging as valuable enabling tools to address the health literacy and information needs of pregnant women. However, these resources need to be used adjunctively with health practitioner communication. Both resource developers and health practitioners need to understand issues affecting CALD patients and their needs. Developers need to consider how the resource addresses these needs. Training of health professionals about culture-specific issues may help to enhance communication with, and therefore health literacy among, individual cultural groups. Further, formalised language and interpreting training of bi- or multilingual health professionals is advised to ensure that they are able to interpret to a professional standard when called on to do so.

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Hurtado, Aída. "A View from Within: Midwife Practices in South Texas." International Quarterly of Community Health Education 8, no. 4 (January 1988): 317–39. http://dx.doi.org/10.2190/b26w-wfht-56jc-nbxa.

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This article describes midwife practices and recommends a possible training program for midwives in South Texas. A 100-item questionnaire was administered to twenty-five practicing midwives in South Texas. All the interviews were tape-recorded. The midwives were all women and they ranged in age from thirty-eight to eighty years old. A qualitative analysis of these interviews indicates that a midwife training program is necessary to standardize and upgrade the practice of midwifery in this area. In addition, all midwives interviewed expressed an interest in participating in a training program. Finally, recommendations are made for designing a training program that would be efficient and culturally relevant to this midwife population.

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N Zannah, Ai. "Motivation, persuasive communication, and obstetric risk management training to improve midwives professionalism in preventing maternal death." Jurnal Kesehatan dr. Soebandi 6, no. 2 (October 24, 2018): 09–15. http://dx.doi.org/10.36858/jkds.v6i2.118.

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Obstetric complication is the direct cause of maternal mortality which could be prevented by improving the professionalism of midwives manifested through competence and ethical training. This study aimed to analyze the effect of motivational training, persuasive communication, and obstetric risk management to midwives' professionalism in order to prevent maternal mortality. The approach of quasi-experiment pre-posttest design with control groups were administered in this study. A total of 60 midwives from health service centers in Tasikmalaya Regency area were chosen as subjects by consecutive sampling, and divided into treatment and control groups. Professionalism consisting of ethics and competence was measured by using a questionnaire and checklists. Data analysis was conducted by Simple Linear Regression Test, Fisher’s Exact, and T-Test. The findings of this study showed the increase in professionalism (ethics and competence) midwives after training, with an increase of 28.6% (17.57%; 32.84%; p<0,001). The effect of training on professionalism was 65%, and the trained midwives were 2.89 times more likely to have higher professionalism than those who did not attend the training. The training on motivation, persuasive communication, and obstetrics risk management can be an intervention to improve the professionalism of midwives that will impact on efforts to prevent maternal deaths

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Bwanga, Osward, Gabriel Mwase, and Happiness Chanda Kaunda. "Midwives' experiences of performing obstetric ultrasounds in maternity care: a systematic review." African Journal of Midwifery and Women's Health 15, no. 2 (April 2, 2021): 1–8. http://dx.doi.org/10.12968/ajmw.2020.0033.

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Background/aims Ultrasound scans, often performed by midwives, play a vital role in the management of pregnancy, but there is a lack of literature on midwives' experience of this task. This study aimed to systematically review the experiences of midwives when performing obstetrical ultrasounds in maternity care. Methods Online databases, journals and cited references were searched, with no date limit. Thematic analysis was used to synthesise the findings. Results A total of eight studies were included. The five themes identified were 1) the benefits of ultrasound in maternity care, 2) access to and performing an obstetric ultrasound, 3) the relationship between midwives and ultrasound experts, 4) ethical and legal issues and 5) education and training for midwives. Midwives' positive experiences were usually a result of access to obstetric ultrasound and adequate support from obstetricians and radiologists. Negative experiences were caused by ethical and legal complications, as well as a lack of ultrasound equipment and training. Conclusions There is a need to support midwives in performing basic obstetric ultrasounds, through education and training, to improve maternity care.

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Dubik, Stephen Dajaan, Ernestina Yirkyio, and Kingsley E. Ebenezer. "Breastfeeding in Primary Healthcare Setting: Evaluation of Nurses and Midwives Competencies, Training, Barriers and Satisfaction of Breastfeeding Educational Experiences in Northern Ghana." Clinical Medicine Insights: Pediatrics 15 (January 2021): 117955652110107. http://dx.doi.org/10.1177/11795565211010704.

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Background: Breastfeeding education is critical in improving healthcare professionals’ competencies in providing breastfeeding care to mothers. We evaluated breastfeeding competencies, training, barriers and satisfaction of breastfeeding educational experiences among nurses and midwives in the Sagnarigu Municipality, Ghana. Methods: This cross-sectional study included nurses and midwives providing maternal and child health services at various primary healthcare facilities in Sagnarigu Municipality. Results: Nurses and midwives had higher pre-service breastfeeding training than in-service training with a mean training score of 10.0 and 5.2, respectively. Nurses and midwives who had both pre-service and in-service training had better satisfaction score ( P = .003), positive attitudes ( P = .016) and higher confidence level about breastfeeding ( P = .007). Approximately, 80% of the nurses and midwives reported that they need further training/updating on breastfeeding while 40% reported clinical/professional practice as the significant contributor to their breastfeeding counselling competencies. Mean satisfaction score correlated positively with confidence levels about breastfeeding counselling ( r = .224, P = .022) and pre-service training ( r = .342, P < .001); confidence levels about breastfeeding counselling also correlated positively with attitudes towards breastfeeding counselling ( r = .348, P < .001). Commonly reported barriers to breastfeeding counselling were mother’s poor compliance with breastfeeding recommendations, too much workload, inadequate time and materials for breastfeeding counselling. Conclusion: Nurses and midwives in this study felt confident about breastfeeding counselling, had positive attitudes towards breastfeeding counselling and generally, satisfied with their breastfeeding educational experiences. Despite nurses and midwives agreeing that breastfeeding counselling is integral in their professional practice, their role in providing breastfeeding counselling is hindered by individual and health systems barriers.

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Abramson, Paula. "Virtual training for midwives during a pandemic." British Journal of Midwifery 28, no. 8 (August 2, 2020): 502–3. http://dx.doi.org/10.12968/bjom.2020.28.8.502.

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Gibson, Hannah. "Training midwives in inner-city Karachi, Pakistan." British Journal of Midwifery 8, no. 6 (June 2000): 374–78. http://dx.doi.org/10.12968/bjom.2000.8.6.8117.

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Murphy, Dan, Chong Ching, Teresa Araujo, and George Povey. "Training Programme for Rural Midwives in Mozambique." Tropical Doctor 15, no. 3 (July 1985): 146–47. http://dx.doi.org/10.1177/004947558501500320.

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MacCormack, Carol P. "Status and the training of traditional midwives." Social Science & Medicine 28, no. 9 (January 1989): 941–43. http://dx.doi.org/10.1016/0277-9536(89)90322-5.

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Rhodes, Lorna Amarasingham. "Status and the training of traditional midwives." Social Science & Medicine 28, no. 9 (January 1989): 943–44. http://dx.doi.org/10.1016/0277-9536(89)90323-7.

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Ayuanda, Leila Nisya, Wahidin Wahidin, Dina Raidanti, Minarti Minarti, and Dewi Andariya Ningsih. "Online midwife's training on psychoeducation of perinatal mental health during COVID-19 Pandemic." International journal of social sciences and humanities 6, no. 1 (March 11, 2022): 85–97. http://dx.doi.org/10.53730/ijssh.v6n1.4741.

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Psychoeducation is an effort to prevent maternal anxiety which should be integrated into maternal health services. Puskesmas (Community Health Center) Sukorejo 1 Kendal in collaboration with Motherhope Indonesia held an online training program and psychoeducation for pregnant women for midwives. However, there are no reports related to the implementation of online training for the midwife to increase their knowledge and skills. The purpose of this study was to determine the implementation of psychoeducation online training for midwives during the COVID-19 pandemic. The method applied qualitative research with a case study approach. The informants in this study were 1 head of the Puskesmas and 5 midwives. Data collection used online interviews (synchronous and asynchronous) and the WhatsApp platform. The interview guide was used as a guide for interviews that were previously conducted by pilot interviews. The data was then analyzed using thematic analysis with the Miles and Huberman framework. It can be concluded that the benefits of training could be felt by midwives, namely improving mental health literacy, enhancing skill, and changing the midwife’s paradigm. So, needed to improve the online training method of midwives about psychoeducation to rise the psychoeducation midwife’s role for a pregnant woman.

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Sugiyarto, Sugiyarto, and Dwi Sulistyowati. "Peningkatan Kemampuan Keterampilan Basic Life Support (BLS) Melalui Pelatihan BLS Pada Perawat dan Bidan." (JKG) JURNAL KEPERAWATAN GLOBAL 5, no. 2 (December 22, 2020): 56–63. http://dx.doi.org/10.37341/jkg.v5i2.100.

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Background: In Hospital Cardiac Arrest (IHCA) is a major problem of patient safety and public health. the rescue action taken is Basic Life Support with CPR. BLS training needs to be provided to nurses and midwives in order to increase the ability of BLS skills. The purpose of this study was to analyze the effect of Basic Life Support (BLS) Training on the ability of BLS skills of Nurses and Midwives. Methods: This research is an experimental study with a Pre-Test-Post Test Group design approach through through testing the research hypothesis. The population of this study was nurses and midwives, amounting to 51 respondents with a total sampling technique so that the number of respondents was 51. Statistical tests in the paired group used the nonparametric Wilcoxon test. Results: Based on the Wilcoxon test results obtained a p value of 0,001 which means there is a difference between pre and post training, Conclusion: BLS training has an effect on improving the BLS skills of nurses and midwives. BLS skills training needs to be carried out on an ongoing basis so that nurses and midwives have good skills in conducting BLS.

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Chubb, Bea, Rebecca Cockings, Janine Valentine, Emma Symonds, and Vanessa Heaslip. "Does training affect understanding of implicit bias and care of black, Asian and minority ethnic babies?" British Journal of Midwifery 30, no. 3 (March 2, 2022): 130–35. http://dx.doi.org/10.12968/bjom.2022.30.3.130.

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Background In the UK, there are huge inequities in maternal and neonatal mortality, yet there appears to be very little training to address this for midwives. This quality improvement project aimed to address this by providing training on implicit bias, stereotyping and clinical assessment of babies from black, Asian and minority ethnic families. Methods A training package was created and delivered to 67 midwives and students on placement at the Yeovil District NHS Foundation Trust on implicit bias, structural racism and clinical assessment of babies from black, Asian and minority ethnic groups. Pre- and post-training surveys were completed and descriptive statistical analysis alongside thematic analysis was used to analyse the findings. Results It was evident that midwives benefited from the training, as pre-session surveys noted that many midwives were unaware of the factors influencing the care of women and babies from black, Asian and minority ethnic families. After the training, they identified a wish to change their practice to be more inclusive. Conclusions The training package was well evaluated; however, more training and research is needed to improve the safety of mothers and babies from black, Asian and minority ethnic families.

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Leonard, Feargal. "Training in Australia." Irish Journal of Psychological Medicine 16, no. 1 (March 1999): 34. http://dx.doi.org/10.1017/s0790966700005036.

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Jin, Jing, Jie Chen, Yuan Zhao, and Chunbo Qiu. "Effect Analysis of Midwife Education and Training with PDCA Model." Computational Intelligence and Neuroscience 2022 (July 30, 2022): 1–10. http://dx.doi.org/10.1155/2022/7397186.

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With the improvement of social living standards, pregnant women have higher and higher requirements for health and medical personnel. As the main body of medical service personnel, the service objects of midwives are increasing rapidly, while the existing working conditions and abilities of midwives are difficult to meet the growing medical needs of pregnant women. In order to improve the imbalance between supply and demand between limited medical resources and patients’ medical treatment, this paper proposed to use PDCA model to educate and train midwives in order to improve their professional ability and work efficiency. Based on the analysis of the structure and functional principle of PDCA model, according to the working requirements of midwives, PDCA model was used to provide midwives with scientific teaching plan, implementation scheme, inspection requirements, and result evaluation methods. In order to test the effect of the application of this model, a group of hospitalized pregnant women were selected as samples and randomly divided into control group and observation group. Through comparative experiments, the effectiveness of PDCA model in midwife education and training was verified. The experimental results showed that the scores of midwife and patient satisfaction, theory and operation skills in the observation group were higher than those in the control group. Compared with the conventional nursing mode, the use of PDCA cycle mode to educate and train midwives had not only effectively improved the theoretical knowledge and professional skills of nurses, but also significantly improved the nursing and delivery monitoring ability of pregnant women. This study has certain reference and guiding significance for clinical medicine and other related application fields.

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Pincombe, Jan, Lois McKellar, Carol Grech, Elizabeth Grinter, and Gerardine Beresford. "Registration requirements for midwives in Australia: a delphi study." British Journal of Midwifery 15, no. 6 (June 2007): 372–83. http://dx.doi.org/10.12968/bjom.2007.15.6.23686.

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Sibbritt, David W., Christine J. Catling-Paull, Vanessa L. Scarf, and Caroline S. E. Homer. "The profile of women who consult midwives in Australia." Women and Birth 26, no. 4 (December 2013): 240–45. http://dx.doi.org/10.1016/j.wombi.2013.08.007.

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Fox, Deborah, Athena Sheehan, and Caroline S. E. Homer. "Birthplace in Australia: Midwives’ experiences of intrapartum homebirth transfer." Women and Birth 28 (2015): S15. http://dx.doi.org/10.1016/j.wombi.2015.07.057.

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Tannous, Kathy W., Ajesh George, Moin Uddin Ahmed, Anthony Blinkhorn, Hannah G. Dahlen, John Skinner, Shilpi Ajwani, et al. "Economic evaluation of the Midwifery Initiated Oral Health-Dental Service programme in Australia." BMJ Open 11, no. 8 (August 2021): e047072. http://dx.doi.org/10.1136/bmjopen-2020-047072.

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ObjectivesTo critically evaluate the cost-effectiveness of the Midwifery Initiated Oral Health-Dental Service (MIOH-DS) designed to improve oral health of pregnant Australian women. Previous efficacy and process evaluations of MIOH-DS showed positive outcomes and improvements across various measures.Design and settingThe evaluation used a cost-utility model based on the initial study design of the MIOH-DS trial in Sydney, Australia from the perspective of public healthcare provider for a duration of 3 months to 4 years.ParticipantsData were sourced from pregnant women (n=638), midwives (n=17) and dentists (n=3) involved in the MIOH trial and long-term follow-up.Cost measuresData included in analysis were the cost of the time required by midwives and dentists to deliver the intervention and the cost of dental treatment provided. Costs were measured using data on utilisation and unit price of intervention components and obtained from a micro-costing approach.Outcome measuresUtility was measured as the number of Disability Adjusted Life Years (DALYs) from health-benefit components of the intervention. Three cost-effectiveness analyses were undertaken using different comparators, thresholds and time scenarios.ResultsCompared with current practice, midwives only intervention meets the Australian threshold (A$50 000) of being cost-effective. The midwives and accessible/affordable dentists joint intervention was only ‘cost-effective’ in 6 months or beyond scenarios. When the midwife only intervention is the comparator, the midwife/dentist programme was ‘cost-effective’ in all scenarios except at 3 months scenario.ConclusionsThe midwives’ only intervention providing oral health education, assessment and referral to existing dental services was cost-effective, and represents a low cost intervention. Midwives’ and dentists’ combined interventions were cost-effective when the benefits were considered over longer periods. The findings highlight short and long term economic benefits of the programme and support the need for policymakers to consider adding an oral health component into antenatal care Australia wide.Trial registration numberACTRN12612001271897; Post-results.

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Bradfield, Zoe, Karen Wynter, Yvonne Hauck, Linda Sweet, Alyce N. Wilson, Rebecca A. Szabo, Vidanka Vasilevski, Lesley Kuliukas, and Caroline S. E. Homer. "COVID-19 vaccination perceptions and intentions of maternity care consumers and providers in Australia." PLOS ONE 16, no. 11 (November 15, 2021): e0260049. http://dx.doi.org/10.1371/journal.pone.0260049.

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Introduction Vaccination against COVID-19 is a key global public health strategy. Health professionals including midwives and doctors support and influence vaccination uptake by childbearing women. There is currently no evidence regarding the COVID-19 vaccination perceptions and intentions of those who receive or provide maternity care in Australia. The aim of this study was to address this gap in knowledge and explore the perceptions and intentions regarding COVID-19 vaccination from consumers and providers of maternity care in Australia. Methods A national cross-sectional online study conducted in early 2021 in Australia, a country that has had a very low number of COVID-19 cases and deaths. Recruitment was undertaken through parenting and health professional social media sites and professional college distribution lists. A total of 853 completed responses, from women (n = 326), maternity care providers including doctors (n = 58), midwives (n = 391) and midwifery students (n = 78). Findings Personal intention to be vaccinated ranged from 48–89% with doctors most likely and women least likely. Doctors and midwifery students were significantly more likely to recommend the vaccine to pregnant women in their care than midwives (p<0.001). Fewer doctors (2%) felt that women should wait until breastfeeding had concluded before being vaccinated compared with 24% of midwives and 21% of midwifery students (p<0.001). More than half of the midwives (53%) had concerns about the COVID-19 vaccine for the women in their care compared with 35% of doctors and 46% of midwifery students. Despite national guidelines recommending vaccination of breastfeeding women, 54% of practitioners were unlikely to recommend vaccination for this group. Conclusion This is the first study to explore the perceptions and intentions regarding COVID-19 vaccination from the perspective of those who receive and provide maternity care in Australia. Findings have utility to support targeted public health messaging for these and other cohorts.

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Journal articles on the topic 'Midwives Training of Australia'

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