http://localhost:8080/xmlui/handle/123456789/10647 2026-04-11T21:07:43Z 2026-04-11T21:07:43Z Salameh, Taghreed N. Polivka, Barbara Christian, Becky esilçinar, Ilknur Y http://localhost:8080/xmlui/handle/123456789/10663 2025-06-24T02:13:37Z 2023-11-01T00:00:00Z

Title: Trauma-informed care for perinatal women during the COVID-19 pandemic: A survey of nurses and midwives in Turkey Authors: Salameh, Taghreed N.; Polivka, Barbara; Christian, Becky; esilçinar, Ilknur Y Abstract: Objectives: There is a paucity of evidence on the provision of trauma-informed care among nurses and midwives during the pandemic.Therefore, this online survey of Turkish nurses and midwives aimed to: describe reported maternal concerns and anxieties during the COVID-19 pandemic; and explore aspects of trauma-informed care for perinatal women during the COVID-19 pandemic (i.e., nurses’ and midwives’ knowledge, opinions, perceived competence, current practices, and implementation barriers). Design: A cross-sectional descriptive survey design. Setting and participants: A web-based survey conducted between June 2021 to December 2021. A total of 102 nurses and midwives comprised the final sample of this study. Findings: The safety of COVID-19 vaccine was both the most common maternal concern (73%) and the most frequently noted maternal source of anxiety (79%) reported to nurses and midwives by perinatal women. Most nurses and midwives were knowledgeable of, held favorable opinion about, and perceived moderate competence in trauma-informed care. The most frequently provided practice was encouraging mothers to make use of their own social support system (82%). Time constrains and lack of resources were perceived as somewhat to significant barriers to providing trauma-informed care during the pandemic. Conclusions: Access to correct information related to COVID-19 vaccination is necessary to reduce maternal anxiety. Since perinatal nurses and midwives had favorable opinions concerning implementing trauma-informed care, successful strategies for mitigating the implementation barriers are essential to facilitate the provision of trauma-informed care during the pandemic

2023-11-01T00:00:00Z Pereda-Goikoetxea, Beatriz Marín-Fernández, Blanca Huitzi-Egilegor, Joseba Xabier Elorza-Puyadena, Maria Isabel http://localhost:8080/xmlui/handle/123456789/10662 2025-06-24T02:11:11Z 2023-10-01T00:00:00Z

Title: The voice of memory in hospital birth: A phenomenological study Authors: Pereda-Goikoetxea, Beatriz; Marín-Fernández, Blanca; Huitzi-Egilegor, Joseba Xabier; Elorza-Puyadena, Maria Isabel Abstract: Objective: To examine the perception of the hospital birth experience in women at 8 weeks and 8 months after the birth and to determine if there have been any changes in that perception. Design: This was a prospective qualitative study with a phenomenological approach based on semistructured, individual and in-depth interviews at 8 weeks and 8 months after childbirth as well as participant’s observations. The data were transcribed and analysed thematically using ATLAS.ti 8 software. Participants: 43 women participated in the first interview, and 33 of those participated in the second interview. Setting: Donostia University Hospital, Gipuzkoa, Spain, 2016–2017. Findings: Two main topics emerged from the data analysis which summarize the women’s perception of childbirth: (1) memory allows us to recall the experience of hospital birth in time and space; (2) some moments are specially remembered. In the second topic, three subtopics were distinguished: fondest memory: meeting the newborn for the first time; highlighted positive memories: support from partners and professionals; and the worst memories were marked by feelings of worry and fear. Conclusions and implications for practice: In the perception of the birth experience, positive and negative memories remain in intensity and continuity for at least up to 8 months. Their creation and evocation are highly influenced by the emotional experience and the initial visual impact of meeting the newborn for the first time, which constitutes a milestone in women’s lives. The emotions experienced in childbirth and during the postpartum period shape the awareness, memory and new identity of being a mother.

2023-10-01T00:00:00Z Mastylak, Alicja Miteniece, Elina Czabanowska, Katarzyna Pavlova, Milena Groot, Wim http://localhost:8080/xmlui/handle/123456789/10659 2025-06-24T02:09:02Z 2023-11-01T00:00:00Z

Title: The “Blessing” of Pregnancy? Barriers to accessing adequate maternal care in Poland: A mixed-method study among women, healthcare providers, and decision-makers Authors: Mastylak, Alicja; Miteniece, Elina; Czabanowska, Katarzyna; Pavlova, Milena; Groot, Wim Abstract: Objective: All women should have access to adequate and respectful maternal care to maximise health outcomes. In Poland, there is a mismatch between good maternal health indicators and poor care experiences. This study examined stakeholder views on access to adequate maternal care in Poland in terms of availability, appropriateness, affordability, approachability, and acceptability. Design: A mixed-methods study. Setting: Online survey and online semi-structured interviews conducted between March 2021 and May 2021. Participants: Five-hundred fifty-seven (557) women who recently gave birth in Poland, maternal care providers and decision-makers active in the field of maternal health. Findings: The main barriers to adequate care were inappropriate communication of maternal care providers, insufficient compliance with standards of care, over-medicalisation of childbirth and suboptimal engagement of women in care provision, and high levels of out-of-pocket spending on maternal care services. Other barriers included limited availability of maternal care providers, particularly midwives, and low reproductive health literacy in women. Key conclusions: Provision of adequate and women-centred maternal care remains erratic, despite substantial care provision advancements in recent years. Addressing the barriers could substantially improve the experience of and access to adequate maternal care in Poland. Implications for practice: Barriers identified in the survey with women largely converged with those highlighted in the interviews. In addition, maternal care providers and decision-makers provided contextspecific information and explanation of the current state of maternal care system. Consequently, this study provides direction-setting information for policy and practice in Poland and other Central and Eastern European countries, which share similar shortcomings related to adequate maternal care provision

2023-11-01T00:00:00Z Meulen, R.T. Van der Veringa-Skiba, I.K. Steensel, F.J.A. Van Bögels, S.M. Bruin, E.I. De http://localhost:8080/xmlui/handle/123456789/10656 2025-06-24T02:06:51Z 2023-11-01T00:00:00Z

Title: Mindfulness-based childbirth and parenting for pregnant women with high fear of childbirth and their partners: outcomes of a randomized controlled trial assessing short- and longer-term effects on psychological well-being, birth and pregnancy experience Authors: Meulen, R.T. Van der; Veringa-Skiba, I.K.; Steensel, F.J.A. Van; Bögels, S.M.; Bruin, E.I. De Abstract: Objectives: Mindfulness-Based Childbirth and Parenting (MBCP) reduces mothers’ anticipated fear of childbirth (FOC), nonurgent obstetric interventions during childbirth and may improve childbirth outcomes in women with high FOC (Veringa-Skiba et al, 2022). The aim of this study was to examine the short- and longer-term outcomes of MBCP on psychological well-being, pregnancy and birth experience, as compared to enhanced care-as-usual (ECAU), in pregnant women with high FOC and their partners. Design: Participants were randomly assigned to MBCP or ECAU and completed questionnaires preintervention (T1), immediately after intervention (T2), two to four weeks after childbirth (T3) and 16-20 weeks after childbirth (T4). Both intention-to-treat and per-protocol analyses were conducted. Setting: The courses were provided by trained midwives. Participants: Participants included 141 pregnant women and 120 partners. Intervention: MBCP comprised a nine-weekly three-hour session mindfulness group course for pregnant couples; ECAU consisted of two 90-minute individual couple consultation sessions. Measurements: Measures of psychological well-being included measures like stress, depression, anxiety and fatigue. Measures of pregnancy and birth experience concerned experiencing uplifts during pregnancy, experienced fear of childbirth, labour pain and satisfaction with childbirth. Findings: No differences between MBCP and ECAU in the total group of birthing women were found. However, women with (at least an onset of) labour that participated in MBCP reported a better birth experience compared to ECAU at T3. Concerning the total partner group only one difference between MBCP and ECAU was found at T4; MBCP partners reported an increase in fatigue. However, in the partner risk group (i.e., partners with lower psychological well-being before intervention) partners experienced better psychological well-being at T2 and T3 after MBCP than ECAU. Key conclusions: MBCP and ECAU demonstrate similar effects on psychological well-being, birth and pregnancy experience. However, MBCP appears superior to ECAU for labouring women in having a better childbirth experience and for partners at risk for psychological complaints in increasing their psychological well-being. Implications for practice: MBCP only positively affects the childbirth experience of those who experience (onset of) natural birth. It might be advisable to include partners at risk for psychological complaints in the MBCP.

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