http://localhost:8080/xmlui/handle/123456789/11381 2026-04-11T21:07:44Z http://localhost:8080/xmlui/handle/123456789/11555 Title: The experience of miscarriage and its impact on prenatal attachment during the following pregnancy: A mixed-methods study Authors: Chemouny, Myriam; Wendland, Jaqueline Abstract: Background: In France, miscarriage affects nearly 200,000 women every year. This life event may generate negative effects on the mother-child relationship and the mother’s mental health in the following pregnancy. Objectives: To investigate the influence of body satisfaction, partner support, resilience and previous experience of a miscarriage on prenatal attachment in pregnant women. Design: This is a cross-sectional mixed-methods study. Women answered an online questionnaire in the period between November 2022 to April 2023. Participants: 267 French pregnant women who had previously experienced a miscarriage were recruited for this study. Measurements: Study outcomes included prenatal attachment, resilience, partner support, history of previous pregnancies and miscarriages, the current pregnancy, and questions relating to body experience. Findings: Participants who reported a high investment in the current pregnancy, high partner support and a positive image of their body had higher levels of prenatal attachment. The experience of miscarriage also seems to influence prenatal attachment: pregnancy investment at the time of miscarriage had a positive influence, while medical experience had no significant impact. While the global resilience score was not related to prenatal attachment, sense of control was positively linked to prenatal attachment. Key conclusions and implications for practice: These results highlight the importance of considering miscarriage as a perinatal loss with potential for long-lasting impact on women, which deserves particular attention from professionals. Enhancing partner support and helping women build a positive image of their pregnant body can also have a role in fostering prenatal attachment to the foetus. 2024-06-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/11554 Title: Partner and professional support are associated with father-infant bonding: A cross-sectional analysis of mothers, midwives, and child health nurses’ influence on primiparous and multiparous fathers of infants in Sweden Authors: Wells, Michael B.; Giannotti, Michele; Aronson, Olov Abstract: Objective: To assess if received professional and social support are associated with father-infant bonding among primiparous (first-time) and multiparous (multi-time) fathers. Background: Early father-infant bonding predicts several positive child outcomes. However, while received professional and social support positively impacts fathers’ transition into parenthood, little research has tested if these factors are associated with a stronger father-infant bond. Methods: In total, 499 fathers (296 primiparous and 203 multiparous) of infants (aged 0–12 months) completed a cross-sectional online survey between November 2018 and March 2020. The survey included items related to socio-demographics, having a planned pregnancy, postnatal midwifery support, child health nurse support, child health center attendance, and social support. The parent-infant bonding questionnaire (PBQ) was used to assess the father-infant bond. Multiple linear regression models were estimated for the total sample and based on paternal parity. Missing data were managed through multiple imputation procedures. Findings: Fathers reported fewer bonding disturbances if they received support from their partners, postnatal midwives, child health nurses, and attended more child health visits. Primiparous fathers reported fewer bonding disturbances when receiving support from their partners, postnatal midwives, and the child health nurse. However, multiparous fathers had more bonding disturbances than primiparous fathers and received less professional and partner support. Conclusions: Receiving more partner and professional support is associated with less father-infant bonding disturbances. To encourage a better father-infant bond, clinicians should invite and support all fathers, regardless of parity, as they transition to parenthood. 2024-06-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/11553 Title: Novel grouping of planned coping strategies for managing the intensity of labour: A survey study of Australian nulliparous women Authors: Shifman, Janine; Jones, Lester E.; Davey, Mary-Ann; East, Christine E.; Whitburn, Laura Y. Whitburn Abstract: Background: It is common for women to explore and plan strategies to cope during labour. These strategies are usually focused on pain control and described as either pharmacological or non-pharmacological. As labour is an individual experience, each woman should be enabled to choose strategies that best suit them, and that reflect what they feel influences their sense of capacity to cope. Aim: By exploring women’s intentions and choices of strategies, this study aimed to understand how coping strategies can better reflect women’s individual needs and expectations. Methods: Fifty-six primiparous women were recruited from one tertiary hospital in Melbourne, Australia between February and May 2021. Data were collected via a survey in late pregnancy using open-ended questions. Content and thematic analyses were used to analyse responses. Results: Themes related to how women frame the intensity of labour, how they strive for a relationally safe environment and a need to be prepared and knowledgeable. Strategies chosen by women could be grouped into two categories: intrinsic and extrinsic. Intrinsic strategies could be self-generated by women (such as breathing techniques and movement), while extrinsic strategies required either equipment (such as a bath) or others to administer (such as epidural analgesia). Conclusions: Women value having a range of intrinsic and extrinsic strategies that enable autonomy or require external support. This moves beyond the ‘pharmacological and non-pharmacological’ categorisation of strategies, and we propose that reframing strategies as intrinsic and extrinsic could have a number of benefits on women’s sense of autonomy and utilisation of strategies. The findings provide a foundation for more targeted research into how women can be supported to individualise and implement these coping strategies in labour 2024-06-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/11552 Title: Midwives’ adaptation of their practice, role, and scope to ensure access to sexual and reproductive services during humanitarian crises: A scoping review Authors: Carbonell, Susana E Ku; Ogba, Patricia; Vanstone, Meredith; Gombay, Christy; Darl, Elizabeth K Abstract: Problem: Limited research has examined and synthesized the adaptation of midwives and midwife-led interventions during crises. Background: Evidence suggests that midwives are essential to respond to sexual and reproductive health care needs during disruptive times, and that they adapt to continue to provide their services during those circumstances. Aim: To map the adaptations of midwives when providing care during crises globally. Secondary objectives include identifying which midwives adapted, what services were adapted and how, and the demographic receiving care. Study methods: Scoping review using Levac’s modifications of Arksey and O’Malley’s methods. Publications and grey literature, in English and Spanish, with no limitations based on study design or date were included. Data was extracted and mapped using Wheaton and Maciver’s Adaptation framework. Findings: We identified 3329 records, of which forty-two were included. Midwives’ prior training impacted adaptation. Midwives adapted to the COVID-19 pandemic, epidemics, natural disasters, and World War II. They adapted in hospital and community settings around the provision of antenatal, labor and birth, postpartum, and contraceptive care. However, no specific data identified population demographics. Midwifery adaptations related to their practice, role, and scope of practice. Conclusion: The limited available evidence identified the challenges, creativity, and mutual aid activities midwives have undertaken to ensure the provision of their services. Evidence is highly concentrated around maternal health services. Further high-quality research is needed to provide a deeper understanding of how midwifery-led care can adapt to guide sustainable responses to ensure access to sexual and reproductive health services during crises. 2024-06-01T00:00:00Z