http://localhost:8080/xmlui/handle/123456789/10865 Wed, 08 Apr 2026 21:47:25 GMT 2026-04-08T21:47:25Z http://localhost:8080/xmlui/handle/123456789/10941 Title: Working with private hospital midwives in Victoria, Australia to identify practice change priorities: Outcomes of a Delphi study Authors: Dawson, Kate; Bayes, Sara; Gilbert, Stacey; Sayers, Kylie; Kelly, Isabella Abstract: Objective/aim: In this study, we invited midwives working at one metropolitan private hospital in Victoria, Australia to identify their workplace change needs and priorities for research. Methods: In this two-round Delphi study, all midwifery staff within the maternity unit of a private hospital in Melbourne, Australia were invited to participate. In round one, participants joined face-to-face focus groups to put forward their ideas for workplace change and research ideas, and these data were developed into themes. In round two, participants ranked the themes in priority order. Findings: The top four themes identified by this cohort of midwives were: ‘Ways of working – investigating alternate ways of working to enable greater flexibility and opportunities’; ‘Understanding midwifery – working with the executive team to highlight the nuances of maternity care’; ‘Education – increase in staff in the education team to provide a greater presence and opportunity for education’; and ‘Postnatal specific – review ways of working in postnatal areas’. Key conclusions: A number of priority research and change areas were identified which, if implemented, would strengthen both midwifery practice and midwife retention in this workplace. The findings will be of interest to midwife managers. Further research to evaluate the process and success of implementing the actions identified in this study would be valuable Thu, 01 Jun 2023 00:00:00 GMT http://localhost:8080/xmlui/handle/123456789/10941 2023-06-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10939 Title: Type of deliveries supported by Dutch clinical midwives Authors: Vliet–Torij, H.W. Harmsen van der; Bertens, L.C.M.; Ocho, L. Burgos; Gouman, M.J.B.M.; Posthumus, A.G.; Steeger, E.A.P. Abstract: Objective: The number of clinical midwives in the Netherlands has substantially increased over the last twenty years, but their role in obstetric care is not clearly defined. Our aim was to identify the type of deliveries that are usually supported by clinical midwives and whether these changed over time. Design, setting, and participants: National data from the Netherlands Perinatal Registry from the years 2000 to 2016 (n = 2.999.411 deliveries) were used to divide all deliveries into classes using latent class analyses based on delivery characteristics. In the primary analyses, the identified classes, type of hospital, and year of cohort were used to predict deliveries supported by a clinical midwife. In secondary analyses, the same analyses were repeated where the classes were replaced by individual level characteristics of deliveries and stratified by referral during birth. Measurements and findings: The latent class analyses identified three classes: I. referral during birth; II. Induction of labour; and III. Planned caesarian section. The primary analyses indicated that women in both class I and II were frequently supported by clinical midwives and those in the third class almost never. Therefore, only data from deliveries assigned to class I and II were used in the secondary analyses. The secondary analyses showed that clinical midwives supported deliveries with a great variety in characteristics, such as pain relief and preterm birth. Although the frequency of clinical midwives being involved in the second stage of labour increased over the years, we did not find noticeable changes in their involvement. Key conclusion and implications for practice: Clinical midwives care for women with various types of deliveries with varying degrees of pathology and complexity during second stage of labour. Additional training, taking previously acquired skills and competences into account, is necessary to deal with this complexity for which clinical midwives are not always trained. Mon, 01 May 2023 00:00:00 GMT http://localhost:8080/xmlui/handle/123456789/10939 2023-05-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10929 Title: Translation and validation of the Swedish version of the Birth Satisfaction Scale-Revised (BSS-R) Authors: Grundström, Hanna; Hollins Mart, Caroline J.; Malmquist, Anna; Nieminen, Katri; Martin, Colin R. Abstract: Background: Optimizing women’s childbirth experience is essential for development of quality mother infant relationships. The Birth Satisfaction Scale-Revised (BSS-R) can be used to measure birth satisfaction. Aim: The current investigation sought to translate and validate a Swedish version of the BSS-R. Method: Following translation, a comprehensive psychometric validation of the Swedish-BSS-R (SW-BSS-R) was carried out using a multi-model, cross-sectional, between- and within-subjects design. Participants: A total of 619 Swedish-speaking women participated, from which 591 completed SW-BSS-R and were eligible for analysis. Data analysis: Discriminant, convergent, divergent and predictive validity, internal consistency, test-retest reliability, and factor structure were evaluated. Results: The SW-BSS-R was found to have excellent psychometric properties and hence is a valid translation of the original UK(English)-BSS-R. Important insights into relationships between mode of birth, posttraumatic stress disorder (PTSD), and postnatal depression (PND) were observed. Conclusions and implications for practice: The SW-BSS-R is a psychometrically valid translation of the original BSS-R and is suitable for use in a Swedish-speaking population of women. The study has also highlighted important dynamics between birth satisfaction and areas of significant clinical concern (i.e., mode of birth, PTSD and PND) in Sweden. Mon, 01 May 2023 00:00:00 GMT http://localhost:8080/xmlui/handle/123456789/10929 2023-05-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10926 Title: Systematic review of women’s experiences of planning home birth in consultation with maternity care providers in middle to high-income countries Authors: Gillen, Patricia; Bamidele, Olufikayo; Healy, Maria Abstract: Aim: To synthesise findings from published studies, which reported on women’s experiences of planning a home birth in consultation with maternity care providers. Design: Systematic Review Data Sources: We searched seven bibliographic databases, (Ovid Medline, Embase, PsycInfo, CINAHL plus, Scopus, ProQuest and Cochrane (Central and Library), from January 2015 to 29th April 2022. Review Methods: Primary studies were included if they investigated women’s experiences of planning a home birth with maternity care providers, in upper-middle and high-income countries and written in English language. Studies were analysed using thematic synthesis. GRADE-CERQual was used to assess the quality, coherence, adequacy and relevance of data. The protocol is registered on PROSPERO registration ID: CRD 42018095042 (updated 28th September 2020) and published. Results: 1274 articles were retrieved, and 410 duplicates removed. Following screening and quality appraisal, 20 eligible studies (19 qualitative and 1 survey) involving 2,145 women were included. Key Conclusions: Women’s prior traumatic experience of hospital birth and a preference for physiological birth motivated their assertive decision to have a planned home birth despite criticisms and stigmatisation from their social circle and some maternity care providers. Midwives’ competence and support enhanced women’s confidence and positive experiences of planning a home birth. Implications for practice: This review highlights the stigma that some women feel and the importance of support from health professionals, particularly midwives when planning a home birth. We recommend accessible evidence-based information for women and their families to support women’s decision-making for planned home birth. The findings from this review can be used to inform woman-centred planned home birth services, particularly in the UK, (although evidence is drawn from papers in eight other countries, so findings are relevant elsewhere), which will impact positively on the experiences of women who are planning home birth. Mon, 01 May 2023 00:00:00 GMT http://localhost:8080/xmlui/handle/123456789/10926 2023-05-01T00:00:00Z