World Congress on Midwifery and Women’s Health August 29-30, 2016
Hilton Atlanta Airport, Atlanta, Georgia, USA

Linda McDaniel is a Certified Nurse Midwife practicing in West Georgia and Course Faculty at Frontier Nursing University. She earned her DNP and MSN degrees from Frontier Nursing University. She is a volunteer for Shared Hope International. She is currently conducting research on this topic and the impact it has on her community

Human and sex trafficking has been a problem most individuals believe is only associated with events occurring outside United States. Unfortunately, this is a common misconception and this problem is prevalent and uprising in the United States. The exact number of cases in the United States is unknown but there are reported cases in every state. The youth of America are at an exponential risk of being exploited and becoming victims of human sex trafficking. Although youth and vulnerable population are typical targets for sex trafficking, anyone is at risk of being a target. A victim of sex trafficking is defined by US Federal Law as an individual under the age of 18 who performs commercial sex through force, fraud or coercion, or is induced into commercial sex. Sex traffickers utilize different methods of manipulation to entrap and coerce their victims to perform sex acts they are unwilling to perform. This leads to some form of child or adult prostitution. Labor traffickers may embellish potential employment, education, or travel opportunities to recruit individuals to work in subservient roles resulting in hostile work conditions and inability to regain their freedom for various reasons. These acts translate into a form of modern day slavery. These victims are at risk for physical and psychological trauma that may be longstanding. With the increasing rise of these victims in our communities, most healthcare providers have not received the proper training to identify potential victims and resources to report and assist these individuals.

AN Rosman has completed her graduation as a Midwife in 1987. Till 2000, she practiced midwifery in a private primary practice in Zwolle (The Netherlands). Thereafter, she started working as a Midwife in secondary and tertiary care and started her PhD in 2009 on External Cephalic Version which she succesfully completed in 2014. Presently, she is working at the University of Rotterdam (Erasmus MC) as Senior Researcher and Project Manager of pre and interconception care, work related risks and pregnancy.

Guidelines recommend that external cephalic version (ECV) should be offered to all eligible women with a fetus in breech presentation at term. However, only 70% of those women are offered an ECV attempt and only 50-60% of them recieve an ECV attempt. We explored the determinants (barriers and facilitators) affecting the uptake of the guidelines among gynecologists and midwives in the Netherlands. We held a national online survey among gynecologists and midwives in the Netherlands. In the online survey we identified the determinants that positively or negatively influenced the professionals adherence to three key recommendations in the guidelines: counselling; advising for ECV; arranging an ECV. Determinants were identified in a previously performed qualitative study and were categorised into five underlying constructs: attitude towards ECV; professional obligation; outcome expectations; self-efficacy; preconditions for successful ECV. We perfomed a multivariate analysis to assess the importance of the different constructs for adherence to the guideline. 364 professionals responded to the survey. Adherence varied: 84% counselled, 73% advised and 82% arranged an ECV for (almost) all their clients. Although 90% of the respondents considered ECV to be an effective treatment for preventing caesarean childbirths and only 30% agreed that every client should undergo ECV. Self-efficacy (perceived skills) was the most important determinant influencing adherence. Self-efficacy appears to be the most significant determinant for counselling, advising and arranging ECV. To improve adherence to the guidelines on ECV we must improve self-efficacy.

Harrieth Mwalupindi PhD(c). MSN. RNC-OB has been an Obstetric Nurse for more than 16 years and currently a Doctorate candidate in Nursing Education at Capella University. She is a Clinical Program Developer at University of Cincinnati Medical Center at an Obstetric Unit who designs and creates effective nursing staff speciality clinical education. She is also an Adjunct Clinical Instructor at University of Cincinnati - College of Nursing supervising nursing students during obstetric clinical rotations. Improving and securing safety to maternal-child population is very important to her by training and preparing competent nursing staff to respond to emergency events.

Problem: In hospital settings, encountering Obstetric (OB) medical emergencies become part of daily nursing practices. The patients’ acuity is increasing requiring competent interdisciplinary teams such as OB attending, maternal fetal medicine, OB anesthesia group, OB residents, midwives, charge nurse, triage nurse, baby nurse, OB care associate, hospital supervisor, neonatal intensive care unit personals, pharmacy, respiratory, trauma, and medical team during the emergent events. Prior emergency activation system involved primary nurse to make multiple phone calls to alert individuals on above list. The stress level of individuals involved rises and the ability to recall phone numbers may be impaired. Time used to notify each individual may impact the life-saving efforts which reflect on seconds to minutes on saving maternal-child life. Therefore, patients’ safety and timely response to obstetric emergent event was of paramount importance. Methodology: Reviewing prior delay time responses to emergent event, listening to feedback from nurses, doctors, and other people during the debriefing led to initiation of a one activation response system. Different medium on responses were assessed using text, pager, and direct calls team. Communication and discussion with other departments were done. Mock drills and simulated events were exercised on different shifts to gather feedback. Analysis: Time response to emergent event was the objective. Different medium of activation system provided varying time-response results. Review of audio and transcriptions notes provided a real life stress level during the emergent event. Findings and implications for nursing: Two-tier emergent system is identified. Scripted terminologies are for activation of emergent system. Drills and simulated events address caller’s stress level when activating the emergent system. Timely responses and accurate number of required individual are improving. Findings are used for planning learning opportunities

Miyuki Nagamatsu has completed her PhD at Saga University School of Medicine. She is a Professor at Japanese Red Cross Kyushu International College of Nursing, Maternal and Child Nursing. She has published more than 25 papers in reputed journals.

With the expansion of social media networks in recent years, there has been an increase in cases of sexual violence that involve people close to each other and those who meet each other via the Internet. We conducted an investigation of education for coping with and preventing sexual violence by using ICT. This survey was approved by the ethics committee of Saga University. From September 2015 to February 2016, we surveyed a total of 788 students aged 13 to 14 years at 10 junior high schools where the principals gave approval for this research. Skills related to preventing emotional and physical violence were assessed, as well as conflict resolution skills. Group education concerning dating violence was provided to all students. A total of 730 students consented to participate in this study (valid response rate, 92.6%) before and after receiving group education, and 671 consented to the follow-up survey (valid response rate, 85.2%). Students who completed internet learning after group education (intervention group, n=305) were compared with those who did not participate in internet learning (control group, n=366). Education showed an effect in girls with regard to physical violence prevention skills, discussion with other individuals, and attack avoidance, while it had an effect in boys with respect to physical violence prevention skills, other-oriented emotional reactivity (empathy/compassion), and attack avoidance. Our results suggest the importance of improving adolescent education about dating violence in order to prevent sexual violence by using ICT.

Lai-Chu See has completed her PhD in Epidemiology at National Taiwan University on 1997. She is a Professor at the Department of Public Health, College of Medicine, Chang Gung University, Taiwan. She has published 300 papers (123 in Chinese and 177 in English). She has been serving as an Editorial Board Member of International Journal of Surgery.

Since 1998, the number of transnational marriages in Taiwan has been increasing considerably. Previous studies, using Taiwan Birth Registry (TBR), found that the incidence of preterm birth, low birth weight (LBW), and neonatal mortality was significantly lower in newborns of foreign-born mothers (FBMs) than those of Taiwanese-born mothers (TBMs). The major drawbacks of the TBR are: (1) the health conditions during pregnancy for the mothers are under-reported, (2) the comorbid conditions before pregnancy for the mothers and the social economical status (SES) are not available. Linking the National Health Insurance Research Data and TBR, we aim to: (1) compare the preterm birth, LBW between children of FBMs and those with TBMs, (2) Compare the health conditions before and during pregnancy for different groups of mothers, so that the magnitude and type of misclassification can be obtained and its effects can be examined correctly. From 2004-2012, 1,356,123 newborns were used. The sensitivity of most maternal problems, either predisposing pregnancy or during pregnancy, were from 3.5% (diabetes mellitus) to 88.0% (cardiac disease). The preterm birth % was higher in newborns of TBMs (7.1%) than newborns of FBMs (5.1%). After adjusted with significant factors in univariate analysis, the adjusted preterm birth was 0.74 (95% CI=0.71-0.76) when compared with newborns of TBMs. The LBW % was also higher in newborns of TBMs (5.8%) than newborns of FBMs (3.8%). The adjusted odds ratio of LBW was 0.63 (95% CI: 0.61-0.66) for newborns of FBMs, when compared with newborns of non-aboriginal TBMs.