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

Biography:

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. 

Abstract:

Within the Netherlands there is a professional consensus that external cephalic version (ECV) should be offered to all eliglible women with a fetus in breech presentation, but only up to 70% of these women undergo an ECV attempt. The aim of this study was to identify barriers and facilitators for ECV among professionals advising on ECV and patients who decided on ECV. Semi-structured interviews were held with patients and midwives and obstetricians treating patients with a breech presentation. Based on National Guidelines and expert opinions, we developed topic lists to guide the interviews and discuss barriers and facilitators in order to decide on ECV (patients) or advice on ECV (midwives and obstetricians). Among patients the main barriers were fear, the preference to have a planned caesarean section (CS), incomplete information and having witnessed birth complications whitin the family or among friends. The main facilitators were the wish for a homebirth, the wish to deliver vaginally and confidence of the safety of ECV. Among professionals the main barriers were a lack of knowledge to fully inform and counsel patients on ECV and the inability to counsel women who preferred a primary CS. The main facilitator was an unambiguous policy on (counseling for) ECV within the region. We identified several barriers and facilitators possibly explaining the suboptimal implementation of ECV for breech presentation in the Netherlands. This knowlegde should be taken into account in designing implementation strategies for ECV to improve the uptake of ECV by professionals and patients.

Biography:

Elizabeth Emmanuel has extensive clinical experience in Clinical Midwifery. She has completed her PhD from Griffith University, Australia. She has joined academia to teach nurses and midwives and pursue her interest in midwifery and women’s health. She has published on maternal role development, maternal distress, social support and quality of life during the childbearing period. She is currently teaching at Southern Cross University, a regional tertiary centre on the Gold Coast.

Abstract:

Maternal expectations entail emotional work and form part of the transition process to motherhood. During pregnancy expectations are associated with excitement, anticipation and planning. For others, these are linked to stress and distress which can affect a mother’s functioning. Various protective factors can cushion this effect and alter the experience for mothers. This study aimed to investigate the effect of maternal expectations on Health-Related Quality of Life (HRQoL) during pregnancy, and to explore maternal distress and its mediating influence. Pregnant women (n=630) at 36 weeks gestation attending antenatal clinics at three metropolitan hospitals were invited to participate in the study. The variables maternal expectations, maternal distress, social support and HRQoL were measured and analysed using multiple linear regression to investigate the relationships. Maternal expectation was found to be significantly related to both physical and mental HRQoL. When entered in the regression model, maternal distress had a mediating influence on the relationship between maternal expectations and many components related to HRQoL (including social functioning, physical and emotional role). Expectations, is an essential part of the transition process during pregnancy. Enhancing this adjustment process can allow for improved HRQoL for mothers, particularly those who are having difficulties. Midwives need to be responsive to maternal expectations, and related emotional work. Taking the time to ask appropriate questions during the antenatal period will highlight issues for mothers and identify how these may affect HRQoL. Educating mothers on realistic perceptions about emotional work, personal lifestyle changes and relationship adjustments can help their HRQoL.

Biography:

Lisa A Quinn has completed her PhD in Health Education in 2007 from Kent State University in Kent, Ohio. She is an Associate Professor of Nursing and Graduate Advisor to nurse practitioner students at Gannon University in Erie, Pennsylvania.

Abstract:

The initial CDC recommendation specific to folic acid was made in 1992. Following decades of intense scrutiny on the relationship between vitamin intake and neural tube defects, the US Public Health Service made the following recommendation: “All women of childbearing age in the United States who are capable of becoming pregnant should consume 400 cg of folic acid per day; for the purpose of reducing the risk of having a pregnancy affected with spina bifida and other neural tube defects”. Despite increased media campaigns and ongoing educational programs, many women still do not begin taking a folic acid supplement prior to conception. Similar to other relationships between health knowledge and health behavior, there is a gap between awareness of the importance of folic acid supplementation and folic acid use. The purpose of this quantitative, descriptive study conducted in 2007 was to determine among women of childbearing age, whether or not the variables specific to the theory of planned behavior- attitudes, subjective norms and perceived behavioral control- explain folic acid use above and beyond use that is explained by folic acid knowledge and pregnancy status. The childbearing years make up a significant portion of a woman’s life. A message of daily multivitamin intake for all women initiated by health care providers and reinforced by people in the woman’s support system may be one such strategy. Other strategies supported by this research include identifying creative ways to change a woman’s attitude about multivitamin use.

Biography:

Hanna Grundström has completed her Midwifery education from Linkoping University and is a PhD student since 2013. Her research area is “Women with endometriosis and their experiences of healthcare services”.

Abstract:

Women with endometriosis often have negative experiences when turning to healthcare services. Previous research has focused on diagnostic delay and experiences of encountering general practitioners. To our knowledge, no study has previously examined women’s experiences of healthcare encounters from a broader perspective, including experiences from encountering all professional categories. Therefore, the aim of this study was to identify and describe the experience of healthcare encounters among women with endometriosis. In this study, 9 women aged 23-55 with a laparoscopy-confirmed diagnosis of endometriosis were interviewed. Interviews were conducted using open-ended questions. The interviews were recorded and transcribed verbatim. The data were analyzed using an interpretative phenomenological approach.Two themes were identified in the interview transcripts: being treated with ignorance and being acknowledged. The essence, “the double-edged experience of healthcare encounters” emerged from the themes. The women’s experience was double-edged since it involved contradictory feelings, the encounters were experienced as either destructive or constructive. The findings of this study provided insight into the lives and experience of women with endometriosis. The experience was double-edged: either destructive or constructive for the women. This information is valuable for HCPs encountering these women, as it brings a new level of understanding to how they can improve the care of this group of women. 

Biography:

Melody D Quiratis born in quezon city philippines, july 5, 1976. inquisitive to learn more. had passion reading christian literature books. obtained her rn diploma in mary chiles college of nursing. she has over 13 years of nursing experience. she has worked in areas such as operating/delivery room, pedia and medical ward. for the past 13 years she has served as a nurse in redville medical and maternity clinic. melody has a unique combination of strong maternity nursing skills and strives to provide the best healthcare possible. she believes in building a long lasting and trusting relationships with patients. she seeks to acquire a comprehensive evaluation of every patient by taking time to listen and understand their particular needs. her true desire is to enhance a positive healing experience and confidence to those in need.

Abstract:

The midwife is recognized as a responsible and accountable professional who works in partnership with women to give the necessary support, care and advice during pregnancy, labour and the postpartum period, to conduct births on the midwife’s own responsibility and to provide care for the newborn and the infant. This care includes preventive measures, the promotion of normal birth, the detection of complications in mother and child, the accessing of medical care or other appropriate assistance and the carrying out of emergency measures. The midwife has an important task in health counseling and education, not only for the woman, but also within the family and the community. This work should involve (antenatal education) and preparation for parenthood and may extend to women’s health, sexual or reproductive health and care for children in the early years of life. A midwife may practice in any setting including the home, community, hospitals, clinics or health units.Midwives work close to women and their newborn infants.

Midwifery services are available and easily accessible to families in the communities where they live. For instance at primary level family planning, as well as postpartum and pre natal care, breastfeeding support, newborn hearing test, and newborn screening can be provided by midwives. Midwives identify pregnancy and childbirth complications early, provide first line management and prompt transfer for hospital for back-up care when needed, reducing delays to the next level of care and allowing for greater efficiency along the continuum.

Midwifery services are designed to fulfill the following guiding principles:

A.   Promote the right of all women to professional midwifery care (including emergency obstetric care) that is available, accessible and acceptable, and of good quality.

B.  Ensure the continuum of care from adolescence through to care of the newborn and into the early weeks of life.

C.   Ensure the continuum of care from home to tertiary hospital

D.   Be sensitive to gender and culture and deliver respectful care to all women, their partners and families

E.   Be able to provide the set of evidence-based cost-effective and lifesaving interventions for family planning, maternal and newborn health.

Midwifery services caring for women and child’s health has been defined as care where the midwife is the lead professional in the planning, and delivery of care given to a woman from initial booking to the postnatal period.

Biography:

A.N. (Ageeth) 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

Abstract:

Self-report screen and advice instruments can be used to expedite the first antenatal visit. Their outcome in terms of risk profile and suggested actions alert the caregiver and enables efficient and accountable risk management. A key issue is the inter-observer reliability of the outcomes, which is a prerequisite for efficient use/application of any checklist. In this study, we compared outcomes of standard application of a validated professional interview based checklist with outcomes of a client self-report adaptation of this list. Inter-observer agreement was established and the association (if any) or disagreement with particular risks. Pregnant women entering a first antenatal visit at one midwifery practice in Rotterdam, the Netherlands were asked to fill in the self-report checklist on risks for preterm birth, small for gestational age (SGA), low Apgar scores and congenital anomalies at home and return before the appointment. After returning the R4U to the researchers, patients were informed that the midwife in charge during the first visit would ask the same questions unaware of any result the patient filled in. Agreement of 90% and beyond was defined as reflecting equivalence for practical use (interchangeable). At onset some tested variables were judged to require face-to-face confirmation even if concordance was perfect. Primary outcome was the observed inter-observer agreement with and without chance correction and accuracy. The study showed heterogeneous per domain and per item inter-observer (patient vs professional) reliability. In some domains of agreed high relevance/impact, agreement was unacceptably low in absolute and relative terms, where validity could not be simply decided on.

Biography:

Elizabeth Nutter is an active duty Army Certified Nurse-Midwife. She received her commission in 2001 from the University of Portland, a Master in Nursing from Radford University with a certificate of Midwifery from Shenandoah University and a Doctor of Nursing Practice from Frontier Nursing University. The focus of her doctoral work is on water birth. She has two peer-reviewed articles on water birth and serves as the Army’s subject matter expert on hydrotherapy use during labor and birth. She is currently stationed at Fort Hood Texas where she is the Director of the Army’s OBGYN Nursing Specialty Course

Abstract:

Modern United States obstetrics is characterized by many routine interventions, some without supportive data, despite research demonstrating that unnecessary intervention can impede women’s ability to achieve physiologic birth. Research demonstrates that intrapartum hydrotherapy is a potential antidote which can facilitate physiological childbirth since women who labor and or birth in water are unlikely to experience medical interventions that can disrupt physiologic birth. Intrapartum immersion reduced the use of pharmacological pain relief methods, labor augmentation with synthetic oxytocin and episiotomies. Research demonstrates no increase in infection or other adverse effects on the fetus, newborn or mother and in women who utilized intrapartum immersion during labor and or birth. A growing body of evidence supports the safety of intrapartum immersion; however a myriad of political and cultural issues result in limited use of intrapartum hydrotherapy in United States hospitals compared to other developed nations. Available literature on immersion hydrotherapy provides a considerable amount of information about how to limit risk of harm and incorporate the best available data. Research demonstrates that when trained professionals utilize evidence-based practice guidelines including infection control, adherence to eligibility criteria, waterbirth delivery procedures and management of any cord rupture, outcomes are excellent and risks to healthy women and newborns are rare. The midwifery model of care facilitates shared decision-making and respect for women’s autonomy to make informed choices. Through this lens the choice of intrapartum immersion, including waterbirth, can be supported among women who understand the limited state of science and choose hydrotherapy for pain control in labor

Biography:

Gunnel Berry has become a member of the Chartered Society of Physiotherapy in the United Kingdom having trained at the Middlesex Hospital London in 1974. She completed her MSc degree in Advanced Physiotherapy at the University College, London, in 1995. She has trained as a Reflexologist in 1989 at the Bayly School of Reflexology. In 1999, she has participated in an audit to assess the clinical role of physiotherapy. She is a Clinical Specialist in pain and developed Adapted Reflextherapy in Spinal Pain as a concept and treatment. She has presented and published papers on the subject in Europe and the USA. Although retired from clinical practice, she is the Educational Officer of the Association of Chartered Physiotherapists in Reflex Therapy

Abstract:

Pain in the pelvis, groin and lower back is common during pregnancy. The position of the baby is commonly suggested as the source of pain, as it may rest on nerve tissue within the pelvic girdle. Conventional treatments, where offered, are often found wanting and the pregnant woman may find herself enduring discomfort for months until the baby has been delivered. In a National Health Service Physiotherapy Outpatient department in the United Kingdom it was found that an adapted form of Reflex Therapy, akin to reflexology, alleviated patients of pain within two to four treatments. The Adapted Reflex therapy (AdRx) treatment consisted of applying manual dermal pressure and manipulation to selected areas of the feet. In accordance with the theory of Reflex Therapy including Reflexology, the sites of treatment are feet, ultimate target tissue related to spine and pelvic girdle regions. A working hypothesis of AdRx mode of action involves neural plasticity, a normal, ongoing adaptive process within the nervous system. Reactive adaptations within the nervous system as a result of historic trauma to the spine (for example, road traffic accidents, falls, and deceleration from slipping and landing on the coccyx) may show up as pain in later life, including in pregnancy. AdRx, through its interaction with the nervous system may influence the nerve tissues and the musculo-skeletal tissues they serve. This can be particularly useful where pain is in intimate areas such as the symphysis pubis joint or where direct manipulation may be too painful or impossible during pregnancy. This presentation offers a brief explanation of the principles of AdRx with emphasis on neural adaptations and consequences after physical injury within the context of pregnancy. Hypothetical musculoskeletal reasoning as observed in a clinical situation is also presented

Biography:

Vanessa Ackland-Tilbrook is a Higher degree by Research Candidate in Health Science (Master’s) at Central Queensalnd University. She has 29 years of experience as a Registered Nurse, Midwife, Paediatric Nurse, Paediatric Critical Care Nurse and Academic. She has taught at University in Paediatric, Neonatal and Midwifery Programs, and developed curriculum for both the undergraduate nursing and midwifery programs and a post graduate complex midwifery program. Currently, she is working as the level 3 Midwifery Education Facilitator in Adelaide, South Australia. She is also the Creator of Open the VALT™ and has published on her concept

Abstract:

Visually Authentic Learning Tools (VALT™) are an authentic, three dimensional visual representation of a written scenario. They were conceptualised post evaluation of the undergraduate student’s experience using written scenario activities and learning preference survey outcomes. Student feedback indicated scenario based activities did not necessarily meet their learning styles. Learning preferences indicated a high visual learning result. Literature on learning style preferences from a variety of databases supported healthcare professionals to be visual or multimodal learners. Normal physiology links positive engagement to memory formation. Visually Authentic Learning Tools (VALT™) were created to teach complications of pregnancy and applied to scenario based learning at an undergraduate, transition to practice and post-graduate levels. Learners were given visually authentic learning tools (VALT™) representing real life clinical presentations of a variety of complications for women in pregnancy. Post evaluation audits using a paper based survey which was a mixture of open ended questions and Likert scale responses were given to all groups. Participation in the audit was voluntary. Response rates ranged from 48–90%. Audit results indicated recognition of visual authenticity, application of multiple learning styles and positive learner engagement in the activity across all experience levels of practitioners. Results of the audit indicated that the VALTs construction provided the scenarios an added dimension, making them accessible to visual and tactical senses, whilst promoting collaboration and decision making processes in regards to the clinical management of the simulated scenario

Biography:

Abstract:

Objectives: To assess and improve the knowledge, ability and competency in “Care for women in labor & new born” among two groups of Midwives from four secondary hospitals of Karachi and Hyderabad.

Methods: Two workshops were arranged for registered midwives who were working in labor room with greater than 1 year experience in 1^st and 2^nd qt of 2015. 1^st workshop was arranged during Feb 10-11, 2015 in which 31 participants attended. The workshop content consist of normality of pregnancy, antenatal care, stages & care of labor, CTG interpretation, immediate new born care, assessment and neonatal resuscitation. The data were collected by taking pre and posttest in which multiple choice questions, True/False, match the column, interpret the CTG traces and short question answers were included. The pre and posttest were checked by using prepared keys. This workshop results were not up to the mark so, 2^nd workshop was arranged with some major modification like: 3 days of workshop was conducted during April 28-30, 2015 in which 23 participants attended; Pre and posttest were modified and, more time was allocated for study time and the results were good this time.

Results: 1^st group scored 6.45% in pre-test and 26% in post-test while 2^nd group scored 47.8% in pre-test and 74% in post-test.

Conclusion: Therefore the mentioned results suggest that there is presence of areas of weakness in both the groups and the need of continuous enrichment of their education because they are the future health care providers who provide safe and high quality care to the patients.

Biography:

Mary Steen is a Professor of Midwifery at the University of South Australia and Visiting Professor at the Universities of Port Harcourt, Nigeria, Sao Paulo, Brazil and Chester, UK. She is interested in a wide remit of midwifery and family health issues that has led her to undertake research studies in developed and developing countries. She has published her work widely and has written numerous articles, chapters and several books. Mary has received several awards for clinical innovation, original research and outstanding services to midwifery.

Abstract:

Cumulative evidence supports the use of upright positions during labour and childbirth, which has physical benefits for both mothers and babies. Despite strong evidence in support of upright birthing positions, semi-recumbent or lithotomy positions for birth continue to be practised in Nigeria. Furthermore, the use of episiotomy is commonly practised in some regions of Nigeria. Lack of evidence based guidelines and acknowledgement of the recommendation for restrictive use of episiotomy has contributed to the continuation of this surgical intervention being performed without justification. The challenges of implementing evidence-based maternity care are on-going. The complexity of closing the gap between best practice as determined by research evidence and clinical practice is well documented. This presentation will report the findings gathered from a mixed methods study that explored the views and experiences of mothers, midwives and obstetricians in Nigeria. At the outset of this study, midwives and doctors were all trapped in a vicious cycle of entrenched clinical practices. However, during the undertaking of this study, awareness and practices not based on evidence were reflected upon and challenged. A change process that involved critical thinking and some adaptation of practices occurred, such as enabling some women to adapt different positions during labour and birth and then had the effect of fewer episiotomies being performed. There was a clear willingness on the part of the midwives and doctors to change and adapt clinical practices that benefited women based on contemporary evidence. This shift resonates with an Appreciative Inquiry 4-D cycle of behavioural change. A transition from a vicious cycle of ‘practitioner’s centred’ led care to a virtuous cycle of ‘woman centred’ led care was evident.

Biography:

Momoko Kusaka obtained her Master of Health Science degree from the University of Tokyo. Currently, she is a Doctoral student in the Division of Health Sciences, Graduate School of Medicine, at the University of Tokyo, Japan. She is registered as a Japan Society for the Promotion of Science Research Fellow (DC2). She is majoring in Midwifery and Women’s Health. Her research topic is exercise during pregnancy, especially stress reduction effects of yoga.

Abstract:

Aim: Yoga combines poses, breathing, and meditation, and can help women overcome labor challenges. The aim of this study was to clarify the effects of yoga during pregnancy on birth.

Methods: We started a randomized controlled trial at universities and hospitals from November 2014. The yoga intervention group (YG) practiced yoga from 18-23 gestational weeks until childbirth. The control group (CG) received customary care alone. Participants who delivered vaginally completed a questionnaire including the Experience of Birth (EB) scale at three to five days postpartum. The EB scale contains four subscales: Done well myself; Satisfactory with both mother and child being well; Presence of reliable obstetric staff and Awareness as a mother. Higher EB scores suggest better birth experiences. Scores of the two groups were compared using Mann-Whitney U-test. This study was registered as a clinical trial and approved by the Ethics Committee of the University of Tokyo.

Results: We analyzed 84 women (YG; n=47, and CG; n=37). EB scores were not significantly different between YG and CG. Nine women in the YG did not practice yoga during the last month of pregnancy. Thus, on secondary analysis, we compared women who actually perform yoga program in this study group (APYG; n=38) and the other group (OG; n=46). The only “done well myself” scores for the APYG were significantly higher than for the OG (p=0.029).

Conclusion: Practicing yoga during pregnancy may improve the scores of “done well myself”, including controlling pain and feeling relaxed during labor

Biography:

Susan Glodstein is a board certified Adult Psychiatric & Mental Health Nurse Practitioner, board certified Adult Psychiatric-Mental Health Clinical Nurse Specialist, and a Clinical Instructor in the Department of Graduate Studies, Stony Brook University- School of Nursing. She has been a Psychiatric Nurse for over 27 years with current practice in the community setting. She is engaged in Doctoral studies at Case Western Reserve University, Frances Payne Bolton School of Nursing with a research focus on suicide prevention and education in teens and young adults.

Abstract:

Two Advanced Practice Nurses (APNs) will share their unique experiences working with teen mothers and their children in a shelter setting. The APNs have backgrounds in academia, psychiatric-mental health nursing, community, and nursing education. The teen mothers seek stability for themselves and their children from unsafe, abusive and dangerous environments and are grateful for mentoring from APNs. However, the teen mothers gained friendship, support, and stability while living in this environment. Through modeling and direction from APNS the teen mothers have been able to be successful at parenting, attending school, and to secure employment. This environment is a wonderful educational experience for undergraduate and graduate nursing students specializing in mental health, community, pediatrics, midwifery and women’s health issues.

Biography:

Florminda B Tejano is a licensed Midwife Practitioner in the Philippines. She finished her Doctor in Public Administration in 1999 at Cebu Normal College, Philippines and Doctor of Philosophy in Education in 2008 at Father Saturnino Urios University, Philippines. Currently, she is teaching graduate and post-graduate students and has helped in their unpublished thesis/dissertations research writings. She is also teaching in the school of midwifery. She has retired from the government service working with the Department of Health as Chief Administrative Officer. She is now the Hospital Administrator of Holy Child Colleges of Butuan Hospital. 

Abstract:

The study of Mamanwa women in this research was limited to 35 pregnant women aging 12-35 who are residents of three municipalities of Agusan del Norte namely: Santiago, Jabonga, and Kitcharao, Philippines, predominantly occupied by Mamanwa Tribe. Their culture and unique traditions, beliefs, and their ways of life have been transferred and practiced from generation to generation. By their culture, Mamanwa women during pregnancy would suppress their desire for food affecting the health and growth of their babies which naturally need nutritious food especially while inside the womb of their mothers. But on non-pregnancy period, they are basically dependent on root crops such as cassava which tastes like wood, “Onaw,” a flour derived from decoction of somewhat palm like tree, banana, camote or sweet potato, “abatud” or larvae of beetle. Fresh water fish from rivers and lakes are their regular viand. The manner of cooking is by sun drying, smoke or roasting. It is festive day if they catch wild pigs from the mountains which only non-pregnant women can share as primary and privileged sector being substitute to their deprivation during pregnancy on account of their elders prohibition to take nutritious food items which can increase weight of their unborn babies. This practice has endangered the development of the unborn babies because their health and growth are dependent on the food intake of their mother. The results of the survey and informal interviews from Mamanwa pregnant women revealed that their lack of awareness about nutritional food element has the trending effect of their indiscriminately taking high carbohydrate content diet but with insufficient protein. Pregnancy malnutrition of Indigenous People (IP) among Mamanwa Tribe is very high at (100%). Mamanwa pregnant women suffer this deficiency due to lack of education which by consequence prejudices the health of their babies in their womb

Biography:

Fikirte Wubamlak Aynalem has completed her Bachelor of Science in Midwifery from Debre-Markos University. She has been working as a Supervisor for the data collectors in a WHO funded International non-Governmental Organization (NGO), Orthodox Christian Charity (IOCC) research team for the last two years. Now, she is a senior Midwifery professional under Addis Ababa City Government Health Bureau, Ethiopia

Abstract:

Episiotomy is the surgical enlargement of the vaginal orifice by an incision of the perineum during the second stage of labor or just before delivery of the baby. It was common to perform an episiotomy for almost all women having their first delivery, ostensibly for prevention of severe perineum tears in explosive period and easier subsequent repair. The aim of the study was to determine magnitude and the associated factors among mothers who were delivered vaginally in Debre-Markos Referral Hospital, Amhara, North West Ethiopia. A one year’s Institutional based retrospective cross-sectional study design, with systematic random sampling techniques on 331 sample size was carried out from a total of 2145 population who had vaginal delivery in Debre-Markos referral hospital. A chi square test and odd ratio were used to see the association and strength between dependent and independent variables. P-value <0.05 were considered through the analysis. Prevalence of performing episiotomy was 42% (132) after, bi-variate analysis through chi-square, it was found that a significant association of episiotomy with gravidity (R= 3.69(95% CI(2.32,5.86))), parity (R= 3.85(95% CI(2.41,6.15))), mode of delivery (R= 4.66(95% CI(2.91,7.45))), birth weight (R= 0.04(95% CI(0.16,0.1))), duration of 2^nd stage of labor >30 min considered as prolonged ((R= 0.22(95% CI(0.84,0.06))), fetal condition during delivery (R= 10.08(95% CI(2.00,51.9))), APGAR score at first and 5 min during delivery and age of parturient while, there was no significant relation with fetal presentation during labor. Prevalence of episiotomy in the institution was 42% and this was much higher than 10% which is recommended by WHO

Biography:

Annu Kaushik is a PhD Nursing Scholar at Maharishi Markandeshwar University, Mullana, Ambala, Haryana, India. A professional with 18 years of rich experience in Training, Education, Strategic Planning, Operations and Team Management, she has published more than 10 papers in reputed journals. She has been serving as an Editorial Board Member of repute and authored as well as edited nursing books

Abstract:

Needle Stick Injuries (NSI) is one of the common occupational hazards for nurses and can occur because of variety of causes. This study was aimed at finding out the prevalence of NSI and to explore the factors related to NSI incidences. This quantitative descriptive study was conducted among 150 nurses working two tertiary care hospitals in Haryana. Convenient sampling technique was used to select nurses for the study. A self-developed socio-demographic profile and a questionnaire to assess needle stick injuries and related factors was administered to each of the study participants. Majority (89.7) of nurses were females. 52% of nurses got needlestick injuries while they were pregnant. Overall, every third nurse (33.3%) had sustained needle stick injury at least once in the past. Only 19 (12.7%) nurses have received Hepatitis-B vaccination. Nearly two third of the participants (64.9%) did not think that it was important to have Hepatitis B vaccination. The most common cause of NSI as perceived by nurses was lack of proper equipment for disposal (50%) followed by increased workload (24%), carelessness (18%) and fatigue (8%). Majority (62%) of the NSI was sustained during night shift. Prevalence of NSI reported by the study is alarming and it needs attention to reduce the risk of occupational hazards. It is important to note that majotity of nurses were females and were in the child bearing age. Needlestick injuries causes substantial physical and mental trauma. Female nurses as the largest network of the health care enterprise need to be competent and up to date in their caring role to minimize sharp injuries at work and its sequelae.

Biography:

Vanessa Ackland-Tilbrook is a Higher degree by Research Candidate in Health Science (Master’s) at Central Queensalnd University. She has 29 years of experience as a Registered Nurse, Midwife, Paediatric Nurse, Paediatric Critical Care Nurse and Academic. She has taught at University in Paediatric, Neonatal and Midwifery Programs, and developed curriculum for both the undergraduate nursing and midwifery programs and a post graduate complex midwifery program. Currently, she is working as the level 3 Midwifery Education Facilitator in Adelaide, South Australia. She is also the Creator of Open the VALT™ and has published on her concept

Abstract:

Reflective Imagery is a figurative, descriptive language that assists with the portrayal of an idea, actions or objects. It is a form of communication that transcends culture, age, cognition & language. Traditionally midwives use words to reflect on their continuous practice development. Yet the evidence suggests that many midwives struggle with reflection. Representational reflective imagery was implemented as an assessment activity post completion of a Global Women’s Health module. Attending Nurse/Midwives were asked to illustrate their context position. They were asked to consider their role, and how they view themselves as practitioners within the current context of Global Women’s Health issues. Calico squares were given to the group and they were asked to portray their attributes and personal thoughts or opinions using imagery. Imagery could be drawing, sewing or quilting. A written description of their image was also completed explaining the choice of image and its significance. Students found this activity to be challenging, thought provoking and rewarding as evidenced below;

 ‘An understanding of what the client has experienced and from where they have originated from can only lead to a more compassionate and meaningful interaction in our delivery of health care’

‘This was a very rewarding and important activity. The feelings of contentment as I completed the process of reflection through this craft piece, caught me by surprise.’

Representational reflective imagery proved a worthwhile tool to aid in the reflection of the personal attributes that help midwives be with and care for women and their families.

Biography:

Poonam Sheoran is currently pursuing her PhD in Nursing and is working as an Associate Professor at Maharishi Markandeshwar University. She has published more than 25 papers in national and international journals and has been serving as a member of Research Committee at institutional level. She has completed her Post-graduate degrees in the field of Nursing, Sociology, Psychotherapy and Counseling. She has been awarded INSPIRE fellowship for Doctorate by Department of Science and Technology, Govt. of India and Presidents’ Gold Medal award for academic excellence during MSc Nursing program

Abstract:

Reproducing and upbringing of children has been a part of life since the beginning of mankind. Motivations for parenthood and perceived meaning of children vary among cultures. In developed countries the desire for parenthood is expressed as a wish for personal happiness and fulfillment where as in low income countries, reasons for the wish of child are different. A phenomenological study was conducted at an infertility clinic of Haryana, India with aim to explore experiences of childless women. Semi structured interview guide was used to collect data via face to face in depth interviews. Criterion sampling technique was adopted to select participants. All interviews were audiotaped using a digital recorder. Findings revealed five subthemes with two themes as factors affecting desire for child and adoption emerged under core theme of desire of motherhood. Childless women shared their wish and need to have child and outlook towards adoption as an option to counteract infertility. Factors affecting need to have child included fulfillment of personal desire to experience pregnancy and childbirth, continuation of family lineage, feeling of contentment and happiness, fulfilling social and religious obligation to procreate, preserving relations and reputation in society. Although desire to be mother was very strong among participants but adoption was not a preferable choice. Though motherhood has got tremendous value among Indian women, still to adopt a child is not a popular solution. Midwives working in public health need to understand reasons behind preferred choices among couples and can take initiative to provide an integrated, professionally facilitated group support to the couples suffering with infertility