2^nd World Congress on Midwifery and Women’s Health Aug 28-30, 2017 Philadelphia, Pennsylvania, USA

Biography:

Joy Chidinma Oko Uka is a registered Nurse/Midwife (RN, RM, BNSc). She got her Master’s degree in Midwifery (MSc Midwifery) from University of Salford Manchester, United Kingdom, and is currently a PhD student from the same University. She is a young Researcher and Midwifery Lecturer in the Department of Nursing Ebonyi State University Abakaliki, Nigeria. She has published 7 papers in reputed journals.

 

Abstract:

Maternal mortality is a global health issue with developing countries, such as Nigeria having an unacceptably high occurrence and levels of maternal death especially in the poor and rural communities (UNDP, 2015). Globally, Nigeria and India have been reported as the two countries which are hardest hit by maternal mortality. This research is an investigation of the socio-cultural factors that influence maternal mortality in a South Eastern Nigerian community, and what members of this community perceive to be the best approaches to improve maternal health to help reduce maternal mortality. The databases which were searched for a review of previous empirical research on maternal mortality included Intermid, the UK’s largest online database for midwifery articles, MEDLINE, CINHAL, Science Direct, Web of Science and Google scholar. The databases were explored using the following keywords: Maternal death/mortality, pregnancy, childbirth, culture, belief, death of women, prevention. The study used a qualitative methodology, which included focus group discussions and in-depth one-to-one interviews as the methods of data collection. The sample consisted of 39 participants included were traditional birth attendants, midwives, women, doctors, the village head, religious leader, and the youth leader. Initial findings suggest that, cultural beliefs and religious activities about childbirth as an obligation which every woman must obey, female genital mutilation, spiritual powers (Ogbanje), and also the position of women in the society influence the outcomes of pregnancy and increase the potential for maternal mortality. Thus, an understanding of the impact of cultural dynamics and influences on maternal health is needed for effective public health intervention to improve maternal health in Nigeria. This is because culture plays a vital role in the health of the individual, the family and the community

Biography:

Mrs Elizabeth Silumba nee Kasaira is a Midwifery Educator in Zimbabwe. She holds a Master’s degree in Midwifery Education from the National University of Science and Technology Zimbabwe. She did her BSc Nursing degree majoring in Nursing Education, a Diploma in Midwifery and a Diploma in General Nursing plus a certificate in Maternal and Child Health for Trainers from Tenshi College Japan. She is passionate for midwifery research, education and practice. She teaches midwifery and supervises midwifery research. She is an Active Member of the Zimbabwe Confederation of Midwives Association, as a Vice Chairperson in her province.

Abstract:

Midwifery is a competency based profession in which midwifery students acquire most of their guided learning in the clinical area, hence the need to ensure optimal mentoring which would promote the acquisition of the ideal clinical skills. Failure to support and prepare midwifery students may affect their ability to deliver the required level of midwifery care. This study purposed at exploring the midwives’ perceptions regarding mentoring of midwifery students in the clinical area at Marondera midwifery training institution. A qualitative phenomenological design based on the principles of naturalistic inquiry underpinned this study. The study sample was composed of six recently qualified midwives and ten senior midwives who met the inclusion criteria. Purposive sampling was used to select the sample until saturation was reached. Data were generated using tape-recorded unstructured individual interviews. Colaizzi’s thematic analysis was used to synthesize the findings, and data were presented using the emergent themes. The results generally revealed that mentorship was perceived as an important supportive, teaching and learning strategy. Four themes emerged from the interview data, namely; gross inconsistencies in the mentoring of midwifery students, lack of standardized procedures, poor communication between the school of midwifery and the clinical area and lack of ideal infrastructure which hinder effective mentoring of midwifery students. The results gave rise to the adaptation of Bandura’s social learning theory which was used as an explanatory framework for understanding the study’s findings. Several recommendations were proffered; allocating individual mentors to midwifery students, training programs specifically for mentors, benchmarking to improve training of midwifery students and standardization of mentoring guidelines. Communication between the school of midwifery and the clinical area must improve and there is need for creation of an active national midwifery education board which oversees midwifery teaching and mentoring. The authorities should be committed to the provision of adequate resources to enhance mentorship of midwifery. Further research should focus on identification of where midwives differ and sources of their differences, and then establish solutions to the challenges

Biography:

Harrieth Mwalupindi PhD. MSN. RNC-OB has been an obstetric nurse for more than 17 years and currently has a doctorate in Nursing Education from Capella University. She is also a clinical program developer at University of Cincinnati Medical Center in an obstetric unit designing and creating 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 impotant to her by training and preparing competent medical and nursing staff to respond to emergent events.

Abstract:

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.

Biography:

Juliet Ndhlovu is a Midwifery/Nurse Educator in Zimbabwe. She holds a Master’s degree in Midwifery Education from the National University of Science and Technology (NUST) in Zimbabwe, BSc Nursing degree majoring in MCH and Nursing Education with the Zimbabwe Open University, Diploma in Midwifery and a Diploma in General Nursing, a certificate in Family Planning and Intrauterine device insertion, a certificate in Syndromic Management of Sexual Transmitted Infections. She teaches General Nursing students at Mpilo Central Hospital, the second largest Central Hospital in Zimbabwe. She teaches theory for General Nurse Students and supervises, mentors them in the clinical area and supervises the students in research writing. She is an active member of the Zimbabwe Confederation of Midwives Association and Zimbabwe Nurses Association. She has attended various conferences of the above mentioned associations. She is currently a committee member at a branch of the Zimbabwe Confederation of Midwives Association.

Abstract:

This study is a qualitative enquiry, which used a phenomenological approach, the study sought to assess the self-care knowledge and practices among women who had abortion in their previous pregnancies The central point of the problem statement is that the women lack counseling/education on discharge post abortion on how to care for themselves at home and using some positive practices on self-care. The objectives of the study were to explore women’s knowledge of self-care post abortions, explore women’s self-care practices post abortion and to establish barriers to self-care among women post abortion. The populations under study were women who had a history of abortion whether spontaneous or induced. Sampling was done through convenience/purposive sampling and the sample consisted of 12 women. Data was collected through semi- structured interviews after they had voluntarily consented. The interviews were conducted in private settings and confidentiality was maintained through use of alphabetically corded audio recordings. Data analysis was done using Colaizzi’s strategy for data analysis a method cited in Polit and Beck (2014). The emergent themes were identified through a decision trail, which involved listening to the audio recordings, verbatim transcripts and a vertical summary of the individual transcripts and then identifying themes that ran across all conversations. The themes that emerged from the women were lack of counseling and education on discharge, lack of knowledge on self -care, practices which hinder women to care for self and lack of emotional support. The recommendations made were The midwives need to strengthen the counseling and education skills to women upon discharge so that they are well informed on how to care for themselves at home, More research studies to be done in relation to women’s post abortion self-care knowledge and practices so as to prevent post abortion complications, reduce maternal morbidity and mortality and to ensure meeting the sustainable millennium goal number 5,there is need to for midwives to be cultural and religious sensitive during care of these women not to ridicule, discourage harmful practices and encourage harmful ones in a more sensitive manner, There is need for community involvement and sensitization on post abortion care, so as to build up support of women by significant others at home.

Biography:

Abolfazl Mahmoodi Shahid graduated from Medical School of Shahid Beheshti University Tehran, Iran in 1998. He worked in Zaaim Hospital, Pakdasht city, one of the overpopulated cities in Tehran suburb for two years at Emergency Department (2000-2003). He was an Emergency Doctor, the most famous in Iran. Since then, he has been working in his Skin Care and Beauty Clinic and Emergency Department in Iran Mehr Hospital. It is noteworthy that he is one of the countrywide members of health plan in Iran selected universities. He has published some papers and a book “Lifestyle and its approach”.

Abstract:

Background: Lack of adequate social support, stress, and generally poor quality of life during pregnancy leads to adverse pregnancy outcomes for both the mother and the baby.

Objectives: This study aimed to investigate the relationship of social support and quality of life with level of stress during pregnancy.

Materials and Methods: This was a descriptive-correlative study conducted on 210 pregnant women (meeting study criteria), attending Shahriar Social Services Hospital during 2012. Purposive convenient sampling was used. Study subjects completed questionnaires of obstetrics and demographics, VAUX social support, World Health Organization quality of life, and stress during pregnancy. Data were analyzed with SPSS-19 and Lisrel 8.8, utilizing statistical path analysis.

Results: The final path model fitted well (CF1 = 1, RMSEA = 0.00) and showed that direct quality of life paths with β = Ë— 0.2, and indirect social support with β = Ë— 0.088 had the most effects on reduction of stress during pregnancy.

Conclusion: Social support indirectly and quality of life directly affect stress during pregnancy. Thus, health officials should attempt to establish measures to further enhance social support and quality of life of pregnant women to reduce stress and its consequences during this time.

Biography:

Beate André is a Nurse Practitioner with 32 years of experience as a Registered Nurse, 30 years as Registered Mental Nurse and 29 years in teaching nursing. She holds a Master’s in Nursing Science and Philosophy (1997) and a PhD in Clinical Medicine and Palliative Care (2010). After her PhD, she has been teaching Nursing at Bachelor’s and Master’s level together with scientific work in several topics. Her research areas range from nursing homes and palliative care to nurses' communication in stressful situations.

Abstract:

Background: Health care personnel’s experiences of grief and painful emotional involvements in situations facing perinatal death has attracted woefully little research and attention. In order to provide high standards of care for patients and their families, health care personnel needs to express their emotions in these situations in an adequate way.

Aim: The main aim of this study is to explore how midwives, obstetricians and nurses experience perinatal death and what characterizes these experiences.

Method: This review study was designed through systematic examination methods to detect articles in English and Scandinavian language that describe midwifes, obstetricians and nurses experiences with perinatal death and factors that characterize these experiences. Only ten articles met these inclusion criteria. A qualitative method was used to describe and comprehend the phenomena.

Findings: The following categories emerged from the data: Emotional implications, change in culture, education and training, hierarchical issues, support and learning from others. Emotional implications when facing perinatal death were reported in all the ten articles.

Conclusion: This study revealed that withdrawal from the situation and denial were common reactions to perinatal death among health care personnel. These reactions may lead to a lower quality of care for the bereaved parents. Findings in this study indicate that the problem is related to culture and to accept this as a problem and challenge. Emotional reactions among health care personnel to perinatal death must be fully acknowledged and normalized.