Spheres of influence on contraceptive decision-making: qualitative interviews with postpartum mothers and providers
Biological and behavioral factors influence interpregnancy intervals. Individualized family planning goals and preferences regarding contraception must be supported through shared decision-making approaches. Contraceptive counseling throughout the perinatal period is multifaceted whereby intersecting health-related choices including breastfeeding are co-occurring. This study explores multi-level factors influencing postpartum contraceptive decision-making among women and perinatal care providers in a rural region of the Southeast United States.
Neonatal indicators and obstetric complications associated with degree of prematurity: A retrospective cohort study in Cyprus
Preterm birth is a leading cause of neonatal morbidity and mortality, with earlier gestational age strongly associated with adverse neonatal outcomes.
Improving perinatal mental health outcomes: The role of support in assisting breastfeeding experiences following birth trauma
Experiencing any traumatic event can have long lasting impacts on mental health. In the context of childbirth, a traumatic experience could directly or indirectly impact a mother's ability to successfully breastfeed and affect her long-term mental health. Being able to breastfeed successfully is known to improve mental health outcomes for mothers.
Prioritisation of where and when to initiate a lifestyle intervention to reduce cardiometabolic disease risk in high-risk pregnant and postpartum women: A pre-implementation mixed-methods study
Experiencing gestational diabetes mellitus (GDM), hypertensive disorders of pregnancy (HDP), intrauterine growth restriction (IUGR) and preterm birth (PTB) increases women's risk of future type 2 diabetes and cardiovascular disease. Pregnancy and postpartum present ideal opportunities to intervene through lifestyle management and risk awareness to prevent or delay the onset of cardiometabolic pregnancy complications and future cardiometabolic disease. Designing interventions aligning with the needs and priorities of stakeholders is a critical first step in developing acceptable interventions.
Weight-inclusive maternity care: An approach to reduce weight stigma and improve pregnancy and birth outcomes
Operationalizing companion of choice during childbirth in the Philippines: Lessons from a qualitative evidence synthesis
Addressing socioeconomic inequalities in perinatal outcomes in the UK: a critical discussion
Validation in China of the Quality Maternal and Newborn Care Framework index
Despite progress in maternal and newborn health, China still lacks a validated and multidimensional tool to monitor care quality and guide improvements.
Factors influencing the implementation of the woman-centred care model for pregnant women in a hospital setting: an integrative review
The term "Woman-Centred Care" focuses on the individual needs, aspirations and expectations of the woman herself rather than the needs of the healthcare system or professionals. The principles on which this model of care is based, are the control, choice, and continuity of care for women.
Domains of maternal knowledge and practices in essential newborn care in Urban Ghana: A factor analysis
Neonatal mortality remains a major public health concern in low- and middle-income countries, including Ghana. Maternal knowledge and practices of essential newborn care (ENC) influence neonatal outcomes but remain inconsistent in many urban settings.
The mediating role of psychological birth trauma in association between childbirth satisfaction and the desire to avoid pregnancy among Iranian postpartum women
Iran's declining fertility rate is a major demographic concern. The desire to avoid pregnancy (DAP) is a key predictor of future fertility. While dissatisfaction with childbirth care and psychological birth trauma are known to negatively impact future fertility decisions, their specific pathways to influencing the desire to avoid future pregnancy remain unclear. This study therefore aimed to examine the relationship between mothers' satisfaction with childbirth care and their desire to avoid subsequent pregnancy, while investigating the mediating effect of childbirth-related psychological trauma.
Midwife-led birth debrief: A concept analysis
Psychological birth trauma (PBT) affects approximately 19 % of postnatal women, making its prevention a global priority. Midwives are responsible for providing psychosocial care during the postnatal period to foster the mother-infant relationship, provide education and screening and support positive transitions to parenting. However, the specific attributes of a birth debrief and the role of the midwife in a supporting a woman to review their birth experience is less well documented in regulatory frameworks or scientific literature. This has created significant ambiguity in both clinical practice among health professionals and in research contexts. The lack of a clear understanding of what constitutes a birth debrief and how it differs from other psychological interventions may impact the service provided to birthing people.
Risk factors and pregnancy outcomes of hypertensive disorders of pregnancy: a case-control study
Hypertensive disorders of pregnancy (HDP) is a group of diseases that coexist with pregnancy and hypertension and it will affect the health of mothers and babies. The primary objective of this study was to identify the relevant factors for HDP and to briefly assess its impact on pregnancy outcomes.
Childbirth under prolonged and cumulative stress: The roles of perceived risk, self-compassion, and intolerance of uncertainty in predicting postpartum psychological well-being
Childbirth under prolonged cumulative stress and uncertainty conditions poses unique challenges to postpartum psychological well-being, but the underlying mechanisms remain unclear.
Childhood adversities and negative childbirth experiences: A population-based retrospective cohort study
Adverse childhood experiences (ACEs) have consistently been associated with adult health complications, including adverse mental and physical health during pregnancy. The aim of this study was to assess the relationship between ACEs and women's birthing experiences leveraging data from a large population-representative cohort of Icelandic women.
Development of a perinatal bereavement counselling training for midwives: A Delphi methodology study
In many countries, including Turkey, midwives lack formal training in perinatal bereavement care despite their central role in supporting grieving families.
Perceived benefits and drawbacks of cultivating self-compassion among women diagnosed with Gestational Diabetes Mellitus (GDM)
Gestational Diabetes Mellitus (GDM) is a prevalent high-risk pregnancy complication that can lead to negative emotional and behavioural consequences for women, and their babies. To investigate emotion regulation strategies to support women through high-risk pregnancy, the current study explored the perceived benefits and drawbacks of cultivating self-compassion during a pregnancy with GDM.
Adaptation and psychometric evaluation of the postpartum partner support scale among Arab women in the United Arab Emirates
Poor maternal mental health during the postpartum period is a significant global concern, with a lack of partner support being a well-established risk factor for postpartum depression and anxiety. However, few validated instruments exist to assess postpartum partner support in Arabic-speaking populations.
Predictors of primary postpartum hemorrhage among middle eastern postpartum women with vaginal delivery: A retrospective matched case-control study
Primary postpartum hemorrhage (PPH) remains a major contributor to maternal morbidity and mortality globally. Despite improvements in maternal healthcare across the Middle East, the burden of PPH persists, and regional data on its predictors remain limited. This study aimed to examine the maternal and health service-related predictors of primary PPH among Middle Eastern women with vaginal delivery in Oman.
