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  1. Article ; Online: Self-management, care needs and clinical management of primiparous mothers during early labour - a qualitative content analysis.

    Mueller, Antonia N / Grylka-Baeschlin, Susanne

    BMC pregnancy and childbirth

    2023  Volume 23, Issue 1, Page(s) 191

    Abstract: Background: Childbearing women face the problem of managing spontaneous onset of labour without professional support. It is their responsibility to diagnose and react to early labour and subsequently recognise the right time to seek support. ... ...

    Abstract Background: Childbearing women face the problem of managing spontaneous onset of labour without professional support. It is their responsibility to diagnose and react to early labour and subsequently recognise the right time to seek support. Institutional guidelines of clinics aim to admit childbearing women when in established labour. This explains why women in early labour are often advised to stay at home, which can be overwhelming and dissatisfying. This study aims to understand the self- and clinical management of early labour and care needs of first-time mothers during early labour.
    Methods: A qualitative approach was used involving four focus group discussions with a total of N = 18 mothers. Included were primiparous women who had given birth at term within the last 6 months and who experienced spontaneous onset of labour. Elective caesarean section or induction of labour were thereby exclusion criteria. The interviews followed a semi-structured, literature-based guide. Content analysis was applied.
    Results: Thirteen codes were summarised within three themes: 'self-management', 'care needs' and 'professional management'. Various coping strategies and measures such as positive thinking or taking a bath helped women in managing early labour at home. The need for reassurance, professional guidance and pain management led them to seek professional support, which was initially accompanied by a feeling of inhibition. This negative emotion was mostly unjustified since many women felt well cared for and taken seriously in their needs.
    Conclusion: Coping strategies and professional care help women going through early labour. Yet, there still exists insecurity about the justified timing in seeking professional support. An individual assessment of the women's coping resources and their needs is required to promote shared decision making and give high-standard care.
    MeSH term(s) Pregnancy ; Female ; Humans ; Mothers/psychology ; Cesarean Section ; Labor, Obstetric/psychology ; Parturition ; Parity
    Language English
    Publishing date 2023-03-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 2059869-5
    ISSN 1471-2393 ; 1471-2393
    ISSN (online) 1471-2393
    ISSN 1471-2393
    DOI 10.1186/s12884-023-05453-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Primiparous women's expectations and experiences of early labour: A qualitative study.

    Grylka-Baeschlin, Susanne / Mueller, Antonia N

    Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives

    2023  Volume 36, Page(s) 100839

    Abstract: Objectives: To gain a deeper understanding of primiparous women's preparation for early labour as well as their expectations and experiences of symptoms of onset of labour.: Methods: A qualitative study using focus group discussion was conducted with ...

    Abstract Objectives: To gain a deeper understanding of primiparous women's preparation for early labour as well as their expectations and experiences of symptoms of onset of labour.
    Methods: A qualitative study using focus group discussion was conducted with n = 18 first-time mothers within the first six months of giving birth. Discussions were transcribed verbatim and coded and summarised into themes by two researchers using qualitative content analysis.
    Results: The statements of the participants revealed four themes: 'Preparing for the unpredictable', 'Expectations and reality', 'Perception and wellbeing' and 'Experiencing the beginning of birth'. Many women could not distinguish the preparation for early labour from that for the whole birth. Relaxation techniques to prepare for early labour were found to be very helpful. For some women, it was a big challenge that expectations often did not correspond to the experienced reality. Pregnant women faced many different physical and emotional symptoms of onset of labour with striking variability. Emotions ranged from positively excited to having fears. Not being able to sleep for hours was a huge problem for the labour process of some women. While early labour at home was experienced positively, early labour in hospital was sometimes difficult, because women had the feeling of being in the second rank.
    Conclusion: The study clearly identified the individual character of experiencing onset of labour and early labour. The variety of experiences highlighted the need for individualised, woman-centred early labour care. Further research should investigate new paths for assessing, advising, and caring for women during early labour.
    MeSH term(s) Pregnancy ; Female ; Humans ; Motivation ; Labor, Obstetric/psychology ; Pregnant Women/psychology ; Parturition/psychology ; Mothers/psychology ; Qualitative Research
    Language English
    Publishing date 2023-03-11
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2541869-5
    ISSN 1877-5764 ; 1877-5756
    ISSN (online) 1877-5764
    ISSN 1877-5756
    DOI 10.1016/j.srhc.2023.100839
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Symptoms of onset of labour and early labour: A scoping review.

    Grylka-Baeschlin, Susanne / Mueller, Antonia N

    Women and birth : journal of the Australian College of Midwives

    2023  Volume 36, Issue 6, Page(s) 483–494

    Abstract: Background: Early labour care often insufficiently addresses the individual needs of pregnant women leading to great dissatisfaction. In-depth knowledge about symptoms of onset of labour and early labour is necessary to develop women-centred ... ...

    Abstract Background: Early labour care often insufficiently addresses the individual needs of pregnant women leading to great dissatisfaction. In-depth knowledge about symptoms of onset of labour and early labour is necessary to develop women-centred interventions.
    Question or aim: To provide an overview on the current evidence about pregnant women's symptoms of onset of labour and early labour.
    Methods: We conducted a scoping review in the five databases PubMed, Web of Science, CINHAL Complete, PsychInfo and MIDIRS in May 2021 and August 2022 using a sensitive search strategy. A total of 2861 titles and abstracts and 290 full texts were screened independently by two researchers using Covidence. For this article, data was extracted from 91 articles and summarised descriptively and narratively.
    Findings: The most frequently mentioned symptoms were 'Contractions, labour pain' (n = 78, 85.7 %), 'Details about the contractions' (n = 51 articles, 56.0 %), 'Positive and negative emotions' (n = 50, 54.9 %) and 'Fear and worries' (n = 48 articles, 52.7 %). Details about the contractions ranged from a slight pulling to unbearable pain and the emotional condition varied from joy to great fear, showing an extraordinary diversity of symptoms highlighting the very individual character of early labour.
    Discussion: A comprehensive picture of varying and contradicting symptoms of onset of labour and early labour was drawn. Different experiences indicate different needs. This knowledge builds a good basis to develop women-centred approaches to improve early labour care.
    Conclusion: Further research is necessary to design individualised early labour interventions and evaluate their effectiveness.
    Language English
    Publishing date 2023-04-12
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2235085-8
    ISSN 1878-1799 ; 1871-5192
    ISSN (online) 1878-1799
    ISSN 1871-5192
    DOI 10.1016/j.wombi.2023.03.009
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    Zs.A 4015: Show issues Location:
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  4. Article ; Online: Development and validation of a tool for advising primiparous women during early labour: study protocol for the GebStart Study.

    Grylka-Baeschlin, Susanne / Gross, Mechthild M / Mueller, Antonia N / Pehlke-Milde, Jessica

    BMJ open

    2022  Volume 12, Issue 6, Page(s) e062869

    Abstract: Introduction: Pregnant women experience early labour with different physical and emotional symptoms. Early admission to hospital has been found to be associated with increased intervention and caesarean section rates. However, primiparous women often ... ...

    Abstract Introduction: Pregnant women experience early labour with different physical and emotional symptoms. Early admission to hospital has been found to be associated with increased intervention and caesarean section rates. However, primiparous women often contact the hospital before labour progresses because they encounter difficulties coping with symptoms of onset of labour on their own. An evidence-based instrument for assessing the individual needs to advise primiparous women during early labour is currently missing. The study aims to develop and validate a tool to inform the joint decision for or against hospital admission.
    Methods and analysis: A scale development and validation study will be conducted including following steps: (1) Generation of a pool with 99 items based on a scoping review and focus group discussions with primiparous women, (2) Assessment of content and face validity by an expert panel and item reduction to 32 items, (3) Multicentre data collection in six study sites in Switzerland, with application of the preliminary tool and the validation items with a target sample size of approximately n=400 women and (4), item reduction using exploratory factor analysis, factor loading and item-to-item correlation. Internal consistency of the tool will be assessed using Cronbach's alpha and convergent validity computing correlations of items of the tool with the German versions of the Childbirth Self-Efficacy Inventory and the Cambridge-Worry Scale. Analyses will be performed using Stata V.17.
    Ethics and dissemination: Ethical approval was obtained by the Ethics Committees Zurich and Northwestern and Central Switzerland (BASEC-Nr. 2021-00687). Results will be disseminated at the final study conference, at national and international congresses and by peer reviewed and not peer-reviewed articles in scientific and professional journals. Approved and anonymised data will be shared. The dissemination of the findings will have a contributable impact on clinical practice, scientific discussions and future research.
    Trial registration number: DRKS00025572, SNCTP000004555.
    MeSH term(s) Cesarean Section ; Delivery, Obstetric ; Female ; Humans ; Labor, Obstetric/psychology ; Parturition ; Pregnancy ; Psychometrics ; Reproducibility of Results ; Review Literature as Topic
    Language English
    Publishing date 2022-06-27
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2022-062869
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  5. Article ; Online: Quality of maternal and newborn care in Switzerland during the COVID-19 pandemic: A cross-sectional study based on WHO quality standards.

    de Labrusse, Claire / Abderhalden-Zellweger, Alessia / Mariani, Ilaria / Pfund, Anouck / Gemperle, Michael / Grylka-Baeschlin, Susanne / Mueller, Antonia N / Valente, Emanuelle Pessa / Covi, Benedetta / Lazzerini, Marzia

    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

    2022  Volume 159 Suppl 1, Page(s) 70–84

    Abstract: Objective: To explore quality of maternal and newborn care (QMNC) in healthcare facilities during the COVID-19 pandemic in Switzerland.: Methods: Women giving birth in Switzerland answered a validated online questionnaire including 40 WHO standards- ... ...

    Abstract Objective: To explore quality of maternal and newborn care (QMNC) in healthcare facilities during the COVID-19 pandemic in Switzerland.
    Methods: Women giving birth in Switzerland answered a validated online questionnaire including 40 WHO standards-based quality measures. QMNC score was calculated according to linguistic region and mode of birth. Differences were assessed using logistic regression analysis adjusting for relevant variables.
    Results: A total of 1175 women were included in the analysis. Limitations in QMNC during the pandemic were reported by 328 (27.9%) women. Several quality measures, such as deficient communication (18.0%, n = 212), insufficient number of healthcare professionals (19.7%, n = 231), no information on the newborn after cesarean (26.5%, n = 91) or maternal and newborn danger signs (34.1%, n = 401 and 41.4% n = 487, respectively) suggested preventable gaps in QMNC. Quality measures significantly differed by linguistic region and mode of birth. Multivariate analysis established a significantly lower QMNC for women in French- and Italian-speaking regions compared with the German-speaking region. Moreover, in several quality indicators reflecting communication with healthcare providers, women who did not answer the questionnaire in one of the Swiss national languages had significantly worse scores than others. A significant lower QMNC was also found for young and primiparous women and for those who experienced cesarean or instrumental vaginal birth.
    Conclusion: Women giving birth in Switzerland during the pandemic reported notable gaps in QMNC. Providers should be attuned to women who are younger, primiparous, and those who had an emergency cesarean or instrumental vaginal birth given the lower QMNC reported by these groups. Women who did not respond in a Swiss national language may need improved communication strategies.
    MeSH term(s) Infant, Newborn ; Pregnancy ; Female ; Humans ; Male ; Cross-Sectional Studies ; Pandemics ; Switzerland/epidemiology ; COVID-19 ; World Health Organization
    Language English
    Publishing date 2022-12-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80149-5
    ISSN 1879-3479 ; 0020-7292
    ISSN (online) 1879-3479
    ISSN 0020-7292
    DOI 10.1002/ijgo.14456
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 355: Show issues Location:
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    Zs.MO 183: Show issues

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  6. Article ; Online: Quality of maternal and newborn care around the time of childbirth for migrant versus nonmigrant women during the COVID-19 pandemic: Results of the IMAgiNE EURO study in 11 countries of the WHO European region.

    Costa, Raquel / Rodrigues, Carina / Dias, Heloísa / Covi, Benedetta / Mariani, Ilaria / Valente, Emanuelle Pessa / Zaigham, Mehreen / Vik, Eline Skirnisdottir / Grylka-Baeschlin, Susanne / Arendt, Maryse / Santos, Teresa / Wandschneider, Lisa / Drglin, Zalka / Drandić, Daniela / Radetic, Jelena / Rozée, Virginie / Elden, Helen / Mueller, Antonia N / Barata, Catarina /
    Miani, Céline / Bohinec, Anja / Ruzicic, Jovana / de La Rochebrochard, Elise / Linden, Karolina / Geremia, Sara / de Labrusse, Claire / Batram-Zantvoort, Stephanie / Ponikvar, Barbara Mihevc / Sacks, Emma / Lazzerini, Marzia

    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

    2022  Volume 159 Suppl 1, Page(s) 39–53

    Abstract: Objective: To describe the perception of quality of maternal and newborn care (QMNC) around the time of childbirth among migrant and nonmigrant women in Europe.: Methods: Women who gave birth at a health facility in 11 countries of the WHO European ... ...

    Abstract Objective: To describe the perception of quality of maternal and newborn care (QMNC) around the time of childbirth among migrant and nonmigrant women in Europe.
    Methods: Women who gave birth at a health facility in 11 countries of the WHO European Region from March 2020 to July 2021 were invited to answer an online questionnaire including demographics and childbirth experience. Data were analyzed and compared for 1781 migrant and 20 653 nonmigrant women.
    Results: Migrant women who experienced labor perceived slightly more difficulties in attending routine antenatal visits (41.2% vs 39.4%; P = 0.001), more barriers in accessing facilities (32.9% vs 29.9%; P = 0.001), lack of timely care (14.7% vs 13.0%; P = 0.025), inadequate room comfort and equipment (9.2% vs 8.5%; P = 0.004), inadequate number of women per room (9.4% vs 8.6%; P = 0.039), being prevented from staying with their baby as they wished (7.8% vs 6.9%; P = 0.011), or suffering abuse (14.5% vs 12.7%; P = 0.022) compared with nonmigrant women. For women who had a prelabor cesarean, migrant women were more likely not to receive pain relief after birth (16.8% vs.13.5%; P = 0.039) and less likely to provide informal payment (1.8% vs 4.4%; P = 0.005) compared with nonmigrant women. Overall, the QMNC index was not significantly different for migrant compared with nonmigrant women.
    Conclusion: Gaps in overall QMNC were reported by both migrant and nonmigrant women, with improvements to healthcare necessary for all.
    MeSH term(s) Infant, Newborn ; Female ; Pregnancy ; Humans ; Transients and Migrants ; Pandemics ; COVID-19 ; Parturition ; World Health Organization ; European People
    Language English
    Publishing date 2022-12-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80149-5
    ISSN 1879-3479 ; 0020-7292
    ISSN (online) 1879-3479
    ISSN 0020-7292
    DOI 10.1002/ijgo.14472
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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