Global Changes in Maternity Care

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Women's Health Care".

Deadline for manuscript submissions: closed (15 May 2023) | Viewed by 1705

Special Issue Editors


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Guest Editor
Ngangk Yira Institute for Change, Division of Social Sciences, Murdoch University, Murdoch, WA 6150, Australia
Interests: aboriginal maternal and child health; qualitative research methodologies

E-Mail Website
Guest Editor
Ngangk Yira Institute for Change, Murdoch University, Division of Social Sciences, Murdoch, WA 6150, Australia
Interests: aboriginal health; maternal and child health; mental health; perinatal mental health; policy transformation and advocacy
Ngangk Yira Research Centre for Aboriginal Health and Social Equity, Division of Social Sciences, Murdoch University, Murdoch, WA 6150, Australia
Interests: aboriginal health; maternal and child health; mental health; perinatal mental health; youth mental health and wellbeing; social and environmental determinants of aboriginal health and wellbeing; organisational and workforce cultural responsiveness

Special Issue Information

Dear Colleagues,

Vulnerable women globally have been subject to ineffective and flawed maternity care, which ignores their complex community, cultural and personal circumstances. Poverty, institutional racism, remoteness, and a lack of suitable carers (midwives, nurses, doctors, health care workers) are all challenges that impede the development of appropriate maternity care models for vulnerable populations. Despite this, First Nations women are at the forefront of challenging the dominant biomedical approach to maternity care and birthing services, innovating and redefining how care is provided. The evidence generated informs and influences how changing maternity care delivery can better meet the needs of vulnerable populations. This Special Issue is focused on programs and measures and screening tools either in development or which have been operating over time and show marked improvement in how appropriate maternity care improves maternal and infant outcomes. The issue is also interested in research which considers access, cost, sustainability and suitability of maternity care in developing countries. We welcome papers on these, and associated topics which address Sustainable Development Goals 3, 5, 10 in specific relation to maternal and infant outcomes, or the 2017 World Health Organization standards for quality of maternal and newborn care to evaluate “the extent to which health care services improve desired health outcomes and [are] safe, effective, timely, efficient, equitable and people-centred” to be submitted for this Special Issue.

Dr. Tracy Reibel
Dr. Rhonda Marriott
Dr. Roz Walker
Guest Editors

Manuscript Submission Information

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • Changing maternity care
  • Maternity care cost
  • Sustainable maternity care
  • Vulnerable pregnant women
  • Culturally safe care

Published Papers (1 paper)

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Research

16 pages, 1519 KiB  
Article
The Experience of Women Giving Birth after Cesarean Section—A Longitudinal Observational Study
by Dorota Sys, Anna Kajdy, Martyna Niżniowska, Barbara Baranowska, Dorota Raczkiewicz and Urszula Tataj-Puzyna
Healthcare 2023, 11(12), 1806; https://doi.org/10.3390/healthcare11121806 - 20 Jun 2023
Cited by 2 | Viewed by 1442
Abstract
Natural childbirth after a previous cesarean section is a debated issue despite scientific research and international recommendations. This study aimed to examine the experiences of women giving birth after a previous cesarean section, their preferences, and changes in attitudes towards childbirth after labor. [...] Read more.
Natural childbirth after a previous cesarean section is a debated issue despite scientific research and international recommendations. This study aimed to examine the experiences of women giving birth after a previous cesarean section, their preferences, and changes in attitudes towards childbirth after labor. This longitudinal study involved 288 pregnant women who had a previous cesarean section and completed a web-based questionnaire before and after labor, including information about their obstetric history, birth beliefs, and preferred mode of delivery. Among women who preferred a vaginal birth, nearly 80% tried it and 49.78% finished delivery by this mode. Among women declaring a preference for an elective cesarean section, 30% attempted a vaginal birth. Choosing a hospital where staff supported their decision (regardless of the decision) was the most helpful factor in preparing for labor after a cesarean section (63.19%). Women’s birth preferences changed after labor, with women who had a vaginal birth after a cesarean section preferring this mode of delivery in their next pregnancy (89.34%). The mode of birth did not always follow the women’s preferences, with some women who preferred a natural childbirth undergoing an elective cesarean section for medical reasons. A variety of changes were noticeable among women giving birth after a cesarean section, with a large proportion preferring natural birth in their next pregnancy. Hospitals should support women’s birth preferences after a cesarean section (if medically appropriate), providing comprehensive counseling, resources, and emotional support to ensure informed decisions and positive birth experiences. Full article
(This article belongs to the Special Issue Global Changes in Maternity Care)
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