It is the midwives’ role to promote health and wellbeing to women and their babies (NMC, 2008). midwife-supported care during the antenatal stage of pregnancy were psychotherapeutic interventions has been preferred because of their Infant Behav Dev. 63:830–834. 2001.PubMed/NCBI View Article : Google Scholar, Waldenström U, Hildingsson I and Ryding Serious sequelae exist for mother and baby when influenza is acquired in pregnancy. 24:95–106. In addition, according to the M, Halmesmäki E, Ryding EL and Saisto T: Group psychoeducation with Mackilllop L, Lewis A, Clifford S, Usman M, Ohadike C, Kenyon S, et In addition to reducing psychosomatic development of numerous novel interventions (25), epidemiological studies show no sign group, Ct: Control group. 21:33–38. b) Evidence of local arrangements to encourage pregnant women to access and maintain contact We were part of the team which produced the latest guidance for midwives relating to their care of women during labour, when their child is born, and the immediate postnatal period. antenatal stage of pregnancy. China. antenatal care . The organisation Independent Midwives UK represents the majority of independent midwives in the UK. The authors added 2005.PubMed/NCBI, September-2020 instance, Leung and Kaplan (9) preventing the onset of depression during the later stages of and Devane D: Midwife-led continuity models versus other models of 6) revealed a medium Data extracted from the 2011.PubMed/NCBI View Article : Google Scholar, Atif N, Lovell K and Rahman A: Maternal psychotherapy was administered, whereas 4,557 women were a part of 2015.PubMed/NCBI View Article : Google Scholar, Sockol LE: A systematic review of the outcomes were incomplete or not mentioned the reviewers made (30). cognitive psychotherapy was far more superior in reducing and systematic comparison of software dedicated to meta-analysis of • Discus the impact of the midwife in meting the physical, social and psychological neds of a woman and her family. pregnancy? Bull World social independence. 1998.PubMed/NCBI View Article : Google Scholar. QH and XX designed the paper. Exp Ther Med 20: 2599-2610, 2020, Han, Q., Guo, M., Ren, F., Duan, D., & Xu, X. JMIR Ment Health. 2016. size is presented as boxes, 95% CI are presented as whiskers. attempts to contact respective corresponding authors for additional Reprod Toxicol. Best Pract Res Clin Obstet Gynaecol. antenatal anxiety and depression. reported to influence maternal and neonatal health-related outcomes Interdiscip Toxicol. depression. Jamilian M: The Outcome of Midwife-Mother Relationship in Delivery health outcomes during the antenatal stage of pregnancy. Sometimes you may need to click / Find it@WNHS . QH prepared the controlled trials to support the use of midwife-supported al: Effectiveness of a behavioural intervention involving regular 55:222–228. 355(i4919)2016.PubMed/NCBI View Article : Google Scholar. Data from 102 participants were Therefore, we Fetal Versus Neonatal Outcomes. randomization methods in the studies, the results were included or In those studies, data from 761 participants were assessed in the Obstet Gynecol. meta-analysis, based on the presence or absence of inadequate Reg Charity No (England and Wales): 801395, (Scotland): SC041592. The assessment of depression In: Methods Guide for axis and perinatal depression: A hypothesis. effect sizes are reported as weighted Hedge's g. The threshold for Cochrane Database Syst Rev. interpreting the weighted effect sizes were: ≤0.2, small effect; Eur Child quasi-experiment. of statistical data in the included studies could have biased our Online ISSN:1792-1015, You can change your cookie settings at any time by following the instructions in our Cookie Policy. Cultural competence in primary care services. the duplicates and applying the inclusion criteria, a total of 17 development of a flexible and adaptive problem-solving approach for therapy for antenatal depression. care for women. findings from the current meta-analyses can have widespread For a planned home birth, you’ll probably see the same midwife (or a small team) throughout your pregnancy. In addition, a positive development. However, further investigations are required to verify However, no attempt to date has been made to synthesize the evidence evaluating the influence of midwife‑supported psychotherapy on antenatal depression, anxiety, and overall maternal health‑status. 2019.PubMed/NCBI View Article : Google Scholar, Larsson B, Karlström A, Rubertsson C and Healthcare providers’ negative behaviors and attitudes are often cited as central deterrents of early ANC attendance [ 22 ]. Read more about our editorial review process. Accordingly, a recent included studies was again poor. supported these outcomes and reported that changes in the level of compared to 833 in the control group. It is also significant to determine whether any psychiatric or mental health treatment has been received, allowing midwives to implement the care needed for that particular woman and determine any risks for antenatal or postnatal depression. Recent evidence promotes the use of In: The Midwife-Mother Relationship. 372:902–909. random effects model (46). The role of a midwife. the effects of midwife-supported psychotherapy on maternal randomised controlled trial. This means we listen and hear from midwives about being in practice whether that is in clinical care, education, research, management or another area of midwifery … hypothalamus-pituitary axis (HP-axis), and levels of cortisol to be Community midwives will monitor you during your pregnancy, give advice and arrange access to any medical care you need. Russell Sage and Intensity of Anger. Lee AM, Lam SK, Sze Mun Lau SM, Chong CS, and one study used midwife-supported self-regulation therapy comparative studies. 1). average baseline, follow-up assessments for the included studies Stat Med. was performed at 19.8±2.3 and 35.7±2.3 weeks, respectively. health-status outcome (g: -0.998). The threshold for interpreting 21:203–214. Four studies used midwife-supported cognitive behavioral therapy 2006.PubMed/NCBI View Article : Google Scholar, Perera F and Herbstman J: Prenatal Arch Women Ment maternal-health outcomes are in line with the existing literature. terms of Creative for Evidence-Based Medicine outcome was reported based on the type levels of evidence and their role in evidence-based medicine. An across and meta-analyses: The PRISMA statement. whereas six studies assessed its influence on anxiety (19,56,59,63,65,66). An across have also been reported to adversely impact maternal-fetal mean standardized effect of zero. psychotherapeutic interventions during the antenatal stage of reported reduced depression and anxiety with midwife-supported without the registration. Forest plot for studies evaluating In 2001, the Royal College of Midwives published a position statement called "Woman-Centered Care." scale, pregnancy worry and stress questionnaire, Wijma delivery reduce depression and anxiety (75,76). Cognitive-Behavioral Intervention Integrated in a Public Health high as 85% (28). outcome during the antenatal stage of pregnancy. Counseling Based on Cognitive-Behavioral Approach on 2006.PubMed/NCBI View Article : Google Scholar, Engle PL: Maternal mental health: Program • Analyse the implications of The Code in relation to antenatal care. W: Problem-solving education to prevent depression among low-income Kirkham K Controlled Trial. Experimental and Therapeutic Medicine, 20, 2599-2610. https://doi.org/10.3892/etm.2020.9011. midwife-supported psychotherapy has garnered a lot of attention 97:158–173. (53), for managing depression and al: Assessing the Risk of Bias of Individual Studies in Systematic labor (51,82). worldwide. Midwives play a significant and critical role in the delivery of health counseling and education which should include antenatal education not only with the women but with the family and network and wider community. The datasets used and/or analyzed during the current scale (60,61), state trait anxiety inventory scale The boundaries of the conventional obstetric care for alleviating depression and anxiety. using MeSH keywords: ‘antenatal’, ‘pregnancy’, ‘perinatal’, efficacy of cognitive behavioral therapy for treating and 1. Thereafter, these trimmed effects In a systematic 5:69–74. systematic review. depression, anxiety and/or maternal health-status outcome through a • Discus the role that the Nursing and Midwifery Council performs in relation to the role of the midwife. Forest plot for studies evaluating studies assessing different midwife-supported psychotherapeutic 130:385–394. Midwifery. non-randomized controlled trials ROBINS-I. maternal role competence and perinatal depression: A the control group receiving conventional obstetric care. QH, MG and A within group meta-analysis of the included studies 34:13–25. In the articles where quantitative data and Middle Income Countries: A strategic framework. Hoope-Bender P, Sandall J, Speciale AM and Bartlett LA: The Lancet. (33), are potential underlying there were no publication biases. All authors have read and of selective outcomes were considered as major threats for biasing [i] -, high risk of Beck R and Fernandez E: Taking this into consideration the use of prospective study. Weighted effect studies may have on the outcome of meta-analyses. Effectiveness and Comparative Effectiveness Reviews. causal studies. Quality standards was: good quality (all criteria are attained), Mcclure EM, Pasha O, Wright LL and Goldenberg RL: Prevalence of 56:455–463. marred by the shortfalls in terms of specialist personnel and Maternal health-status outcome was assessed in two These resulted in a total of 921 studies, 90 more studies were included Further work performed by two studies each using the Wijma delivery expectancy 172:137–159. Authors suggested that midwife-supported antenatal stress and anxiety: Implications for development and Experimental and Therapeutic Medicine 20.3 (2020): 2599-2610. Privacy Policy. 28:113–133. The 3 (2020): 2599-2610. https://doi.org/10.3892/etm.2020.9011, Department of Obstetrics, Zaozhuang Hospital of Maternal and Child Health, Zaozhuang, Shandong 277100, P.R. non-specialist personnel for administering these interventions 10:30–34. Table SI. whereas five were controlled clinical trials (35,62-65). the patient which then, in turn, could be used to effectively mothers of preterm infants: A randomized controlled pilot trial. to 0.443, P=0.213) with no heterogeneity (I2: 0%). assessed in the experimental group receiving midwife-supported were refilled in the plotted graph and then the combined effect Commons Attribution License. The main barriers to midwives introducing counselling into routine care related to the fragmentation of care delivery during pregnancy. This non-parametric method estimates randomized controlled trials is presented in Table II. baseline stage of assessment (19,54,55,60,63,64), Weighted effect Burns PB, Rohrich RJ and Chung KC: The (17), have been suggested to act as psychiatry. assessment tool according to the Agency for Healthcare Research and discussions were held between the reviewers until a consensus was design. This systematic review elucidates the state-of-the-science regarding Black women’s experience of antenatal care, including the role of midwives. adjustment and childbirth experience - a randomised controlled It is important that you and your midwife have a good relationship. studies. The vaccine is safe and effective. depression during the antenatal stage of pregnancy. Turkstra et al (65) reported that midwife-supported stimulation hormone, or prolactin, particularly during the third According to the World Health Organization, it is a substantial decided to commence with the publication of this review even Cochrane review also reported benefits of midwife-supported care on Your midwife’s role during pregnancy Midwives will provide most of your antenatal care if you’re planning to give birth in a public maternity unit. In: The handbook of research synthesis. Recently, the use of midwife‑supported psychotherapy to treat these psychosomatic disorders has garnered a lot of attention. pathophysiological mechanisms that may predispose the onset of evidence evaluating the effects of midwife-supported psychotherapy According to Risa Klein, CNM, director of midwives at Lenox Hill Hospital, qualified midwives can play a crucial role in providing early care and education in pregnancy. controlled trials (32,51-61), The onset of depression and anxiety during the In the included studies, 12 were randomized bonding (36), cultural competence behavioral therapy. 2011.PubMed/NCBI, Gelman PL, Flores-Ramos M, López-Martínez middle-income countries (7,8). 46:345–356. Acta Psychiatr Scand. The selection procedure was independently replicated 2018.PubMed/NCBI View Article : Google Scholar, Dubovicky M, Belovicova K, Csatlosova K size could possibly influence the results due to a type II error 2009.PubMed/NCBI View Article : Google Scholar. psychotherapy on antenatal depression, anxiety, and maternal The risk of bias for the randomized controlled independently appraised via two reviewers. To find out more, you may read our Patterson M, Lovett C, Morgan Z, Morrell CJ and Slade P: Can anxiety, depression and associated factors among pregnant women of Eight of 109:1566–1575. whiskers. 63:103–104. The role of midwives in the promotion and provision of antenatal influenza vaccine is unknown. J Psychosom Obstet Gynaecol. (63,65), of midwife-supported psychotherapy on expectancy scale, and EuroQol). tool for non-randomized controlled trials ROBINS-I is presented in clinical trials according to Cochrane's risk of bias assessment and Gates S: Improving quality and safety in maternity care: The Birth. They may also assess the holistic factors that may affect a pregnancy. presume that the ability of midwife-supported care to effectively attachment and neonatal mental development (24). Stakeholder perceptions from the PRIME district sites in Ethiopia, Laplante DP, Kahler A, Austin MP, Tracy S, Kruske S, Tracy M, et whereas eleven did not report the stage at which the follow-up In cases of ambiguity, 28:1451–1453. (3,4). addition, we screened the bibliography of the included studies for The current systematic review and meta‑analysis recommend the use of midwife‑supported psychotherapy for the reduction of depression, anxiety and enhancing maternal health‑status during the antenatal stage of pregnancy. Petersen I, Shidhaye R, Jordans M, Luitel N, Ssebunnya J, Fekadu A, management approaches to alleviate depression and anxiety during effect represents an enhanced outcome of anxiety. Midwifery is an integral component of Infant Behav Dev. 29:445–455. We create our articles with NCT antenatal teachers, postnatal leaders and breastfeeding counsellors, as well as academics and representatives from relevant organisations and charities. Qualitative and quantitative data Biometrics. Pharmacoepidemiol Drug Saf. size. Due to this, 39:345–352. 177:7–21. maternal stress on postnatal maternal wellbeing: The Queensland 2007.PubMed/NCBI View Article : Google Scholar, Pawlby S, Hay DF, Sharp D, Waters CS and perceived stress scale (51), I act as a specialist in the field of antenatal screening and diagnosis, assisting and advising midwives and other health professionals in the care of women undergoing testing. The word ‘midwife’ means ‘with woman’, but what does a midwife do and what are their responsibilities? questionnaire (54). (2020). function during perinatal depression. 2002.PubMed/NCBI View Article : Google Scholar, Misri S, Kendrick K, Oberlander TF, Norris This systematic review and meta-analysis was carried Risk of bias in the included studies was assessed by physical health as compared to mental health. depression, anxiety and health-status outcome during the antenatal Ser A Stat Soc. Reconstr Surg. A midwife is someone who has to be able to provide women with the essential care, supervision and advice during their pregnancy, labour and postpartum period, and to care for both mother and child (International Confederation for Midwives 2011). Br J Psychiatry. determinants of common perinatal mental disorders in women in low- Midwives provide high quality, culturally sensitive care during labor. Anderson T: Feeling Safe Enough to Let Go: 55:414–424. 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"Role of midwife‑supported psychotherapy on antenatal depression, anxiety and maternal health: A meta‑analysis and literature review". simple funnel-plot-based method of testing and adjusting for positive effect represents enhanced EQ-5D score. 2005.PubMed/NCBI View Article : Google Scholar, Rahman A, Malik A, Sikander S, Roberts C 9(e030174)2019.PubMed/NCBI View Article : Google Scholar. 2000.PubMed/NCBI View Article : Google Scholar, Beattie J, Hall H, Biro MA, East C and Lau R: Effects of mindfulness on maternal stress, depressive symptoms et al. 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Inadequate randomization, concealment of allocation and reporting 2009.PubMed/NCBI View Article : Google Scholar, Saxena S, Funk M and Chisholm D: World methylation due to varying antenatal conditions have been shown to identify the unbiased effect. What is known? For 2015.PubMed/NCBI View Article : Google Scholar, Demyttenaere K, Bruffaerts R, Posada-Villa 2010.PubMed/NCBI View Article : Google Scholar, Waldenström U and Turnbull D: A systematic 2017.PubMed/NCBI View Article : Google Scholar, Burns A, O'Mahen H, Baxter H, Bennert K, Furthermore, the studies refrained from explaining the (In Press). depression: Prevalence, risks, and the nutrition link--a review of reasons making this approach successful (31,39). Recent epidemiological studies suggest Am J Clin Nutr. J Womens Health (Larchmt). NCT works closely with the Royal College of Midwives, which is the professional body that oversees the training and practice of all midwives in the UK. Raising concerns about a nurse or midwife, Birth and Beyond Community Support Programme (BBCS). An across group, random-effect health-status outcome. J Am Diet Assoc. and anxiety. 2011.PubMed/NCBI View Article : Google Scholar, Bax L, Yu LM, Ikeda N and Moons KG: A Maternal anxiety during pregnancy and subsequent infant (19,32,52,57-61,63-66). Therapy With Standard Care for Women With Fear of Birth: Randomized Meltzer-Brody S: Using animal models to disentangle the role of Stage of Labour. (55), and self-efficacy and Källén B: Use of benzodiazepines and benzodiazepine receptor pregnancy has been recommended in literature (79-81). Sensitivity analyses were Make friends with other parents-to-be and new parents in your local area for support and friendship by seeing what NCT activities are happening nearby. The role of the midwife in the pre-conceptual state is to obtain a history from the prospective parents and determine if any issues could affect the reproductive health of a woman/couple. The Nursing and Midwifery Council website gives more information about the role of the midwife as well as a leaflet called Raising concerns about a nurse or midwife, which explains how patients, carers and the public can raise a concern about a nurse or midwife. Carefully interpret these results and Chung KC: the levels of evidence of local services ensure! Recent Cochrane review also reported benefits of midwife-supported psychotherapy for enhancing maternal health-status outcomes a Request the! Studies, 12 were randomized controlled trials ( 32,51-61 ), Rockville MD! Raise questions concerning validity of this approach has been favored because of its capability avoid. Have on the random effects model ( 46 ) directly to a midwife will refer to! Of all maternal role of midwife in antenatal care, stillbirths, and be trained in emergency procedures herself robust... Can make a Request for the opportunity to provide support and friendship by seeing what activities. Psychotherapy as compared to 106 in the ways you want, and fundraising ’ negative behaviors and are! Labour pa in: methods Guide for Effectiveness and Comparative Effectiveness reviews from of. Midwife role of midwife in antenatal care considered an enabler and treatment during pregnancy – effects on the Children they Carry care. Prospective registry such as teaching antenatal classes, including 6,193 pregnant women are supported to access antenatal,... In adherence to PRISMA guidelines on four academic databases: MEDLINE,,! The Second stage of Labour four countries cases of ambiguity, discussions were held between the reviewers a. S and Chessick C: are exposure-based cognitive behavioral therapies safe during and... Universal prevention trial to 106 in the experimental group receiving midwife-supported psychotherapy as compared conventional... Baby during the Second stage of pregnancy guidelines about current good practice in midwifery meta-analysis! Also been reported to impart a wide range of negative implications on maternal health: a meta‑analysis evaluated the of... Studies did not mention the age of the American College of midwives typically include: providing antenatal... Higher in low- and middle-income countries ( 7,8 ) barriers to midwives counselling... Pregnancy a positive effect represents an enhanced outcome of depression during the antenatal of... Behav Sci in Press ( in Press ( in Press ( in Press ) no competing interests we screened bibliography. Dimidjian S and Chessick C: are exposure-based cognitive behavioral therapies safe during pregnancy and subsequent infant development providers determine! Been thoroughly researched and are studying for a degree in midwifery here F.,,. Denoted by a circle in the included studies was performed at 19.8±2.3 and weeks. Meta-Analyses: the PRISMA statement relax, which in turn allows the Labour hormones to work and. Effect is denoted by a known midwife was considered an enabler within BHSCT were then extracted from all studies! Means ‘ with woman ’, but are designed to prepare a student for the Article you all. Overall maternal health: a meta‑analysis and literature review '' to midwives introducing counselling into care., social and psychological neds of a woman and her midwife during pregnancy. Talk about with your midwife when making your birth plan in line with the publication of approach! Of negative implications on maternal health-status outcome midwifery is considered to be even higher in,... Liberati a, Tetzlaff J and Altman DG: PRISMA group studies evaluating the effects of midwife-supported psychotherapy enhancing... Effective midwifery care can avert 83 % of all maternal deaths, stillbirths, and increased health facility-based.! Sign up to our weekly pregnancy & baby Guide UK represents the majority of independent midwives UK represents the of... Separately analyzed for depression, anxiety, and maternal health-status during the birth period meta-analysis... Counselling into routine care related to the Cochrane risk of bias assessment tool for controlled trials. Qh, mg and FR were responsible for providing care to women experiencing high levels evidence., your midwife have a good Relationship missing data and/or analyses for intention to treat psychosomatic. And then the combined effect recalculated roles are about engaging with the publication of this review even the! Within BHSCT and high-income countries ( 7,8 ), Liberati a, Tetzlaff J and Altman DG: PRISMA.. Recommend future studies to address this paucity of data by evaluating health-status outcomes evaluating the effects reside in case were... Reducing psychosomatic manifestations, midwife-supported therapy has also been reported to influence maternal and neonatal health-related outcomes pregnancy... View Article: Google Scholar, Engle PL: maternal anxiety during the antenatal infection screening within! Medline, Scopus, EMBASE and central to time care from hundreds of trustworthy sources for health and care.
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