Perineal management: Midwives’ confidence and educational needs

Carroll, Lorraine; Sheehy, Lucille; Doherty, Jean; O’Brien, Denise; Brosnan, Mary; Cronin, Martina; Dougan, Niamh; Coughlan, Barbara; Kirwan, Ciara

doi:10.1016/j.midw.2020.102817

Cited by 8 publications

(6 citation statements)

References 18 publications

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“…Each of the five studies measured the effectiveness of education through one domain or a combination of three domains – confidence, knowledge and skills – which have been identified in the literature as essential to the success of perineal repair 12 , 13 . The strengths and limitations of each study are presented in Table 3 .…”

Section: Resultsmentioning

confidence: 99%

“…No discussion provided on the cost of the intervention. Review paper of perineal repair 12,13 . The strengths and limitations of each study are presented in Table 3.…”

Section: Zimmo Et Al 14 2017mentioning

confidence: 99%

“…Review paper assessment of perineal tears, results in approximately 33% of third-and fourth-degree tears incorrectly classified or completely missed at the time of repair [9][10][11] . Midwives and obstetricians attribute this knowledge deficit to a lack of structured educational training in undergraduate programs and clinical practice [12][13][14] . Midwives are at the frontline when it comes to preventing, diagnosing and repairing childbirth related perineal trauma.…”

Section: Introductionmentioning

confidence: 99%

“…Midwives are at the frontline when it comes to preventing, diagnosing and repairing childbirth related perineal trauma. Yet, many do not have the training or confidence to assess and repair childbirth related perineal trauma despite it being within their scope of practice 12 , 13 . The aim of this literature review was to identify studies that have investigated and explored perineal wound assessment and repair educational programs for midwives and midwifery students.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of structured education and training in perineal wound assessment and repair for midwives and midwifery students: A review of the literature

et al. 2021

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INTRODUCTION Perineal trauma is a commonly observed complication of childbirth, affecting more than 75% of women who have a vaginal birth. Perineal trauma is associated with significant short-and long-term comorbidities that negatively impact women's quality of life. Severe perineal trauma (SPT) rates in Australia have almost doubled in the last decade. Reasons for increased rates are not completely understood; some researchers suggest improvements in diagnosis and reporting, while others have a view that it may be due to a lack of structured and standardized education in perineal wound assessment and repair for clinicians. METHODS The Joanna Briggs Institute (JBI) scoping review methodology was adopted as a systemic process to identify studies that have investigated the effectiveness of perineal wound assessment and repair education and training for midwives and midwifery students. RESULTS Five studies met the inclusion criteria for this review, to have evaluated a type of education or training, on childbirth-related perineal wound assessment and repair that included midwives and midwifery students. A total of 1279 midwives and midwifery students volunteered to participate in all five studies. The length of the education or training implemented varied between each study from a 1-day workshop to 100 hours of education. All five studies measured the effectiveness of each program through changes in participants' confidence, knowledge and skills in perineal assessment and repair before and after an intervention using various self-assessment questionnaires. CONCLUSIONS The implementation of a structured educational workshop on perineal wound assessment and repair improves the confidence, skills and knowledge of midwives and students.

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Section: Resultsmentioning

confidence: 99%

“…No discussion provided on the cost of the intervention. Review paper of perineal repair 12,13 . The strengths and limitations of each study are presented in Table 3.…”

Section: Zimmo Et Al 14 2017mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effectiveness of structured education and training in perineal wound assessment and repair for midwives and midwifery students: A review of the literature

et al. 2021

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“…Importantly, these results are in line with those of other research. 37,38 Conversely, the absence of such initiatives cultivates uncertainty, decreased motivation, and ultimately lowered job satisfaction. 39 Education opportunities and training in relevant areas is a stimulating factor that creates trust and improves the quality of care, 40 thereby ameliorating or mitigating stress among a range of health practitioners.…”

Section: Discussionmentioning

confidence: 99%

Support and resources to promote and sustain health among nurses and midwives in the workplace: A qualitative study

Thapa

Ekström‐Bergström

Krettek

et al. 2021

Nordic Journal of Nursing Research

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Registered nurses and midwives are in short supply and have among the highest rates of sick leave in the global workforce. The aim of this study was therefore to explore and gain a deeper understanding of how nurses and midwives experience their everyday work, with a view toward promoting and sustaining their work-related health. Nine registered nurses and four registered midwives working in hospitals and community healthcare facilities in Sweden were interviewed. The interviews were analyzed using content analysis. This study is reported in accordance with COREQ. One main category emerged: ‘Quality of organizational and collegial support and opportunities to facilitate recovery, health, and patient care’. From this category, four generic categories describing the overall experiences of registered nurses and midwives could be discerned. Based on these results, it is recommended that employers adopt a systematic health-promotive approach to foster and maintain the workplace health of registered nurses and midwives.

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Evaluation of midwifery pelvic floor education and Training across the UK and Spain

Webb

Skene

Manresa

et al. 2021

European Journal of Obstetrics & Gynecology and Reproductiv

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Perineal management: Midwives’ confidence and educational needs

Cited by 8 publications

References 18 publications

Effectiveness of structured education and training in perineal wound assessment and repair for midwives and midwifery students: A review of the literature

Effectiveness of structured education and training in perineal wound assessment and repair for midwives and midwifery students: A review of the literature

Support and resources to promote and sustain health among nurses and midwives in the workplace: A qualitative study

Evaluation of midwifery pelvic floor education and Training across the UK and Spain

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