Intrapartum Care
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Waterbirth Stories
Drawing on years of midwifery experience of waterbirth, this collection of stories, based on real-life events, illuminates a rewarding way of birth and emphasises the theoretical knowledge, skills, understanding, and resilience needed to practice well. Waterbirth Stories includes chapters on the criteria for use of water in labour and birth, on the different stages of labour, and on some more serious or unusual situations such as shoulder dystocia, postpartum haemorrhage, breech presentation, and other unexpected maternal and neonatal events. Each chapter includes several stories from a midwife’s perspective, told in the context of evidence-based guidelines available for this topic. The stories end with learning points to help readers reflect on their own practice. Ideal for student and practising midwives with an interest in waterbirth, this research-informed book is enjoyable, challenging, and informative.
Maternal Health Services Utilization in Sub-Saharan Africa, vol I
Author: Tafadzwa Dzinamarira
language: en
Publisher: Frontiers Media SA
Release Date: 2025-11-13
Maternal health is a global priority, and significant progress has been made in reducing maternal mortality rates in recent decades. However, disparities persist, with Sub-Saharan Africa and South Asia accounting for the majority of maternal deaths worldwide. Maternal health services are essential for reducing maternal mortality and improving maternal outcomes. However, a number of factors, including individual, household, community, and health system factors can affect whether or not women use these services. In resource-limited settings, a number of factors can affect whether or not women use maternal health services. These factors include individual characteristics such as age, education level, income, employment status, and marital status; household factors such as income, number of children, and decision-making power; community factors such as distance to health facilities, quality of care, cost of services, and attitudes towards maternal health; and health system factors such as availability of skilled health workers, essential drugs and supplies, and emergency obstetric care.
Social Determinants of Women's Health in Low and Middle Income Countries
It is well-established that the social determinants of health (SDH) highly influence health outcomes and inequities. This is particularly true in low-and-middle income countries, where women are deprived of their basic rights including access to health services, appropriate nutrition, and education. Socio-cultural practices, such as child marriages, forced marriages, cousin marriages, female genital mutilation, and son-preference, undermine women health and well-being. Additionally, various negative stereotypes, such as pregnancy and childbirth-related taboos, dowry and honor-related violence, restrictions on women’s mobility and social participation are significantly associated with women’s health status. To improve women’s sexual and reproductive health, societies must take comprehensive and integrated measures to address these cultural stereotypes and harmful sociocultural practices against women. A SDH approach dictates that health is shaped importantly by various individual factors and community norms that further enable or constrain health. Individual factors include education, income, ethnicity, and the environment wherein people live (including their families, communities and workplace). Macro-level social factors include the labor market, schools, healthcare systems, legal systems, institutionalized practices, and ideologies. In many low- and-middle-income countries, women are still socially excluded and economically marginalized. They lack opportunities for education, economic growth, and political participation. There are many social drivers associated with maternal health. Many negative life experiences such as infertility and perinatal loss, poverty, discrimination, social inequalities, lack of autonomy, violence, economic dependency, and isolation have long-lasting impact on mothers’ mental health and wellbeing. To comprehensively understand the drive of maternal health, a multilevel and bio-social approach of social determinants of women’s health is integral.