Antenatal asthma management by midwives in Australia — Self-reported knowledge,confidence and guideline use |
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| Institution: | 1. School of Medicine and Public Health, University of Newcastle, NSW, Australia;2. Priority Research Centre GrowUpWell?, Hunter Medical Research Institute and University of Newcastle, NSW, Australia;3. Hunter New England Local Health District, Nurses and Midwives Research Centre, University of Newcastle, Newcastle, NSW Australia;1. Faculty of Medicine-Benha University, El-Shaheed Farid Nada, Qism Banha, Banha, Al Qalyubia Governorate, Egypt;2. Madinet Kafr Shokr, Kafr Shokr, Al Qalyubia Governorate, Egypt;3. El-Shaheed Farid Nada, Qism Banha, Banha, Al Qalyubia Governorate, Egypt;4. Research coordinator at the Faculty of Egyptian Society of Royal College of Obstetrics and Gynaecology, (ERC-RCOG), 42 Abdel Monem Road, Mohandseen, Cairo, 11231, Egypt;1. Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health. 1 W. Wilson St., Madison, WI, 53704, United States;2. Department of History and Social Sciences, Faculty of Liberal Arts, Universidad Adolfo Ibáñez, Diagonal Las Torres, Peñalolén, Santiago, 2640, Chile;3. Birth Place Lab., University of British Columbia, BC Women’s Hospital Shaughnessy Building E418 4500 Oak Street, Vancouver, BC V6H 3N1, Canada;1. Faculty of Nursing, Mutah University, Jordan;2. School of Medicine, University Centre for Rural Health, The University of Sydney, NSW Australia;1. Edith Cowan University, Perth, Western Australia, Australia;2. Charles Darwin University, Darwin, Northern Territory, Australia;3. King Edward Memorial Hospital, Perth, Western Australia, Australia |
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| Abstract: | BackgroundAsthma affects approximately 12.7% of pregnant women in Australia. Increased maternal and infant morbidity is closely associated with poorly controlled asthma during pregnancy. Midwives are well placed to provide antenatal asthma management but data on current asthma management during pregnancy is not available, nor is the use of guidelines for clinical practice by this health professional group.AimTo explore self-reported antenatal asthma management provided by midwives across Australia and how this reflects guideline recommendations.MethodAn online survey was developed and distributed throughout Australia via the Australian College of Midwives, social media and healthcare facilities.ResultsResponses from 371 midwives were obtained. Ten percent of midwives rated their knowledge as ‘good’ and 1% as ‘very good’, with 39% ‘poor’ or ‘very poor’. Being ‘somewhat’ or ‘not at all’ confident to provide antenatal asthma management was noted by 87% of midwives. Clinical guidelines were referred to by 50% of midwives and 40% stated that their main role was to refer women to other healthcare professionals. Only 54% reported that a clear referral pathway existed. Most respondents (>90%) recognised key recommendations for asthma management such as smoking cessation, appropriate vaccinations, and the continuation of prescribed asthma medications.ConclusionAlthough midwives appear aware of key clinical recommendations for optimal antenatal asthma management, low referral to clinical practice guidelines and lack of knowledge and confidence was evident. Further research is required to determine what care pregnant women with asthma are actually receiving and identify strategies to improve antenatal asthma management by midwives. |
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| Keywords: | Midwives Asthma Management Antenatal Guidelines Knowledge |
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