ORCID Profile
0000-0002-5216-7641
Current Organisation
University of Western Sydney Parramatta Campus
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Publisher: Elsevier BV
Date: 02-2018
DOI: 10.1016/J.WOMBI.2017.06.007
Abstract: There appears to be a chasm between idealised motherhood and reality, and for women who experience birth trauma this can be more extreme and impact on mental health. Australia is unique in providing residential parenting services to support women with parenting needs such as sleep or feeding difficulties. Women who attend residential parenting services have experienced higher rates of intervention in birth and poor perinatal mental health but it is unknown how birth trauma may impact on early parenting. This study aims to explore the early parenting experiences of women who have accessed residential parenting services in Australia and consider their birth was traumatic. In-depth interviews were conducted with eight women across Australia who had experienced birth trauma and accessed residential parenting services in the early parenting period. These interviews were conducted both face to face and over the telephone. The data was analysed using thematic analysis. One overarching theme was identified: "The Perfect Storm of Trauma" which identified that the participants in this study who accessed residential parenting services were more likely to have entered pregnancy with pre-existing vulnerabilities, and experienced a culmination of traumatic events during labour, birth, and in the early parenting period. Four subthemes were identified: "Bringing Baggage to Birth", "Trauma through a Thousand Cuts", "Thrown into the Pressure Cooker", and "Trying to work it all out". How women are cared for during their labour, birth and postnatal period impacts on how they manage early parenthood. Support is crucial for women, including practical parenting support, and emotional support by health professionals and peers.
Publisher: Wiley
Date: 12-10-2013
DOI: 10.1111/JAN.12005
Abstract: This article presents a meta-ethnographic synthesis of studies on women's experiences of sustaining a third or fourth degree tear during childbirth. It has been reported that for women who sustain third or fourth degree perineal tears (severe perineal trauma) some may experience extensive physical and psychological outcomes. A meta-ethnographic synthesis. The CINAHL, PubMed, Scopus, MD Consult, and SocIndex with Full Text databases were searched for the period January 1996-June 2011. Out of 478 papers retrieved four met the review aim. A meta-ethnographic synthesis approach was undertaken using analytic strategies and theme synthesis techniques of reciprocal translation and refutational investigation. Quality appraisal was undertaken using the Critical Appraisal Skills Programme (CASP) tool. Four qualitative papers were included, with three major themes identified: 'I am broken and a failure', 'Dismissed, devalued and disregarded', and 'The practicalities of the unpredictable perineum'. There is evidence to suggest that for women who experience severe perineal trauma during childbirth the physical and psychological outcomes can be complex, with some women experiencing social isolation and marginalization due to their ongoing symptomatology. Severe perineal trauma appeared to affect not only physiological and psychological well-being but also altered the women's understanding of their identity as sexual beings. Health professionals should be mindful of the language that they use and their actions during suturing and the postpartum period to avoid causing unnecessary distress.
Publisher: Springer Science and Business Media LLC
Date: 08-04-2013
Publisher: Wiley
Date: 30-05-2018
DOI: 10.1111/JOCN.14497
Abstract: To examine the characteristics and service needs of women and babies admitted to residential parenting services (RPS) in the first year following birth in New South Wales, Australia. In Australia, there is a tiered system to support maternal, child and family health, which includes RPS. Sequential explanatory mixed-methods design. In idual patient data were obtained from a random review of 10% of all medical records (n = 300 of 3,011 admissions) of women with an infant of <12 months of age who were admitted to RPS in 2013. Following review of the medical records, qualitative data were collected via interviews with eight women who accessed RPS. Chi-square analysis and Student's t test were used to analyse quantitative data. Qualitative data were analysed using a descriptive interpretive approach. An integrative approach was taken in reporting the findings. Women admitted to the RPS were on average 32 years of age, were Australian born (72%) and had a university qualification (40%), and most were employed. The majority of women were primiparous (60%) and had a vaginal birth (61%). Women with male infants were much more likely to be admitted to the RPS (58%) compared to the NSW male-to-female ratio (51.3% vs. 48.7%). Over 50% of women reported mental health issues with 27% having an Edinburgh Postnatal Depression Scale score ≥13 on admission. The primary reason women sought parenting support was for sleep and settling (83%). During their stay, services used by women included social workers (44%), psychologists (52%) and psychiatrists (4.5%). Women who access RPS report psychosocial and mental health issues. Services provided by RPS support women during this challenging early parenting period by providing multidisciplinary, holistic and peer support. A high prevalence of mental health issues identified in this study indicated a need for ongoing training and support for RPS staff. Ensuring clinicians have the appropriate skill sets to best support their clientele will maximise the outcomes for women and families who access RPS during the early parenting period.
Publisher: Elsevier BV
Date: 2015
Publisher: Elsevier BV
Date: 03-2017
DOI: 10.1016/J.NEPR.2017.02.005
Abstract: Maternal oral health is important yet many pregnant women are unaware of its significance. Midwives are advised to promote oral health during pregnancy and are supported to do this in Australia through the Midwifery Initiated Oral Health training program. However, limited undergraduate education is being provided to midwifery students in this area. The objective of this paper is to describe how an innovative oral health education module for an undergraduate midwifery course in Australia was designed using a multidisciplinary approach. Midwives experienced in curriculum development and key investigators from the Midwifery Initiated Oral Health program designed the module using existing literature. Constructive alignment, blended learning and scaffolding were used in the design process. The draft module was then reviewed by midwifery academics and their feedback incorporated. The final module involves 4 h of teaching and learning and contains three components incorporated into first year course units. Each component is aligned with existing learning outcomes and incorporates blended learning approaches and tutorials/class activities as well as online quizzes and personal reflection. The module details key information (current evidence basic anatomy hysiology common oral conditions and guidelines during pregnancy) that could better prepare students to promote oral health in clinical practice. This is the first time such an innovative, multidisciplinary approach has been undertaken embedding oral health in an undergraduate midwifery program in Australia.
Publisher: CSIRO Publishing
Date: 2013
DOI: 10.1071/AN12289
Abstract: A farmlet experiment was conducted between July 2000 and December 2006 as part of the Cicerone Project, which sought to enhance the profitability and sustainability of grazing enterprises on the Northern Tablelands of New South Wales, Australia. A self-replacing Merino enterprise was grazed as the dominant livestock enterprise, together with ~20% of the carrying capacity as cattle, on each of three farmlet treatments: higher levels of soil fertility and pasture renovation with flexible rotational grazing over eight paddocks (farmlet A), moderate soil fertility and pasture renovation with flexible rotational grazing over eight paddocks (farmlet B) and moderate soil fertility and pasture renovation with intensive rotational grazing over 37 paddocks (farmlet C). Prior to commencement of the trial, the three 53-ha farmlets were allocated equivalent areas of land based on soil type, slope and recent fertiliser history. This paper describes the effects of the three pasture and grazing management strategies on the production, quality and value of the wool produced per head, per ha and per farmlet. Up until 2001 there were no differences in wool production between farmlets. Thereafter, significant differences between farmlets emerged in greasy fleece weight per head and price received per kg of fleece wool. For ex le, the clean fleece value averaged over the 2003–05 shearings for all hoggets, ewes and wethers was 1531, 1584 and 1713 cents/kg for farmlets A, B and C, respectively. There were small but significant differences, which varied between sheep class and year, between the farmlets in average fibre diameter and staple length but less so with staple strength. In general, while the differences between farmlets in staple strength varied over time, farmlets A and B tended to have wool with longer staple length and broader fibre diameter than farmlet C and this affected wool value per kg. Differences in wool income per ha between farmlets grew in later years as the farmlet treatments took effect. In spite of farmlet A having a slightly lower wool value per kg, after taking into account its greater fleece weight per head and its higher stocking rate, the total wool income per ha was higher than on either farmlets B or C. The average gross wool income per ha from 2003 to 2005 was $303, $215 and $180 for farmlets A, B and C, respectively. The highest amount of greasy wool produced was in 2004 when 38.2, 26.5 and 21.5 kg/ha was harvested from farmlets A, B and C, respectively. The fibre diameter profiles of 2-year-old ewes showed similar profiles for farmlets A and B but a significantly finer fibre diameter profile for farmlet C ewes due to intensive rotational grazing. However, sheep on all three farmlets produced wool with high staple strength. Multivariate analyses revealed that greasy fleece weight, staple length and staple strength were significantly positively correlated with the proportion of the farm grazed at any one time, and with soil phosphorus, legume herbage and green digestible herbage thus highlighting the significant influence of pasture and soil inputs and of grazing management on wool production and quality.
Publisher: Elsevier BV
Date: 12-2011
DOI: 10.1016/J.WOMBI.2010.11.001
Abstract: In February 2009 the Improving Maternity Services in Australia - The Report of the Maternity Services Review (MSR) was released and recommended improving women's access to and availability of birth centres. It was unclear if this was in response to an overwhelming request for birth centres in the submissions received by the commonwealth or a compromise for excluding homebirth from the maternity service reforms. The aim of this paper was to examine what was said in the submissions to the MSR about birth centres. Data for this study comprised 832 submissions to the MSR that are publicly available on the Commonwealth of Australia Department of Health and Ageing website. All 832 submissions were downloaded, and read for any mention of the words 'birth centre', 'birth center'. Content analysis was used to categorise and report the data. Of the 832 submissions to the MSR 197 (24%) mentioned birth centres while 470 (60%) of the submissions mentioned homebirth. Only 31 (4%) of the submissions to the Maternity Review mentioned birth centres without mentioning home birth also. Most of the submissions emphasised that 'everything should be on the menu' when it came to place of birth and care provider. Reasons for choosing a birth centre were identified as: 'the best compromise available, 'the right and natural way' and 'the birth centre as safe'. Women had certain requirements of a birth centre that included: 'continuity of carer', 'midwife led', 'a sanctum from medicalised care', 'resources to cope with demand', 'close to home', and 'flexible guidelines and admission criteria'. Women weighed up a series of requirements when deciding whether to give birth in a birth centre. The recommendation by the MSR to expand birth centres and ignore home birth is at odds with the strong view expressed that 'everything should be on the menu'. The requirements women described of birth centre care are also at odds with current trends. If there is to be an expansion of birth centres, service providers need to make sure that women's views are central to the design. Women will not cease having homebirths due to expanded birth centre options.
Publisher: BMJ
Date: 2013
Publisher: Springer Science and Business Media LLC
Date: 18-07-2014
Publisher: Elsevier BV
Date: 09-2012
DOI: 10.1016/J.WOMBI.2011.05.001
Abstract: From the historical literature it is apparent that birthing in an upright position was once common practice while today it appears that the majority of women within Western cultures give birth in a semi-recumbent position. To undertake a review of the literature reporting the impact of birth positions on maternal and perinatal wellbeing, and the factors that facilitate or inhibit women adopting various birth positions throughout the first and second stages of labour. A search strategy was designed to identify the relevant literature, and the following databases were searched: CINAHL, CIAP, the Cochrane Database of Systematic Reviews, Medline, Biomed Central, OVID and Google Scholar. The search was limited to the last 15 years as current literature was sought. Over 40 papers were identified as relevant and included in this literature review. The literature reports both the physical and psychological benefits for women when they are able to adopt physiological positions in labour, and birth in an upright position of their choice. Women who utilise upright positions during labour, have a shorter duration of the first and second stage of labour, experience less intervention, and report less severe pain and increased satisfaction with their childbirth experience than women in a semi recumbent or supine/lithotomy position. Increased blood loss during third stage is the only disadvantage identified but this may be due to increased perineal oedema associated with upright positions. There is a lack of research into factors and/or practices within the current health system that facilitate or inhibit women to adopt various positions during labour and birth. Upright birth positioning appears to occur more often within certain models of care, and birth settings, compared to others. The preferences for positions, and the philosophies of health professionals, are also reported to impact upon the position that women adopt during birth. Understanding the facilitators and inhibitors of physiological birth positioning, the impact of birth settings and how midwives and women perceive physiological birth positions, and how beliefs are translated into practice needs to be researched.
Publisher: Springer Science and Business Media LLC
Date: 21-10-2015
Publisher: Wiley
Date: 15-08-2018
DOI: 10.1111/JOCN.14583
Abstract: To explore the experiences of commencing first-year undergraduate nursing students who were studying full time while engaging in 20 or more hours of paid work each week. Using a qualitative exploratory design, commencing full-time nursing students who were employed in paid work for at least 20 hr per week were interviewed between May-June 2016. Data were thematically analysed using the following approach: data familiarisation, generating initial codes independently, searching and reviewing themes and subthemes, and defining and naming these themes and subthemes. Four main themes were identified which illustrated students' experiences of working and studying: (a) "Work is a necessity…not a choice" identified how students relied heavily on the financial income from paid work to support themselves and others during their studies, (b) "Something's got to give" highlighted the sacrifices that needed to be made to avoid negative effects on their studies, (c) "It's a balancing act!" demonstrated how students studied strategically and balanced their workload despite challenges, and lastly (d) "Being supported to work and study" described the overwhelming support from others for students to succeed academically. Despite support, working 20 hr or more per week while studying full time often overwhelmed students' personal resources and negatively impacted on course grades. Inflexible University timetables compounded the challenges experienced by students who struggled to balance work and study commitments. Nursing employers play a pivotal role in enabling students to juggle effectively their work-study commitments, through providing work flexibility. Students may also benefit if the nursing workforce advocates that they be awarded exclusion from selected clinical placement requirements, particularly if the clinical placement focus is closely related to their current nursing employment.
Publisher: No publisher found
Date: 2014
Publisher: Elsevier BV
Date: 12-2011
DOI: 10.1016/J.WOMBI.2010.10.002
Abstract: In February 2009 the Improving Maternity Services in Australia - The Report of the Maternity Services Review (MSR) was released, with the personal stories of women making up 407 of the more than 900 submissions received. A significant proportion (53%) of the women were said to have had personal experience with homebirth. Little information is provided on what was said about homebirth in these submissions and the decision by the MSR not to include homebirth in the funding and insurance reforms being proposed is at odds with the apparent demand for this option of care. Data for this study comprised 832 submissions to the MSR that are publicly available on the Commonwealth of Australia Department of Health and Aging website. All 832 submissions were downloaded, coded and then entered into NVivo. Content analysis was used to analyse the data that related to homebirth. 450 of the submissions were from consumers of maternity services (54%). Four hundred and seventy (60%) of the submissions mentioned homebirth. Overall there were 715 references to home birth in the submissions. The submissions mentioning homebirth most commonly discussed the 'Benefits' and 'Barriers' in accessing this option of care. Benefits to the baby, mother and family were described, along with the benefits obtained from having a midwife at the birth, receiving continuity of care and having a good birth experience. Barriers were described as not having access to a midwife, no funding, no insurance and lack of clinical privileging for midwives. Many positive recommendations have come from the MSR, however the decision to exclude homebirth from these reforms is perplexing considering the large number of submissions describing the benefits of and barriers to homebirth in Australia. A concerning number of submissions discuss having had or having considered an unattended birth at home due to these barriers. Overall there is the belief that not enabling access to funded, insured homebirth in Australia is a violation of human rights. It appears that homebirth was considered by the MSR as 'too hot to handle' and by dismissing it as a minority issue the government sought to avoided dealing with homebirth as a 'sensitive and controversial issue.'
No related grants have been discovered for Holly Priddis.