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Ayres-de-Campos D, Louwen F, Vivilaki V, Benedetto C, Modi N, Wielgos M, Tudose MEP, Timonen S, Reyns M, Yli B, Stenback P, Nunes I, Yurtsal B, Vayssière C, Roth GE, Jonsson M, Bakker P, Lopriore E, Verlohren S, Jacobsson B. European Association of Perinatal Medicine (EAPM), European Board and College of Obstetricians and Gynaecologists (EBCOG), European Midwives Association (EMA). Joint position statement: Substandard and disrespectful care in labour - because words matter. Eur J Obstet Gynecol Reprod Biol 2024; 296:205-207. [PMID: 38460251 DOI: 10.1016/j.ejogrb.2024.02.048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/11/2024]
Abstract
Substandard or disrespectful care during labour should be of serious concern for healthcare professionals, as it can affect one of the most important events in a woman's life. Substandard care refers to the use of interventions that are not considered best-practice, to the inadequate execution of interventions, to situations where best-practice interventions are withheld from patients, or there is lack of adequate informed consent. Disrespectful care refers to forms of verbal and non-verbal communication that affect patients' dignity, individuality, privacy, intimacy, or personal beliefs. There are many possible underlying causes for substandard and disrespectful care in labour, including difficulties in modifying behaviours, judgmental or paternalistic attitudes, personal interests and individualism, and a human tendency to make less arduous, less difficult, or less stressful clinical decisions. The term "obstetric violence" is used in some parts of the world to describe various forms of substandard and disrespectful care in labour, but suggests that it is mainly carried out by obstetricians and is a serious form of aggression, carried out with the intent to cause harm. We believe that this term should not be used, as it does not help to identify the underlying problem, its causes, or its correction. In addition, it is generally seen by obstetricians and other healthcare professionals as an unjust and offensive term, generating a defensive and less collaborative mindset. We reach out to all individuals and institutions sharing the common goal of improving women's experience during labour, to work together to address the underlying causes of substandard and disrespectful care, and to develop common strategies to deal with this problem, based on mutual comprehension, trust and respect.
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Affiliation(s)
| | - Frank Louwen
- Department of Obstetrics and Gynecology and Obstetrics, Goethe University Frankfurt/Main and University Hospital, Germany
| | | | - Chiara Benedetto
- Department of Gynecology and Obstetrics, University Division at St. Anna Hospital, Torino, Italy
| | - Neena Modi
- Section of Neonatal Medicine, School of Public Health, Imperial College London, London, UK
| | - Miroslaw Wielgos
- Department of Obstetrics and Perinatology, National Medical Institute of the Ministry of Interior and Administration, Medical Faculty, Lazarski University, Warsaw, Poland
| | - Melania-Elena Pop Tudose
- Obstetrics Department, Emergency Hospital, Buzau, Carol Davila University of Medicine and Pharmacy, Faculty of Midwifery and Nursing, Bucharest, Romania
| | | | | | - Branka Yli
- Delivery Department, Oslo University Hospital, Oslo, Norway
| | | | - Inês Nunes
- Department of Obstetrics and Gynecology, Unidade Local de Saúde de Gaia/Espinho, Faculty of Medicine, University of Porto, Portugal
| | - Burcu Yurtsal
- Department of Midwifery, Sivas Cumhuriyet University, Turkey
| | - Christophe Vayssière
- Department of Obstetrics-Gynecology-Reproduction, Paule de Viguier Hospital, CHU Toulouse, Toulouse III University, France
| | - Georges-Emmanuel Roth
- Department of Obstetrics and Gynecology, CHU Strasbourg, France, University of Strasbourg, France
| | - Maria Jonsson
- Department of Women's and Children's Health, Uppsala University, Sweden
| | - Petra Bakker
- Department of Obstetrics and Gynecology, Amsterdam UMC, Location VU Medical Center, Amsterdam, the Netherlands
| | - Enrico Lopriore
- Department of Neonatology, Leiden University Medical Center, Netherlands
| | - Stefan Verlohren
- Department of Obstetrics, Charité - Universitätsmedizin Berlin, Germany
| | - Bo Jacobsson
- Department of Obstetrics and Gynecology, Sahlgrenska Academy, Gothenburg University, Sahlgrenska University Hospital, Gothenburg, Sweden
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Harizopoulou VC, Saranti E, Antonakou A, Vivilaki V. The importance of online childbirth preparation courses. Eur J Midwifery 2024; 8:EJM-8-14. [PMID: 38596215 PMCID: PMC11002958 DOI: 10.18332/ejm/185867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Revised: 02/21/2024] [Accepted: 03/28/2024] [Indexed: 04/11/2024] Open
Affiliation(s)
- Vicentia C. Harizopoulou
- First Department of Obstetrics and Gynecology, Papageorgiou General Hospital, Thessaloniki, Greece
| | - Evangelia Saranti
- First Department of Obstetrics and Gynecology, Papageorgiou General Hospital, Thessaloniki, Greece
| | - Angeliki Antonakou
- Department of Midwifery Science, School of Health Sciences, International Hellenic University, Thessaloniki, Greece
| | - Victoria Vivilaki
- Department of Midwifery, School of Health and Care Sciences, University of West Attica, Athens, Greece
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3
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Varela P, Zervas I, Vivilaki V, Lykeridou A, Deltsidou A. Validity and reliability of the Greek version of Wijma delivery expectancy/experience questionnaire (Version A) among low-risk pregnant women. BMC Psychol 2024; 12:165. [PMID: 38504313 PMCID: PMC10953171 DOI: 10.1186/s40359-024-01662-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2022] [Accepted: 03/15/2024] [Indexed: 03/21/2024] Open
Abstract
BACKGROUND Fear of childbirth is a frequent health issue for pregnant women. The Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ) is a widely used instrument to measure the fear of childbirth during the antenatal period. The aim of the study was to assess the psychometric properties of the W-DEQ (version A) in a sample of Greek pregnant women. METHODS Low-risk pregnant women in the second or third trimester of pregnancy (N = 201) were invited to participate in the study and to complete a booklet of questionnaires including the Greek versions of W-DEQ-A, State-Trait Anxiety Inventory (STAI), Coping Orientations to Problems Experienced (Brief COPE), Perceived Stress Scale (PSS-10) and Edinburgh Postnatal Depression Scale (EPDS). Exploratory (EFA) and confirmatory factor analysis (CFA) was performed. RESULTS The mean age of participants was 34.2 years (SD = 4.3 years). EFA yielded six factors ("Lack of self-efficacy", "Lack of positive anticipation", "Lack of feeling lonely", "Concerns about delivery and losing control", "Calmness", and "Concern for the child") of 33 items of W-DEQ-A. CFA confirmed the multidimensionality of the instrument. All Cronbach's alpha were over 0.7, indicating acceptable reliability of the factors. All factors were significantly correlated with each other, and convergent validity was demonstrated by a significant association with stress, anxiety, and depression among low-risk pregnant women. CONCLUSION The Greek version of W-DEQ-A proved to be a valid and reliable instrument of fear of childbirth among Greek low-risk pregnant women.
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Affiliation(s)
- Pinelopi Varela
- Department of Midwifery, University of West Attica, Athens, Greece.
| | - Ioannis Zervas
- National and Kapodistrian University of Athens Medical School, Eginition University Hospital, Athens, MD, Greece
| | | | | | - Anna Deltsidou
- Department of Midwifery, University of West Attica, Athens, Greece
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Vardavas C, Nikitara K, Aslanoglou K, Lagou I, Marou V, Phalkey R, Leonardi-Bee J, Fernandez E, Vivilaki V, Kamekis A, Symvoulakis E, Noori T, Wuerz A, Suk JE, Deogan C. Social determinants of health and vaccine uptake during the first wave of the COVID-19 pandemic: A systematic review. Prev Med Rep 2023; 35:102319. [PMID: 37564118 PMCID: PMC10410576 DOI: 10.1016/j.pmedr.2023.102319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Revised: 07/07/2023] [Accepted: 07/10/2023] [Indexed: 08/12/2023] Open
Abstract
Social determinants of health significantly impact population health status. The aim of this systematic review was to examine which social vulnerability factors or determinants of health at the individual or county level affected vaccine uptake within the first phase of the vaccination program. We performed a systematic review of peer-reviewed literature published from January 2020 until September 2021 in Medline and Embase (Bagaria et al., 2022) and complemented the review with an assessment of pre-print literature within the same period. We restricted our criteria to studies performed in the EU/UK/EEA/US that report vaccine uptake in the general population as the primary outcome and included various social determinants of health as explanatory variables. This review provides evidence of significant associations between the early phases of vaccination uptake for SARS-CoV-2 and multiple socioeconomic factors including income, poverty, deprivation, race/ethnicity, education and health insurance. The identified associations should be taken into account to increase vaccine uptake in socially vulnerable groups, and to reduce disparities in uptake, in particular within the context of public health preparedness for future pandemics. While further corroboration is needed to explore the generalizability of these findings across the European setting, these results confirm the need to consider vulnerable groups and social determinants of health in the planning and roll-out of SARS-CoV-2 vaccination programs and within the context of future respiratory pandemics.
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Affiliation(s)
- Constantine Vardavas
- School of Medicine, University of Crete, Heraklion, Crete, Greece
- Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, Harvard University, Boston, MA, USA
| | | | | | - Ioanna Lagou
- School of Medicine, University of Crete, Heraklion, Crete, Greece
| | - Valia Marou
- School of Medicine, University of Crete, Heraklion, Crete, Greece
| | - Revati Phalkey
- Health Centre for Evidence Based Healthcare, School of Medicine, University of Nottingham, Nottingham, UK
| | - Jo Leonardi-Bee
- Health Centre for Evidence Based Healthcare, School of Medicine, University of Nottingham, Nottingham, UK
| | - Esteve Fernandez
- Tobacco Control Unit, WHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia-ICO, L’Hospitalet de Llobregat (Barcelona), Spain
- Tobacco Control Research Group, Institut d’Investigació Biomèdica de. Ellvitge-IDIBELL, L’Hospitalet de Llobregat (Barcelona), Spain
- School of Medicine and Health Sciences, Campus of Bellvitge, Universitat de Barcelona, Spain
- Centre of Biomedical Research Network on Respiratory Diseases (CIBERES de Enfermedaes Respiratorias), Insituto de Salud Carlos III, Madrid, Spain
| | | | | | | | - Teymur Noori
- Emergency Preparedness and Response Support, European Centre for Disease Prevention and Control, Solna, Sweden
| | - Andrea Wuerz
- Emergency Preparedness and Response Support, European Centre for Disease Prevention and Control, Solna, Sweden
| | - Jonathan E. Suk
- Emergency Preparedness and Response Support, European Centre for Disease Prevention and Control, Solna, Sweden
| | - Charlotte Deogan
- Emergency Preparedness and Response Support, European Centre for Disease Prevention and Control, Solna, Sweden
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Stalimerou V, Dagla M, Vivilaki V, Orovou E, Antoniou E, Iliadou M. Breastfeeding During Pregnancy: A Systematic Review of the Literature. Maedica (Bucur) 2023; 18:463-469. [PMID: 38023747 PMCID: PMC10674114 DOI: 10.26574/maedica.2023.18.3.463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/01/2023]
Abstract
Objectives: Breastfeeding during pregnancy has unintended repercussions that have yet to be determined. Previous research employed various approaches and reached varied outcomes, with some emphasizing on advantages and others focusing on hazards. With this study we aim at shedding light on the effects of breastfeeding during pregnancy on the outcome of pregnancy and the risk of miscarriage. Materials and methods: We conducted a systematic review of relevant papers which have been published in English between 2014 and 2022 by using the PubMed, Scopus and Google Scholar search engines. Databases identified 257 records, which were checked for their relatedness to the topic (title and abstract), and compliance with the selection criteria. Only 10 records met all requirements and were included in the present review. Results:The results revealed that breastfeeding during pregnancy appeared to be unrelated to pregnancy outcome and miscarriage risk, notwithstanding the need for caution in women at risk of preterm birth and high-risk pregnancies. Conclusion:All studies recognized the high nutritional requirements of lactating pregnant women as well as the importance of proper nutrition for a safe breastfeeding for both the mother and child (children). Further research, with larger samples and adequate methodology, is expected to lead to safer conclusions for breastfeeding during pregnancy.
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Affiliation(s)
- Violeta Stalimerou
- Department of Midwifery, University of West Attica, Agiou Spyridonos 28, 12243 Egaleo, Greece
| | - Maria Dagla
- Department of Midwifery, University of West Attica, Agiou Spyridonos 28, 12243 Egaleo, Greece
| | - Victoria Vivilaki
- Department of Midwifery, University of West Attica, Agiou Spyridonos 28, 12243 Egaleo, Greece
| | - Eirini Orovou
- Department of Midwifery, University of Western Macedonia, Keptse, 50200 Ptolemaida, Greece
| | - Evangelia Antoniou
- Department of Midwifery, University of West Attica, Agiou Spyridonos 28, 12243 Egaleo, Greece
| | - Maria Iliadou
- Department of Midwifery, University of West Attica, Agiou Spyridonos 28, 12243 Egaleo, Greece
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Triantafyllou E, Vivilaki V. What are the challenges midwives face working with refugee women and how can they be addressed? Eur J Midwifery 2023; 7:18. [PMID: 37547667 PMCID: PMC10401887 DOI: 10.18332/ejm/168942] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2023] [Accepted: 06/28/2023] [Indexed: 08/08/2023] Open
Affiliation(s)
- Elena Triantafyllou
- Department of Midwifery, School of Health and Care Sciences, University of West Attica, Athens, Greece
| | - Victoria Vivilaki
- Department of Midwifery, School of Health and Care Sciences, University of West Attica, Athens, Greece
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Giaxi P, Gourounti K, Vivilaki V, Metallinou D, Zdanis P, Galanos A, Lykeridou A. Can the Day of the Week and the Time of Birth Predict the Mode of Delivery According to Robson Classification? Healthcare (Basel) 2023; 11:2158. [PMID: 37570398 PMCID: PMC10418404 DOI: 10.3390/healthcare11152158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2023] [Revised: 07/18/2023] [Accepted: 07/26/2023] [Indexed: 08/13/2023] Open
Abstract
Worldwide, the cesarean section rate has steadily increased from 6.7% in 1990 to 21.1% in 2018 and is expected to rise even more. The World Health Organization propose the adoption of the Robson classification system as a global standard for monitoring, evaluating, and comparing delivery rates. The purpose of the current study is to use the Robson classification system to investigate how, independently of medical factors, the day of the week and time of delivery may be related to the mode of birth. In the sample analysis, we included the records of 8572 women giving birth in one private health facility in Greece. Over 60% of deliveries during the study period were performed by cesarean section, 30.6% by vaginal delivery, and 8.5% of deliveries were performed by operative vaginal delivery. The results of this study indicate that the lowest birth rates are observed on Monday, Saturday, and Sunday. Nulliparous women with no previous cesarean delivery, with a singleton in cephalic presentation ≥37 weeks with spontaneous labor (group 1) are 73% more likely to deliver by cesarean section between 08:00 A.M. and 03:59 P.M. compared to those who give birth between 12:00 A.M. and 07:59 A.M. Also, multiparous women with a single cephalic term pregnancy and one previous cesarean section (group 5.1) are 16.7 times more likely to deliver by cesarean section in the morning compared to overnight deliveries. These results point out two non-clinical variables that influences the CS rate. The Robson classification system was a useful tool for the above comparisons.
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Affiliation(s)
- Paraskevi Giaxi
- Department of Midwifery, University of West Attica, Agioy Spyridonos 28, 12243 Egaleo, Greece; (K.G.); (V.V.); (D.M.); (P.Z.); (A.L.)
| | - Kleanthi Gourounti
- Department of Midwifery, University of West Attica, Agioy Spyridonos 28, 12243 Egaleo, Greece; (K.G.); (V.V.); (D.M.); (P.Z.); (A.L.)
| | - Victoria Vivilaki
- Department of Midwifery, University of West Attica, Agioy Spyridonos 28, 12243 Egaleo, Greece; (K.G.); (V.V.); (D.M.); (P.Z.); (A.L.)
| | - Dimitra Metallinou
- Department of Midwifery, University of West Attica, Agioy Spyridonos 28, 12243 Egaleo, Greece; (K.G.); (V.V.); (D.M.); (P.Z.); (A.L.)
| | - Panagiotis Zdanis
- Department of Midwifery, University of West Attica, Agioy Spyridonos 28, 12243 Egaleo, Greece; (K.G.); (V.V.); (D.M.); (P.Z.); (A.L.)
| | - Antonis Galanos
- Laboratory for Research of the Musculoskeletal System, School of Medicine, National and Kapodistrian University of Athens, 14561 Athens, Greece;
| | - Aikaterini Lykeridou
- Department of Midwifery, University of West Attica, Agioy Spyridonos 28, 12243 Egaleo, Greece; (K.G.); (V.V.); (D.M.); (P.Z.); (A.L.)
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8
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Giaxi P, Gourounti K, Vivilaki V, Zdanis P, Galanos A, Antsaklis A, Lykeridou A. Implementation of the Robson Classification in Greece: A Retrospective Cross-Sectional Study. Healthcare (Basel) 2023; 11:healthcare11060908. [PMID: 36981564 PMCID: PMC10048284 DOI: 10.3390/healthcare11060908] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Revised: 03/08/2023] [Accepted: 03/20/2023] [Indexed: 03/30/2023] Open
Abstract
Cesarean sections have become the most commonly performed operations around the world. The World Health Organization recommended the use of the Robson classification system as a universal standard to establish a joint control system in healthcare facilities. The aim of this study was to implement the Robson classification for the first time in Greece to identify trends in cesarean births and examine the groups of women who are the main contributors to the increasing rates. Moreover, the indicators for cesarean sections will be evaluated as per the Robson classification. In the sample analysis, we included the records of 8572 women giving birth in one private health facility in Greece. A total of 8572 women gave birth during the study period, of which 5224 (60.9%) were cesarean section births and 3348 (39.1%) were vaginal births. In our study, according to the Robson classification, the largest contributors to the overall CS rate were as follows: (a) nulliparous women with a single cephalic term pregnancy, who were either labor induced or delivered by cesarean section before labor-Group 2 (34.6%); (b) multiparous women with a single cephalic term pregnancy and at least one previous cesarean section-Group 5 (30.7%); (c) women with a single cephalic preterm pregnancy-Group 10 (11.7%); (d) women with multiple pregnancies-Group 8 (7.0%). Our study is expected to assist policymakers in Greece in planning further interventions for each subgroup of women in order to reduce the overall CS rate and unnecessary CSs.
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Affiliation(s)
- Paraskevi Giaxi
- Department of Midwifery, University of West Attica, 12243 Athens, Greece
| | - Kleanthi Gourounti
- Department of Midwifery, University of West Attica, 12243 Athens, Greece
| | - Victoria Vivilaki
- Department of Midwifery, University of West Attica, 12243 Athens, Greece
| | - Panagiotis Zdanis
- Department of Midwifery, University of West Attica, 12243 Athens, Greece
| | - Antonis Galanos
- Laboratory for Research of the Musculoskeletal System, School of Medicine, National and Kapodistrian University of Athens, 15784 Athens, Greece
| | - Aris Antsaklis
- IASO, General Maternity and Gynecology Clinic, 15123 Athens, Greece
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9
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Diamanti A, Sarantaki A, Kalamata N, Vivilaki V, Varnakioti D, Lykeridou A. Pregnancy during the pandemic: The psychological impact of COVID-19 on pregnant women in Greece. Eur J Midwifery 2023; 7:2. [PMID: 36761448 PMCID: PMC9885373 DOI: 10.18332/ejm/157463] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2022] [Revised: 10/04/2022] [Accepted: 12/14/2022] [Indexed: 01/31/2023] Open
Abstract
INTRODUCTION The COVID-19 outbreak has affected the overall health of people worldwide. Historically, pandemics pose a challenge to psychological resilience, causing heightened stress levels. This study aimed to investigate the impact of the COVID-19 pandemic on the psychological state of pregnant women in Greece. METHODS A survey study was conducted on a sample of 149 pregnant women in late 2020, including the 'fear of COVID-19' scale, a self-report instrument that assess fear of COVID-19 among the general population and the State-Trait Anxiety Inventory (STAI) scale which measures state and trait anxiety. RESULTS Pregnant women with a mental health history tended to score higher on the 'fear of COVID-19' scale (mean ± SD: 19.48 ± 4.35) compared to pregnant women who had never had mental health problems before (17.12 ± 5.27). Moreover, pregnant women with anxiety as part of their personality tended to also score higher on the 'fear of COVID-19' scale. In all, 48.3% of pregnant women reported that their psychological state had been severely affected by the COVID-19 outbreak. CONCLUSIONS Pregnant women were highly affected by the COVID-19 pandemic. A significantly increased 'fear of COVID-19' scale score was associated with self-reported pre-existence mental health conditions. Pregnant women with higher levels of 'trait anxiety' tended to report higher scores on the 'fear of COVID-19' scale.
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Affiliation(s)
- Athina Diamanti
- Faculty of Health and Caring Sciences, Department of Midwifery, University of West Attica, Athens, Greece
| | - Antigoni Sarantaki
- Faculty of Health and Caring Sciences, Department of Midwifery, University of West Attica, Athens, Greece
| | - Nafsika Kalamata
- Faculty of Health and Caring Sciences, Department of Midwifery, University of West Attica, Athens, Greece
| | - Victoria Vivilaki
- Faculty of Health and Caring Sciences, Department of Midwifery, University of West Attica, Athens, Greece
| | - Dimitra Varnakioti
- Faculty of Health and Caring Sciences, Department of Midwifery, University of West Attica, Athens, Greece
| | - Aikaterini Lykeridou
- Faculty of Health and Caring Sciences, Department of Midwifery, University of West Attica, Athens, Greece
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10
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Radu-Loghin C, Mocanu K, Al Gouhmani H, Vardavas C, Lagou I, Plyta Z, Papathanasaki A, Vogiatzidaki S, Vardavas A, Tzatzarakis M, Tsatsakis A, Filippidis F, Kyriakos C, Fernandez E, Tigova O, Martinez C, Luque AML, Eremia M, Lotrean LM, Trofor A, Wenzl T, Simpson B, Powell P, Starchenko P, Bakou A, Asimaki E, Vivilaki V. EUREST-RISE: An innovative networking and training project on European Tobacco Control. Tob Prev Cessat 2023; 9:12. [PMID: 37101785 PMCID: PMC10123401 DOI: 10.18332/tpc/163137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Accepted: 04/13/2023] [Indexed: 04/28/2023]
Affiliation(s)
| | - Karina Mocanu
- European Network for Smoking and Tobacco Prevention, Brussels, Belgium
| | - Hani Al Gouhmani
- European Network for Smoking and Tobacco Prevention, Brussels, Belgium
| | | | - Ioanna Lagou
- School of Medicine, University of Crete, Heraklion, Greece
| | - Zinovia Plyta
- School of Medicine, University of Crete, Heraklion, Greece
| | | | | | | | | | | | | | | | - Esteve Fernandez
- Catalan Institute of Oncology, Spain
- Bellvitge Biomedical Research Institute, Spain
- School of Medicine and Health Sciences, Universitat de Barcelona, Barcelona, Spain
- CIBER of Respiratory Diseases, Spain
| | - Olena Tigova
- Catalan Institute of Oncology, Spain
- Bellvitge Biomedical Research Institute, Spain
- School of Medicine and Health Sciences, Universitat de Barcelona, Barcelona, Spain
- CIBER of Respiratory Diseases, Spain
| | - Cristina Martinez
- Catalan Institute of Oncology, Spain
- Bellvitge Biomedical Research Institute, Spain
- School of Medicine and Health Sciences, Universitat de Barcelona, Barcelona, Spain
- CIBER of Respiratory Diseases, Spain
| | - Anna Mar Lopez Luque
- Catalan Institute of Oncology, Spain
- Bellvitge Biomedical Research Institute, Spain
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11
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Charos D, Vivilaki V. Sexual dysfunction in women with breast cancer: The role of community midwives in early detection. Eur J Midwifery 2022; 6:70. [PMID: 36591330 PMCID: PMC9773266 DOI: 10.18332/ejm/156900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2022] [Revised: 11/23/2022] [Accepted: 12/07/2022] [Indexed: 12/24/2022] Open
Affiliation(s)
- Dimitrios Charos
- Department of Midwifery, University of West Attica, Athens, Greece
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12
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Charos D, Andriopoulou M, Vivilaki V. Breast cancer and COVID-19: The need for enhanced psychological support for women with breast cancer during the pandemic. Eur J Midwifery 2022; 6:69. [PMID: 36591333 PMCID: PMC9773269 DOI: 10.18332/ejm/156899] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2022] [Revised: 11/24/2022] [Accepted: 12/02/2022] [Indexed: 12/24/2022] Open
Affiliation(s)
- Dimitrios Charos
- Department of Midwifery, University of West Attica, Athens, Greece,General Anticancer- Oncology Hospital ‘Agios Savvas’, Athens, Greece
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Tigka M, Vivilaki V, Metallinou D, Nanou C, Lykeridou A. The value of midwifery counseling during lactation as a key factor of pharmacovigilance. Eur J Midwifery 2022; 6:65. [DOI: 10.18332/ejm/156439] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2022] [Accepted: 11/10/2022] [Indexed: 11/26/2022] Open
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Bakou A, Vivilaki V. The importance of school intervention programmes in promoting health literacy and healthy lifestyles. Tob Prev Cessat 2021. [DOI: 10.18332/tpc/144721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Charos D, Merluzzi TV, Kolokotroni P, Lykeridou K, Deltsidou A, Vivilaki V. Breast cancer and social relationship coping efficacy: validation of the Greek version. Women Health 2021; 61:947-956. [PMID: 34706626 DOI: 10.1080/03630242.2021.1994101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
The Social Relationship Coping Efficacy scale (SRCE) was designed to assess cancer patients' efficacy for maintaining social support and social relationships. The purpose of the study was to confirm the psychometric quality and utility of a Greek-language version of the (SRCE) scale. The study included 116 women with breast cancer, who underwent surgery at a public hospital In Greece. The SRCE scale was translated using standard procedures and then culturally adapted for use in Greece. Psychometric evaluation of the SRCE-Greek scale included reliability, structural validity and convergent validity analyses. The SRCE-Greek scale demonstrated strong internal consistency (Cronbach a 0.87), and split-half reliability (Spearman-Brown, 0.747; Guttman, 0.742). The structural construct validity was confirmed with factor analysis using principal axis factor analysis. Construct validity was further supported with convergent validity with the Family Crisis Oriented Personal Evaluation Scales (F-COPES) (Acquiring Social Support, Reframing) and Family Support scale. The Greek language SRCE has strong internal consistency reliability and construct validity, as well as satisfactory convergent validity. Results provide support for the use of the SRCE-GR as a research and clinical instrument for the assessment of breast cancer patient's self-efficacy with regard to maintaining and enhancing close social relationships and social support.
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Affiliation(s)
- Dimitrios Charos
- Midwifery Department, University of West Attica, Athens, Greece.,Psychologist, General Anti-Cancer Hospital Agios Savvas, Athens, Greece
| | - Thomas V Merluzzi
- Department of Psychology, University of Notre Dame, Notre Dame, Indiana, USA
| | | | | | - Anna Deltsidou
- Midwifery Department, University of West Attica, Athens, Greece
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Soltani H, Watson H, Fair F, van den Muijsenbergh M, Papadakaki M, Jokinen M, Sioti E, Raben L, Burke C, Vivilaki V. Perinatal mental health services for mothers from ethnic minority and migrant backgrounds. Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab164.467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Perinatal mental health disorders are among the most common morbidities of the perinatal period with considerable adverse effects on mothers and their offspring. Members of ethnic minority groups, particularly those from migrant backgrounds, are at higher risk of developing mental illness with evidence of ongoing inequality in access to support. We will present an exploratory mixed-methods study scoping ethnic minority and migrant women's experiences accessing perinatal mental health services in the UK. Results showed how women perceived access to services as very challenging and how they experienced ‘suffering in silence', a ‘need for a safe space to talk and to be listened to', and a ‘need of finding other women like them'. We will complement these findings with the lessons learned from a related project, a three-site European study (ORAMMA) evaluating the feasibility of implementing an integrated perinatal care model for migrant mothers comprising maternity peer supporters (MPSs)-women from migrant backgrounds who had lived in the country for a longer time and were trained to support other migrant women during the childbearing continuum-. Results showed that MPSs supported migrant women accessing maternity care, overcoming language barriers, and advocating for them in their encounters with healthcare professionals. Besides, they provided emotional support and increased women's confidence, helping them overcome loneliness, encouraging them to build relationships with others and promoting bonding with the new baby. Bringing these two projects together, we will discuss how MPSs have the potential to help overcome barriers that immigrant women experience in seeking perinatal mental health and how the benefits of maternity peer supporters have the potential to reduce perinatal mental health risks amongst migrant mothers. Findings will point to the need for future research to evaluate the direct impacts of MPSs on immigrant's mother perinatal mental health.
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Affiliation(s)
- H Soltani
- College of Health, Wellbeing and Life Sciences, Sheffield Hallam University, Sheffield, UK
| | - H Watson
- College of Health, Wellbeing and Life Sciences, Sheffield Hallam University, Sheffield, UK
| | - F Fair
- College of Health, Wellbeing and Life Sciences, Sheffield Hallam University, Sheffield, UK
| | | | - M Papadakaki
- Department of Social Work, School of Health Sciences, Hellenic Mediterranean University, Heraklion, Greece
| | - M Jokinen
- European Midwives Association, London, UK
| | - E Sioti
- Department of Midwifery, Faculty of Health and Caring Science, University of West Attica, Athens, Greece
| | - L Raben
- Medical Centre Primary and Community Care, Radboud University, Nijmegen, Netherlands
| | - C Burke
- College of Health, Wellbeing and Life Sciences, Sheffield Hallam University, Sheffield, UK
| | - V Vivilaki
- Department of Midwifery, Faculty of Health and Caring Science, University of West Attica, Athens, Greece
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Andriopoulou M, Charos D, Kolypera V, Vivilaki V, Tziallas D. Psychosocial factors associated with conflicts among health professionals in the operating room in a Greek sample. J Nurs Manag 2021; 29:2707-2714. [PMID: 34309945 DOI: 10.1111/jonm.13428] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2021] [Revised: 07/13/2021] [Accepted: 07/22/2021] [Indexed: 11/30/2022]
Abstract
AIM The purpose of this study is to investigate conflicts and identify the factors that cause the creation of conflicts in the operating room as well as coping strategies for conflict resolution. BACKGROUND The operating room is a special and changeable working environment, which is constantly evolving, and requires interdisciplinary team collaboration. Therefore, it is an environment that may cause conflict among employees. METHOD The study was conducted at three Public Hospitals of Athens, during the period from 1 April 2018, to 15 June 2018. The research tool used to conduct the research was the questionnaire of Kontogianni et al. (2011). The questionnaire consisted of four sections dealing with conflict issues and their management. The sample consisted of 185 nurses and medical staff. The level of statistical significance was set equal to .05. The questions were analysed through the statistical package SPSS 20. RESULTS Τhe majority of participants had conflicts with colleagues (79%), with doctors (69.5%) and with nurses (43.7%). Τhe majority of the sample was unaware of conflict management strategies (60%). One of the important factors that intensify the conflicts is the burdensome workload in combination with the unsatisfactory salary. Avoidance is the preferred conflict management strategy (64.7%), followed by mutual benefit trading (55.4%.) Acceptance is the least appropriate strategy (10.9%). CONCLUSIONS In order to deal with conflicts in the operating room effectively, it is necessary for nurses and physicians to be trained in conflict management. IMPLICATIONS FOR NURSING MANAGEMENT Nursing managers should support the training of nurses in conflict management in order to create a climate of cooperation and reduce conflicts.
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Affiliation(s)
| | - Dimitrios Charos
- General Anti-Cancer Hospital "Agios Savvas", Athens, Greece.,Department of Midwifery, University of West Attica, Athens, Greece
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Fair F, Soltani H, Raben L, van Streun Y, Sioti E, Papadakaki M, Burke C, Watson H, Jokinen M, Shaw E, Triantafyllou E, van den Muijsenbergh M, Vivilaki V. Midwives' experiences of cultural competency training and providing perinatal care for migrant women a mixed methods study: Operational Refugee and Migrant Maternal Approach (ORAMMA) project. BMC Pregnancy Childbirth 2021; 21:340. [PMID: 33926420 PMCID: PMC8082812 DOI: 10.1186/s12884-021-03799-1] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Accepted: 04/13/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The number of international migrants continues to increase worldwide. Depending on their country of origin and migration experience, migrants may be at greater risk of maternal and neonatal morbidity and mortality. Having compassionate and culturally competent healthcare providers is essential to optimise perinatal care. The "Operational Refugee and Migrant Maternal Approach" (ORAMMA) project developed cultural competence training for health professionals to aid with providing perinatal care for migrant women. This presents an evaluation of ORAMMA training and explores midwives' experiences of the training and providing care within the ORAMMA project. METHODS Cultural competence was assessed before and after midwives (n = 35) received ORAMMA compassionate and culturally sensitive maternity care training in three different European countries. Semi-structured interviews (n = 12) explored midwives' experiences of the training and of caring for migrant women within the ORAMMA project. RESULTS A significant improvement of the median score pre to post-test was observed for midwives' knowledge (17 to 20, p < 0.001), skills (5 to 6, p = 0.002) and self-perceived cultural competence (27 to 29, p = 0.010). Exploration of midwives' experiences of the training revealed themes of "appropriate and applicable", "made a difference" and "training gaps" and data from ORAMMA project experiences identified three further themes; "supportive care", "working alongside peer supporters" and "challenges faced". CONCLUSIONS The training improved midwives' knowledge and self-perceived cultural competence in three European countries with differing contexts and workforce provision. A positive experience of ORAMMA care model was expressed by midwives, however clearer expectations of peer supporters' roles and more time within appointments to assess the psychosocial needs of migrant women were desired. Future large-scale research is required to assess the long-term impact of the ORAMMA model and training on practice and clinical perinatal outcomes.
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Affiliation(s)
- Frankie Fair
- College of Health, Wellbeing and Life Sciences, Sheffield Hallam University, 34 Collegiate Cres, Sheffield, S10 2BP, UK
| | - Hora Soltani
- College of Health, Wellbeing and Life Sciences, Sheffield Hallam University, 34 Collegiate Cres, Sheffield, S10 2BP, UK.
| | - Liselotte Raben
- Department of Primary and Community Care, Radboud University Medical Centre, Nijmegen, Netherlands
| | - Yvonne van Streun
- Department of Primary and Community Care, Radboud University Medical Centre, Nijmegen, Netherlands
| | - Eirini Sioti
- Department of Midwifery, Faculty of Health and Caring Sciences, University of West Attica, Athens, Greece
| | - Maria Papadakaki
- Department of Social Work, School of Health Sciences, Hellenic Mediterranean University, Heraklion, Greece
| | - Catherine Burke
- College of Health, Wellbeing and Life Sciences, Sheffield Hallam University, 34 Collegiate Cres, Sheffield, S10 2BP, UK
| | - Helen Watson
- College of Health, Wellbeing and Life Sciences, Sheffield Hallam University, 34 Collegiate Cres, Sheffield, S10 2BP, UK
| | - Mervi Jokinen
- Practice and Standards Professional Advisor, The Royal College of Midwives, London, UK.,President of European Midwives Association (EMA), Antwerpen, Belgium.,Vice Chair European Forum for National Nurses and Midwives Associations (EFNNMA), Lisbon, Portugal
| | - Eleanor Shaw
- Centre for the History of Science, Technology and Medicine at the University of Manchester, Manchester, UK
| | - Elena Triantafyllou
- Department of Midwifery, Faculty of Health and Caring Sciences, University of West Attica, Athens, Greece
| | - Maria van den Muijsenbergh
- Department of Primary and Community Care, Radboud University Medical Centre, Nijmegen, Netherlands.,Pharos, Centre of Expertise on Health Disparities, Utrecht, Netherlands
| | - Victoria Vivilaki
- Department of Midwifery, Faculty of Health and Caring Sciences, University of West Attica, Athens, Greece
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20
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Vivilaki V. Acknowledgement of manuscript reviewers 2020. Eur J Midwifery 2021. [DOI: 10.18332/ejm/132352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Fair F, Raben L, Watson H, Vivilaki V, van den Muijsenbergh M, Soltani H. Migrant women's experiences of pregnancy, childbirth and maternity care in European countries: A systematic review. PLoS One 2020; 15:e0228378. [PMID: 32045416 PMCID: PMC7012401 DOI: 10.1371/journal.pone.0228378] [Citation(s) in RCA: 101] [Impact Index Per Article: 25.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2019] [Accepted: 01/14/2020] [Indexed: 01/18/2023] Open
Abstract
BACKGROUND Across Europe there are increasing numbers of migrant women who are of childbearing age. Migrant women are at risk of poorer pregnancy outcomes. Models of maternity care need to be designed to meet the needs of all women in society to ensure equitable access to services and to address health inequalities. OBJECTIVE To provide up-to-date systematic evidence on migrant women's experiences of pregnancy, childbirth and maternity care in their destination European country. SEARCH STRATEGY CINAHL, MEDLINE, PubMed, PsycINFO and Scopus were searched for peer-reviewed articles published between 2007 and 2017. SELECTION CRITERIA Qualitative and mixed-methods studies with a relevant qualitative component were considered for inclusion if they explored any aspect of migrant women's experiences of maternity care in Europe. DATA COLLECTION AND ANALYSIS Qualitative data were extracted and analysed using thematic synthesis. RESULTS The search identified 7472 articles, of which 51 were eligible and included. Studies were conducted in 14 European countries and focused on women described as migrants, refugees or asylum seekers. Four overarching themes emerged: 'Finding the way-the experience of navigating the system in a new place', 'We don't understand each other', 'The way you treat me matters', and 'My needs go beyond being pregnant'. CONCLUSIONS Migrant women need culturally-competent healthcare providers who provide equitable, high quality and trauma-informed maternity care, undergirded by interdisciplinary and cross-agency team-working and continuity of care. New models of maternity care are needed which go beyond clinical care and address migrant women's unique socioeconomic and psychosocial needs.
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Affiliation(s)
- Frankie Fair
- Department of Nursing and Midwifery, Sheffield Hallam University, Sheffield, England, United Kingdom
| | - Liselotte Raben
- Department of Primary and Community Care, Radboud University Medical Centre, Nijmegen, Netherlands
| | - Helen Watson
- Department of Nursing and Midwifery, Sheffield Hallam University, Sheffield, England, United Kingdom
| | - Victoria Vivilaki
- Department of Midwifery, Faculty of Health and Caring Sciences, University of West Attica, Athens, Greece
| | - Maria van den Muijsenbergh
- Department of Primary and Community Care, Radboud University Medical Centre, Nijmegen, Netherlands
- Pharos, Centre of Expertise on Health Disparities, Utrecht, Netherlands
| | - Hora Soltani
- Department of Nursing and Midwifery, Sheffield Hallam University, Sheffield, England, United Kingdom
- * E-mail:
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Petelos E, Vivilaki V, Papadakaki M, Sioti E, Triantafyllou E. Training development in the ORAMMA (Operational Refugee and Migrant Maternal Approach) project. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz186.049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
ORAMMA is a European capacity-building project (GR, NL, UK) for pregnant migrant, asylum-seeking and refugee (MAR) women to improve maternal and newborn outcomes. ORAMMA is an operational and strategic approach for mother-centred, community-oriented, gender-sensitive, interdisciplinary and compassionate care, to meet the needs of MAR women in Europe.
Objectives
ORAMMA developed training for midwives and other primary health and social care (PC) professionals to meet the needs of MAR women. Methodology comprised three phases: evidence synthesis and needs assessment, training material development, and community enablement through locally recruited women in the innovative role of Maternal Peer Supporters (MPSs).
Results
Needs assessment highlighted the need to train ORAMMA’s teams of midwives and other PC professionals to care for women who suffered undue hardship, oftentimes leading to PTSD, i.e., victims of trafficking, rape, underage women, sufferers of acute or chronic conditions, and sole family carers. The experiences encountered informed curriculum development for midwives and other PC professionals. Interprofessional training for integrated perinatal care delivery was developed for and delivered in three phases, i.e., detection of pregnancy (GP coordination), care during pregnancy (midwive coordination), and support after birth (social worker coordination), with special modules developed in a participatory manner on: migration status and policies, maternity care for MAR women, and communication and culturally sensitive practices.
Conclusions
Training midwives and other PC professionals along with members of MAR communities in the MPS role was identified to be a key element to efficiently support women and their families, to propagate key perinatal and public health messages, and to advocate for the rights of MAR women to ensure access equity to quality care in a highly responsive manner. ORAMMA’s tools are available in easily accessible platform online.
Key messages
ORAMMA developed multilingual material to meet the needs of PC professionals and of MAR women, in an innovative manner and with high relevance for cross-border knowledge transfer. ORAMMA addressed key aspects in delivery and access, focusing on cultural awareness and communication; its relevance extends well beyond perinatal care to improved family outcomes and public health.
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Affiliation(s)
- E Petelos
- Clinic of Social and Family Medicine, School of Medicine, University of Crete, Iraklion, Greece
- Health Services Research, Care and Public Health Research Institute, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, Netherlands
| | - V Vivilaki
- Department of Midwifery, University of West Attica, Athens, Greece
| | - M Papadakaki
- Laboratory of Health and Road Safety, Department of Social Work, School of Health and Social Welfare, Technological Educational Institute of Crete, Iraklion, Greece
| | - E Sioti
- Department of Midwifery, University of West Attica, Athens, Greece
| | - E Triantafyllou
- Department of Midwifery, University of West Attica, Athens, Greece
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Diamanti A, Papadakis S, Schoretsaniti S, Rovina N, Vivilaki V, Gratziou C, Katsaounou PA. Smoking cessation in pregnancy: An update for maternity care practitioners. Tob Induc Dis 2019; 17:57. [PMID: 31582946 PMCID: PMC6770622 DOI: 10.18332/tid/109906] [Citation(s) in RCA: 41] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2019] [Revised: 05/10/2019] [Accepted: 06/06/2019] [Indexed: 01/29/2023] Open
Abstract
INTRODUCTION This paper provides an up-to-date summary of the effects of smoking in pregnancy as well as challenges and best practices for supporting smoking cessation in maternity care settings. METHODS We conducted a qualitative review of published peer reviewed and grey literature. RESULTS There is strong evidence of the effects of maternal tobacco use and secondhand smoke exposure on adverse pregnancy outcomes. Tobacco use is the leading preventable cause of miscarriage, stillbirth and neonatal deaths, and evidence has shown that health effects extend into childhood. Women who smoke should be supported with quitting as early as possible in pregnancy and there are benefits of quitting before the 15th week of pregnancy. There are a variety of factors that are associated with tobacco use in pregnancy (socioeconomic status, nicotine addiction, unsupportive partner, stress, mental health illness etc.). Clinical-trial evidence has found counseling, when delivered in sufficient intensity, significantly increases cessation rates among pregnant women. There is evidence that the use of nicotine replacement therapy (NRT) may increase cessation rates, and, relative to continued smoking, the use of NRT is considered safer than continued smoking. The majority of women who smoke during pregnancy will require support throughout their pregnancy, delivered either by a trained maternity care provider or via referral to a specialized hospital or community quit-smoking service. The 5As (Ask, Advise, Assess, Assist, Arrange) approach is recommended for organizing screening and treatment in maternity care settings. Additionally, supporting smoking cessation in the postpartum period should also be a priority as relapse rates are high. CONCLUSIONS There have been several recent updates to clinical practice regarding the treatment of tobacco use in pregnancy. It is important for the latest guidance to be put into practice, in all maternity care settings, in order to decrease rates of smoking in pregnancy and improve pregnancy outcomes.
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Affiliation(s)
- Athina Diamanti
- School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.,Department of Midwifery, University of West Attica, Athens, Greece
| | - Sophia Papadakis
- Division of Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, Canada
| | - Sotiria Schoretsaniti
- School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.,Center for Health Services Research, Department of Hygiene, Epidemiology and Medical Statistics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
| | - Nikoletta Rovina
- School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.,1st Department of Respiratory Medicine, 'Sotiria' Chest Disease Hospital, Athens, Greece
| | | | - Christina Gratziou
- School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.,Evgenidio Hospital, Athens, Greece
| | - Paraskevi A Katsaounou
- School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.,First ICU, Evangelismos Hospital, Athens, Greece
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Diamanti A, Katsaounou P, Vivilaki V. The fluid balance observed postnatally on normal pregnancies, pregnancies with preeclampsia, and on pregnancies with oedema and proteinuria. Eur J Midwifery 2017. [DOI: 10.18332/ejm/80939] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Vivilaki V. A new journal: The European Journal of Midwifery. Eur J Midwifery 2017. [DOI: 10.18332/ejm/75720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Vivilaki V, Zemperligkou E, Iliopoulou E, Anastasopoulou E, Giaxi P, Lykeridou K. The reversed Birth Satisfaction Scale: translation, adaptation and validation for a Greek sample. Eur J Midwifery 2017. [DOI: 10.18332/ejm/76655] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Brokalaki H, Patelarou E, Giakoumidakis K, Kollia Z, Fotos NV, Vivilaki V, Brokalaki E, Chatzistamatiou E, Kallikazaros IE. Translation and validation of the Greek "Minnesota Living with Heart Failure" questionnaire. Hellenic J Cardiol 2015; 56:10-19. [PMID: 25701967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023] Open
Abstract
INTRODUCTION The Minnesota Living with Heart Failure Questionnaire (MLHFQ) is an important measurement instrument for assessing the health-related quality of life (HRQOL) among heart failure patients. The purpose of this study was to translate and validate the MLHFQ in the Greek language. METHODS Three hundred forty-four consecutive adult patients from three General Hospitals, two in Athens and one in another part of the country, who were diagnosed with chronic heart failure, and 347 healthy controls were enrolled in the study from March 2009 to March 2010. The questionnaire instrument was translated from English, back-translated, and reviewed by a committee of experts. The psychometric measurements that were performed included reliability coefficients and Explanatory Factor Analysis (EFA), using a Varimax rotation and Principal Components Method. In a further step, confirmatory analysis (CFA)--known as structural equation modeling--of the principal components was conducted. RESULTS The internal consistency of the Greek MLHFQ version was found to be 0.97, using Cronbach's alpha coefficient. An exploratory factor analysis identified two domains that accounted for 72.5% of the variance of MLHFQ items; the area under the ROC curve was calculated at 0.942 and the logistic estimate for the threshold score of 24.50 provided the model with 95.1% sensitivity and 99.8% specificity. Additionally, the CFA demonstrated that the two-factor model offered a very good fit to our data. CONCLUSIONS Our data indicate that the Greek MLHFQ is a reliable and valid tool for assessing HRQOL among patients with heart failure. Health professionals can use it in their clinical practice to improve their evaluation of these patients.
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Affiliation(s)
- Hero Brokalaki
- Faculty of Nursing, National and Kapodistrian University of Athens, Greece
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Sapouna V, Dafermos V, Chatziarsenis M, Vivilaki V, Bitsios P, Schene AH, Lionis C. Assessing the burden of caregivers of patients with mental disorders: translating and validating the involvement evaluation questionnaire into Greek. Ann Gen Psychiatry 2013; 12:3. [PMID: 23402385 PMCID: PMC3605393 DOI: 10.1186/1744-859x-12-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2012] [Accepted: 01/29/2013] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND The changes in the organization of mental health care services have made the role of the family even more important in caring for patients with mental disorders. Caring may have serious consequences for family caregivers, with a great impact on the quality of family life. This study reports on the translation, cultural adaptation, and validation of the Involvement Evaluation Questionnaire-European Union (IEQ-EU) into the Greek language. METHODS Caregivers of patients with major mental disorders were interviewed to test a modified version of the IEQ-EU questionnaire. Psychometric measurements included reliability coefficients, exploratory factor analysis and confirmatory analysis by linear structural relations. To measure the concurrent validity we used the Nottingham Health Profile (NHP). RESULTS Most caregivers were female (83%), mainly mothers living with the patient (80%), with quite a high level of burden. The Greek version of the IEQ-EU (G-IEQ-EU) demonstrated a good reliability with high internal consistency (α = 0.88), Guttman split-half correlation of 0.71, high test-retest reliability (ICC = 0.82) and good concurrent validity with the NHP. A four-factor structure was confirmed for the G-IEQ-EU, slightly different from the original IEQ. The confirmatory factor analysis demonstrated that the four-factor model offered modest fit to our data. CONCLUSIONS The G-IEQ-EU is a reasonably valid and reliable tool for use in both clinical and research contexts in order to assess the burden of caregivers of patients with mental disorders.
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Affiliation(s)
- Vasiliki Sapouna
- Clinic of Social and Family Medicine, Department of Social Medicine, School of Medicine, University of Crete, P,O, Box 2208, Heraklion, 71003, Greece.
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Patelarou E, Giourgouli G, Lykeridou A, Vrioni E, Fotos N, Siamaga E, Vivilaki V, Brokalaki H. Association between biomarker-quantified antioxidant status during pregnancy and infancy and allergic disease during early childhood: a systematic review. Nutr Rev 2012; 69:627-41. [PMID: 22029830 DOI: 10.1111/j.1753-4887.2011.00445.x] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
Recent findings suggest a significant association between the antioxidant status of pregnant women and of their children during the first years of life and the development of allergic disease during childhood. The aim of this review was to identify all studies that estimated the effect of intake of antioxidants in pregnant women and their children on the development of allergic disease during early childhood. A systematic review was conducted of epidemiological studies featuring original peer-reviewed data on the association between dietary antioxidant status and allergic disease during childhood. A systematic search was performed following the Meta-analysis of Observational Studies in Epidemiology Guidelines. A comprehensive search of the literature yielded 225 studies, 18 of which were selected for the extraction of results and were related to antioxidant status and allergic disease. The systematic review included five prospective cohort studies, four cross-sectional studies, and nine case-control studies. Eight studies reported an important association between antioxidant status and asthma onset during childhood. Similarly, wheezing and eczema were studied as an outcome in six and in five studies, respectively. Recent observational studies suggest that a higher intake of antioxidant vitamins, zinc, and selenium during pregnancy and childhood reduces the likelihood of childhood asthma, wheezing, and eczema.
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Kollia Z, Patelarou E, Vivilaki V, Kollia E, Kefou F, Elefsiniotis I, Dourakis SP, Brokalaki H. Translation and validation of the Greek chronic liver disease questionnaire. World J Gastroenterol 2010; 16:5838-44. [PMID: 21155005 PMCID: PMC3001975 DOI: 10.3748/wjg.v16.i46.5838] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Abstract
AIM: To translate into Greek and validate the chronic liver disease questionnaire (CLDQ).
METHODS: Two hundred and six consecutive adult patients with the diagnosis of a chronic liver disease from 2 general hospitals in Athens were enrolled in the study from May to September 2008. In order to assess their quality of life (QOL) the CLDQ was applied. The instrument was translated from English, back translated and reviewed in focus groups within the framework of a large multicenter study. The measurements that were performed included: 2 independent sample t tests, one-way analysis of variance, reliability coefficients, explanatory factor analysis using a varimax rotation and the principal components method.
RESULTS: One hundred and twenty five (61%) patients were men, half were aged 40-59 years and > 33% were > 60 years old. Among the patients, 48 (23%) were hospitalized and 97 (47%) were cirrhotic according to the Child-Pugh score. The internal consistency of the Greek CLDQ version using Cronbach’s alpha coefficient was found to be 0.93. Exploratory factor analysis identified 7 domains accounting for 65% of the variance of CLDQ items and only partially overlapping with those found in the original version. The area under the receiver operating characteristics curve was calculated at 0.813 and the logistic estimate for the threshold score of 167.50 provided a sensitivity of 74.3% and a specificity of 71.6% for the model.
CONCLUSION: Our data confirmed the validity of the Greek version of the CLDQ in identifying the QOL among patients with chronic liver disease.
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Antoniou E, Ioannidi-Kapolou E, Daglas M, Vivilaki V, Karamitros D, Dafermos G, Iatrakis V. Abuse assessment screen (AAS) questionnaire: the Greek validation. CLIN EXP OBSTET GYN 2010; 37:313-316. [PMID: 21355465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
AIM Domestic violence is a social problem with increasing dimensions worldwide. The various forms of abuse and especially violence during pregnancy have not been sufficiently studied by the Greek scientific community. The aim of this study was to translate, culturally adapt and validate a special research tool that can be used by health professionals as a diagnostic tool for violence during pregnancy. METHODS The Abuse Assessment Screen (AAS) questionnaire was chosen as a screening tool. The questionnaire was translated into Greek in accordance with the procedure suggested by the 'Trust Scientific Advisory Committee', followed by the cultural adaptation of the questionnaire to the Greek reality. RESULTS Specific psychometric tests were used for the validation of the questionnaire in order to assess the questionnaire's reliability and validity, and a factor analysis was also carried out. The internal consistency for all the parties who were questioned (n = 262), as expressed by Cronbach's alpha coefficient for the AAS, was 0.806 which is quite satisfactory and the results of our study suggest that the Greek translation of the AAS has a high correlation index compared to relevant international studies. CONCLUSIONS The AAS questionnaire in the Greek version seems to be a reliable and valid tool for the diagnosis of violence during pregnancy.
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Affiliation(s)
- E Antoniou
- Department of Midwifery, Technological Educational Institute of Athens (TEI), Athens.
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Patelarou E, Chochlidaki M, Vivilaki V, Brokalaki H. Is there a link between wheezing in early childhood and adverse birth outcomes? A systematic review. Int J Environ Res Public Health 2009; 6:2752-61. [PMID: 20049220 PMCID: PMC2800059 DOI: 10.3390/ijerph6112752] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/24/2009] [Accepted: 10/29/2009] [Indexed: 11/29/2022]
Abstract
We aimed to provide a summary of the existing published knowledge on the association between adverse birth outcomes and the development of wheezing during the first two years of life. We carried out a systematic review of epidemiological studies within the MEDLINE database. Epidemiological studies on human subjects, published in English, were included in the review. A comprehensive literature search yielded 72 studies for further consideration. Following the application of the eligibility criteria we identified nine studies. A positive association and an excess risk of wheezing during the first two years of life were revealed for adverse birth outcomes.
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Affiliation(s)
- Evridiki Patelarou
- University Hospital of Heraklion, Crete, 71414 Greece
- Author to whom correspondence should be addressed; E-Mail:
; Tel.: +30-2810-392366; Fax: +30-2810-394671
| | | | - Victoria Vivilaki
- Department of Midwifery, Technological Educational Institution, Athens, 12210 Greece; E-Mail:
| | - Hero Brokalaki
- Faculty of Nursing, University of Athens, 11527 Greece; E-Mail:
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Abstract
Socrates can, to some extent, be credited with an original conception of what is now seen as 20th century phenomenology 'invented' by Heidegger. With phenomenology becoming more recognised as important in understanding health care and all its complexities, this article by Victoria Vivilaki and Martin Johnson provides a theoretical evaluation of some of the terminology and the underpinning philosophy used in recent phenomenological studies.
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Vivilaki V, Romanidou A, Theodorakis P, Lionis C. Are health education meetings effective in recruiting women in cervical screening programmes? An innovative and inexpensive intervention from the island of Crete. Rural Remote Health 2005. [DOI: 10.22605/rrh376] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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Vivilaki V, Romanidou A, Theodorakis P, Lionis C. Are health education meetings effective in recruiting women in cervical screening programmes? An innovative and inexpensive intervention from the island of Crete. Rural Remote Health 2005; 5:376. [PMID: 15946107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/02/2023] Open
Abstract
INTRODUCTION Cervical screening programs have been introduced in many countries and are generally regarded as the most appropriate and effective method currently available for preventing cervical cancer. Although action has been undertaken by some rural practitioners, especially by district midwives, there are still few published data on the effectiveness of community-oriented cervical screening programs in Greece. OBJECTIVE To explore an innovative approach in a primary-care setting in rural Crete. This study reports on the effectiveness of a health education meeting in recruiting women for a cervical screening program. METHODS At a centre for the elderly, 16 women participated in an educational discussion meeting organised to promote cervical screening. The women who participated in the discussion meeting were invited to organise a group visit to a rural primary healthcare centre, in order to be screened as a team during the following 15 days. The theoretical model underpinning the development of this intervention was based on the 'social learning theory'. Emphasis was placed up individual and social responsibility regarding cervical cancer. RESULTS A total number of 48 women (average age 62 years) including all those who participated in the educational discussion meeting, visited the Spili Health Center, Crete, 15 days after the discussion meeting. The main finding was the high compliance rate of the women who participated in the educational discussion meeting, resulting in recruiting all the initial participants. Moreover, the lay women who participated in the small group discussion meeting, in the capacity of key messengers convinced an additional 32 women to participate in a screening program for cervical cancer as members of a team, rather than individually. The majority (52.1%, n = 25 out of 48) of the women had not been previously screened for cervical cancer. CONCLUSIONS Health education is an important factor in the process of health promotion, and health professionals should consider the dynamics of a specific group in order to carry out their work effectively. Awareness of the special characteristics of an individual as a member of a defined group can contribute to increasing the motivation for participation in health programs as a member of that group. It is suggested that more educational programs take place in rural Crete in order to augment the compliance rate of women in cervical screening programs.
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Affiliation(s)
- Victoria Vivilaki
- Spili Health Centre, Regional Health and Welfare System of Crete, Greece.
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