Yes / Background: Positive birth (PB) experiences assist with successful transition into parenthood and psychological growth. Identifying contributing factors, which assist in the achievement of such experiences, could inform birth workers and maternity service providers and improve experiences for future parents. Objective: To undertake a systematic review of factors which the birthing person perceived as contributing to their PB experience. Search strategy: Six databases were searched with English language restriction. Grey literature sources and relevant journal content were searched. Main results: Sixty-eight participants were included from studies conducted in Norway, Sweden, the United States (US) and the United Kingdom (UK). The major themes of the thematic synthesis were: strength through preparation; a positive mental attitude; feeling safe and connected through autonomy; the presence of others; and fond memories that were formulated. Findings informed birth workers that their authentic presence is valued by birthing people, and that a person’s or provider’s birthing culture impacts on a person’s perception of their birth experiences. In order to experience PB, maternity services should support individualised care. Conclusions: A PB experience matters to families, and enables self-esteem and confidence to be felt as a new parent. The unique individualised care and authentic presence of the birth workers provided strength, reassurance and encouragement during the birth process. / The author’s master’s was supported by funding from the Yorkshire and Humberside Strategic Health Authority.

published_or_final_version / Public Health / Master / Master of Public Health

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Thesis MMed (Paediatrics), Faculty of Health Sciences, University of the Witwatersrand / INTRODUCTION: Improved survival of VLBW infants is raising several management issues. An example is that of growth and growth monitoring. AIM OF THE STUDY: To assess the growth of a cohort of VLBW infants born at CMJAH from term CGA to 20 months CGA. METHODS: A retrospective chart review was conducted on 139 VLBW infants (birth weight ≤ 1500g) born at CMJAH between 1 July 2006 and 28 February 2007. RESULTS: Comparison with a term growth reference showed initial growth failure followed by gradual catch up growth but with persistent deficits in length for age. Comparison with international VLBW references showed similar growth for weight and head circumference for age but with deficits in length for age. Growth parameters of the study sample were similar to those of other South African VLBW infants. CONCLUSION: Growth and growth monitoring in VLBW infants is complicated by characteristic growth patterns, high associated morbidity, controversies surrounding ideal growth and lack of an ideal growth reference. Significant deficits in length for age in the study sample may have been due to the large proportion of infants born SGA and the high prevalence of stunting in South African children. Current recommendations for growth monitoring of VLBW infants include the use of a VLBW reference up to two years CGA followed by a term growth reference thereafter

A research report submitted to the Faculty of Health Sciences Witwatersrand University, Johannesburg in partial fulfillment of the requirements for the degree of Master of Medicine in Family Medicine Johannesburg, South Africa 2017 / Background: Low birth weight (LBW) is an important risk factor for infant developmental problems, morbidity and mortality. Low birth weight babies are twenty times more likely to die during the neonatal period than their normal weight counterparts. Although risk factors for low birth weight vary from one community to another, maternal risk factors for low birth weight in the South Rand Hospital (Johannesburg, Gauteng) catchment area have not been investigated. The objective of this study was to determine maternal risk factors for low birth weight in South Rand Hospital, Johannesburg. Method: This 1: 1 matched case-control study was conducted on a total of 480 mothers who delivered babies at South Rand Hospital between 1 January 2013 and 31 December 2014. The cases were 240 mothers who delivered singleton term live LBW babies. They were matched with an equal number of controls. Results: Conditional logistic regression showed that, no anaemia in the third trimester (OR=0.54, 95% CI= 0.30-0.99), immigration status (OR= 0.46, 95% CI= 0.25- 0.85) and four or more antenatal care clinic attendance (OR=0.36, 95% C.I= 0.12- 0.76) were protective factors, while smoking during pregnancy (OR= 8.69, 95% CI= 2.70-28.35) predisposes to delivering a LBW baby. Conclusion: The results showed that smoking during pregnancy is a risk factor for LBW, while maternal third-trimester haemoglobin level of 11g/dl or more, immigrant status, and more than three ANC visits were protective factors for delivering LBW baby. / MT2017

Thesis advisor: Sharlene N. Hesse-Biber / Birth Visionaries: An Examination of Unassisted Childbirth By Lauren Ashley Brown Sharlene Nagy Hesse-Biber, Thesis Chair This exploratory study inquires into unassisted childbirth, the act of giving birth without the presence of any birth professional (doctor, midwife or doula). Unassisted birth is on the radical fringe of alternatives to the dominant techno-medical birth common in American hospitals today. My research questions are what are women's motivations for choosing unassisted childbirth and what is the lived experience of unassisted childbirth? I will answer these questions through nine in-depth interviews and a grounded theory data analysis. My approach comes from a focus on the everyday lived experience of women as problematic as well as insights from anthropology of birth and feminist postmodern sociology of knowledge. This study is relevant to public health policy on pregnancy and birth, to those working on questions of technology and culture, and to those concerned with how biosocial rituals shape embodied experience. My findings also contribute to research about power in contemporary society, specifically how the body can be a cite for social control and resistance. / Thesis (MA) — Boston College, 2009. / Submitted to: Boston College. Graduate School of Arts and Sciences. / Discipline: Sociology.

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