Karline Wilson-Mitchell

• RM, RN, MSN, CNM DNP
• Professor (Associate) at Toronto Metropolitan University

UNSTRUCTURED Maternal mental health (MMH) disorders are associated with adverse maternal and infant health outcomes. Despite advances in screening and treatment, disparities in MMH disorders continue to disproportionately affect Black mothers and birthing persons. In Canada, there are gaps in research on the protective and risks factors of Black MM...

Background There is a paucity of information regarding the mental health of midwives working in Ontario, Canada. Many studies have investigated midwives’ mental health around the world, but little is known about how the model of midwifery care in Ontario contributes to or negatively impacts midwives’ mental health. The aim of the study was to gain...

Perinatal services are being challenged to acknowledge that not all pregnant and birthing people are women and to ensure the design and delivery of services that are inclusive of, and deliver equitable outcomes for, trans, non-binary, and other gender diverse people. This is posing unique challenges for midwifery with its women-centred philosophy a...

Background: There is a paucity of information regarding the mental health of midwives working in Ontario, Canada. Many studies have investigated midwives’ mental health around the world, but little is known about how the model of midwifery care in Ontario contributes to or negatively impacts midwives’ mental health. The aim of the study was to gain...

The COVID-19 pandemic has imposed unprecedented restrictions on everyday life. Unlike lockdown or shelter-in-place measures, the facemask has emerged as an empowering response to the public spread of the virus, permitting some degree of return to prepandemic life-such as school or work-by disrupting transmission that would otherwise occur. And yet,...

Chapter 13 - This chapter examines the settlement process of migrating families using a 'systems' framework. Data from the Integration Trajectories of Immigrant Families study reveal a five-step adaptation process: Step 1 is the pre-migration optimistic dreams which culminate in arrival in Canada and disillusionment with labour market hiring practi...

Respectful maternity care research in Tanzania continues to increase. This is an overview of the literature summarizing research based on the domains which comprise this quality of care indicator, ranging from exploratory and descriptive to quantitative measurements of birth perinatal outcomes when respectful interventions are made. The domains of...

Background Few studies have examined respectful maternity care (RMC) of adolescent mothers in the Caribbean. The researchers’ objective was to explore the perceptions of midwives who provide care for adolescent mothers in Jamaica. Design: A pilot qualitative study was conducted in 2015. Participants were 12 community or nurse-midwives who practiced...

Objective: to develop and deliver a two-day Respectful Maternity Care workshop for midwives using Intellectual Partnership Model principles SETTING: rural Tanzania BACKGROUND: respectful Maternity Care is an objective, measurable indicator of quality maternal newborn care INTERVENTIONS: using the Intellectual Partnership Model, educators facilitat...

Background Violence is a critical public health problem associated with compromised health and social suffering that are preventable. The Centre for Global Health and Health Equity organized a forum in 2014 to identify: (1) priority issues related to violence affecting different population groups in Canada, and (2) strategies to take action on prio...

Clinical instructors in health care disciplines are charged with engaging students in experiential learning wherein respect and cultural sensitivity is applied. This article reports on the results of 3 diversity workshops conducted for clinical preceptors and field instructors from various disciplines. The workshops were developed in response to st...

Midwifery educators and regulators in Canada have begun to address diversity, equity, and inclusion in admission processes and program curricula. Populations served by midwives value internationally educated midwives from their countries of origin. The International Midwifery Pre-Registration Program at Ryerson University in Toronto, Ontario, provi...

Background Violence is a critical public health problem associated with compromised health and social suffering that are preventable. The Centre for Global Health and Health Equity organized a forum in 2014 to identify: (1) priority issues related to violence affecting different population groups in Canada, and (2) strategies to take action on pri...

Canada has one of the world's largest refugee resettlement programs in the world. Just over 48 percent of Canadian refugees are women, with many of them of childbearing age and pregnant. Refugee and asylum-seeking women in Canada face a five times greater risk of developing postpartum depression than Canadian-born women. Mainstream psychological ap...

Purpose of the Study To describe the sociodemographic profile and explore the personal experiences of pregnant Jamaican adolescents and the impact of pregnancy on their psychological health. Background The Jamaican Global School‐based Health Survey (2010) found that 23% of adolescents aged 13 to 15 years reported seriously considering suicide, and...

A recent Jamaican school-based survey revealed that 23.1% of 13-15 year-olds, had attempted suicide one or more times during the last 12 months. Research that links adolescent pregnancy and suicidal behaviour is lacking in Jamaica. Psychological distress and suicidal behaviours amongst pregnant adolescents elsewhere in the Americas has been documen...

A recent Jamaican school-based survey revealed that 23.1% of 13–15 year-olds, had attempted suicide one or more times during the last 12 months. Research that links adolescent pregnancy and suicidal behaviour is lacking in Jamaica. Psychological distress and suicidal behaviours amongst pregnant adolescents elsewhere in the Americas has been documen...

Canadian healthcare insurance is not universal for all newcomer populations. New immigrant, refugee claimant, and migrant women face various barriers to healthcare due to the lack of public health insurance coverage. This retrospective study explored the relationships between insurance status and various perinatal outcomes. Researchers examined and...

Following our study of birth outcomes for uninsured new immigrant and refugee women in Toronto, we discovered clinically significant numbers of women with hypertension and diabetes. As this population ages and prevalence increases, the expense of treatment of uncontrolled chronic Illness increases. Prudent health policy change, reduction of treatme...

What is Meaningful Use? Meaningful use is the term used to describe the criteria for receiving up to $63,750 in federal dollars per midwife for your practice. The Centers for Medicare & Medicaid Services (CMS) plan to fund Medicaid and Medicare eligible professionals (EPs) who adopt, implement, or upgrade EHRs that meet the criteria addressed in th...

The assessment, diagnosis and referral for mental illness management have been recognized as indispensable roles within midwifery practice both in the United States and in Canada. War, civil unrest and natural disasters, have made mental health assessment crucial for refugee and new immigrant women who present as midwifery clients. Since 1991, Nati...