Marie Hatem

Université de Montréal | UdeM · Department of Social and Preventive Medicine

Introduction: The quality of mother and child healthcare remains a challenge for low and middle income countries. Quality interventions that allow a reduction of maternal and infantile mortality require the services of qualified personnel. The objective of this study is to present the results of analysis of the status of human healthcare resources...

Objective: To present the activities that facilitate the development of a public policy by public health and higher and university education ministry stakeholders - based on a common vision of nurses and midwives training in Democratic Republic of the Congo (DRC). Methods: An operational research using different methods applied by experts called...

A conceptual framework for assessing the barriers and facilitators to implementing an intervention aiming to change a health professional role: The case of the midwifery profession in Morocco

Background A better understanding of the processes of collaboration between midwives who work in the birthing centers, and hospital-based obstetricians, family physicians and nurses may promote cooperation among professionals providing maternity care in both institutions. The aim of this research was to explore the barriers and facilitators of the...

How do Retention Strategies for Midwives Compare to those for other Health Personnel in remote areas? The case of Benin, Burkina Faso, and Senegal

Background Hypertension holds a unique place in population health and health care because it is the leading cause of cardiovascular disease and the most common noncommunicable condition seen in primary care worldwide. Without effective prevention and control, raised blood pressure significantly increases the risk of stroke, myocardial infarction, c...

Myanmar’s shortage of midwives led to shifting of pre/postnatal tasks to auxiliary midwives (AMWs). However, lack of training and supervision negatively affect the quality of their services. An NGO piloted Myanmar’s first point-of-care mHealth project after having developed an algorithm-based electronic clinical decision support application for pre...

Myanmar’s fragile health system and suboptimal health workforce negatively affect quality of care. An NGO pilots Myanmar’s first point-of-care mHealth-project, providing smartphones to auxiliary midwives (AMWs) with patient registration and algorithm-based decision-making applications. Behavioural theories suggest that external stimuli increase cli...

Background: In order to reduce the high maternal mortality ratio, Morocco is strongly committed to strengthen its midwifery professional role. This study aimed to identify barriers that could potentially hinder an action plan to strengthen the midwifery professional role from achieving desired outcomes. We used a conceptual framework, which is der...

BACKGROUND: In order to reduce the high maternal mortality ratio, Morocco is strongly committed to strengthen its midwifery professional role. This study aimed to identify barriers that could potentially hinder an action plan to strengthen the midwifery professional role from achieving desired outcomes. We used a conceptual framework, which is der...

Background: As part of a national strategy for reaching Millennium Development Goals 4 and 5 in Morocco, an action plan covering three systems (sociocultural, educational and professional) was developed to strengthen midwives' professional role in order to contribute to high quality maternity care. This study aimed to understand the implementation...

To assess the effects of sexual violence (SV) in armed conflicts on women's mental health, on its own and in conjunction with reproductive health issues such as fistula or chronic pelvic pain (CPP). A cross-sectional population-based study of 320 women living in Goma, the Democratic Republic of Congo, aged 15 to 45 years, was conducted. Women who e...

The past century has seen many armed conflicts during which hundreds of thousands of cases of sexual violence have been reported. However, research on the social consequences of this kind of mass violence and on the factors underlying them is scarce. Moreover, little information is available on how victims perceive their children born from rape, in...

Birth Preparedness and Complication Readiness (BPCR) interventions are widely promoted by governments and international agencies to reduce maternal and neonatal health risks in developing countries; however, their overall impact is uncertain, and little is known about how best to implement BPCR at a community level. Our primary aim was to evaluate...

Background Sexual violence (SV) is being used widely as a weapon of war. However, few studies have investigated its health effects. The objective of the present study is to investigate the relationship between sexual violence and several serious reproductive health conditions including fistula.Methods We conducted a cross-sectional study among 320...

Background: In the context of a highly specialized hospital, birth care might be is expected to be more medicalized and technocratic for both low and high risk pregnant women.Objective: This study aimed to explore the expectation of low and high risk pregnant women who seeking an obstetrical care in a highly specialized hospital.Methods: A single c...

Bakground: Postpartum depression (PPD) and poor childbirth outcomes are associated with poverty; these variables should be addressed by an adapted approach. The aim of this research was to evaluate the impact of an antenatal programme based on a novel psychosomatic approach to pregnancy and delivery, regarding the risk of PPD and childbirth outcome...

Understanding the main values and beliefs that might promote humanized birth practices in the specialized hospitals requires articulating the theoretical knowledge of the social and cultural characteristics of the childbirth field and the relations between these and the institution. This paper aims to provide a conceptual framework allowing examina...

Our goal for this article was to identify the perceptions of health care professionals, administrators, and women concerning the humanization of childbirth care in a tertiary hospital. A single-case study design and a qualitative approach were used. We collected data through semistructured interviews, participant observation, field notes, and a que...

This paper proposes a conceptual framework for understanding the implementation process of a complex intervention concerned with professional role change. The proposed framework holds that the intervention must address three interacting systems (socio-cultural, educational and disciplinary) through which a health professional role is evolved. Each...

Although war-trauma victims are at a higher risk of developing PTSD, there is no consensus on the effective treatments for this condition among civilians who experienced war/conflict-related trauma. This paper assessed the effectiveness of the various forms of cognitive-behavioral therapy (CBT) at lowering PTSD and depression severity. All publish...

Introduction Many studies have focused on the concept of humanization of birth in normal pregnancy cases or at low obstetric risk. No studies, at our knowledge, have so far specifically focused on the humanization of birth in both high risk and low risk pregnancies, in a tertiary hospital. Objective The present study aims to define the components o...

Considering the fact that a significant proportion of high-risk pregnancies are currently referred to tertiary level hospitals; and that a large proportion of low obstetric risk women still seek care in these hospitals, it is important to explore the factors that influence the childbirth experience in these hospitals, particularly, the concept of h...

Humanizing birth means considering women's values, beliefs, and feelings and respecting their dignity and autonomy during the birthing process. Reducing over-medicalized childbirths, empowering women and the use of evidence-based maternity practice are strategies that promote humanized birth. Nevertheless, the territory of birth and its socio-cultu...

This article draws on findings from a recent Cochrane systematic review of midwife-led care and discusses its contribution to the safety and quality of women's care in the domains of safety, effectiveness, woman-centeredness, and efficiency. According to the Cochrane review, women who received models of midwife-led care were nearly eight times more...

Appendix 1. Patient registration form.

The medical model of childbearing assumes that a pregnancy always has the potential to turn into a risky procedure. In order to advocate humanized birth in high risk pregnancy, an important step involves the enlightenment of the professional's preconceptions on humanized birth in such a situation. The goal of this paper is to identify the professio...

Background Maternal and perinatal mortality are major problems for which progress in sub-Saharan Africa has been inadequate, even though childbirth services are available, even in the poorest countries. Reducing them is the aim of two of the main Millennium Development Goals. Many initiatives have been undertaken to remedy this situation, such as t...

Amina, a 20 year-old woman, living in a small rural village of Morocco, is expecting her first baby. Her labour started when she was at term while her husband was far away; her mother-in-law was assisting her. After almost 24 hours of difficult labour, seeing the distress that Amina was going through, the mother-in-law called for her second son in...

Evidence regarding the predictors of positive parenting behaviors in the early transition to parenting is inconsistent and limited. In this prospective, cohort study, we examined whether women's perceptions of their childbirth experience, as well as selected demographic, obstetrical, and psychosocial variables, predicted positive parenting behavior...

Comparing midwifery-led to other models of care available to pregnant women: a Cochrane systematic review Aim: To compare midwife-led with other models of care for childbearing women and their infants. Methods: We searched many sources (e.g. the Cochrane Pregnancy and Childbirth Group’s Trials Register) for all published and unpublished trials in w...

Avec l’essor que connaît la pratique basée sur des résultats probants, un meilleur recours aux connaissances scientifiques constitue un atout dans le renouveau des pratiques infirmières. Toutefois, des barrières perdurent dans ce domaine. Or, malgré le foisonnement d’études sur ce sujet, aucune n’émane du Québec. Le but de la présente étude explora...

SummaryAim: To compare midwife-led with other models of care for childbearing women and their infants.Methods: We searched many sources (e.g. the Cochrane Pregnancy and Childbirth Group’s Trials Register) for all published and unpublished trials in which pregnant women are randomly allocated to midwife-led or other models of care during pregnancy....

The article looks at the perceptions of nurses at the Hôtel-Dieu de France university hospital (CHU-HDF) in Lebanon regarding the obstacles to and potential benefits of implementing an evidence-based practice. For front-line nurses, the organization and characteristics of nurses appear to be the main obstacles to the use of research findings, along...

Parenting self-efficacy has been identified as one determinant of positive parenting. The literature is inconsistent regarding the predictors of parenting self-efficacy, and there is limited evidence regarding these predictors in the early postpartum period. To determine the factors predictive of parenting self-efficacy at 12 to 48 hr after childbi...

Midwives are primary providers of care for childbearing women around the world. However, there is a lack of synthesised information to establish whether there are differences in morbidity and mortality, effectiveness and psychosocial outcomes between midwife-led and other models of care. To compare midwife-led models of care with other models of ca...

To determine the factors that predict women's perceptions of the childbirth experience and to examine whether these vary with the type of birth a woman experiences. Prospective cohort study. The postpartum units of two eastern Canadian hospitals. Six hundred fifty two women and their newborns. Data were collected in hospital at 12 to 48 hours postp...

De plus en plus de mères choisissent d’allaiter leur enfant mais très peu d’entre elles allaitent pendant toute la période recommandée par les plus hautes instances en santé. Cette étude vise à mieux comprendre l’influence de la qualité des interactions mère-enfant sur la poursuite de l’allaitement maternel. L’étude est basée sur les données d’une...

To describe the use of health services by primiparous women with urinary incontinence by (a) examining the quality of life of these women and (b) describing the different predictors associated with their use of health services. This correlative study is a secondary analysis of a broader epidemiologic study. The 382 women identified as having urinar...

To identify the factors associated with urinary incontinence (UI), anal incontinence (AI), and combined UI and AI (UI/AI) in primiparous women in Quebec at six months postpartum. A questionnaire was mailed to 2492 primiparous women at six months postpartum to collect data on incontinence status, sociodemographic characteristics, elimination habits,...

Around the world, midwives are increasingly being called upon to provide skilled care for pregnant women and newborns. In Morocco, there is a persistent lack of professional recognition of midwifery, which is consistent with widespread gender inequality and women's low status. Midwifery training in Morocco has evolved since the 1960s into a three-y...

Around the world, midwives are increasingly being called upon to provide skilled care for pregnant women and newborns. In Morocco, there is a persistent lack of professional recognition of midwifery, which is consistent with widespread gender inequality and women's low status. Midwifery training in Morocco has evolved since the 1960s into a three-y...

To describe the quality of life of primiparous women with urinary or anal incontinence. A questionnaire was mailed at six months postpartum to 2492 primiparous women living in Quebec. The prevalence of urinary incontinence was assessed at six months postpartum through the FPSUND severity score index; the prevalence of anal incontinence was assessed...

To describe the occupational and educational profile of midwives in Québec, it is necessary to place this occupation in its past historical context, which led to its disappearance, and its present context, which has witnessed its rebirth. Based on the results of contemporary studies on the process of gaining professional recognition, the specificit...

The purpose of this study was to compare indicators of process and outcome of midwifery services provided in the Quebec pilot projects to those associated with standard hospital-based medical services. Women receiving each type of care (961 per group) were matched on the basis of socio-demographic characteristics and level of obstetrical risk. We f...

This study compared the cost-effectiveness of midwife services provided in birth centres operating as pilot projects with current hospital-based medical services in the province of Quebec. One thousand midwives’ clients were matched with 1,000 physicians’ clients on the basis of socio-demographic characteristics and obstetrical risk. Direct costs f...

In 1990, the province of Quebec adopted a law authorizing the evaluation of the practice of midwifery through eight pilot projects. The projects, which took the form of birth centres outside hospitals, started operating in 1994. The objectives of the evaluation were 1) to compare midwives’ services to current physician services with regard to mater...

The purpose of this study was to compare indicators of process and outcome of midwifery services provided in the Quebec pilot projects to those associated with standard hospital-based medical services. Women receiving each type of care (961 per group) were matched on the basis of socio-demographic characteristics and level of obstetrical risk. We f...

This paper reports on one aspect of the evaluation of the midwifery pilot projects in Quebec: the identification of the professional and organizational factors, as well as the mode of integrating midwives into the maternity care system, that would promote the best outcomes and the autonomy of midwives. The research strategy involved a multiple-case...

Until recently, Canada was the only industrialized country that had not legalized midwifery. In the province of Quebec the government adopted a law to evaluate midwifery in eight pilot projects before generalizing the practice. This study examined the similarities and differences among midwives in Quebec. Using data from a 1991 mail survey, we comp...

RESUME Le Réseau de formation en recherche périnatale du Québec (QTNPR) et la Maison des technologies de formation et d'apprentissage Roland-Giguère (MATI Montréal) relèvent ensemble le défi de l'élaboration d'un nouvel outil pour soutenir le développement et l'évaluation des apprentissages et des compétences des boursiers QTNPR à travers le « ePor...