Margaret Cooke's research while affiliated with University of Technology Sydney and other places
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Publications (12)
This study aimed to design, implement and evaluate strategies to improve the quality and content of hospital-based postnatal care.
Following birth, women report physical health problems, difficulties with breastfeeding, a lack of parenting self-efficacy and there is high occurrence of postnatal distress and depression. Despite these significant nee...
In Australia and internationally, women report high levels of dissatisfaction with hospital-based postnatal care.
To design and implement strategies to improve hospital-based postnatal care at a Sydney metropolitan hospital.
This was an Action Research study. In Phase One, midwives considered the literature and participated in group discussions and...
Perineal warm packs are widely used during childbirth in the belief that they reduce perineal trauma and increase comfort during late second stage of labor. The aim of this study was to determine the effects of applying warm packs to the perineum on perineal trauma and maternal comfort during the late second stage of labor.
A randomized controlled...
to determine women's and midwives' experiences of using perineal warm packs in the second stage of labour.
as part of a randomised controlled trial (Warm Pack Trial), women and midwives were asked to complete questionnaires about the effects of the warm packs on pain, perineal trauma, comfort, feelings of control, satisfaction and intentions for us...
to determine risk factors for the occurrence of severe perineal trauma (third and fourth degree tears) during childbirth.
a prospective cohort study was conducted using the hospital's computerised obstetric information system. Additional data were gathered on women who sustained severe perineal trauma. Descriptive statistics and logistic regression...
To explore the relationships between maternal distress, breast feeding cessation, breast feeding problems and breast feeding maternal role attainment.
Longitudinal cohort study.
Three urban hospitals within Sydney, Australia.
449 women were invited to participate in the study, with an 81% response rate.
Self-report questionnaires were used to colle...
To describe the baby-feeding decisions of a group of Australian women prior to birth.
A qualitative study using face-to-face in depth interviews was undertaken with 29 women. All interviews were audio-tape recorded and transcribed verbatim. Data were analysed using thematic analysis.
The women observed and sought information from a variety of sourc...
This longitudinal study describes the relationships among breastfeeding experiences, maternal breastfeeding satisfaction (measured by the Maternal Breastfeeding Evaluation Scale [MBFES]), and weaning in the first 3 months postpartum. Postal surveys were used to collect data antenatally and at 2 weeks, 6 weeks, and 3 months postpartum from 365 women...
Anecdotally, concerns are often expressed about the varying infant feeding decisions among women from different cultural groups. This paper reports the early infant feeding decisions and duration of breastfeeding in 986 women from English, Chinese and Arabic-speaking backgrounds in Sydney during 1997 and 1998. Data were collectedfrom an audit of me...
to compare the experiences of women who received a new model of continuity of midwifery care with those who received standard hospital care during pregnancy, labour, birth and the postnatal period.
a randomised controlled trial was conducted. One thousand and eighty-nine women were randomly allocated to either the new model of care, the St George O...
This paper describes a pilot antenatal education program intended to better prepare couples for the early weeks of lifestyle changes and parenting. Eight weeks after birth, data were collected by questionnaire from 19 couples who participated in a pilot program and from 14 couples who were enrolled in a routine hospital program. Women in the pilot...
This paper describes a pilot antenatal education program intended to better prepare couples for the early weeks of lifestyle changes and parenting. Eight weeks after birth, data were collected by questionnaire from 19 couples who participated in a pilot program and from 14 couples who were enrolled in a routine hospital program. Women in the pilot...
Citations
... • Parents-to-be wanted realistic, balanced information about life with a new baby and were particularly keen to learn practical baby care skills network (Svensson et al, 2006;Murphy Tighe, 2010). While there is some evidence that antenatal courses meet this need (Fabian et al, 2005;Schmied et al, 2002), this is not always the case (National Childbirth Trust, 2007). The extent to which participants in this study built support networks varied between groups; it is unclear whether this was due to personal characteristics or the format of the group and how it had been led. ...
... The postnatal period is a significant period of change for the woman and there is a chance that this information is misunderstood or forgotten. Globally, some women have reported lack of confidence in their parenting role as well as a high occurrence of parental stress [13,14]. ...
... An international systematic review and meta-analysis found insufficient studies comparing MMCs on the basis of women's experiences of care to warrant their inclusion in synthesising effects [17]. Only four studies comparing MMCs in Australia over the last twenty years have compared women's experiences of care beyond clinical outcomes, and these studies all limited comparisons to between Public Midwifery Continuity Care and Standard Public Care Models [5,[21][22][23][24]. A known care provider during labour, better reported quality of interpersonal care, shorter wait times for care visits and mobility during labour were more likely in Public Midwifery Continuity Models than in Standard Public Care [5]. ...
... A key review of Chinese migrant mothers' infant feeding practices globally highlighted high rates of breastfeeding initiation, mixed-feeding with formula and earlier introduction of complementary foods [72]. Previous Australian research found that Arabic and Chinese speaking migrant mothers had longer breastfeeding durations [73,74], yet lower exclusive breastfeeding at 12 weeks when compared to Australian-born mothers [74]. Recent analysis of the Australian National Infant Feeding Survey data found that infants of Chinese-born mothers were younger when they first consumed infant formula, water-based drinks and fruit juice but older when they first ate complementary foods compared to infants of Australian-born mothers [75]. ...
... Studies also reported that PIMS is one of the common causes of breastfeeding cessation which can linger for several months (20,21). Perception of insufcient milk supply for lack of breastfeeding exclusivity and breastfeeding discontinuation were reported in Asia (13,18,22), East Africa (23) and Nigeria (24). ...
... 3,6,35,[37][38][39] In addition, breastfeeding can facilitate bonding between mother and baby. [40][41][42] Given these benefits and the general cultural sentiment around the world that 'breast is best,' many new mothers feel pressured to breastfeed. 42,43 However, some individuals are unable to do so for a variety of reasons, including insufficient milk supply, 3,6,41,[44][45][46] nipple or breast pain, 3,6,42,[44][45][46] inadequate latching, 3,4,45,46 and employment needs or obligations, along with lack of accommodations. ...
... For health and wellness, self-efficacy, mobilization of social support, positive coping, and realistic expectations are important ( Fahey and Shenassa 2013 ). Consistent with this model, birthing parents who report high levels of maternal role attainment have greater feelings of contentment, nurturing, closeness with their infants, and overall more satisfying experiences, which is also associated with greater rates of breastfeeding duration ( Cooke et al., 2007 ;Leff et al. 1994 ). ...
... Communication during birth between the obstetrician or midwife and the parturient is essential, and "a lack of communication" was also found to be a risk factor for OASI [28]. The importance of communication is reinforced by the fact that actively pushing as the fetal head is crowning may increase the risk of OASI [29]. ...
... With such capital, midwifery clinics could provide a platform for the inclusion of the husband as a client of maternity care to encourage them to be attentive and supportive, not only the wellbeing of their wife but also the entire family. Parental-related programs proven to be effective are those that require the attendance of the couple, such as birth and breastfeeding preparation, prenatal, and postnatal yoga classes, 56 which could be offered in the community. The formalization of husband involvement in maternal health care may also start by adding content on the desirable role husbands play in the health of mothers to the maternal and child health book, generally provided at the first ANC visit. ...
... The present study showed that there was no significant difference between the studied groups as regard the duration of second stage of labor (P-value 0.249) and the mode of vaginal delivery(P-value 0.99). This result is in accordance with the findings of Dahlen et al. (14) . Their results had revealed that there was no significant difference between the groups in relation to the duration of second stage and mode of birth. ...