Just get a clearer idea of who I am: LGBTQIA+ people's experiences of abortion care in Aotearoa New Zealand following law reform.

Sexual and reproductive healthcare (SRH) is recognised internationally as a human right, but inequities exist in both access to, and outcomes from, SRH in some populations. LGBTQIA+ people accessing abortion services can have harmful experiences related to embedded norms that construct abortion care as being for cisgender heterosexual women. In Aotearoa New Zealand, legislative reform has decriminalised and liberalised abortion care to improve access and reduce outcome inequities.

"Let All Identities Bloom, Just Let Them Bloom": Advancing Trans-Inclusive Perinatal Care Through Intersectional Analysis.

Intersectionality, as a praxis and methodology, enables researchers to attend to their social justice goals. Yet, intersectionality has been under-employed in research centering trans people's healthcare experiences. Not attending to intersectionality has been argued to reinforce the very structural inequities researchers are trying to challenge.

Embedding LGBTQIA+ health equity in midwifery education: A holistic whole-of-programme approach.

Skilled midwifery care for LGBTQIA+ people is a human right, however LGBTQIA+ people have been under-served in perinatal care by the privileging of cisgender heterosexual endosex women as recipients of care. The education of midwives and other professionals to provide LGBTQIA+ inclusive care is a critical component of wider strategies to address LGBTQIA+ discrimination in perinatal care. This paper responds to this challenge by discussing an innovative and holistic approach to introducing and embedding LGBTQIA+ health equity into one midwifery education programme in Aotearoa New Zealand.

Taking up the challenge of trans and non-binary inclusion in midwifery education: Reflections from educators in Aotearoa and Ontario Canada.

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 and professional frameworks. This paper presents the critical reflections of midwifery educators located in two midwifery programmes in Aotearoa and Ontario Canada, who are engaged in taking up the challenge of trans and non-binary inclusion in their local contexts.

The influence of bed-sharing on infant physiology, breastfeeding and behaviour: A systematic review.

This review aimed to better understand the underlying physiology of the risks and benefits of bed-sharing. Eight databases were searched using terms relating to adult-infant/baby, bed-sharing/co-sleeping combined with outcome terms for physiology, sleep, cardiovascular, respiratory, temperature and behaviour. Of 836 papers identified, 59 papers representing 48 cohorts met inclusion criteria.

Becoming a midwife: A survey study of midwifery alumni.

Background: Becoming a competent midwife is a complex process. The aim of midwifery education is to support the development of competence in midwifery skills, knowledge and to prepare graduates to meet the responsibilities inherent in the midwifery role.

Aim: To explore the experiences of our alumni midwives, ask how well they perceived their midwifery programme had prepared them for beginning midwifery practice and to identify any curriculum changes, or postgraduate study topics, that would support the transition to midwifery practice.

Predictors of breastfeeding duration in a predominantly Māori population in New Zealand.

Background: Although breastfeeding duration in New Zealand's indigenous Māori is shorter than in non-Māori, we know little about barriers or motivators of breastfeeding in this community. The aim of this analysis was to identify predictors for extended duration of breastfeeding amongst participants drawn from predominantly Māori communities in regional Hawke's Bay.

Methods: Mother/baby dyads were recruited from two midwifery practices serving predominantly Māori women in mostly deprived areas, for a randomised controlled trial comparing the risks and benefits of an indigenous sleeping device (wahakura) and a bassinet.

What do we know about sibling attended birth? An integrative literature review.

Objective: to consolidate existing research in the field of sibling attended birth (SAB) into a body of knowledge to inform decision-making processes and guide midwifery practice throughout the sibling attended birth experience.

Design: An integrative literature review.

Data Sources: CINAHL Complete, Cochrane Library, PubMed, Index New Zealand, Australia/New Zealand Reference Centre, grey literature databases REVIEW METHODS: An extensive search of five electronic databases as well as 17 grey literature databases was conducted.

The Pēpi-Pod study: Overnight video, oximetry and thermal environment while using an in-bed sleep device for sudden unexpected death in infancy prevention.

Aim: The aim of this study was to identify the potential risks and benefits of sleeping infants in a Pēpi-Pod distributed to families with high risk of sudden unexpected death in infancy compared to a bassinet.

Methods: Forty-five mostly indigenous Māori mothers who were referred by local health providers to receive a Pēpi-Pod were surveyed at recruitment, 1 and 3 months. A sleep study at 1 month included infrared video, oximetry and temperature measures.

Physiological stability in an indigenous sleep device: a randomised controlled trial.

Objective: To compare overnight oxygen saturation, heart rate and the thermal environment of infants sleeping in an indigenous sleep device (wahakura) or bassinet to identify potential risks and benefits.

Design: Randomised controlled trial.

Setting: Family homes in low socio-economic areas in New Zealand.

Predictors of supplementation for breastfed babies in a Baby-Friendly hospital.

Problem: Supplementation of breastfed babies is common during the hospital stay.

Background: The Baby Friendly Hospital Initiative (BFHI) optimises practices to support exclusive breastfeeding, yet supplementation is still prevalent.

Objective: To determine predictors for supplementation in a cohort of breastfed babies in a Baby-Friendly hospital.

Wahakura Versus Bassinet for Safe Infant Sleep: A Randomized Trial.

Objectives: To compare an indigenous sleep device (wahakura) for infants at high risk for sudden unexpected death with a bassinet, for measures of infant sleep position, head covering, breastfeeding, bed-sharing, and maternal sleep and fatigue.

Methods: A total of 200 mainly Māori pregnant women were recruited from deprived areas of New Zealand. They were randomized to receive a bassinet or wahakura and asked to sleep the infant in this device from birth.

Methodology and recruitment for a randomised controlled trial to evaluate the safety of wahakura for infant bedsharing.

Background: Sudden Unexpected Death in Infancy (SUDI) has persistent high rates in deprived indigenous communities and much of this mortality is attributable to unsafe sleep environments. Whilst health promotion worldwide has concentrated on avoidance of bedsharing, the indigenous Māori community in New Zealand has reproduced a traditional flax bassinet (wahakura) designed to be used in ways that include bedsharing. To date there has been no assessment of the safety of this traditional sleeping device.

Risk of severe postpartum hemorrhage in low-risk childbearing women in new zealand: exploring the effect of place of birth and comparing third stage management of labor.

Background: Primary postpartum hemorrhage is a leading cause of maternal mortality and morbidity internationally. Research comparing physiological (expectant) and active management of the third stage of labor favors active management, although studies to date have focused on childbirth within hospital settings, and the skill levels of birth attendants in facilitating physiological third stage of labor have been questioned. The aim of this study was to investigate the effect of place of birth on the risk of postpartum hemorrhage and the effect of mode of management of the third stage of labor on severe postpartum hemorrhage.

Hypoxic and hypercapnic events in young infants during bed-sharing.

Objectives: To identify desaturation events (arterial oxygen saturation [Sao(2)] <90%) and rebreathing events (inspired carbon dioxide (CO(2)) >3%), in bed-sharing (BS) versus cot-sleeping (CS) infants.

Methods: Forty healthy, term infants, aged 0 to 6 months who regularly bed-shared with at least 1 parent >5 hours per night and 40 age-matched CS infants were recruited. Overnight parent and infant behavior (via infrared video), Sao(2), inspired CO(2) around the infant's face, and body temperature were recorded during sleep at home.

Planned place of birth in New Zealand: does it affect mode of birth and intervention rates among low-risk women?

Background: Midwives providing care as lead maternity caregivers in New Zealand provide continuity of care to women who may give birth in a variety of settings, including home, primary units, and secondary and tertiary level hospitals. The purpose of this study was to compare mode of birth and intrapartum intervention rates for low-risk women planning to give birth in these settings under the care of midwives.

Methods: Data for a cohort of low-risk women giving birth in 2006 and 2007 were extracted from the Midwifery Maternity Provider Organisation database.

Sleep arrangements and behavior of bed-sharing families in the home setting.

Objectives: We aimed to provide a quantitative analysis of the sleep arrangements and behaviors of bed-sharing families to further understand the risks and benefits as well as the effects of infant age and room temperature on bed-sharing behaviors.

Methods: Forty infants who regularly bed shared with > or = 1 parent > or = 5 hours per night were recruited. Overnight video of the family and physiological monitoring of the infant was conducted in infants' homes.

Differences in infant and parent behaviors during routine bed sharing compared with cot sleeping in the home setting.

Objectives: To observe the behavior of infants sleeping in the natural physical environment of home, comparing the 2 different sleep practices of bed sharing and cot sleeping quantifying to factors that have been identified as potential risks or benefits.

Methods: Forty routine bed-sharing infants, aged 5-27 weeks were matched for age and season of study with 40 routine cot-sleeping infants. Overnight video and physiologic data of bed-share infants and cot-sleep infants were recorded in the infants' own homes.