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All Journal Journal Of Nursing Practice Journal of International Multidisciplinary Research
Ana Claudia da Costa Guterres
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Journal : Journal Of Nursing Practice

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Positive Childbirth Experience: A Scoping Review Ana Claudia da Costa Guterres; Farida Kartini; M. Hakimi; Joaquim Pinto; Arina Chusnatayaini
Journal Of Nursing Practice Vol. 8 No. 3 (2025): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i3.818

Abstract

Background: A positive childbirth experience, stating that it must meet or exceed a woman's personal and socio-cultural beliefs and expectations. This includes giving birth to a healthy baby in a clinically and psychologically safe environment, with ongoing practical and emotional support from birth attendants and competent clinical staff. Purpose: This scoping review aimed to identify the best evidence about positive experiences during childbirth, evaluating what factors control and contribute to positive experiences during childbirth. Methods: Databases were searched from 2019 to 2023 from various databases, including PubMed, ScienceDirect, and Cochrane Library/Wiley. As well as using search engines such as Google Scholar and Research Rabbit and selecting them using Rayyan assistance. Critical appraisal and data charting are adopted from the JBI checklist, including cross-sectional, and Qualitative method. Of the 1600 articles identified, only Six met the criteria. Results: The results of this review identified two themes and four subthemes. The two themes are including factors controlling and contribute, and four subthemes such us support and communication factor, participation and empowerment, medical factor and psychology factors. Conclusion: Recommendation for health professionals, especially midwives, is to continue to develop a good and holistic service strategy, by providing support, empowering mothers and also providing good support in order to improve the positive experience during childbirth and minimize negative feedback during childbirth.
Cost-Effectiveness of Maternal Tetanus Toxoid and Tetanus Diphtheria in Developing Countries: Systematic Review Ana Claudia da Costa Guterres; Sri Annisapada Jamaru; Tiara Mudrika; Azizah Yuhani; Sulistyaningsih; Putri Listiani
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.995

Abstract

Background: Maternal and neonatal tetanus (MNT) remains a public health threat in low- and middle-income countries due to suboptimal coverage of complete-dose maternal immunization. Although TT and Td vaccines are clinically effective, their cost-effectiveness in different country contexts needs systematic assessment. Purpose: To evaluate the cost-effectiveness of maternal tetanus toxoid (TT) and tetanus-diphtheria (Td) vaccination in developing countries, focusing on economic outcomes and contextual variations. Methods: This systematic review followed PRISMA 2020 guidelines. Literature was searched in PubMed, Scopus, ScienceDirect, Wiley, and Crossref. Inclusion criteria comprised CEA/CUA studies on maternal TT/Td immunization in developing countries. Reporting quality was assessed using the CHEERS 2022 checklist. Results: From 2,040 records, four studies met inclusion criteria. All reported maternal TT/Td vaccination as highly cost-effective, with ICERs ranging from USD 3.61 to 15,600 per DALY or life-year saved. Key uncertainties included vaccine effectiveness and distribution costs, while program efficiency varied by local health system conditions. Conclusion: Complete-dose maternal TT/Td immunization is a highly cost-effective public health intervention in resource-limited settings. However, policy implementation must be adapted to local contexts and supported by robust sensitivity analysis and reliable primary data.
Co-Authors Arina Chusnatayaini Azizah Yuhani Eugenia Carvalho De Araujo Hercio Marta Fátima Ximenes Joaquim Pinto Kartini, Farida M. Hakimi Maria Cardoso dos Santos Maria Jose Canossa Alves Putri Listiani Sri Annisapada Jamaru Sulistyaningsih Tiara Mudrika