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Background: Fear of childbirth affects women worldwide and can have adverse consequences. Midwives have implemented a number of interventions, autonomously or as part of a professional team. However, midwives have been unable to identify the most appropriate intervention for ensuring the reduction or alleviation of this fear to provide the best perinatal outcomes. Objective: This study aimed to evaluate the effectiveness of a prenatal educational intervention followed by specific support during childbirth, designed and delivered exclusively by midwives for women with a high fear of childbirth. Method: This randomized controlled trial was performed with two arms in two phases: an online prenatal education phase followed by a support phase during childbirth. Participating women with a high fear of childbirth, which was determined using the Wijma Delivery Expectancy Questionnaire A-Spanish version, were assigned to the experimental group or the usual care control group at a 1:1 ratio. Results:Women showed a reduction in fear of childbirth in both phases of the study. According to the intention-to-treat analysis, a significant mean difference was observed in the prenatal stage in favor of the intervention group, and a nonsignificant difference was observed in favor of this same group after delivery. Discussion: The effectiveness of continuous specific prenatal education with preferential support during childbirth by midwives was indicated by improvements in the level of fear of childbirth. [ABSTRACT FROM AUTHOR]

Escape room games are educational gamification technologies that consist of introducing a team of players into a physical or digital space in search of clues to answer puzzles, riddles or enigmas and solve a mystery or problem. This study aims to determine the effectiveness of escape room games on the training of nursing students in an international context. A systematic review was carried out in MEDLINE, WOS, SCOPUS, CINAHL and LILACS databases using the MeSH terms "Education, Nursing" and "Educational Technology", and the free term "Escape room", combined with Boolean operators AND/OR. Intervention studies in Spanish, English and Portuguese were included, without limitation for the year of publication. Selection and critical appraisal were conducted by two independent reviewers. A total of n = 13 interventional studies were included (n = 2 Randomized Clinical Trials and n = 11 quasi-experimental design). Escape rooms are a recent and growing educational methodology, increasingly used in academia and in the training of nurses and nursing students. However, it is necessary to expand their use and the quality of the studies in a greater number of contexts. Furthermore, it is necessary to homogenize and standardize validated instruments to evaluate the effectiveness of escape rooms in the nursing education area. [ABSTRACT FROM AUTHOR]

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Objective: The general objective of the study was to describe the experiences of midwives in accompanying women with fear of childbirth (FOC). Method: An observational, descriptive, cross-sectional study was proposed, where the study population was the midwives of the delivery unit of the Maternal and Child Hospital of Gran Canaria. The data was obtained through a structured "ad hoc" questionnaire that included variables on professional experience in intrapartum monitoring of women with APM. Results: A total of 83 midwives participated, identifying fear of newborn complications (90.4%), request for cesarean section (77.1%), and early request for epidural analgesia (88.0%). In order to reduce anxiety or the possibility of a traumatic experience, all midwives (n=84) consciously intervene by creating a space for peace and active listening. Women with FOC produce more feelings of empathy (80.7%) and compassion (41%). 64% of midwives fully agreed with the statement "Guiding women with fear of childbirth is an interesting challenge". Conclusions: The results of this study show that midwives who accompany intrapartum women are sensitive to this problem and are motivated to address it, subjectively detecting indicators that alert them that the woman may be afraid, and that this FOC may be associated with adverse consequences. Although in certain situations they ask the woman about her FOC, the factors that lead them to do so are highly variable. [ABSTRACT FROM AUTHOR]