Contemporary Perspectives in Women's and Maternal Health: Systems, Prevention, Nutrition and Midwifery-Led Innovation

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: 20 May 2026 | Viewed by 1407

Special Issue Editors


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Guest Editor

E-Mail Website
Guest Editor Assistant
Department of Midwifery, University of West Attica, 12243 Athens, Greece
Interests: maternal health; midwifery care; prenatal nutrition; women's health; health promotion

Special Issue Information

Dear Colleagues,

This Special Issue seeks to offer an integrative, multidisciplinary exploration of women’s and maternal health within the broader context of evolving health systems and global public health priorities. While emphasizing prevention, nutritional care, and midwifery-led practices, it also aims to critically examine how structural, policy, and sociocultural determinants shape access, quality, and equity in maternal care.

We particularly welcome contributions that interrogate persistent challenges—such as fragmented care pathways, the underutilization of evidence-based interventions, and policy inertia—and propose forward-thinking solutions informed by health systems research, implementation science, and intersectional theory.

Key areas of interest include the following:

  • Nutritional status and micronutrient deficiencies (e.g., vitamin D, iron, and folate) during pregnancy and postpartum;
  • Preventive and promotive strategies for women of reproductive age across different health systems;
  • Midwifery-led care models: innovations, challenges to traditional hierarchies, and integration into interdisciplinary teams;
  • Mental health and psychosocial support in the perinatal period;
  • Impact of structural and social determinants (e.g., education, income, migration status, and gender norms) on maternal and neonatal outcomes;
  • Use of digital health technologies and telemonitoring in pregnancy and postpartum care;
  • Climate-related and environmental risks to reproductive and maternal health;
  • Community-based care, participatory approaches, and culturally responsive practices;
  • Comparative health policy, health economics, and anthropological perspectives on maternal health;
  • Interdisciplinary collaborations across public health, obstetrics, midwifery, nutrition, mental health, and the social sciences.

This Special Issue invites empirical research, critical reviews, policy analyses, and case studies from diverse global contexts, particularly those addressing intersectional and systemic approaches to maternal health equity.

Prof. Dr. Georgios Iatrakis
Guest Editor

Dr. Kokkinari Artemisia
Guest Editor Assistant

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Keywords

  • maternal health
  • women’s health
  • midwifery
  • nutrition
  • health systems
  • prevention
  • pregnancy
  • postpartum
  • social determinants
  • policy barriers
  • health equity
  • antenatal care
  • digital health
  • climate and health
  • interdisciplinary research

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Published Papers (2 papers)

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Research

14 pages, 247 KB  
Article
General Self-Efficacy Among Pregnant Women Attending Antenatal Care Units in Tunisia and Its Association with Family Quality of Life: A Multicenter Cross-Sectional Study
by Maha Dardouri, Fatma Korbi, Hajer I. Motakef, Hamdi Lamine, Shaima Mohammed Nageeb, Bushra Alshammari, Sihem Chahed, Martin Rusnák and Imen Ayouni
Healthcare 2025, 13(23), 3069; https://doi.org/10.3390/healthcare13233069 - 26 Nov 2025
Abstract
Background/Objectives: General-self efficacy (GSE) is a substantial element during pregnancy that promotes healthy decision-making and prevents complications. Information on predictive factors of GSE among pregnant women is limited. This study aimed to assess the GSE among pregnant women and identify its relationship with [...] Read more.
Background/Objectives: General-self efficacy (GSE) is a substantial element during pregnancy that promotes healthy decision-making and prevents complications. Information on predictive factors of GSE among pregnant women is limited. This study aimed to assess the GSE among pregnant women and identify its relationship with family quality of life (FQOL) domains in a lower-middle-income community. Methods: This cross-sectional analytical study was conducted in nine antenatal care centers from July 2024 to March 2025. Pregnant women were enrolled through the multiple stage sampling method. GSE in pregnant women was assessed using the General Self-efficacy Scale. FQOL was assessed using the Beach Center Family Quality of Life Scale. Univariable and multivariable linear regression analyses were performed to assess predictors of GSE among pregnant women. Results: A total of 417 pregnant women participated in the study. The prevalence of low GSE was 12.2%. Multivariable linear regression showed that older age (p = 0.02), rural area (p = 0.007), and planned pregnancy (p = 0.03) were predictors of GSE among pregnant women. The total score of FQOL (p = 0.0001), parenting (p = 0.004), and material well-being (p = 0.043) were positive determinant factors of GSE in pregnant women who have at least one child. Conclusions: The prevalence of low general self-efficacy (GSE) among pregnant women was notably high, particularly among those with at least one child. Education regarding family planning, parenting, and financial management through multidisciplinary, family-centered care teams is essential to address the complex needs of expectant families. Full article
17 pages, 626 KB  
Article
Seasonal and Environmental Determinants of Maternal and Neonatal Vitamin D Status: A Cross-Sectional Observational Cohort Study in Urban Greece
by Artemisia Kokkinari, Maria Dagla, Kleanthi Gourounti, Antigoni Sarantaki, Giannoula Kirkou, Maria Iliadou, Evangelia Antoniou and Georgios Iatrakis
Healthcare 2025, 13(20), 2568; https://doi.org/10.3390/healthcare13202568 - 13 Oct 2025
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Abstract
Background: Cutaneous synthesis of vitamin D depends primarily on exposure to solar ultraviolet B (UVB) radiation. Nevertheless, populations in the Mediterranean region, including pregnant women, continue to experience high rates of hypovitaminosis D. Pregnancy is a particularly vulnerable period due to increased physiological [...] Read more.
Background: Cutaneous synthesis of vitamin D depends primarily on exposure to solar ultraviolet B (UVB) radiation. Nevertheless, populations in the Mediterranean region, including pregnant women, continue to experience high rates of hypovitaminosis D. Pregnancy is a particularly vulnerable period due to increased physiological demands and reduced outdoor activity. The aim of this study was to examine the seasonal and environmental determinants of maternal and neonatal vitamin D status in an urban Greek population. Methods: We conducted a cross-sectional observational study on 248 pregnant women and their neonates admitted for delivery at Tzaneio General Hospital of Piraeus between September 2019 and January 2022. Serum 25-hydroxyvitamin D [25(OH)D] concentrations were measured and temporally matched with environmental variables including UV index, sunshine hours, ambient temperature, and PM2.5 levels. Results: Both maternal and neonatal 25(OH)D levels exhibited marked seasonal variation, with levels peaking in late summer and declining sharply in winter. A significant positive correlation was observed between UV index and vitamin D concentrations (r = 0.45, p < 0.001), while elevated PM2.5 concentrations were inversely associated with vitamin D status. Despite supplementation, insufficiency persisted in most neonates, particularly during the low-UV season. This underlines the need for comprehensive prenatal care strategies, integrating both supplementation policies and individualized nutritional counseling, to better secure maternal and neonatal vitamin D adequacy. Conclusions: Seasonal and environmental factors, particularly solar radiation and particulate air pollution, have a decisive role in determining maternal and neonatal vitamin D status, even in regions with abundant sunlight. These findings emphasize the importance of adaptive prenatal care strategies that combine supplementation with dietary counseling and take into account seasonal variation and air quality. In addition, the study provides novelty by integrating maternal–neonatal vitamin D status with environmental exposure metrics such as UV and PM2.5. Full article
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