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27 Results Found

  • Review
  • Open Access
5 Citations
6,039 Views
21 Pages

Informed Consent in Perinatal Care: Challenges and Best Practices in Obstetric and Midwifery-Led Models

  • Eriketi Kokkosi,
  • Sofoklis Stavros,
  • Efthalia Moustakli,
  • Saraswathi Vedam and ,
  • Anastasios Potiris,
  • Despoina Mavrogianni,
  • Nikolaos Antonakopoulos,
  • Periklis Panagopoulos,
  • Peter Drakakis and
  • Angeliki Sarella
  • + 7 authors+ 2 authors

Background/Objectives: Respectful maternity care involves privacy, dignity, and informed choice within the process of delivery as stipulated by the World Health Organization (WHO). Informed consent is a cornerstone of patient-centered care, represent...

  • Study Protocol
  • Open Access
683 Views
16 Pages

Background/Objectives: Clinical childbirth in high-income countries is increasingly shaped by standardised routines that do not always accommodate individual preferences. In Germany, approximately one in eight pregnant persons experiences clinically...

(This article belongs to the Special Issue Midwifery-Led Care and Practice: Promoting Maternal and Child Health—Second Edition)
  • Review
  • Open Access
16 Citations
8,551 Views
22 Pages

From Midwife-Dominated to Midwifery-Led Antenatal Care: A Meta-Ethnography

  • Bente Dahl,
  • Kristiina Heinonen and
  • Terese Elisabet Bondas

Provision of antenatal care includes risk identification, prevention and management of pregnancy-related diseases, but also health education, health promotion, support and guidance to smooth the transition to parenthood. To ensure good perinatal heal...

(This article belongs to the Section Reproductive Health)
  • Article
  • Open Access
2 Citations
3,490 Views
13 Pages

Building experience in midwife-led care at freestanding midwifery units is needed to enhance assessment, technical, and care competencies specific to midwives. This study aimed to develop a self-assessment scale for midwifery practice competency base...

  • Article
  • Open Access
640 Views
19 Pages

Reliability and Validity of the MADM Scale in Measuring Maternal Autonomy During Hospital Births in Greece

  • Eriketi Kokkosi,
  • Antonis Galanos,
  • Sofoklis Stavros,
  • Efthalia Moustakli and ,
  • Antigoni Sarantaki,
  • Athina Diamanti,
  • Kleanthi Gourounti,
  • Maria Iliadou,
  • Saraswathi Vedam and
  • Angeliki Sarella
  • + 5 authors+ 0 author

Background: Autonomy in decision making is a critical component of respectful, person-centered maternity care. The Mother’s Autonomy in Decision Making (MADM) scale has been widely used internationally to evaluate women’s perceptions of a...

(This article belongs to the Special Issue Nursing and Midwifery Practice Development: Improvement and Evaluation)
  • Protocol
  • Open Access
4 Citations
3,507 Views
12 Pages

21 October 2022

Introduction: Bangladesh introduced professional midwives in 2018 to address gaps in sexual and reproductive health services, focusing on improved maternity care. Facility mentoring has been introduced in selected facilities within the government to...

(This article belongs to the Section Public Health Research)
  • Article
  • Open Access
5 Citations
5,285 Views
14 Pages

Midwife-Led Mobile Antenatal Clinic: An Innovative Approach to Improve Utilization of Services in Pwani, Tanzania

  • Beatrice E. Mwilike,
  • Joanne Welsh,
  • Kasusu K. Nyamuryekung’e,
  • Alex J. Nyaruchary and ,
  • Andrea B. Pembe and
  • Mechthild M. Gross
  • + 1 author+ 0 author

Participating in antenatal clinics is a major determinant in reducing poor maternal and neonatal birth outcomes. We aimed to evaluate the utilization of antenatal clinic (ANC) services provided by a mobile clinic led by skilled midwives and determine...

  • Article
  • Open Access
20 Citations
5,222 Views
16 Pages

How Do Midwives View Their Professional Autonomy, Now and in Future?

  • Joeri Vermeulen,
  • Maaike Fobelets,
  • Valerie Fleming,
  • Ans Luyben and ,
  • Lara Stas and
  • Ronald Buyl
  • + 1 author+ 0 author

Background: Internationally, midwives’ professional autonomy is being challenged, resulting in their inability to practice to their full scope of practice. This situation contrasts with the increasing international calls for strengthening the m...

(This article belongs to the Special Issue New Waves of Sexual and Reproductive Health)
  • Article
  • Open Access
416 Views
29 Pages

Facility-based birth is an important strategy for reducing maternal and neonatal mortality, yet institutionalization has also been associated with overmedicalized and disrespectful care. Midwifery centers (MCs) may offer an alternative, but evidence...

(This article belongs to the Special Issue Improving the Quality of Maternity Care)
  • Article
  • Open Access
1 Citations
2,203 Views
17 Pages

“What You Leave…Will Leave You”: A Qualitative Study of Perceptions of Midwifery’s Intangible Heritage and Professional Identity Among Midwives and Student Midwives in Cyprus

  • Maria Panagiotou,
  • Eleni Hadjigeorgiou,
  • Stavros Vryonides,
  • Maria Karanikola and ,
  • Anastasios Merkouris and
  • Nicos Middleton
  • + 1 author+ 0 author

7 August 2025

Background: Midwifery’s Intangible Heritage was officially recognized by the United Nations Educational, Scientific and Cultural Organization on 6 December 2023, highlighting that elements of midwifery knowledge and practice, shaped over genera...

(This article belongs to the Section Women’s and Children’s Health)
  • Article
  • Open Access
46 Citations
7,860 Views
14 Pages

The disrespect and abuse (D&A) of women during childbirth is common and a great concern in midwifery-led obstetric units (MOUs) in South Africa. This paper used the seven chapters of the Respectful Maternity Care Charter as a framework to explore...

(This article belongs to the Special Issue Obstetric Violence and Women's Health)
  • Systematic Review
  • Open Access
965 Views
14 Pages

Determinants of Midwifery Workforce Disaster Preparedness and Its Impact on the Continuity of Maternal Care: A Systematic Review

  • Eirini Orovou,
  • Alina Liepinaitienė,
  • Chrysoula Taskou,
  • Kleanthi Gourounti and ,
  • Dimitrios Papoutsis and
  • Antigoni Sarantaki
  • + 1 author+ 0 author

Background/Objectives: Natural disasters and climate-related emergencies increasingly disrupt maternal healthcare systems, placing growing demands on the midwifery workforce. While midwives play a critical role in maintaining continuity of care, evid...

(This article belongs to the Special Issue Advancing Midwifery and Nursing Practice: Equity, Inclusion and Integrated Care)
  • Article
  • Open Access
12 Citations
6,553 Views
17 Pages

Association between Breastfeeding Duration and Long-Term Midwifery-Led Support and Psychosocial Support: Outcomes from a Greek Non-Randomized Controlled Perinatal Health Intervention

  • Maria Dagla,
  • Irina Mrvoljak-Theodoropoulou,
  • Marilena Vogiatzoglou,
  • Anastasia Giamalidou and ,
  • Eleni Tsolaridou,
  • Marianna Mavrou,
  • Calliope Dagla and
  • Evangelia Antoniou
  • + 3 authors+ 0 author

Background: This study investigates if a non-randomized controlled perinatal health intervention which offers (a) long-term midwife-led breastfeeding support and (b) psychosocial support of women, is associated with the initiation, exclusivity and du...

(This article belongs to the Section Women's Health)
  • Article
  • Open Access
2,418 Views
18 Pages

Scheduling Group Care in Routine Perinatal Care: Identifying Implementation Modifications Across Belgium, Kosovo, and the UK

  • Astrid Van Damme,
  • Florence Talrich,
  • Deborah L. Billings,
  • Christine McCourt and ,
  • Ashley Gresh,
  • Crystal L. Patil,
  • Matty Crone,
  • Marlies Rijnders,
  • Ilir Hoxha and
  • Katrien Beeckman
  • + 6 authors+ 1 author

Background: Group Care (GC) is an antenatal/postnatal care model comprised of a stable group of pregnant people or parent–child dyads receiving care in two-hour group sessions that combine clinical care with interactive discussion and learning....

(This article belongs to the Special Issue Interdisciplinary Perspectives in Maternal Health: Integrating Theoretical Frameworks and Practical Applications)
  • Review
  • Open Access
17 Citations
7,365 Views
14 Pages

Insights into Prevention of Health Complications in Small for Gestational Age (SGA) Births in Relation to Maternal Characteristics: A Narrative Review

  • Sebastian Wołejszo,
  • Agnieszka Genowska,
  • Radosław Motkowski,
  • Birute Strukcinskiene and ,
  • Mark Klukowski and
  • Jerzy Konstantynowicz
  • + 1 author+ 0 author

9 January 2023

Small for gestational age (SGA) births are a significant clinical and public health issue. The objective of this review was to summarize maternal biological and socio-demographic factors and preventive strategies used to reduce the risk of SGA births...

(This article belongs to the Special Issue New Insights into Pregnancy Complications)
  • Commentary
  • Open Access
3,780 Views
15 Pages

29 September 2025

Background: Midwifery leadership is central to delivering safe, high-quality maternity care. Yet despite sustained investment in leadership development and governance frameworks, UK national reviews consistently identify leadership as a weakness. Und...

(This article belongs to the Special Issue Midwifery-Led Care and Practice: Promoting Maternal and Child Health)
  • Article
  • Open Access
7 Citations
3,207 Views
8 Pages

Towards the Elaboration of a Non-Technical Skills Development Model for Midwives in Morocco

  • Asmaa Ghafili,
  • Abdellah Gantare,
  • Claire Lobet-Maris and
  • Maximilien Gourdin

3 September 2022

This article explores the non-technical skills critical for the practice of midwives through a comparison of two maternity services in Morocco. Soft skills, or non-technical skills, present a set of metacognitive abilities, which complement hard or t...

(This article belongs to the Special Issue Global Perspectives on Nursing and Midwifery Workforce Development)
  • Review
  • Open Access
350 Views
25 Pages

Mapping Assessment Approaches to Midwife-Led Perinatal Nutrition Counselling: A Scoping Review of Existing Instruments, Competency Frameworks, and Measurement Gaps

  • Artemisia Kokkinari,
  • Evangelia Antoniou,
  • Dimitrios Iatrakis,
  • Anastasia Bothou and ,
  • Athina Diamanti,
  • Evangelia Leontitsi and
  • Maria Dagla
  • + 2 authors+ 0 author

7 September 2026

Background: Nutrition counselling during the perinatal period is an important component of midwifery care and health promotion. Existing competency frameworks recognize nutrition-related education and counselling as part of midwifery practice, while...

  • Review
  • Open Access
1 Citations
2,069 Views
27 Pages

Nutrition in Perinatal Midwifery Care: A Narrative Review of RCTs, Current Practices, and Future Directions

  • Artemisia Kokkinari,
  • Maria Dagla,
  • Kleanthi Gourounti,
  • Evangelia Antoniou and ,
  • Nikoleta Tsinisizeli,
  • Evangelos Tzamakos and
  • Georgios Iatrakis
  • + 2 authors+ 0 author

22 January 2026

Background: Nutrition during the perinatal period, including pregnancy, childbirth, postpartum, and lactation, is a critical determinant of maternal and neonatal health. While the importance of balanced nutrition is well established, the integration...

(This article belongs to the Section Healthcare and Sustainability)
  • Article
  • Open Access
17 Citations
9,447 Views
15 Pages

Parenting of Children with Autism Spectrum Disorder: A Grounded Theory Study

  • Clara Roquette Viana,
  • Sílvia Caldeira,
  • Margarida Lourenço and
  • Amélia Simões Figueiredo

Background: Parenting a child with an autism spectrum disorder (ASD) involves several processes and emotions during this transition. In addition to the family’s natural transition when a child is born, the family of a child with ASD has to deal with...

(This article belongs to the Special Issue Nursing, Child and Pediatric Health)
  • Article
  • Open Access
8 Citations
5,647 Views
15 Pages

Transfers of Care between Healthcare Professionals in Obstetric Units of Different Sizes across Spain and in a Hospital in Ireland: The MidconBirth Study

  • Anna Martín-Arribas,
  • Rafael Vila-Candel,
  • Rhona O’Connell,
  • Martina Dillon and ,
  • Inmaculada Vila-Bellido,
  • M. Ángeles Beneyto,
  • Inmaculada De Molina-Fernández,
  • Nerea Rodríguez-Conesa,
  • Cristina González-Blázquez and
  • Ramón Escuriet
  • + 5 authors+ 0 author

Background: In Europe, the majority of healthy women give birth at conventional obstetric units with the assistance of registered midwives. This study examines the relationships between the intrapartum transfer of care (TOC) from midwife to obstetric...

(This article belongs to the Collection Women's Reproductive and Maternal Health)
  • Review
  • Open Access
8 Citations
3,693 Views
12 Pages

Background: Historically, once the baby was born, the mother and baby were separated shortly after birth into a postnatal ward and a baby nursery. Overtime, with advances in neonatology led to an increasing number of neonates being separated from the...

(This article belongs to the Section Women’s and Children’s Health)
  • Article
  • Open Access
5 Citations
5,721 Views
19 Pages

Consumers access health professionals with varying levels of diabetes-specific knowledge and training, often resulting in conflicting advice. Conflicting health messages lead to consumer disengagement. The study aimed to identify capabilities require...

(This article belongs to the Special Issue Primary Healthcare)
  • Article
  • Open Access
945 Views
13 Pages

Midwife-Led Home Births in Japan: A 25-Year Retrospective Analysis of Care in Accordance with WHO Recommendations Before and After COVID-19

  • Mari Murakami,
  • Hiromi Kawasaki,
  • Kimiko Tagawa,
  • Eiko Maehara and ,
  • Mika Tanaka,
  • Maki Takashima,
  • Kaori Fujita,
  • Satoko Yamasaki,
  • Sae Nakaoka and
  • Saori Fujimoto
  • + 6 authors+ 1 author

Background/Objectives: In Japan, hospital births predominate, with home births comprising only 0.1% of deliveries. This study assessed how documented practices for planned home births attended by independent midwives align with national guidelines an...

(This article belongs to the Special Issue Nursing in Women’s Health: Contemporary Approaches to Maternal and Gynecological Care)
  • Article
  • Open Access
1 Citations
1,781 Views
16 Pages

Indigenous Kichwa women in the Ecuadorian Amazon experience disproportionately high levels of obstetric violence, yet their experiences remain largely absent from national demographic data. This study aims to measure the prevalence and forms of obste...

  • Article
  • Open Access
1 Citations
1,079 Views
20 Pages

Influence of a Structured Teaching on Targeted Pelvic Floor Muscle Contraction Ability in Pregnant Women: The pelviTrust Trial

  • Konstanze Weinert,
  • Ulrike Keim,
  • Anna-Lena Wawers,
  • Nina Gärtner-Tschacher and
  • Claudia F. Plappert

Background: Pelvic floor muscle dysfunction (PFD) is common during pregnancy. To counteract pregnancy-associated PFD, women require sufficient knowledge and structured guidance on correct pelvic floor muscle (PFM) contraction to improve PFM perceptio...

(This article belongs to the Special Issue Midwifery-Led Care and Practice: Promoting Maternal and Child Health)
  • Article
  • Open Access
501 Views
15 Pages

Associations Between Antenatal Care and Information and Pregnant Women’s Preferred Mode of Birth in Romania: A Cross-Sectional Study

  • Mihaela Corina Radu,
  • Laura Ioana Chivu,
  • Letitia Draghici Goraneanu,
  • Justin Aurelian and ,
  • Raluca Elena Hanu,
  • Sebastian Toma and
  • Loredana Sabina Cornelia Manolescu
  • + 2 authors+ 0 author

16 October 2026

Objectives: Romania has one of the highest caesarean rates in the European Union, yet little is known about what shapes women’s preferred mode of birth there. This study examined how socio-demographic, obstetric and antenatal care characteristi...

(This article belongs to the Section Women’s and Children’s Health)