The experience of Family and Community Midwives in postnatal care: A qualitative study in Italy.

Abstract

Introduction: Historically, national and international policies have focused more on care during pregnancy and childbirth rather than on the postnatal period. To solve the necessity of ensuring continuity of care after childbirth, the role of Family and Community Midwives (FaCM) was established permanently. The aim of the study is to explore the experiences and perspectives of the FaCM working in the Lombardy region of Northern Italy.

Methods: The method used in this qualitative study design is a descriptive phenomenological approach. The data collection was conducted through semi-structured interviews with FaCM who voluntarily indicated their willingness to participate in the study from January to March 2024. The interviews followed a topic guide based on available literature.

Results: Fifteen FaCM participated in the interviews. Two main themes emerged: 1) The contribution of a committed midwife in the community setting; and 2) The relationship between midwives, women, and other professionals. The contribution of a committed midwife in the community setting emphasized the novel role played by FaCM and their experience staying in connection with women after childbirth. Furthermore, midwives are the designated professionals responsible for ensuring continuity of care during the postnatal period. Relationships between midwives, women, and other professionals involved the challenge of collaborating within a team instead of working alone in a local service.

Conclusions: The findings reflect the experience of FaCM in an entirely new postnatal community care setting. Enhancing the contribution of midwives alongside mothers and other professionals positively impacts the health of mothers and infants throughout the whole postnatal experience.