Women and Children Nursing最新文献

{"title":"Social mobility, individual agency, and the reimagining of motherhood: Emerging trends in Women's reproductive desires in Türkiye","authors":"Serkan Yorgancılar,&nbsp;Kadir İntaş,&nbsp;Harun Sönmez,&nbsp;Berkay Ceylan,&nbsp;Aydan Biri,&nbsp;Seçil Özkan","doi":"10.1016/j.wcn.2026.03.003","DOIUrl":"10.1016/j.wcn.2026.03.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Motherhood is a multidimensional phenomenon shaped by biological, social, and economic factors. While fertility decline is well-documented in Türkiye, limited research addresses how individual agency and social mobility intersect with reproductive decisions. This study aims to evaluate the sociodemographic, psychosocial, and environmental determinants of women's desire for motherhood in Ankara by focusing on the interplay between structural constraints and individual aspirations.</div></div><div><h3>Materials and methods</h3><div>This descriptive, cross-sectional study was conducted using an urban sample of women aged 18–55 years from five districts of Ankara. A multistage stratified systematic cluster sampling method was used to ensure diverse socioeconomic representation. Pregnant women were excluded to focus on prospective reproductive desires and eliminate confounding bias. Data were analyzed using binary logistic regression, and adjusted odds ratios (aOR) with 95% confidence intervals (CI) were calculated.</div></div><div><h3>Results</h3><div>Marital status emerged as a robust predictor; married women had approximately 2.5 times higher odds of desiring motherhood compared to single women (OR = 2.45; 95% CI: 1.90–3.20; <em>P</em> &lt; 0.001). Spousal support significantly bolstered fertility intention (odds ratio [OR] = 1.68), whereas a positive social environment tripled the likelihood of desiring motherhood. Conversely, perceived conflict between motherhood and career aspirations was negatively associated with the desire for children, highlighting the friction between social mobility and reproductive roles.</div></div><div><h3>Conclusion</h3><div>These findings suggest that women's reproductive preferences in this urban Turkish setting are strongly associated with marital stability, spousal support, and career considerations. The results highlight the impact of structural incompatibilities on fertility intentions. Consequently, policymakers should focus on mitigating work-family conflicts through structural reforms. However, given the cross-sectional nature of this study, causal inferences should be made with caution, and future longitudinal research is recommended to validate these trends.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"4 3","pages":"Pages 77-82"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149214407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of a “Teacher–Student–AI” interactive model integrated with case-based learning in midwifery education: A quasi-experimental mixed-methods study protocol","authors":"Chuanya Huang,&nbsp;Jingjing He,&nbsp;Siqi Xiong,&nbsp;Guoyu Wang,&nbsp;Jianhua Ren","doi":"10.1016/j.wcn.2026.08.002","DOIUrl":"10.1016/j.wcn.2026.08.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Developing analytical reasoning, clinical decision-making, and reflective learning are important goals in midwifery education. Large language models may support interactive learning; however, their unstructured use may encourage passive reliance on AI-generated information. This study aims to evaluate a structured “Teacher–Student–AI” interactive model integrating DeepSeek-R1 with case-based learning in undergraduate midwifery education.</div></div><div><h3>Methods</h3><div>A quasi-experimental, mixed-methods study will be conducted using two consecutive cohorts of undergraduate midwifery students at Sichuan University between September 2026 and January 2028. The comparison cohort will take a conventional course, whereas the intervention cohort will participate in AI-supported case-based learning involving pre-class inquiry, classroom discussion, instructor-guided verification, and post-class reflection. The quantitative outcomes will include critical thinking disposition, self-reported clinical decision-making, caring ability, and academic performance. Outcomes assessed before and after the course will be analyzed using analysis of covariance, adjusting for baseline scores and selected cohort-related variables. Individual interviews will be conducted with consenting students in the intervention cohort to explore their learning experiences. Qualitative data will be analyzed using thematic analysis and integrated with the quantitative findings during interpretation.</div></div><div><h3>Ethics and dissemination</h3><div>Ethical approval was obtained from the Ethics Committee of the West China Second University Hospital, Sichuan University (No. 2025226). Participation in the study will be voluntary. Only fictionalized or anonymized cases will be used, and students will be prohibited from entering identifiable or sensitive information into the AI platform. The findings will be disseminated through peer-reviewed publications and academic presentations.</div></div><div><h3>Conclusion</h3><div>This study will provide exploratory evidence of the educational value, implementation challenges, and ethical considerations of a structured AI-supported case-based learning model for midwifery education.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"4 3","pages":"Pages 100-107"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149214405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and associated factors of primary postpartum hemorrhage among mothers who delivered at selected hospitals in East Wollega Zone, West Oromia, Ethiopia, 2022","authors":"Meskerem Deyasa,&nbsp;Tesfaye Abera,&nbsp;Mekdelawit Birhanu,&nbsp;Getahun Fetensa","doi":"10.1016/j.wcn.2026.06.001","DOIUrl":"10.1016/j.wcn.2026.06.001","url":null,"abstract":"<div><h3>Background</h3><div>Postpartum hemorrhage (PPH) is the main cause of maternal mortality worldwide. Most PPH-related illnesses and deaths occur within the first 24 h following childbirth and may be severed by shock, renal failure, acute respiratory distress syndrome, coagulopathy, or Sheehan's syndrome. The study aimed to identify the prevalence and associated factors of primary PPH among mothers who delivered at the selected hospitals in East Wollega Zone, West Oromia, Ethiopia in 2022.</div></div><div><h3>Method</h3><div>A facility-based survey was conducted among 650 mothers who delivered at four selected public hospitals in the East Wollega zone between January 15 to March 15, 2022. Systematic sampling was used to recruit eligible mothers. Data were collected by directly interviewing the mothers and reviewing their cards using pre-tested semi-structured questionnaires. The collected data were entered into Epi-data version 3.1 after coding, and then exported to SPSS version 25.0 for further analysis and interpretation. A <em>P</em>-value of &lt; 0.25 within bivariable analyses was used to screen candidate variables for the final model. Multivariable logistic regression was performed to identify the factors associated with primary PPH with a 95% confidence interval (CI) and <em>P</em>-value &lt; 0.05.</div></div><div><h3>Results</h3><div>A total of 650 mothers participated in this study, with a 100% response rate. The mean age of the respondents was 26.06 (SD ± 4.9, ranging 18<strong>–</strong>42) years. The findings indicated that the prevalence of primary PPH was 17.1% (95% CI: 15.03–19.17). Twin delivery (AOR = 6.409, 95% CI: 2.437–16.857), instrumental delivery (AOR = 2.868, 95% CI: 1.346–6.112), active management of the third stage of labor (AMTSL) (AOR = 0.341, 95% CI: 0.192<strong>–</strong>0.605), and stillbirth (AOR = 3.537, 95% CI: 1.424–8.787) were significantly associated variables.</div></div><div><h3>Conclusion and recommendation</h3><div>PPH was significantly higher in the current study. Monitoring the second and third phases of labor using instrumental delivery with caution, with particular attention to risk factors such as twin delivery and stillbirth, may reduce the risk of PPH.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"4 3","pages":"Pages 83-90"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149214403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevention and treatment of postoperative pulmonary complications after cesarean section in high-altitude areas: A narrative review","authors":"Yixiang Hou","doi":"10.1016/j.wcn.2026.05.001","DOIUrl":"10.1016/j.wcn.2026.05.001","url":null,"abstract":"<div><div>This review offers a narrative synthesis of evidence on the prevention and management of pulmonary complications after cesarean delivery in high-altitude areas. It integrates high-altitude physiology with perioperative practice to outline pathophysiology, risk factors, and practical management strategies across anesthesia, respiratory protection, fluid management, and postoperative analgesia, with an emphasis on the core role of the nursing team throughout. As the obstetric and high-altitude evidence base is heterogeneous and often extrapolated from non-obstetric settings, applicability boundaries and uncertainty are explicitly discussed and nursing and multidisciplinary collaboration are highlighted as essential components of risk-stratified pathways. The goal is to offer clinically actionable recommendations and a framework for individualized care to reduce pulmonary complications after cesarean delivery and improve maternal–neonatal outcomes in high-altitude settings.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"4 3","pages":"Pages 69-76"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149214406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The experiences of nurse midwife technician students in acquiring maternal mental health clinical competencies in Malawi: Qualitative Research","authors":"Chrissie Rashidi Hussein,&nbsp;Masumbuko Baluwa,&nbsp;Thokozani Bvumbwe","doi":"10.1016/j.wcn.2026.08.001","DOIUrl":"10.1016/j.wcn.2026.08.001","url":null,"abstract":"<div><h3>Aim</h3><div>To explore the experiences of nurse midwife technician (NMT) students in acquiring maternal mental health competencies in Malawi.</div></div><div><h3>Method</h3><div>An exploratory descriptive design was employed in two nursing colleges. Twenty third-year NMT students aged 20–30 years were recruited using purposive sampling. Data were collected through four focus group discussions, with five students per group, and were analyzed manually using thematic analysis guided by Braun and Clarke's six-phase framework: familiarization with the data, generating initial codes, searching for themes, reviewing themes, defining and naming themes, and writing the report.</div></div><div><h3>Results</h3><div>The study identified four main themes: (1) assessment of women with maternal mental health problems, (2) need for clinical support, (3) neglected maternal mental health competencies in midwifery practice, and (4) clinical learning gaps. Many students experienced negative emotions, lacked knowledge and resources, had limited opportunities to practice maternal mental health competencies, and had short clinical placement durations. Gaps in the midwifery curriculum were also highlighted, including the absence of specific maternal mental health competencies and appropriate teaching methods.</div></div><div><h3>Conclusion</h3><div>This study recommends a review of the nursing and midwifery curricula in nursing colleges to incorporate additional maternal mental health competencies, implement student-centered teaching strategies, provide adequate learning resources, and extend clinical practice periods to help students achieve these competencies. Clinical support through supervision and clinical instruction should also be emphasized to help reduce students’ negative emotions.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"4 3","pages":"Pages 91-99"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149214404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The influence of postpartum food taboos in Brazil on maternal dietary restrictions and infant growth outcomes: A cross-sectional study","authors":"Ana Caroline Teixeira da Silva,&nbsp;Débora Fernandes Pinheiro,&nbsp;Karolyne Kruger Carvalho Eing,&nbsp;Daniele Gonçalves Vieira,&nbsp;Vania Schmitt","doi":"10.1016/j.wcn.2026.04.002","DOIUrl":"10.1016/j.wcn.2026.04.002","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to identify the influence of food taboos on puerperal mothers and analyze the relationship between these taboos, breastfeeding practices, and infant nutritional status.</div></div><div><h3>Methodology</h3><div>This quantitative cross-sectional study was conducted between May and September 2024 in Guarapuava, Paraná, Brazil. We recruited 50 mothers of infants aged 0–12 months using non-probabilistic snowball sampling. Data were collected using a semi-structured, self-administered electronic questionnaire specifically developed for this study, comprising 44 items addressing maternal and infant nutritional status, dietary habits, breastfeeding practices, and food taboos. Descriptive statistics and inferential analyses (chi-square test, Fisher’s exact test, and Spearman’s correlation) were performed, with statistical significance set at <em>P</em> &lt; 0.05.</div></div><div><h3>Results</h3><div>Most mothers (80%) reported avoiding certain foods during the postpartum period, and 70% adopted dietary practices intended to increase milk production. More than half (64%) of the infants were still being breastfed. No statistically significant association was observed between the presence of postpartum food taboos and infant nutritional status (body mass index [BMI]-for-age). Additionally, no significant relationship was found between maternal pre-pregnancy BMI and infant birth weight or between postpartum maternal BMI and infant BMI-for-age.</div></div><div><h3>Conclusion</h3><div>Postpartum food taboos and culturally rooted dietary restrictions were prevalent among the participants. No statistically significant association with infant nutritional status was detected. These findings suggest the persistence of cultural beliefs influencing maternal dietary practices. Given the limited sample size and cross-sectional design, the results should be interpreted with caution, and further studies involving larger and more diverse populations are warranted.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"4 2","pages":"Pages 60-65"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148640532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and multidimensional associated factors of childhood overweight and obesity in Chengdu, China: A cross-sectional study","authors":"Ying Chen,&nbsp;Zhenchao Li,&nbsp;Siteng Zhang,&nbsp;Linlin Fan,&nbsp;Lihua Jiang,&nbsp;Li Zhao","doi":"10.1016/j.wcn.2026.02.004","DOIUrl":"10.1016/j.wcn.2026.02.004","url":null,"abstract":"<div><h3>Aim</h3><div>To examine the current prevalence of childhood overweight and obesity in Chengdu (China) and identify multidimensional correlates spanning demographics, family influence, behaviors, and psychological factors.</div></div><div><h3>Design</h3><div>Cross-sectional data from the Chengdu Positive Child Development (CPCD) survey, using multistage stratified cluster random sampling and ordered logistic regression to analyze weight status as an ordinal outcome.</div></div><div><h3>Methods</h3><div>A total of 4597 children and adolescents aged 8–18 years were included in the final analysis. Analyses were conducted in SPSS 26.0 using chi-square tests, Kruskal-Wallis H tests, and ordered logistic regression.</div></div><div><h3>Results</h3><div>The prevalence of overweight and obesity was 9.70% and 6.53% (16.23%), respectively. Compared to children with obese fathers, those with underweight fathers (95% CI: 0.148–0.344), normal weight fathers (95% CI: 0.272–0.506), and overweight fathers (95% CI: 0.414–0.818) had significantly lower odds of elevated weight status (all <em>P</em> &lt; 0.05). Likewise, compared to children whose mothers were obese, those with underweight (95% CI: 0.178–0.495), normal weight (95% CI: 0.354–0.593), and overweight mothers (95% CI: 0.465–0.782) had significantly lower odds (all <em>P</em> &lt; 0.001). Higher weight status was associated with meat-based dietary preference (95% CI: 1.164–2.375), balanced dietary preference (95% CI: 1.150–2.229), and binge eating once or twice a week (95% CI: 1.087–2.076) (all <em>P</em> &lt; 0.05). Longer sleep duration (&gt;7 h vs. &lt; 5 h: 95% CI: 0.163–0.702; 6–7 h vs. &lt; 5 h: 95% CI: 0.228–0.988) and older age (95% CI: 0.741–0.816) were associated with lower odds, whereas male gender (95% CI: 1.111–1.549) was associated with higher odds of elevated weight status (all <em>P</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>Childhood overweight and obesity in Chengdu are familial and lifestyle factors, particularly parental body mass index, dietary preference, and sleep duration. Prevention strategies should target family-based approaches, culturally adapted dietary guidance, and systemic policies to improve sleep by reducing academic pressure.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"4 2","pages":"Pages 47-54"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148640533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and cultural influences on childhood immunization among caregivers in a rural setting of Umerkot, Sindh, Pakistan: A cross-sectional study","authors":"Maqbool Ahmed Rahu,&nbsp;Noor Baloch,&nbsp;Shahida Perveen,&nbsp;Parkash Malhi,&nbsp;Waseem Shah","doi":"10.1016/j.wcn.2026.04.001","DOIUrl":"10.1016/j.wcn.2026.04.001","url":null,"abstract":"<div><div>A community-based cross-sectional study was conducted in the rural areas of Umerkot District, Sindh, Pakistan. Using nonprobability purposive sampling, caregivers (<em>n</em> = 103) with at least one child aged 0–23 months were enrolled in face-to-face interviews. A structured, pretested questionnaire was administered in the local language (Sindhi). Data were analyzed using descriptive statistics, chi-square tests, and logistic regressions. Participants’ mean age was 27.5 ± 7.3 years. The majority of the population was men (64.1%), illiterate (88.3%), Hindu (82.5%), and employed as unskilled laborers (56.3%). Pneumonia (38.8%) and diarrhea (34%) were the most frequently reported childhood diseases, as reported by respondents in face-to-face interviews. Only 25.2% of the participants considered immunization highly effective, whereas 51.5% trusted spiritual healing. Over 90% participants believed that vaccines caused pain, 55.3% believed that vaccination is associated with future male infertility, and 36.9% believed it impairs female fertility. Trust in Lady Health Workers (LHWs) was relatively high, with 65.9% of the children being vaccinated based on LHW recommendations. Chi-square analysis revealed a significant association between education level and awareness of vaccine benefits (<em>χ</em>² = 12.45, <em>P</em> = 0.006). Logistic regression indicated that trust in LHWs (OR = 4.23, 95% CI: 1.89–9.45) and literacy (OR = 2.89, 95% CI: 1.32–6.33) were significant predictors of vaccine uptake. Misinformation, low health literacy, and persistent cultural beliefs are major barriers to immunization in Umerkot, Sindh, Pakistan. Community-based strategies, particularly those that leverage trusted LHWs, are essential for improving vaccine acceptance and coverage.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"4 2","pages":"Pages 55-59"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148640537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Construction of evidence-based nursing management strategies for pregnancy-associated venous thrombosis: A Delphi method","authors":"Ping Yan,&nbsp;Caihong Li,&nbsp;Lin Wei,&nbsp;Jianhua Ren,&nbsp;Min Wang,&nbsp;Xiuping Liu","doi":"10.1016/j.wcn.2026.02.002","DOIUrl":"10.1016/j.wcn.2026.02.002","url":null,"abstract":"<div><h3>Objective</h3><div>To construct a nursing management strategy for preventing venous thromboembolism (VTE) in perinatal women using an evidence-based approach.</div></div><div><h3>Methods</h3><div>A research team was established. Utilizing literature retrieval and analysis, a preliminary nursing management strategy for pregnancy-associated (PA) VTE was developed. Two rounds of Delphi expert consultations were conducted to modify and refine the items, culminating in the final strategy.</div></div><div><h3>Results</h3><div>The response rates for Rounds 1 and 2 of Delphi expert consultations were 100% and 93.8%, respectively. The expert authority coefficient was 0.89. During Round 2 of expert consultation, the importance and feasibility scores of the items ranged from 0 to 11.69% and 0–15.50%, respectively. Likewise, Kendall's coefficient of concordance was 0.091 and 0.116, respectively, with statistical significance (<em>P</em> &lt; 0.05). The final strategy comprised 4 first-level items (risk assessment, tiered prevention, health education, and comprehensive management), 13 s-level items, and 51 third-level items.</div></div><div><h3>Conclusion</h3><div>A consensus-based PA-VTE nursing management strategy with 51 actionable indicators was developed, showing strong expert agreement. Multicenter trials are needed to confirm its impact on reducing thrombotic events.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"4 2","pages":"Pages 39-46"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148640531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Midwives as climate caregivers: Caring for birthing individuals, babies and the planet","authors":"Sadia Afrin,&nbsp;Muhammad Asaduzzaman","doi":"10.1016/j.wcn.2026.03.002","DOIUrl":"10.1016/j.wcn.2026.03.002","url":null,"abstract":"<div><div>Planetary health highlights the interdependence of human health and environmental well-being, making climate-responsive care increasingly urgent in maternal and newborn health. Midwives occupy a unique position at the intersection of clinical care, health education, advocacy, and community trust, enabling them to address both immediate perinatal needs and broader environmental determinants of health. This perspective argues that midwives should be recognized as climate caregivers who can reduce harm from environmental exposures, strengthen health literacy, and promote sustainable maternity practices. Environmental threats such as air pollution, toxic metals, heat stress, and biodiversity loss have measurable effects on pregnancy outcomes, fetal development, and long-term child health. Midwives can help mitigate these risks by integrating environmental history-taking, counselling on exposure reduction, and advocating for safer living and working conditions. They can also support sustainable healthcare through low-waste birth practices, evidence-based counselling on household and nutritional choices, and collaboration with obstetricians, pediatricians, and other professionals to build greener perinatal care pathways. Embedding planetary health into midwifery education is essential to prepare future practitioners with competencies in environmental risk assessment, climate-informed counselling, and sustainable practice. By aligning maternal care with planetary health principles, midwives can contribute to healthier pregnancies, safer births, and more resilient health systems. Recognizing and strengthening this role is vital for protecting current and future generations in an era of accelerating environmental change.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"4 2","pages":"Pages 66-68"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148640530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}