Midwifery最新文献

{"title":"Deserts of disparity: Social vulnerability’s role in maternity care gaps","authors":"Angelo Cadiente ,&nbsp;Jamie Chen ,&nbsp;Bryan Pilkington","doi":"10.1016/j.midw.2025.104608","DOIUrl":"10.1016/j.midw.2025.104608","url":null,"abstract":"<div><h3>Purpose</h3><div>To determine the relationship between maternity care deserts and social vulnerability.</div></div><div><h3>Study Design</h3><div>1084 counties from the March of Dimes (2019–2021) and the CDC/ATSDR Social Vulnerability Index (SVI, 2020) across 11 U.S. states were assessed. Linear regression models analyzed the relationships between social vulnerability, obstetric providers, and uninsured women.</div></div><div><h3>Results</h3><div>SVI did not bear any statistical influence on maternity care desert classifications (<em>r</em> = -0.050, <em>p</em> = 0.101). However, higher SVI was correlated with fewer obstetric providers (β = -0.524, <em>p</em> &lt; 0.001) and higher uninsured rates (β = 0.151, <em>p</em> &lt; 0.001). Socioeconomic vulnerability (<em>r</em> = -0.143, <em>p</em> &lt; 0.001) and household characteristics (<em>r</em> = -0.146, <em>p</em> &lt; 0.001) were associated with reduced maternity care access, while racial and ethnic minority status (<em>r</em> = 0.064, <em>p</em> = 0.036) and housing type and transportation (<em>r</em> = 0.165, <em>p</em> &lt; 0.001) were associated with greater access.</div></div><div><h3>Discussion</h3><div>Counties with greater vulnerability in socioeconomic status and household characteristics tended to have fewer obstetric providers available and higher proportions of uninsured women, indicating a double burden of social risk and limited medical infrastructure. Counties with greater vulnerability in racial and ethnic minority status and housing type and transportation were paradoxically associated with greater availability of maternity care resources, suggesting that despite diverse communities experiencing poor outcomes, they have the medical means available.</div></div><div><h3>Conclusions</h3><div>Our findings suggest that barriers to maternity care extend beyond resource availability, requiring efforts that address systemic barriers and equitable resource allocation.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"150 ","pages":"Article 104608"},"PeriodicalIF":2.5,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145119397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perception of empowerment in Spanish midwives: A cross-sectional study","authors":"Zaida Rodríguez-Puente ,&nbsp;Agustín Rodríguez-Esteban ,&nbsp;Francisco Javier Pérez-Rivera ,&nbsp;Olga Arias-Gundín ,&nbsp;Elena Andina-Díaz","doi":"10.1016/j.midw.2025.104611","DOIUrl":"10.1016/j.midw.2025.104611","url":null,"abstract":"<div><h3>Introduction</h3><div>Empowerment of midwives is an important issue worldwide and lack of empowerment in midwives is associated with a decrease in job satisfaction and consequently a higher probability of job desertion. Given the international shortage of professionals, it is necessary to explore the key aspects of increasing their job satisfaction. The aim of this paper was to investigate perceptions of empowerment in Spanish midwives’ practice through the Perceptions of Empowerment in Midwifery Scale (PEMS).</div></div><div><h3>Methods</h3><div>A cross-sectional survey using a national sample of midwives in Spain from January to June 2023. 504 midwives were recruited from the Spanish Federation of midwives’ associations in 2023. Data were collected using the revised version of the Perception of Empowerment Scale (PEMS) translated into Spanish.</div></div><div><h3>Results</h3><div>The PEMS scale exhibited suitable validity. The exploratory factor analyses identified three subescales: <em>Professional Recognition, Autonomy and Manager,Support,Skills &amp; Resources</em> and <em>Autonomy.</em> The PEMS-R-IT had good internal consistency for each proposed dimension. 54.3 % of the participants reported having autonomy in their work. There were significant differences between primary care midwives and special care midwives in the Professional recognition dimension <em>p</em> = .016*. Midwives working in primary care felt more recognized professionally.</div></div><div><h3>Conclusions</h3><div>The perception of empowerment and autonomy of Spanish midwives in maternity and postnatal wards was lower than in the primary care setting. Years of experience were not significant in feeling more autonomous. More research is needed to assess the perceptions of empowerment of midwives in Spain. This study support the psychometric quality of PEMS.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"150 ","pages":"Article 104611"},"PeriodicalIF":2.5,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145096779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions of care providers on the implementation of an antenatal psychosocial clinical decision support system: the Born in Belgium Professionals platform","authors":"Amuli Kelly ,&nbsp;Decabooter Kim ,&nbsp;Germanes Caroline ,&nbsp;Van Parys An-Sofie ,&nbsp;Verschelde Sabine ,&nbsp;Saey Emilie ,&nbsp;Moulin Manon ,&nbsp;Cornu Pieter ,&nbsp;Delvaux Nicolas ,&nbsp;Van den Berghe Steven ,&nbsp;Feijen-de Jong Esther ,&nbsp;Beeckman Katrien","doi":"10.1016/j.midw.2025.104610","DOIUrl":"10.1016/j.midw.2025.104610","url":null,"abstract":"<div><h3>Background</h3><div>Clinical decision support systems (CDSS) can enhance care processes and clinical outcomes. Adoption depends not only on perceived usefulness but also on contextual human, organisational, and technical factors. Understanding care providers’ perception and how these factors influence adoption is essential for implementing systems that can be embedded in routine perinatal practice.</div></div><div><h3>Aim</h3><div>To examine the real-world adoption (or uptake) of the Born in Belgium Professionals antenatal psychosocial decision-support platform, describing how and why care providers use it and identifying facilitators and barriers to sustained implementation.</div></div><div><h3>Methods</h3><div>A cross-sectional survey of all active users (March–July 2024) captured frequency of use, motivations, and perceptions. Frequent versus non-frequent users were compared with chi-square and Mann–Whitney tests (p &lt; .05).</div></div><div><h3>Findings</h3><div>Of 313 users, 127 responded; most were midwives working in large organisations. About 46% were frequent users. Motivators were the psychosocial questionnaire, continuity of care and preventive benefit. Frequent users more often attended training (64.4% vs 30.9%; p &lt; 0.001), perceived greater patient benefit (median 4.5 vs 4.0; p = .046) and rated the platform’s integration in electronic health record (EHR) higher (median 5.5 vs 5.0; p = .002). Non-frequent users cited time pressure and interoperability issues.</div></div><div><h3>Discussion</h3><div>Positive perceptions of benefits, adequate training, and seamless workflow integration promote sustained use. Organisational support and robust interoperability further facilitate uptake, whereas time pressures and suboptimal EHR embedding hinder regular use.</div></div><div><h3>Conclusion</h3><div>Implementation strategies that emphasise training, interoperability, and alignment with existing workflows are essential to optimise adoption of antenatal psychosocial decision-support systems.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"151 ","pages":"Article 104610"},"PeriodicalIF":2.5,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145248048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions of fear of childbirth and the needs for mindfulness-based intervention among Chinese women planned for normal birth: A qualitative study","authors":"Ruohan Wang ,&nbsp;Yue Huang ,&nbsp;Junyan Zhou ,&nbsp;Ka Ming Chow","doi":"10.1016/j.midw.2025.104604","DOIUrl":"10.1016/j.midw.2025.104604","url":null,"abstract":"<div><h3>Background</h3><div>Fear of childbirth (FOC) is a common experience for pregnant women, leading to both physiological and psychological consequences. Mindfulness-based intervention is a potential approach to addressing FOC, yet the perceptions and needs of Chinese women regarding this intervention remain unexplored.</div></div><div><h3>Aim</h3><div>To explore Chinese women’s perceptions of FOC, and the needs for developing mindfulness-based interventions.</div></div><div><h3>Methods</h3><div>A descriptive qualitative approach was employed. Semi-structured interviews were conducted with women in their third trimester or within six weeks postpartum, all were planning for or had a normal birth. Thematic analysis was conducted using NVivo version 12 for data management and analysis.</div></div><div><h3>Findings</h3><div>Thirty participants, including 15 antenatal and 15 postnatal women, were recruited. Overall, FOC was common among pregnant women, with labour-related pain being the primary source. Due to FOC, some women hold catastrophic beliefs about normal birth and express a preference for caesarean section without medical indication or request an epidural analgesia before experiencing the pain, indicating the needs to address FOC. Regarding mindfulness-based intervention, limited knowledge has emerged as the primary barrier to adoption. All four participants who were familiar with mindfulness expressed positive attitudes towards the intervention.</div></div><div><h3>Conclusion</h3><div>This study highlights the substantial needs for mindfulness-based interventions to address FOC, thereby improving women’s overall childbirth experience. Future interventions should be developed to address these needs.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"150 ","pages":"Article 104604"},"PeriodicalIF":2.5,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145080949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Motivations, challenges, and practices of pelvic floor rehabilitation in postpartum women with urinary incontinence under China’s proactive health framework: a qualitative research","authors":"Shuxian Li ,&nbsp;Jiarong Xu ,&nbsp;Zhentong Zhong ,&nbsp;Jie Li ,&nbsp;Wenjun Tang ,&nbsp;Wenzhi Cai","doi":"10.1016/j.midw.2025.104605","DOIUrl":"10.1016/j.midw.2025.104605","url":null,"abstract":"<div><h3>Background</h3><div>Urinary incontinence is a common form of pelvic floor dysfunction among postpartum women worldwide, imposing significant physical, psychological, and socioeconomic burdens. Current research primarily focuses on clinical interventions while giving insufficient attention to integrated care models combining medical treatment with self-management strategies. The emerging literature underscores the importance of proactive health behaviours. Within China's Proactive Health framework, the mechanisms through which postpartum women engage in comprehensive rehabilitation remain underexplored.</div></div><div><h3>Introduction and hypothesis</h3><div>This qualitative study explores the motivations, challenges, and practices of postpartum women with urinary incontinence as they engage in proactive pelvic floor rehabilitation.</div></div><div><h3>Methods</h3><div>A descriptive, qualitative design was employed in this study. Face-to-face semi-structured interviews were conducted with postpartum women with urinary incontinence in a treatment room between September and October 2024. Participant interviews were transcribed verbatim and analysed thematically using NVivo software, which is widely used for qualitative data analysis.</div></div><div><h3>Results</h3><div>Postpartum women with urinary incontinence (<em>n</em> = 22) were interviewed by trained interviewers to investigate the motivations, challenges, and practices of proactive pelvic floor rehabilitation under China’s Proactive Health framework. The motivations included three subthemes: seeking pelvic recovery, reducing life impact, and social-family effects; The challenges included four subthemes: health competency demands, limited postpartum care, parenting load, and financial burdens; The practices encompassed four main domains: health literacy, healthy lifestyle, initiative healthcare engagement, social support acquisition.</div></div><div><h3>Conclusions</h3><div>This study identifies key motivations and challenges of postpartum women’s engagement in proactive pelvic floor rehabilitation and documents the diverse practices they adopt in daily life. These findings offer theoretical and practical insights for healthcare providers and multi-sectoral collaborations targeting postpartum rehabilitation improvement and pelvic floor health promotion within China’s Proactive Health framework.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"150 ","pages":"Article 104605"},"PeriodicalIF":2.5,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the maternal perception of neonatal jaundice: Insights from a hospital in Uruguay","authors":"Pablo Lores ,&nbsp;Victoria Beñarán ,&nbsp;Agustina Dodino ,&nbsp;Guadalupe Gonçalves ,&nbsp;Antonela Pigazzini ,&nbsp;Teresa Freire","doi":"10.1016/j.midw.2025.104607","DOIUrl":"10.1016/j.midw.2025.104607","url":null,"abstract":"<div><h3>Background</h3><div>Neonatal jaundice (NJ) is a common condition affecting new-borns worldwide. Despite its high prevalence, misconceptions about its causes, severity, and treatment persist among mothers, influencing the recognition and management. In Uruguay, no studies have previously assessed maternal knowledge and perceptions of NJ.</div></div><div><h3>Objective</h3><div>This study aimed to evaluate maternal understanding of NJ, identify sociodemographic, obstetric and gynecological factors influencing perception, and assess sources of information.</div></div><div><h3>Methods</h3><div>A descriptive, cross-sectional study was conducted at the Pereira Rossell Hospital Centre in Uruguay. A total of 201 postpartum mothers were surveyed using structured interviews and self-administered questionnaires. Data were collected on sociodemographic factors, prior exposure to NJ, general knowledge, and maternal attitudes towards its recognition and management.</div></div><div><h3>Results</h3><div>While most participants had heard about NJ, only 31 % believed they knew what it was. The overall accuracy rate for knowledge-based questions was 25 %, with a high frequency of \"I don't know\" responses. Medical appointments were the primary source of information, yet considerable knowledge gaps remained. Notably, 98 % of mothers stated they would seek medical attention if their new-born exhibited signs of NJ, but misconceptions regarding severity and treatment remained.</div></div><div><h3>Conclusion</h3><div>This study highlights substantial deficiencies in maternal knowledge and awareness of NJ in Uruguay. Despite high healthcare access, inadequate guidance was evident across all sociodemographic groups. Enhancing perinatal education and implementing targeted awareness initiatives are crucial for improving the early recognition and management of NJ.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"150 ","pages":"Article 104607"},"PeriodicalIF":2.5,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bridging communities and classrooms: citizen involvement in midwifery education.","authors":"Sandra Patrícia Souto, Sónia Brandão, Andreia Soares Goncalves, Rosa Silva","doi":"10.1016/j.midw.2025.104602","DOIUrl":"https://doi.org/10.1016/j.midw.2025.104602","url":null,"abstract":"","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":" ","pages":"104602"},"PeriodicalIF":2.5,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sustaining continuity of carer in practice: a service evaluation of a local maternity system in Northwest England","authors":"Anna Byrom ,&nbsp;Gill Thomson ,&nbsp;Naseerah Akooji ,&nbsp;Claire Feeley","doi":"10.1016/j.midw.2025.104603","DOIUrl":"10.1016/j.midw.2025.104603","url":null,"abstract":"<div><div>Where midwifery is integrated fully into health systems, evidence demonstrates that relational, midwifery-led continuity of carer (MCoC) improves biopsychosocial outcomes for birthing women, people and babies. MCoC is where one or a small team of midwives are the lead carer throughout the childbearing continuum regardless of place of birth, pre-existing or emerging risk factors; working with multidisciplinary professionals if required. In England, wide-scale system changes and implementation were underway to scale up MCoC. However, this was halted due to multiple complexities following the pandemic and ongoing staffing issues. Our mixed method study carried out in 2021 was an external research evaluation across a region of four NHS sites who were at different stages of MCoC implementation. Here we report qualitative insights capturing the successes and challenges in four different contexts to help guide the reintroduction of MCoC services. Recruitment was conducted via stakeholder events and social media; included 123 survey participants (68 providing qualitative data) and 28 interview participants. Thematic analysis was carried out with a global thematic network approach to interpret the data. One global theme of ‘Making it Work: Sustaining MCoC’ was developed comprising of four organising themes - ‘making a difference’, ‘making a start’, ‘making it count’, and ‘making it fit’. Collectively, these findings highlight what works well for staff, families, and the service, alongside MCoC challenges and how to overcome them. These findings offer practical insights to support successful implementation - ‘making it work: future transformations’ – critical to the ongoing sustainability of a service wide transformation.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"150 ","pages":"Article 104603"},"PeriodicalIF":2.5,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Re-imagining obstetric triage in Kenya: Effects of a novel structured obstetric triage model on nurse-midwives’ competencies and patient waiting time - A quasi experimental study","authors":"Carolyne K. Nyariki ,&nbsp;Grace W. Mbuthia ,&nbsp;Erick K. Yegon ,&nbsp;Cyprian M.N. Magangi ,&nbsp;Kenneth O. Owino","doi":"10.1016/j.midw.2025.104601","DOIUrl":"10.1016/j.midw.2025.104601","url":null,"abstract":"<div><h3>Problem</h3><div>Maternal and perinatal mortality and morbidity remains high in Kenya, partly attributable to the third delay.</div></div><div><h3>Background</h3><div>Structured frameworks for obstetric triage have been shown to improve maternal and neonatal outcomes globally, and anecdotal evidence suggests that there is no formal framework for obstetric triage in Kenya.</div></div><div><h3>Aim</h3><div>To pilot a Structured Integrated Obstetric Triage Model (SIOTEL) in Kiambu County Kenya and assess its effect on nurse-midwives obstetric triage competencies and patient waiting time.</div></div><div><h3>Methods</h3><div>A quasi-experimental design was applied. Study population included 40 nurse-midwives and 455 patient files from labour wards of the two hospitals. The intervention was a 3-scale client assessment tool. A baseline survey was conducted to explore the nurse-midwives’ competencies on obstetric triage, as well as the patient waiting time. The model was then developed, training was conducted for the nurse-midwives, and the tool implemented. An end line survey was conducted to assess effect of the model on the study variables. Quantitative data was analysed using STATA &amp; <em>t</em>-test was used to check for differences between the means and the data presented using tables and graphs.</div></div><div><h3>Findings</h3><div>Implementing the SIOTEL resulted in improved midwives’ obstetric triage knowledge, practices and patient waiting time with no effect noted on their attitudes in the intervention facility.</div></div><div><h3>Conclusion</h3><div>The study highlights the significant improvement in competencies and patient waiting time resulting from structured obstetric triage.</div></div><div><h3>Reporting method</h3><div>The authors have adhered to SQUIRE 2.0 Guidelines</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"150 ","pages":"Article 104601"},"PeriodicalIF":2.5,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145046772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Insights from women and healthcare professionals about preventing pregnancy-related pelvic girdle pain: A qualitative content analysis","authors":"Atefe Ashrafi ,&nbsp;Daniel Thomson ,&nbsp;Dragana Ceprnja ,&nbsp;Darren Beales ,&nbsp;Amitabh Gupta","doi":"10.1016/j.midw.2025.104600","DOIUrl":"10.1016/j.midw.2025.104600","url":null,"abstract":"<div><h3>Problem</h3><div>Pregnancy-related pelvic girdle pain (PPGP) is a common complication during pregnancy, affecting woman’s physical, emotional, and occupational well-being. Despite this burden, there is limited evidence for prevention strategies.</div></div><div><h3>Background</h3><div>PPGP prevention has received less attention compared to symptom management. Existing antenatal care lacks standardised prevention guidance for PPGP.</div></div><div><h3>Aim</h3><div>This study aimed to explore the perceptions and beliefs of pregnant women and healthcare professionals (HCPs) on PPGP prevention, using the Health Belief Model (HBM) as a guiding framework.</div></div><div><h3>Methods</h3><div>A qualitative content analysis study using semi-structured interviews with purposively sampled participants, including pregnant women (with and without PPGP) and HCPs (midwives, general practitioners, physiotherapists, and researchers) was conducted from May to August 2024. Data saturation was reached with 28 participants. Interview transcripts were analysed using directed content analysis to identify themes corresponding to HBM constructs.</div></div><div><h3>Findings</h3><div>Eight key themes emerged. Women reported limited awareness and inconsistent guidance on PPGP prevention, however, they expressed willingness to engage in preventative behaviours. HCPs highlighted systemic gaps, including limited access to physiotherapy and insufficient information about PPGP prevention. Both groups identified physical activity, early education, and multidisciplinary care as critical to prevention. Barriers included occupational demands, cultural stigma, financial concerns, and lack of confidence in self-management.</div></div><div><h3>Discussion</h3><div>This study highlighted the need for early, structured, and multidisciplinary interventions aligned with women’s beliefs and needs to effectively prevent PPGP.</div></div><div><h3>Conclusion</h3><div>Women and HCPs insights highlighted that addressing key barriers in antenatal care could reduce PPGP burden and promote PPGP prevention.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"150 ","pages":"Article 104600"},"PeriodicalIF":2.5,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145046773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}