Midwifery最新文献

{"title":"Impact of the Covid-19 pandemic on bereavement care provided within maternity services: A focused mapping review and synthesis","authors":"Ashling Walsh,&nbsp;Jan McCarthy,&nbsp;Carmel Bradshaw","doi":"10.1016/j.midw.2025.104445","DOIUrl":"10.1016/j.midw.2025.104445","url":null,"abstract":"<div><h3>Background</h3><div>Perinatal bereavement is the experience of parents after the death of an infant due to miscarriage, stillbirth, neonatal death, or elective termination of pregnancy for fetal anomaly. Perinatal loss is a traumatic event for parents and the quality of care provided by healthcare professionals (HCPs) can impact their grieving process. In March 2020, Covid-19 was declared a global pandemic, with significant consequences on perinatal bereavement services.</div></div><div><h3>Aim</h3><div>To explore parents and HCPs experiences of perinatal bereavement care during the Covid-19 pandemic.</div></div><div><h3>Methods</h3><div>A focused mapping review and synthesis was used to identify papers which concentrated on perinatal bereavement care within maternity services during the Covid-19 pandemic. Studies meeting the criteria in peer reviewed midwifery, obstetric and healthcare journals (<em>n</em> = 6), published between Jan 2020-Feb 2025 were descriptively analysed, providing a topography and synthesis of the key trends identified.</div></div><div><h3>Findings</h3><div>Fourteen relevant studies were identified in the review period, six of which met the inclusion criteria, with two themes identified: Maternity service reconfiguration due to Covid-19 restrictions and Loneliness and anxiety inducing experiences among parents.</div></div><div><h3>Conclusion</h3><div>The Covid-19 pandemic negatively impacted bereavement care within maternity services. Maternity reconfiguration because of the pandemic was a major contributor to dissatisfaction and frustration amongst bereaved parents and HCPs. Exclusion of partners had a negative effect on parents’ experiences of care, augmenting the loneliness and anxiety felt by parents when dealing with loss. Perinatal bereavement guidelines need to accentuate the importance of partner inclusion in any context but particularly when providing care to women requiring isolation or barrier nursing. Guidelines must be reviewed to clearly outline when the use of virtual care is appropriate within the maternity setting. Additional research is needed to assess the long-term impacts of Covid 19 on HCPs. Such research includes identifying effective mechanisms to help staff deal with the stress and emotional impact of future public health emergencies.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"147 ","pages":"Article 104445"},"PeriodicalIF":2.6,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143932092","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":"Depression and anxiety in the early postpartum period: A comparative study among parents of full-term and preterm infants in Vietnam","authors":"Cai Thi Thuy Nguyen ,&nbsp;Trung Quang Truong ,&nbsp;Anh Thi Lan Nguyen ,&nbsp;Huong Thi Vu ,&nbsp;Lien Thi Kim Nguyen ,&nbsp;Tri Manh Nguyen ,&nbsp;Shu-Yu Kuo","doi":"10.1016/j.midw.2025.104443","DOIUrl":"10.1016/j.midw.2025.104443","url":null,"abstract":"<div><h3>Background</h3><div>Postpartum depression and anxiety impact both parental well-being and child health, with preterm infants being especially vulnerable. However, the link between maternal and paternal mental health remains underexplored.</div></div><div><h3>Aim</h3><div>To examine depression and anxiety in mothers and fathers of full-term and preterm infants.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted on 336 mother-father-infant triads at a public hospital in Vietnam from December 2022 to April 2023. Parents of infants born before or after 37 weeks' gestation were recruited. The Edinburgh Postnatal Depression Scale and Zung's Self-Rated Anxiety Scale were used. Multilevel linear mixed-effects models were adopted.</div></div><div><h3>Findings</h3><div>Among mothers, 42.4 % reported depressive symptoms compared to 29.4 % of fathers, and anxiety symptoms were also significantly prevalent in mothers (30.7 %) than in fathers (22.1 %) (<em>p</em> &lt; 0.05). Moderate correlations were found between maternal and paternal symptoms (depression, <em>r</em> = 0.49; anxiety, <em>r</em> = 0.41). Parents of moderate or extremely/very preterm infants reported higher depression than those with late preterm or full-term infants, though anxiety differences were not significant. Being a mother (<em>β</em> = 1.09) and having an infant born at a lower gestational age (<em>β</em> = 0.69) were associated with greater depressive symptoms. In both parents, lower social support was associated with higher symptoms of depression (<em>β</em> = –1.38) and anxiety (<em>β</em> = –1.15).</div></div><div><h3>Conclusion</h3><div>Mothers and fathers in Vietnam experienced substantial emotional distress. Early identification of depression and anxiety in parents of pre-term infants, particularly infants born earlier in gestation, is vital for maternity care professionals to promote family health.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"147 ","pages":"Article 104443"},"PeriodicalIF":2.6,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143940682","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":"An exploration of women's decision-making processes around accepting or declining vaccinations in pregnancy: A qualitative descriptive study","authors":"Billie Ní Riada ,&nbsp;Maria Noonan","doi":"10.1016/j.midw.2025.104441","DOIUrl":"10.1016/j.midw.2025.104441","url":null,"abstract":"<div><h3>Objective</h3><div>To explore women’s perceptions and experiences of accepting or declining vaccinations in pregnancy, and to identify factors that influence vaccination uptake.</div></div><div><h3>Design</h3><div>A qualitative descriptive interview-based study.</div></div><div><h3>Setting</h3><div>The maternity unit of a rural hospital in the Republic of Ireland.</div></div><div><h3>Participants</h3><div>A purposive sample of eight women who were pregnant, aged 18 and over, who were receiving antenatal care through the public healthcare system. Half of the participants accepted vaccinations, while the other half declined, reflecting varying levels of vaccine hesitancy.</div></div><div><h3>Methods</h3><div>Semi structured interviews (n=8) were conducted between July 2022 and August 2022 and analysed using thematic analysis.</div></div><div><h3>Findings</h3><div>The study offers insight into women’s decision-making processes on vaccinations in pregnancy. Five main themes were identified (1). Maternal Instincts in the Shadow of Uncertainty, (2). Lack of Balanced Information, (3). Misinformation: Difficult to Ignore, (4). Navigating Fear and Social Pressures, (5). Perceived Benefits Outweighing Risk.</div></div><div><h3>Key conclusions</h3><div>The decision-making process around vaccination in pregnancy is complex and multifaceted, influenced by various factors that can either hinder or promote uptake rates. Participants expressed complex emotions, associated fears and anxieties, and highlighted the necessity for more balanced and transparent dialogues with healthcare professionals. They emphasised the need for the dissemination of high-quality objective evidence from health authorities. This, they felt, would help facilitate genuine informed decision making, and ease the burden of feelings of uncertainty.</div></div><div><h3>Implications for practice</h3><div>The provision of balanced, reliable, evidence-based information made available through multiple sources, alongside open and non-judgemental conversations with healthcare professionals is essential to support women in making informed decisions. Consequently, healthcare professionals require education and training to effectively communicate vaccination information clearly, empathetically, and in a way that is tailored to individual needs.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"147 ","pages":"Article 104441"},"PeriodicalIF":2.6,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143937129","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":"Consolidation of the questionnaire proposed by National College of French Midwives to measure and characterise violence in perinatal care: Insights from women and representatives","authors":"Priscille Sauvegrain ,&nbsp;Clémence Schantz ,&nbsp;Mounia El Kotni ,&nbsp;Laurent Gaucher ,&nbsp;Anne Alice Chantry","doi":"10.1016/j.midw.2025.104424","DOIUrl":"10.1016/j.midw.2025.104424","url":null,"abstract":"<div><h3>Background</h3><div>Violence in perinatal care remains challenging to define, as well as to measure. To address this, a midwifery research group published a questionnaire endorsed by the French National College of Midwives, but women’s perspective was lacking.</div></div><div><h3>Aim</h3><div>To consolidate this questionnaire on violence in perinatal care with insights from women and their representatives.</div></div><div><h3>Methods</h3><div>We conducted a qualitative study, abiding by the COREQ criteria, based on semi-guided interviews held with 16 women and three representatives of perinatal patient organisations. Women were recruited via social media and targeted outreach. The interviews explored their understanding of the questionnaire, its relevance to their experiences, and potential areas for improvement. Data was transcribed and thematically analyzed.</div></div><div><h3>Findings</h3><div>Participants appreciated the questionnaire’s brevity and endorsed its use of the term ‘violence’, validating its focus on subjective experiences. However, they highlighted unclear items, such as assessing health professionals’ experience or evidence-based care. Suggested additions included categories of infantilizing language, as well as specific roles like radiologists and anesthetists. The nested aspect of the questionnaire was also discussed. Divergent opinions emerged regarding the timing of administration of the questionnaire, some favoring postpartum hospital stay and others suggesting later follow-up.</div></div><div><h3>Discussion /Conclusion</h3><div>This study highlighted the importance of including women to ensure the tool’s relevance and comprehensiveness. Revisions enhanced clarity, expanded the scope of professional interactions assessed, and introduced nuanced categories of violence. Challenges remain, including optimizing timing for questionnaire administration. Perspectives include dissemination within clinical practice, tests among minorities and validation of the questionnaire using psychometric tools.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"147 ","pages":"Article 104424"},"PeriodicalIF":2.6,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143918273","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":"“Never the same again”: A descriptive qualitative inquiry into postpartum experiences of first-time mothers in the Oti Region of Ghana","authors":"Bernice Wadei ,&nbsp;Anthony Kwame Morgan ,&nbsp;Kwame Ansong Wadei","doi":"10.1016/j.midw.2025.104440","DOIUrl":"10.1016/j.midw.2025.104440","url":null,"abstract":"<div><h3>Background</h3><div>The postpartum period is a crucial yet often neglected stage of childbirth in Ghana. Cultural expectations and societal norms often lead some women—especially first-time mothers with no prior experience—to focus more on childbirth as a significant life event, while their postpartum well-being remains overlooked. However, childbirth often brings physical, emotional, social, and psychological changes that need to be carefully managed for the greater well-being of the mother and child.</div></div><div><h3>Aim</h3><div>This study investigates the postpartum experiences of first-time mothers in the Oti Region of Ghana with the Biopsychosocial Model as its theoretical foundation.</div></div><div><h3>Methods</h3><div>Achored on qualitative methods, semi-structured interviews were conducted with 25 first-time mothers to explore themes such as physical health challenges, psychological distress, and social support during postpartum.</div></div><div><h3>Findings</h3><div>Diverse postpartum experiences were established among the first-time mothers, which highlight the pivotal roles of spousal, familial, and healthcare support in shaping maternal well-being during this critical post-childbirth period. Specifically, these supportive resources helped these first-time mothers through physical health, psychological, emotional, neurological, and sensory issues. However, these social support systems were uneven, thereby creating differential postpartum experiences.</div></div><div><h3>Conclusion</h3><div>Our findings highlight the need for policy and interventions to enhance comprehensive access to postpartum care, address healthcare delivery gaps, and promote culturally sensitive maternal health services. Healthcare providers must therefore adopt holistic care strategies that covers the physical, emotional, and social dimensions of postpartum health. These should include follow-ups, mental health screenings, and personalized postpartum education, and care. Finally, future research should prioritize postpartum care and long-term health outcomes in addition to mechanisms that strengthen social support systems and advance maternal health nationwide.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"147 ","pages":"Article 104440"},"PeriodicalIF":2.6,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143932020","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":"Evaluating the effectiveness of a conflict resolution and resilience building bespoke educational workshop for South Australia midwifery students: A pre-post measure education study","authors":"Naomi Simpson ,&nbsp;Rachael A Vernon ,&nbsp;Annette L Briley ,&nbsp;Adrian J Esterman ,&nbsp;Mary Steen","doi":"10.1016/j.midw.2025.104436","DOIUrl":"10.1016/j.midw.2025.104436","url":null,"abstract":"<div><h3>Background</h3><div>Workplace bullying, and violence are well-recognised concerns within the midwifery profession. Research suggests midwifery students are exposed to bullying in clinical and education settings, impacting their professional and personal lives. A potential solution to this negative phenomenon experienced is the inclusion of conflict resolution and resilience building education within the Bachelor of Midwifery degree, which may equip midwifery students with the skills to manage and address conflict in the workplace.</div></div><div><h3>Aim</h3><div>To evaluate the effectiveness of a conflict resolution and resilience building education workshop for second-year midwifery students in South Australia.</div></div><div><h3>Method</h3><div>This paper focuses on data from phase 1 of a larger explanatory sequential mixed methods study. A semi-structured questionnaire and validated conflict measurement tool were used to examine students’ experiences of workplace bullying, and violence. A previously published research protocol guided this study. The study was not registered as a clinical trial as it used a pre-post measure of an education program that was included in the curriculum, for a singular group of students.</div></div><div><h3>Results</h3><div>Thirty-three midwifery students in South Australia participated in both the pre- and 1-week post-education data collection. Only 10 of the 33 students who completed the pre- and 1-week post-education data, completed the 3-month post-education data collection. Midwifery students’ knowledge and level of confidence improved following conflict resolution and resilience building education.</div></div><div><h3>Conclusion</h3><div>The inclusion of conflict resolution and resilience building in midwifery curriculum, strengthened students’ knowledge and understanding of conflict in the workplace. Students’ confidence levels in managing subtle forms of workplace bullying, and violence improved, however their confidence addressing confrontational styles of conflict showed little change, highlighting that conflict resolution and resilience education should be scaffolded throughout their curriculum to better equip students to manage conflict in the workplace.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"147 ","pages":"Article 104436"},"PeriodicalIF":2.6,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898501","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":"International news July 2025","authors":"Elizabeth Duff (International news Editor)","doi":"10.1016/j.midw.2025.104433","DOIUrl":"10.1016/j.midw.2025.104433","url":null,"abstract":"","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"146 ","pages":"Article 104433"},"PeriodicalIF":2.6,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143935342","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 support needs of women with hyperemesis gravidarum","authors":"Fiona L. Challacombe ,&nbsp;Edward Bickers ,&nbsp;Rosanna Gilderthorp ,&nbsp;Rachael Buabeng ,&nbsp;Claudia Hallett","doi":"10.1016/j.midw.2025.104438","DOIUrl":"10.1016/j.midw.2025.104438","url":null,"abstract":"<div><h3>Problem</h3><div>Hyperemesis Gravidarum (HG) is a severe condition, but little is known about how best to psychologically support those going through this experience.</div></div><div><h3>Background</h3><div>HG, a severe form of nausea and vomiting affects 0.3–3.4 % of pregnancies. It can have significant psychological impacts on sufferers, with increased rates of anxiety, depression and post-traumatic stress. There is a need for interventions tailored to this group that could ameliorate these impacts.</div></div><div><h3>Aim</h3><div>To explore what women with HG found useful for their mental health, what could and should be targeted in an intervention and optimal features of an intervention.</div></div><div><h3>Methods</h3><div>A series of focus groups were run with 22 survivors of HG, analysed using reflexive thematic analysis.</div></div><div><h3>Findings</h3><div>Four overarching themes were identified: the individual journey of HG; recognition and validation by healthcare professionals; impact on family roles and systems; flexible personalised support. The need for cultural competence in understanding and developing support ran through the themes.</div></div><div><h3>Discussion</h3><div>HG involves both physical and psychological impacts, some of which are exacerbated by invalidating interactions and lack of knowledge in the healthcare system. Those with HG are simultaneously physically and mentally depleted, leading to multiple impacts on woman and family. A tailored intervention including elements of information, recording and active psychological intervention could support women’s physical and mental health during HG, with the potential to prevent or ameliorate negative psychological consequences.</div></div><div><h3>Conclusion</h3><div>Psychological support for women with HG is a current gap. A tailored intervention has promise to mitigate negative impacts of this condition.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"147 ","pages":"Article 104438"},"PeriodicalIF":2.6,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143894697","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":"“The pandemic was a bit of a blessing”. Re-writing the rulebook – how the pandemic prompted fathers to re-evaluate their lives and roles","authors":"Kieva Richards ,&nbsp;Norma Barrett ,&nbsp;Karen Wynter ,&nbsp;Kirk Reed","doi":"10.1016/j.midw.2025.104437","DOIUrl":"10.1016/j.midw.2025.104437","url":null,"abstract":"<div><h3>Background</h3><div>Substantial public health measures in Victoria, Australia during the COVID-19 pandemic led to widespread disruption to daily life. Little is known about the impact of these changes on fathers residing in Victoria, a state that endured the longest and potentially harshest pandemic-related restrictions in the world.</div></div><div><h3>Aim</h3><div>To explore reflections of Victorian fathers on their parenting journey during the COVID-19 pandemic.</div></div><div><h3>Method</h3><div>A descriptive qualitative research design was used to collect data via semi-structured interviews. Men (<em>n</em> = 7) were recruited through social media and self-nominated to participate in interviews. Data were analysed using Braun and Clarke’s six-phase reflexive thematic analysis process.</div></div><div><h3>Findings</h3><div>Four themes were generated from the thematic analysis: What makes or made the fathering role easier? Positive coping strategies; Fathers’ reflections on the positive and negative impacts of the pandemic; and the pandemic as a prompt to seek balance.</div></div><div><h3>Conclusion</h3><div>While the acute stages of the pandemic have passed, the learning from the experience is ongoing. The pandemic influenced family relationships and unearthed variations in equitable service provision, leave entitlement and shifts in perceptions of fatherhood. The pandemic created a unique experience that triggered fathers to engage in a process of self-discovery and re-prioritisation of their role and relationship with their family.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"147 ","pages":"Article 104437"},"PeriodicalIF":2.6,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898499","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":"Midwives’ views and experiences of maternity care during COVID-19 in Ireland: A qualitative descriptive study","authors":"Paula Barry ,&nbsp;Sunita Panda ,&nbsp;Deirdre O'Malley ,&nbsp;Nora Vallejo ,&nbsp;Hazel Cazzini ,&nbsp;Valerie Smith","doi":"10.1016/j.midw.2025.104428","DOIUrl":"10.1016/j.midw.2025.104428","url":null,"abstract":"<div><h3>Objective</h3><div>To explore and describe midwives’ views and experiences of maternity care during the COVID-19 pandemic in Ireland.</div></div><div><h3>Design</h3><div>A qualitative descriptive study involving semi-structured interviews to gather data was undertaken. Interviews, which were held between September 2022 and January 2023, were digitally recorded and transcribed verbatim. Thematic analysis was used to analyse the data.</div></div><div><h3>Setting &amp; participants</h3><div>The study setting was a large urban maternity unit (&gt; 8000 births per year) in the Republic of Ireland. Midwives of any grade, who were involved in providing maternity care to women and their families in any area of the hospital during the pandemic were eligible for inclusion. Midwives were invited to take part via the hospital intranet and advertisements that were posted on notice boards throughout the study site.</div></div><div><h3>Findings</h3><div>Thirteen midwives took part in the study. Four major themes reflective of midwives’ views and experiences were identified. These were: ‘<em>Ever-evolving goalposts’</em>, ‘<em>Feeling vulnerable’</em>, ‘<em>Changing relationships’</em> and ‘<em>Challenges to the Philosophy of Midwifery’</em>.</div></div><div><h3>Key conclusions and implications for practice</h3><div>This study highlights the need to consider the impact of COVID-19 on midwives and maternity services now and in the future. As a priority, embedding strategies to support midwives to regain and sustain psychological and physical well-being, are required. Attending to these factors may aid in sustainable retention of the midwifery workforce, and, ultimately, act as protective factors for crises that could emerge, potentially, in the future.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"147 ","pages":"Article 104428"},"PeriodicalIF":2.6,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143864909","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}