Women and Birth最新文献

{"title":"Intrapartum and childbirth care and outcomes in midwife-led birth centres in France: A nationwide descriptive study with an analysis of maternal and neonatal transfers","authors":"Anne Alice Chantry ,&nbsp;Candy Guiguet-Auclair ,&nbsp;Clara Rollet ,&nbsp;Mayanne Pralus ,&nbsp;Marine Dubel-Jam ,&nbsp;Ingele Roelens ,&nbsp;Mathilde Revolon ,&nbsp;Anne Evrard ,&nbsp;Sophie Goyet ,&nbsp;Camille Le Ray ,&nbsp;Priscille Sauvegrain ,&nbsp;Françoise Vendittelli ,&nbsp;on behalf of the MDN Research Group","doi":"10.1016/j.wombi.2025.101908","DOIUrl":"10.1016/j.wombi.2025.101908","url":null,"abstract":"<div><h3>Problem</h3><div>Midwife-led birth centres (MLBCs) offer an alternative to obstetric-led units (OUs) for low-risk women. Despite positive assessments, their development still remains controversial.</div></div><div><h3>Aim</h3><div>To assess the appropriateness of care, intrapartum and childbirth care, and outcomes of women with a planned birth in MLBCs and to describe transfers to OUs and their risk factors.</div></div><div><h3>Methods</h3><div>This was a 2-year (2018–2019) nationwide population-based retrospective cohort involving women with a planned birth in all eight French MLBCs. We described the appropriateness of care, intrapartum and childbirth care, maternal and neonatal outcomes and causes of transfers to OUs. We calculated adjusted odds ratios to identify risk factors for transfers during labour and after birth.</div></div><div><h3>Results</h3><div>Among 1313 women with a planned MLBC birth, the appropriateness of care was high, with 99.3 % of women meeting low-risk criteria. Intrapartum care in MLBCs featured few interventions (2.2 % artificial membrane ruptures and 1.1 % episiotomies). Regardless of the final place of birth, there were 90.8 % spontaneous vaginal births, 2.6 % caesarean births, 6.6 % operative vaginal births, 2.4 % severe postpartum haemorrhages, 0.4 % Apgar scores &lt; 7 at 5 min and one neonatal death. Transfers to an OU involved 21 % of women with a planned birth in an MLBC during labour and 5.8 % after birth, mainly due to postpartum haemorrhage; 4.6 % of newborns were transferred, often for monitoring.</div></div><div><h3>Conclusion</h3><div>With appropriate selection of women and low-intervention care, French MLBCs achieve salutogenic outcomes. We identified risk factors for transfers. Further research is needed to assess safety comprehensively with comparative studies.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 3","pages":"Article 101908"},"PeriodicalIF":4.4,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143835228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“If I’m not getting oxygen, neither is my baby”: A qualitative study of Australian women’s experiences of asthma management in pregnancy","authors":"Karen McLaughlin ,&nbsp;Megan E. Jensen ,&nbsp;Jonathan Burke ,&nbsp;Jonathan Drake ,&nbsp;Bridget Fredericks ,&nbsp;Alexander Johns ,&nbsp;Tzy Cherng Leong ,&nbsp;Erin Sheldon ,&nbsp;Maralyn Foureur ,&nbsp;Vanessa E. Murphy","doi":"10.1016/j.wombi.2025.101911","DOIUrl":"10.1016/j.wombi.2025.101911","url":null,"abstract":"<div><h3>Background</h3><div>Optimal management of asthma during pregnancy is an important element in improving maternal and neonatal outcomes. Asthma effects 12.7 % of pregnant women in Australia. Despite consistent management recommendations available via clinical practice guidelines for asthma in pregnancy, pregnant women with asthma are not receiving guideline recommended care.</div><div>This study builds on previous research and aims to explore the asthma management experiences of pregnant women with asthma. Specifically, to gain insight into pregnant women's understanding of their asthma; previous and current exposure to asthma education; and attitudes towards their asthma management and medication use.</div></div><div><h3>Methods</h3><div>This qualitative descriptive study involved individual semi-structured interviews with pregnant women with asthma. Data were transcribed and analysed using content analysis.</div><div>The participants were recruited from those enrolled in the Breathing For Life Trial (BLT), an RCT of inflammation-guided asthma management in pregnancy versus usual care.</div></div><div><h3>Results</h3><div>A total of 24 women were interviewed between June 2018 and May 2020. Three main themes: “Did not think asthma was an issue”, “If I’m not getting oxygen in then neither is my baby” and “Beyond pregnancy care” were identified along with 9 sub-themes which showed asthma knowledge, attitude and medication adherence variation depending on experiences with asthma management.</div></div><div><h3>Conclusions</h3><div>This study highlighted the varied experiences of this cohort of pregnant women with asthma and identified the need for ongoing consistent asthma management to improve the knowledge, attitude, and medication adherence of women with asthma before during and after pregnancy, and in turn improve maternal and neonatal outcomes.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 3","pages":"Article 101911"},"PeriodicalIF":4.4,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143835229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to the letter to the editor about the article entitled Risk of suicide and postpartum depression in women who feel they were treated inadequately during childbirth","authors":"Juan Miguel Martínez-Galiano,&nbsp;Ana Rubio-Alvárez,&nbsp;Ana Ballesta-Castillejos,&nbsp;Inmaculada Ortíz-Esquinas,&nbsp;Miriam Donate-Manzanares,&nbsp;Antonio Hernández-Martínez","doi":"10.1016/j.wombi.2025.101906","DOIUrl":"10.1016/j.wombi.2025.101906","url":null,"abstract":"","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 3","pages":"Article 101906"},"PeriodicalIF":4.4,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143823822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring women’s, birth partners’ and healthcare professionals’ views and experiences of childbirth related perineal trauma care provision in high income countries: A qualitative systematic review and thematic synthesis","authors":"Alice Blackburn ,&nbsp;Laura Jones ,&nbsp;Victoria Hodgetts Morton ,&nbsp;R.Katie Morris ,&nbsp;Derick Yates ,&nbsp;Amy Delicate","doi":"10.1016/j.wombi.2025.101907","DOIUrl":"10.1016/j.wombi.2025.101907","url":null,"abstract":"<div><h3>Background</h3><div>Childbirth related perineal trauma affects 80 % of women during vaginal birth in the UK. Childbirth related perineal trauma can create short and long term complications for women such as pain and incontinence.</div></div><div><h3>Aim</h3><div>The review aimed to explore women’s, their birth partners’ and health care professionals’ views and experiences of childbirth related perineal trauma care provision in high income countries.</div></div><div><h3>Methods</h3><div>Search terms and eligibility criteria were developed and four databases (MEDLINE, Embase, PsychINFO and CINAHL) were searched in February 2024, yielding 5638 results. Studies were independently screened by two reviewers and disputes resolved by a third. Study quality was assessed using the critical appraisal skills programme, thematic synthesis analysed primary data, and confidence in findings were evaluated.</div></div><div><h3>Findings</h3><div>22 studies were included, containing 3473 women and 56 HCPs. No studies were identified for views of birth partners. Women reported they wanted more antenatal and postnatal information about childbirth related perineal trauma, that experiences of perineal repair were affected by health care professional behaviours, and that postnatal care was not always sufficient to meet their needs. Health care professionals highlighted a need for improved education for providing care to women after childbirth related perineal trauma.</div></div><div><h3>Conclusions</h3><div>Findings from the review can inform the development of care pathways to improve care and associated outcomes for women after childbirth related perineal trauma. Further research is needed to explore the views of birth partners and a wider range of health care professionals involved in caring for women after childbirth related perineal trauma.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 3","pages":"Article 101907"},"PeriodicalIF":4.4,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Continuity of Care Experience in Australian midwifery education – Where are we heading now?","authors":"Olivia Tierney ,&nbsp;Vidanka Vasilevski ,&nbsp;Leigh Kinsman ,&nbsp;Linda Sweet","doi":"10.1016/j.wombi.2025.101903","DOIUrl":"10.1016/j.wombi.2025.101903","url":null,"abstract":"<div><h3>Problem or background</h3><div>The Continuity of Care Experience (CoCE) is a mandated practice-based learning model for all pre-registration midwifery students in Australia. Evidence confirming the value of the learning experience continues to grow, and recommendations for improving the learning model have yet to be addressed using a standardised approach.</div></div><div><h3>Aim</h3><div>This integrative review provides an updated synthesis of the literature detailing the outcomes of the CoCE as an educational model since a previous review published in 2017.</div></div><div><h3>Methods</h3><div>This updated review replicated the methods used in the original review, including the search strategy, screening, extraction, and synthesis of newly identified studies. The results were synthesised to determine alignment with previous themes and identify emerging themes relevant to the midwifery student CoCE.</div></div><div><h3>Findings</h3><div>Since the original search, 29 additional publications were identified. The themes were consistent with the original review, with the addition of two new themes with five sub-themes, including clarifying the value of CoCE and recommendations to optimise learning.</div></div><div><h3>Discussion</h3><div>The CoCE's value is increasingly recognised as a critical inclusion in midwifery curricula. Adopting a coordinated approach to integrate the CoCE into core curriculum design, prioritising practice-based learning, and adopting standardised learning objectives and outcomes will overcome challenges and optimise the learning.</div></div><div><h3>Conclusion</h3><div>This updated review confirmed that the CoCE is a unique and valuable learning model that fosters woman-centred care. Implementing the key recommendations from internationally published research can significantly enhance midwifery education and prepare a future workforce capable of providing woman-centred care to improve women's outcomes.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 3","pages":"Article 101903"},"PeriodicalIF":4.4,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Midwives’ opinions and engagement with midwifery research: A cross-sectional study","authors":"Manmehakpreet Kaur ,&nbsp;Debra Kerr ,&nbsp;Margaret McCormick ,&nbsp;Linda Sweet","doi":"10.1016/j.wombi.2025.101909","DOIUrl":"10.1016/j.wombi.2025.101909","url":null,"abstract":"<div><h3>Background</h3><div>Midwives’ engagement in research is vital for advancing evidence-based practice and enhancing quality care. Despite the expectation that midwives incorporate evidence into their practice, the profession has historically been underrepresented in research.</div></div><div><h3>Aim</h3><div>To investigate midwives' opinions about midwifery research and assess their level of engagement in midwifery-led research.</div></div><div><h3>Methods</h3><div>A cross-sectional design and a convenience-based sampling approach at one metropolitan hospital were used. Data were collected using an online survey with a combination of closed, multichoice and open-ended questions. Data were analysed using SPSS for descriptive and univariate statistics. Content analysis was used for free-text responses.</div></div><div><h3>Findings</h3><div>Sixty midwives participated, with a response rate of 16 % (60/380). Most participants expressed positive attitudes toward research,. Less positive attitudes were obtained for confidence and access to resources. A small proportion reported they had authored or co-authored a peer-reviewed journal article (6.7 %), and presented at a conference (8.3 %) or within their healthcare organisation (18.3 %). Midwives reported significant barriers to engagement in research, particularly related to lack of time, low-confidence, and minimal research education.</div></div><div><h3>Discussion</h3><div>The findings illustrate the recognition by midwives of the essential role that clinical experience, scientific knowledge, and research play in the practice and advancement of midwifery. However, midwives perceive there are barriers to their involvement in research.</div></div><div><h3>Conclusion</h3><div>Larger studies are needed to develop, implement and evaluate targeted interventions to promote midwifery-led research. Strategies are needed to increase midwives’ engagement in research, including the provision of adequate time, involvement in research activities, and access to resources.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 3","pages":"Article 101909"},"PeriodicalIF":4.4,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors and interventions that positively influence breastfeeding rates at six months postpartum: An integrative literature review","authors":"Xanthe Whittaker ,&nbsp;Shahla Meedya ,&nbsp;Tanya Capper","doi":"10.1016/j.wombi.2025.101904","DOIUrl":"10.1016/j.wombi.2025.101904","url":null,"abstract":"<div><h3>Background</h3><div>Despite the health benefits of breastmilk, many women discontinue breastfeeding prior to six months postpartum. Previous work from 2010 has identified women’s breastfeeding intention, self-efficacy, and support as the main modifiable factors that influence breastfeeding at six months postpartum. However, due to societal changes during the past decade, factors influencing women’s decision to continue breastfeeding requires further exploration.</div></div><div><h3>Aim</h3><div>To determine “what modifiable contemporary factors and interventions can positively influence women’s decision to continue breastfeeding until six months postpartum?”</div></div><div><h3>Method</h3><div>An integrative literature review was conducted based on Whittemore and Knafl’s framework. Databases were searched using combinations of the following main key words: breastfeeding, duration, factors, and interventions. Studies addressing the research question and published in English language since 2010 were included. Interventional studies were limited to only randomised controlled trials.</div></div><div><h3>Results</h3><div>Women's positive breastfeeding intention, self-efficacy, and support remained the key modifiable factors that could increase breastfeeding rates up to six months postpartum. The main effective interventions included education support or counselling when they targeted women’s needs, intention, self-efficacy and support; and were held over multiple sessions commencing antenatally or immediately after birth. Contemporary effective strategies included digital communications such as phone calls, virtual meetings and messaging via social media including FacebookTM, WhatsAppTM and TelegramTM. Main conceptual frameworks were motivational interviewing, planned behaviour theory and cognitive behavioural therapy.</div></div><div><h3>Conclusion</h3><div>Interventions that support breastfeeding up to six months should include contemporary strategies that target the main modifiable factors and are tailored based to women’s needs and their sociocultural influences.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 3","pages":"Article 101904"},"PeriodicalIF":4.4,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Childbirth and parenting education via telehealth: A two-phased cross-sectional exploration of rural and remote stakeholders’ perceptions and experiences","authors":"Zoe Bradfield ,&nbsp;Tarryn Sharp ,&nbsp;Kylie Ekin ,&nbsp;Richard Norman ,&nbsp;Kate Reynolds ,&nbsp;Kasey Biggar ,&nbsp;Stuart J. Watson","doi":"10.1016/j.wombi.2025.101901","DOIUrl":"10.1016/j.wombi.2025.101901","url":null,"abstract":"<div><h3>Problem</h3><div>Globally, health services have transitioned to deliver childbirth and parenting education (CPE) via telehealth, with limited understanding of the impact of these changes.</div></div><div><h3>Background</h3><div>CPE is important for preparing prospective parents for birth and the immediate postnatal period. Access to education can be challenging for those living in rural and remote areas.</div></div><div><h3>Aim</h3><div>This study aimed to explore rural and remote consumers’ and clinicians’ experiences and perspectives of using, accessing or providing CPE via telehealth.</div></div><div><h3>Methods</h3><div>A two-phased cross-sectional study conducted via online survey, followed by 1:1 online interviews. Quantitative data were analysed using descriptive and inferential statistics; qualitative data were analysed using inductive thematic analysis.</div></div><div><h3>Findings</h3><div>A total n = 279 survey participants responded. Half (49.6 %) would have preferred face-to-face education, 40 % would not have accessed CPE if telehealth modality was not available. A quarter of women (25.6 %) reported saving &gt; $500. Most clinicians (73 %) reported telehealth classes supported workload management. In total, 21 interviews were conducted, three main themes were identified i) Using telehealth for CPE Program, ii) Course content and iii) Intersection with the health service.</div></div><div><h3>Discussion</h3><div>Findings support the continuation of telehealth CPE classes, with hybrid availability where possible. Further research is warranted on the value of CPE expressed more strongly by multiparas over primiparas. Further research on the important role of telehealth enabling inclusion of fathers and partners is warranted.</div></div><div><h3>Conclusion</h3><div>Recognising that many still prefer face-to-face education; service providers and policy makers can have confidence in the supportive nature of telehealth CPE for key stakeholders.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 3","pages":"Article 101901"},"PeriodicalIF":4.4,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“I have to be strong”: A qualitative study of parental bereavement experiences in Uganda following the death of their baby","authors":"Georgia Stevenson ,&nbsp;Stella Namukwaya ,&nbsp;Joseph Katongole ,&nbsp;Victor Tumukunde ,&nbsp;Hannah Blencowe ,&nbsp;Janet Seeley ,&nbsp;Cally J. Tann ,&nbsp;Joy E. Lawn ,&nbsp;Diana Elbourne ,&nbsp;Melissa M. Medvedev","doi":"10.1016/j.wombi.2025.101890","DOIUrl":"10.1016/j.wombi.2025.101890","url":null,"abstract":"<div><h3>Background</h3><div>The death of a child is profoundly distressing for parents, often leading to acute grief and psychological complications. Most bereavement research is from high-income countries, with limited generalisability to low- and middle-income contexts where 98 % of newborn deaths occur. We explore the experiences of parents in Uganda following the death of their baby.</div></div><div><h3>Methods</h3><div>Qualitative interviews were conducted with 11 bereaved parents whose newborn participated in the OMWaNA trial and died while enrolled or shortly thereafter. In-depth interviews explored the experience of bereavement, the psychosocial impact, and economic consequences. Data were analysed using a deductive thematic approach.</div></div><div><h3>Results</h3><div>The death of a baby was consistently associated with parental stress, information delays, and uncertainty regarding the cause of death. While respondents reported a period of acute grief, many relied on their faith and social support to cope. Expectations for bereavement care from health professionals were low and instead parents focused on health professionals’ efforts to keep their baby alive and advice regarding future pregnancies. Despite financial precarity, costs and loss of income, many parents appeared comforted that they had done all they could to ensure the baby’s survival.</div></div><div><h3>Conclusion</h3><div>These findings illustrate the importance of understanding parental bereavement in different settings and circumstances. Rather than health worker-led models of active bereavement care, respondents relied on social support, their faith, and a focus on future pregnancies to ‘become strong.’ Further research to understand the longer-term impact of bereavement, men’s experiences and coping strategies could inform more contextually appropriate bereavement care.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 2","pages":"Article 101890"},"PeriodicalIF":4.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143520343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Who is in the centre? A qualitative study on midwives’ experience of working with central fetal monitoring system","authors":"Helga Gottfreðsdóttir ,&nbsp;Kirsten Small ,&nbsp;Brynja Pála Helgadóttir ,&nbsp;Jenny Gamble","doi":"10.1016/j.wombi.2025.101891","DOIUrl":"10.1016/j.wombi.2025.101891","url":null,"abstract":"<div><h3>Background</h3><div>Central fetal monitoring systems are widely used and assumed to improve perinatal outcomes. However, there is a lack of studies focusing on midwives’ experiences in maternity services where central fetal monitoring technologies have been introduced.</div></div><div><h3>Aim</h3><div>The aim is to describe midwives’ experiences of working in a birthing service where a central fetal monitoring system had been recently introduced.</div></div><div><h3>Method</h3><div>Qualitative descriptive design. Three focus groups interviews were conducted with 18 midwives in a birthing service of a teaching hospital in Iceland. Content analysis was used to analyse the data set.</div></div><div><h3>Findings</h3><div>The main themes were 'the screen affects everything' and 'the technology has come to stay'. Midwives experienced a sense of being under surveillance, and modified their documentation to meet the information needs of staff at the central monitoring station. Experiencing unrequested visits from obstetric staff challenged midwives’ self-confidence, particularly if they were new to practice. Midwives reported tension in balancing the conflicting demands of being continuously present with the labouring woman and freedom to leave the room. Feeling that CTG interpretation was now a shared responsibility with medical staff was perceived as positive, but also altered the way midwives and doctors collaborated.</div></div><div><h3>Conclusions</h3><div>Introducing central fetal monitoring technology affected the culture of the birthing service in ways that may shape midwives’ perception of being a “good midwife”. The relationship between midwifery professional standards and the beliefs embedded in birth technology should be considered critically, rather than accepting that the “technology has come to stay”.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 2","pages":"Article 101891"},"PeriodicalIF":4.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143520345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}