Work

Exploring the attitudes and beliefs of women regarding the implementation of midwife-led care in India: A mixed methods study

Year: 2024

Type: article

Abstract: PROBLEM: Despite the recent introduction of midwifery services in India to improve maternal and newborn healthcare, there is limited research on women's perspectives on midwife-led care. BACKGROUND: The Government of India initiated midwifery services guidelines in 2018 to improve the quality of care for pregnant women and newborns across the country. It is important to develop evidence-based strategies which can optimise the implementation of these new midwifery services. AIM: This study explored women's attitudes and beliefs towards the implementation of midwife-led care in two southern states of India. METHODS: A convergent mixed methods design was employed using an online questionnaire and semi-structured online interviews. Quantitative data was analysed using descriptive statistics and qualitative analysis used a framework approach. Data from both sources were then integrated through merging techniques. FINDINGS: A total of 307 women completed the online survey, and 23 participated in in-depth interviews. The study highlighted inadequate knowledge of midwife-led care among women. Despite this, 60 % expressed optimism about its benefits. Key factors to women's acceptance included better understanding outcomes, having trust in midwives, receiving respectful care, and having autonomy in decision-making. They also required midwife-led birthing units would be clean, accessible, and well resourced. DISCUSSION: Most participants perceived midwife-led care as beneficial, valuing its skilled, responsive and compassionate services. CONCLUSION: Insights from this study have implications for the implementation of midwife-led care which should consider the informational needs, safety standards and cultural contexts of women and their families living in both urban and rural areas of India.

Source: Women and Birth

DOI: 10.1016/j.wombi.2024.101836

Authors: Marie Therese Sangy, Maria J. Duaso, Claire Feeley, Shawn Walker

Institution: King's College London

Language: English

Topic: Maternal and Perinatal Health Interventions

Subfield: Obstetrics and Gynecology

Field: Medicine

Domain: Health Sciences

SDGs: Good health and well-being, Gender equality

Open Access status: hybrid

Estimated APC paid: $2,530