Speaker: Melese Siyoum
Facilitator: Indri Astuti Purwanti
Back ground: Pelvic organ prolapse (POP) is a common condition that can significantly impact a woman’s quality of life. Pelvic floor muscle training (PFMT) is recommended as a first-line conservative treatment for prolapse, but evidence from low-resource settings is limited.
Objectives: This study aimed to assess midwife-led pelvic floor muscle training on prolapse symptoms and health-related quality of life (HRQoL) among women with mild to moderate prolapse in Ethiopia, 2024.
Methods: A community-based, parallel, two-arm cluster randomized controlled trial was conducted in Dale and Wonsho districts of Sidama Region, Ethiopia. Women with symptomatic POP stage I-III were randomized by cluster to receive either midwife-led PFMT plus lifestyle counseling (intervention group) or lifestyle counseling alone (control group). The primary outcomes were change in prolapse symptom score (POP-SS) and prolapse quality of life (P-QoL). Mixed-effects generalized linear model was used to determine the effect size at 99% confidence level.
Results: A total of 187 women were randomized (intervention = 89 and control = 98). At sixth month, the intervention group showed significantly greater improvements with a mean change difference of: -4.1 (99% CI: -5.38, -2.83) in prolapse symptoms; -11.48 (99% CI: -15.9, -7.1) in physical domain, -12.65 (99% CI: -19.3, -6.1) in psychological domain and -9.47 (99% CI: -15.5, -3.5) in personal relationship domain of P-QoL. A significantly higher number of women in the intervention group perceived their condition as ‘better’ after the intervention. Women with earlier stages of prolapse (stage I and II) experienced higher benefits compared to stage III.
Conclusions: A midwife-led PFMT combined with lifestyle counseling significantly improves prolapse symptoms and quality of life in mild to moderate POP. This strategy can be integrated into the existing maternal and reproductive health programs to address POP in low-income settings where access to trained specialist is limited.
Speaker: Sandra Mutilva
Facilitator: Caroline Maringa (Nyambura)
Introduction: Integrating artificial intelligence (AI) into healthcare holds transformative potential for midwifery, enhancing prenatal care, labour and delivery outcomes, and postnatal support. This systematic review evaluates how AI technologies can improve decision-making, client outcomes, and personalized care, highlighting the urgency for midwifery professionals to adapt to this emerging innovation.
Methods: Following a PROSPERO-registered protocol and PRISMA guidelines, this review investigated the impact of AI interventions in midwifery. A comprehensive search of electronic databases (PubMed, Cochrane Library, EMBASE) and grey literature identified studies focusing on AI applications in women’s health, including prenatal, labour, and postnatal care. Data extraction captured key insights into the implementation and impact of AI. The PRISMA flow diagram documented the study selection process.
Results: The review explored AI applications across medical imaging, diagnostics, predictive analytics, personalized medicine, natural language processing, robotics, virtual health assistants, and genomics in midwifery. AI technologies improved diagnostic accuracy, patient monitoring, risk assessment, treatment personalization, and expedited drug discovery. Moreover, by automating routine tasks and reducing administrative burdens, AI supports midwives in focusing more on client care and their well-being. These innovations streamline clinical workflows and enhance patient outcomes, demonstrating AIs transformative potential in midwifery.
Conclusions: AI integration in midwifery is an emerging reality with profound implications for practice and care. Preparedness through training, professional development, and supportive regulations is essential to ensure ethical and effective adoption. Future research should address integration guidelines, challenges, benefits, and long-term impacts, ensuring AI complements midwifery’s core values while advancing client care.
