Speaker: Lynnelle Moran
Facilitator: Caitlin Goodwin
How do professional connections and relationships impact midwives wellbeing and career sustainability?
In this presentation, Lynnelle will share preliminary findings from her Grounded Theory study. How do professional connections and relationships impact midwives wellbeing and career sustainability?
Emerging findings highlight the importance, value and protective nature of professional connections for midwives, as well as the vulnerabilities that form in their absence. The data demonstrates that regardless of career stage, the strength of midwives relationships and connections is intrinsic to their sustainability and wellbeing.
Glaserian Grounded Theory was used in this study. In-depth interviews were conducted with 29 Midwives from across Australia to capture a depth of understanding of how collegial relationships impact across the career continuum.
Participants describe how the absence of connection in midwifery is taking a personal and professional toll, resulting in psychological and physical impacts such as feelings of disconnection, disillusionment, isolation, fear and dread, all of which have a strong correlation with absenteeism, reduction of shifts, and attrition.
In contrast, participants who experience a practice environment that supports and values professional connections and relationships reported high levels of professional satisfaction, collaborative interdisciplinary teams, role understanding, autonomy, trust and support to practice to their full midwifery scope, and to continue to develop professionally and explore diverse career paths in midwifery.
Conclusively, participants viewed relationships and connections as vital to their sustainability in midwifery and to their psychological and physical wellbeing. These emerging findings point to an urgent need to recognise and legitimise the importance of connection and professional relationships for midwives to sustain and thrive within the profession.
Speaker: Jessica Brumley
Facilitator: Caitlin Goodwin
Midwifery has played a critical role in maternal and newborn care throughout our history, yet its integration into the healthcare system has been marked by challenges and transformation. This presentation explores the historical trajectory of midwifery. The current landscape highlights a growing recognition of midwifery’s benefits, including improved maternal outcomes, reduced interventions, and enhanced patient-centered care. Despite this progress, barriers such as restrictive regulations, inconsistent legislative policies, and disparities in access persist.
Looking ahead, the future of midwifery integration depends on policy reform, interprofessional collaboration, and public awareness to strengthen midwives’ role in addressing the maternal health crisis. A strong professional association is critical in advancing the midwifery agenda and strengthening the profession.
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Speaker: Rizka Ayu Setyani
Facilitator: Adetoro Adegoke
Maternal and child health is a critical public health priority in Indonesia; however, fragmented healthcare delivery and inequitable access to services continue to hinder optimal outcomes. This study evaluates the effectiveness of an integrated primary health service model in improving maternal and child health outcomes, focusing on midwives as central agents connecting healthcare systems, communities, and families.
A mixed-methods approach was employed across 10 primary healthcare facilities in urban and rural Indonesia. Quantitative data from patient records and service utilization statistics were analyzed, complemented by qualitative insights from interviews and focus group discussions with midwives, healthcare workers, and families.
The findings revealed a significant increase in antenatal and postnatal care visits (p 0.05) and improved continuity of care, including timely referrals and follow-ups. Midwives reported strengthened collaboration with community health workers and local facilities, while families highlighted better access to culturally responsive and holistic care. The introduction of digital tools further streamlined coordination and reduced delays in service delivery.
These results demonstrate that integrated primary health services can strengthen maternal and child healthcare systems, with midwives playing a pivotal role in bridging gaps and fostering trust. Scaling such models nationwide could enhance Safe Motherhood initiatives and accelerate progress toward achieving the Sustainable Development Goals.
Speaker: Kate Greenstock
Facilitator: Ally Anderson
Merely existing as a midwife in much of the world is a political act, flourishing collectively is our outrageous next step!
At its core, flourishing means staying connected to ourselves – and to each other – even as we face the psychological challenges of this work. Experiences of trauma exposure and moral injury connect us as global midwives despite our differing contexts. And yet they so often disconnect us from ourselves and the families we serve.
Our time together will acknowledge the realities AND explore how we go on sustaining ourselves in midwifery by proactively connecting to our purpose, our power, our body, our breath. Just as we ground and encourage a woman in labour, come be grounded and encouraged!
Speakers: Rowsan Ara, Joy Kemp and Farida Begum
Facilitator: Hayat Emam Mohammed Gommaa
In Bangladesh, as in many countries around the world, midwives regularly face workplace abuse, but few incidents are reported or resolved appropriately. Most midwives/nurses and students are unaware of their rights to a safe workplace or learning environment and freedom from abuse, violence, discrimination or degrading treatment and may not recognise abuse when it occurs. Therefore, in 2024, the Directorate General of Nursing and Midwifery in Bangladesh (DGNM), with support from the UK and UNFPA, developed a framework to safeguard midwives/nurses and students from workplace abuse, connect them with their workplace rights and establish a zero-tolerance approach to harassment.
A working group was formed to develop the framework, with representatives from policy level, practice, education, regulatory body, administration, professional associations and women’s groups. Expert advice was provided by a regional safeguarding specialist and the draft was validated at a national workshop. The framework consists of a survivor-focused standard operating procedure aligned with national laws and guidelines, a dedicated safeguarding cell within the DGNM, and a helpline and email address for reporting abuse. There are newly-defined reporting and investigation processes and the provision of medical, legal and psychosocial assistance as required. Faculty and nurse/midwife managers received training-of-trainers and national and divisional staff, midwives/nurses and students received orientation.
Next steps in 2025 will be final approval from the Ministry, launch and implementation of the framework with dissemination to all nurses and midwives, education institutions, students and service managers, through the DGNM, the Bangladesh Nursing and Midwifery Council and professional associations.
Speaker: Elsie Gayle
Facilitator: Celine Lemay
Mothers and Babies of African Descent have some of the poorest outcomes of the childbearing continuum irrespective of their gross national income (GNI) per capita, whether low, medium or high income countries.
The establishment of the Permanent Forum on People of African Descent at the United Nations (Geneva) in December 2022 began the journey to create a dedicated forum to focus on midwives and mothers who are on the ground delivering and receiving maternity care within those communities. Mother and Midwives Across the Diaspora has made intervention at each Permanent Forum Session to support this work.
The aim of the presentation is to share the journey to date of this unique network, to refocus on the value of midwifery to ameliorating mortality and morbidity of Black mothers and babies worldwide. It will describe the approach being used to garner the knowledge and skills of midwives across the world, utilising every means of supporting professional and vocational approaches to achieve its aims. It will share outcomes and achievements. The presentation will welcome ongoing support of delegates in the furthering of good global midwifery relationships.
https://www.ohchr.org/en/permanent-forum-people-african-descent
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Speaker: Yvonne Meyer
Facilitator: Celine Lemay
Sages-femmes dans certaines publications. C’est le cas pour l’inscription de notre activité professionnelle au patrimoine immatériel UNESCO où, dans l’annonce en français, le mot sage-femme est absent du titre. Comment sont présentées les sages-femmes ailleurs ? Neuf documents ont été repérés qui ont pour titre l’art, les soins, la pratique, les sciences ou la profession de sage-femme. Les résumés de ces documents seront présentés, ainsi que l’analyse réalisée, basée sur les critères de soins centrés sur le patient (Rycroft-Maloine, 2004). Les résultats montrent que toutes ces formulations sont polysémiques et qu’elles n’ont pas exactement la même portée. Par contre, toutes présentent haut et fort les sages-femmes et ce qui les caractérise. Si UNESCO avait titré « Les soins de sage-femme : connaissances, savoir-faire et pratiques », les sages-femmes seraient visibles partout dans le monde francophone.
The theme of the intervention is motivated by a regrettable problem of visibility of midwives in certain publications. This is the case for the inclusion of our professional activity in UNESCO’s intangible heritage list, where, in the French announcement, the word sage-femme is absent from the title. How are midwives presented elsewhere? Nine documents have been identified that deal with the art, care, practice, science or profession of midwifery. Summaries of these documents will be presented, along with the analysis carried out, based on the criteria of patient-centred care (Rycroft-Maloine, 2004). The results show that all these formulations are polysemous and do not have exactly the same scope. However, they all make a strong case for midwives and what characterises them. If UNESCO had published the title « Les soins de sage-femme: connaissances, savoir-faire et pratiques » (‘Midwifery: knowledge, skills and practices’), midwives would be visible throughout the French-speaking world.
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