
Speakers: Melissa Cheyney, Micknal Arefaine, Allison Cummins
Facilitator: Jane Houston
The Quality Maternal and Newborn Care (QMNC) Research Alliance works to transform global knowledge production by addressing fundamental questions of epistemic justice: whose voices count and who participates in creating knowledge. Emerging from the 2014 Lancet Series on Midwifery, the Alliance recognizes that research inequities persist globally, with dominant narratives often excluding critical perspectives from diverse practitioners and communities.
QMNC’s collaborative approach deliberately centers LMIC voices, particularly emphasizing the integral role of midwifery knowledge. By fostering international partnerships across researchers, clinicians, advocates, and policymakers, the Alliance creates pathways for equitable participation in knowledge creation and dissemination. This model challenges traditional hierarchies that have historically privileged certain forms of expertise while dismissing others.
Through its mission to promote research that helps all childbearing families “survive, thrive, and transform lives,” QMNC demonstrates how epistemic justice serves as a foundation for improving maternal and newborn outcomes worldwide.

Speakers: Angelica Mercedes Lozano Rivera, Marlene Magallanes Corimanya & Lalescka Araceli Soria Gonzales
Facilitator: Marcela Mendoza
Introduccion: La anticoncepción postaborto es vital para reducir embarazos no deseados y prevenir la mortalidad materna.
Objetivo: Determinar si la nacionalidad y la edad están asociadas con el uso de anticonceptivos prescritos en el postaborto, tras un seguimiento de seis meses.
Metodos: Se realizaun estudio observacional analitico con mujeres que aceptaron un mettodo anticonceptivo inmediatamente despues de un aborto en un hospital publico peruano (N = 399). De ellas, se contactó telefónicamente a 175 participantes seis meses después.
Resultados: Solo el 39,42% de las mujeres mantuvo el uso del método anticonceptivo. Se hallo una asociacion significativa entre la edad (p = 0,049) y la nacionalidad venezolana (p = 0,043) con el uso de metodos anticonceptivos seis meses despues del aborto.
Conclusion: Seis meses después del alta hospitalaria, se observa una asociación entre el uso de métodos anticonceptivos postaborto y las variables edad y nacionalidad.
Introduction: Post-abortion contraception is vital to reduce unwanted pregnancies and prevent maternal mortality.
Objective: To determine whether nationality and age are associated with the use of prescribed contraceptives in the post-abortion period, after a six-month follow-up.
Methods: An analytical observational study was conducted with women who accepted a contraceptive method immediately after an abortion in a Peruvian public hospital (N = 399). Of these, 175 participants were contacted by telephone six months later.
Results: Only 39.42% of the women continued using the contraceptive method. A significant association was found between age (p = 0.049) and Venezuelan nationality (p = 0.043) with the use of contraceptive methods six months after the abortion.
Conclusion: Six months after hospital discharge, an association was observed between the use of post-abortion contraceptive methods and the variables age and nationality.
Check time in your country https://bit.ly/VIDM25-session-05

Speaker: Mouhtassine Khadija
Facilitator: Linda Wylie
Introduction: Fear of childbirth (tocophobia) is a significant maternal health issue that affects physical and emotional well-being. Tocophobia can lead to complications during pregnancy and childbirth, requiring special attention from midwives. Factors such as maternal age, parity, psychological conditions, lack of social support, history of abuse, and obstetrical complications are strongly associated with this condition. This study aims to assess the prevalence of tocophobia among pregnant women in Settat Province and identify related factors to inform midwifery practices.
Methods: A quantitative study was conducted with 194 pregnant women recruited in Settat Province. Data collection involved a structured questionnaire comprising two sections: the first explored tocophobia-associated factors, and the second evaluated childbirth fear using the EPA scale. Descriptive statistical analysis, mean comparisons of EPA scores, and factor assessments were performed to identify significant correlations.
Results: The average age of participants was 26.31 years, with 59% multiparous and 41% primiparous women. Multiparous women reported higher EPA scores (42.30) than primiparous women (40.63). Significant associations were observed between tocophobia and psychological disorders, experiences of violence, and negative childbirth experiences (p=0.000). These findings suggest that prior trauma and psychological factors are critical determinants of fear of childbirth.
Conclusion: This study underscores the necessity of evaluating tocophobia in pregnant women to improve their well-being and that of their children, thereby preventing complications.

