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Midwives' knowledge of pre-eclampsia management: A scoping review
Isabella Garti1, Michelle Gray1, Jing-Yu Tan1
1College of Nursing and Midwifery, Charles Darwin University, Darwin, Australia.
Women and Birth : Journal of the Australian College of Midwives
|September 15, 2020
Summary
Worldwide, midwives demonstrate gaps in pre-eclampsia knowledge, impacting diagnosis and care. Innovative training is crucial to enhance their competence in managing this critical pregnancy condition.
Area of Science:
- Maternal Health
- Obstetrics
- Nursing Education
Background:
- Pre-eclampsia is a serious multi-organ pregnancy complication affecting women from the second trimester.
- Sub-optimal management of pre-eclampsia is associated with adverse maternal and fetal outcomes.
- Midwives are primary healthcare providers, necessitating expertise in pre-eclampsia diagnosis and management, particularly in low-resource settings.
Purpose of the Study:
- To assess the global knowledge base of midwives regarding the diagnosis and management of pre-eclampsia.
Main Methods:
- A comprehensive scoping review was conducted using the JBI three-step search strategy.
- Searches included major databases (PubMed, CINAHL, Web of Science, Scopus) and grey literature (Google Scholar).
- Findings were synthesized using metasynthesis and presented thematically.
Main Results:
- Four key themes emerged: foundational knowledge, guideline-based management, emergency preparedness, and factors influencing knowledge.
- Midwives' knowledge varied across diagnosis, management, and emergency preparedness for pre-eclampsia.
- Contextual factors significantly influenced the level of midwives' pre-eclampsia knowledge.
Conclusions:
- Practicing midwives globally exhibit deficiencies in essential pre-eclampsia diagnosis and care knowledge.
- In-service training policies must incorporate innovative, non-traditional methods to improve midwife competence.
- Enhanced midwife knowledge is critical for improving outcomes in pre-eclampsia management.
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