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The MidPIC study: Midwives' knowledge, perspectives and learning needs regarding preconception and interconception

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This summary is machine-generated.

Australian midwives are prepared and willing to provide preconception and interconception care. Enhancing professional development, service planning, and policy is crucial for their effective implementation.

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Area of Science:

  • Maternal Health
  • Midwifery Practice
  • Public Health

Background:

  • Preconception and interconception care are vital for improving women's and community health outcomes.
  • Limited understanding exists regarding Australian midwives' readiness and willingness to deliver this care.
  • This study addresses the knowledge gap concerning midwives' preparedness for preconception and interconception care.

Purpose of the Study:

  • To explore Australian midwives' knowledge, perspectives, and learning needs regarding preconception and interconception care.
  • To identify barriers and enablers influencing the provision of preconception and interconception care by midwives.
  • To inform future service and workforce planning for enhanced maternal health initiatives.

Main Methods:

  • A cross-sectional exploratory study was conducted with midwives across Australian maternity settings.
  • An online survey assessed midwives' self-rated knowledge, attitudes, education needs, and views on barriers/enablers.
  • Quantitative data were analyzed descriptively and with logistic regression; qualitative data were analyzed using inductive content analysis.

Main Results:

  • Most midwives (85%) reported average to excellent knowledge of preconception and interconception health.
  • Midwives with over 11 years of experience showed higher self-rated knowledge (OR 3.11).
  • Online e-learning was the preferred education format (72%), with most midwives (76%) interested in providing care regularly and recognizing it within their scope (87%).

Conclusions:

  • Australian midwives demonstrate preparedness and willingness to provide preconception and interconception care.
  • Key barriers include low service planning prioritization, while continuity models and hybrid settings act as enablers.
  • Professional development, service reform, funding, and policy changes are essential to facilitate this care.