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Midwifery Care: An Evolutionary Concept Analysis.

Martina Barbieri¹, Andrea Moro^1,2, Gianluca Catania¹

¹Department of Health Sciences, University of Genoa, Genoa, Italy.

|November 9, 2025

Summary

This summary is machine-generated.

This study defines midwifery care, highlighting its core features like family-centeredness and safety. It emphasizes that obstetric-led models hinder holistic midwifery, impacting care quality and midwife well-being.

Keywords:

concept analysis family‐centred care midwifery care relationship safety

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Area of Science:

Healthcare research
Nursing and Midwifery Studies
Concept Analysis

Background:

Midwifery care is a distinct professional domain.
Current healthcare models often limit the scope of midwifery care.
A clear, evidence-based definition is needed to guide practice and policy.

Purpose of the Study:

To establish an evidence-based definition of midwifery care.
To identify the fundamental and distinctive features of midwifery care.
To inform research, education, and clinical practice.

Main Methods:

Utilized Rodgers and Knafl's evolutionary concept analysis.
Conducted a systematic literature search across six major databases.
Performed thematic sampling on 30 relevant research papers.

Main Results:

Identified five antecedent categories: philosophy, personal/regulatory features, care context, and professional team.
Key attributes include relationship and family-centeredness.
Consequences encompass safety, empowerment, and professional outcomes.

Conclusions:

Obstetric-led models often prioritize risk management, limiting holistic midwifery care.
This disparity negatively impacts care quality, professional satisfaction, and midwife well-being.
A conceptualized definition can orient practice, education, and policy toward midwifery priorities.