Document Type
Article
DOI
10.71071/JAM/v12i1.1.32
Abstract
Background: Midwifery plays a crucial role in enhancing maternal and newborn health outcomes in low- and middle-income countries (LMIC). This systematic review aims to provide a comprehensive and evidence-based evaluation of midwifery practice in LMIC, beyond specific outcomes and interventions.
Methods: A systematic literature search was conducted using electronic databases including PubMed, Embassy, Scopus, Web of Science, and CINAHL, covering the period from 2019 to 2023. The search strategy employed predefined keywords and Medical Subject Headings (MeSH) terms related to midwives, maternal health, newborn health, and LMIC. The findings were analyzed using a narrative synthesis approach to identify key themes and sub-themes.
Results: The review identified four major themes and 11 sub-themes from studies of moderate to high quality. Key themes included the use of ultrasound in antenatal care, reducing unnecessary maternal and neonatal deaths, and integrating midwifery into healthcare systems. The analysis highlighted the comprehensive scope of midwifery work, encompassing various aspects of maternal and child care, domestic violence, and public health roles.
Conclusions: The systematic review reveals significant research gaps and provides updated knowledge to guide future midwifery practice research in LMIC. This updated knowledge aims to assist policymakers, healthcare administrators, and stakeholders in improving maternal and newborn health in resource-constrained contexts.
Recommended Citation
Adnani, Q S, Nurfitriyani, E, Keb, S T, Argaheni, N B, Maulina, R, Adepoju, V A, & O’Connell, M. What is midwifery work in low and middle-income countries? A systematic review to enhance midwifery practices in resource-constrained contexts. Journal of Asian Midwives. 2025;12(1):126–157.
