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Journal of Midwifery and Obstetrical Nursing

Volume 1, Issue 1, 2025
Mcmed International
Journal of Midwifery and Obstetrical Nursing
Issn
3117-4361 (Print), 3117-437X (Online)
Frequency
bi-annual
Email
editorJMON@mcmed.us
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Abstract
Title
INTEGRATING EVIDENCE- BASED MIDWIFERY PRACTICES TO IMPROVE MATERNAL AND NEONATAL OUTCOMES IN RESOURCE-LIMITED SETTINGS
Author
Dr. Manoj Swarnkar
Email
keyword
Evidence-based midwifery; maternal health; neonatal outcomes; resource-limited settings; AMTSL; partograph; kangaroo mother care; respectful maternity care; quality improvement; task-sharing
Abstract
Maternal and neonatal mortality remain unacceptably high in many low- and middleincome countries (LMICs), driven by preventable causes such as hemorrhage, hypertensive disorders, sepsis, prematurity, and intrapartum complications. Evidence-based midwifery (EBM) offers a pragmatic pathway to close these gaps by standardizing clinical decision-making, optimizing respectful, woman-centered care, and strengthening linkages between communities and health facilities. This paper synthesizes core EBM interventions relevant to resource-limited settings—active management of the third stage of labor (AMTSL), partograph-guided labor, antenatal corticosteroids for threatened preterm birth, magnesium sulfate for severe pre- eclampsia/eclampsia, infection prevention bundles, essential newborn care with early breastfeeding and skin-to-skin contact, and low-dose, high-frequency onsite simulation. Using a mixed-methods design (service data from six district facilities, two explanatory case studies, and provider/mother questionnaires), we examine feasibility, fidelity, and outcomes over 12 months. Implementation was associated with reductions in postpartum hemorrhage (PPH) by 27%, intrapartum stillbirth by 21%, and early neonatal hypothermia by 34%, alongside improved respectful care scores and timely referral. The analysishighlights enablers (task-sharing, job aids, audit-and-feedback) and barriers (stock-outs, staff turnover, documentation burden). We propose a practical EBM implementation blueprint emphasizing context adaptation, data use for action, and midwife-led quality improvement collaboratives to sustain gains.
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