Employing Yarning to Explore the Impact of Endorsed Midwives in an Aboriginal Medical Service.
Assimina Di Lollo, Susan Smith, Tahlia Johnson and 1 others
PMID 41163625WHAT IT FOUND
In one Aboriginal Medical Service, midwives with prescribing endorsement and Aboriginal women described maternity care as flexible, comprehensive and built on personal relationships.
Women valued continuity and cultural safety, and wanted the same midwives to follow them through birth.
Key findings
01Endorsed midwives said the role let them work to full potential, provide comprehensive care and be flexible enough to avoid multiple appointments.
02Aboriginal women valued trusting relationships with the endorsed midwives and wanted continuity of carer through birth.
03Midwives wanted more education around prescribing, and some women were unsure how to contact their endorsed midwife.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only 3 endorsed midwives and 11 women participated, all from one service, so the themes may not apply to other settings. The study reports experiences and themes, not measured maternal or newborn outcomes. The small number of endorsed midwives could make participants identifiable, and the authors withheld further participant details. Some women expected their endorsed midwife to be on call, but the service did not provide intrapartum care.
Declared interests
The authors declare no conflicts of interest.
The easy way to misread this
Do not read this as evidence that midwives with prescribing endorsement improve maternal or newborn outcomes. The study reports experiences and themes from one service, not measured outcomes, and the authors state the findings may not be generalisable to all settings.