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

Abstract

AbstractBackgroundPreconception and interconception care improves the health outcomes of women and communities.ProblemLittle is known about how prepared and willing Australian midwives are to provide preconception and interconception care.AimThe aim of this study was to explore midwives’ knowledge, perspectives and learning needs, and barriers and enablers to delivering preconception and interconception care.MethodsWe conducted a cross-sectional exploratory study of midwives working in any Australian maternity setting. An online survey was administered that included items measuring midwives’ self-rated knowledge; education needs and preferences; attitudes and perceptions towards the pre and interconception care; and views on future service and workforce planning.Quantitative data were analysed descriptively, and demographic characteristics (e.g., years of experience, model of care) associated with knowledge and attitudes regarding pre- and inter-conception care were examined using univariate logistic regression analysis. Qualitative data were captured through open-ended questions and analysed using inductive content analysis.FindingsWe collected responses from (n=338) out of 355 midwives who were eligible for this study working across all Australian models of care (completion rate 96%). Most participants (n=290; 85%) rated their overall knowledge about pre and interconception health for women as excellent, above average or average. The only variable associated with overall knowledge was years of experience, with participants more than 11 years of experience more likely to report above average to excellent knowledge (OR 3.11; 95% CI 1.09, 8.85). The majority (n=257; 76%) were interested in providing pre and interconception care more regularly within their role. Low prioritisation in service planning/budgeting was the most frequently selected barrier to providing preconception and interconception care.ImplicationsFindings revealed that midwives are prepared and willing to provide preconception and interconception care. Pre and post registration professional development; service and funding reform; and policy development are critical to enable Australian midwives’ provision of pre and interconception care.