Revitalizing midwifery education: Overcoming challenges and enhancing clinical learning experiences

Abstract

Midwifery is vital for maternal and neonatal healthcare, especially in regions with limited obstetric care. Rigorous training and licensure enable midwives to provide expert care from preconception to postpartum, significantly reducing maternal and neonatal mortality. This narrative review aims to map research on midwifery training, identify gaps, and propose strategies to enhance trainee midwives' clinical learning experiences in labor rooms. A comprehensive literature search was conducted using PubMed, CINAHL, Web of Science, and Google Scholar for studies published between 2010 and 2023. Inclusion criteria were peer-reviewed articles in English focusing on midwifery education and clinical training. Data were extracted on study objectives, methodologies, sample sizes, key findings, and enhancement strategies. Of the 439 articles, 61 studies were included: 31 focused on challenges and 30 on enhancement strategies. Key challenges include individual factors (fear of mistakes, lack of confidence), inadequate support systems, and resource limitations. Effective strategies encompass simulation-based learning, mentorship, multidisciplinary collaboration, and mobile learning tools. Addressing these challenges with improved resources and support is crucial for preparing competent midwives, ultimately enhancing maternal and neonatal health outcomes.

Keywords: Clinical competence; curriculum; education; health policy; labor; midwifery; nursing; obstetric.

Figure 1

Algorithm for database search and article select

Figure 2

Conceptual figure of challenges and strategies to enhance clinical learning experience