Role Of Midwife Research Articles

Factors affecting the mother’s choice of infant feeding method in Poland: a cross-sectional preliminary study in Poland

BackgroundThe World Health Organization identifies exclusive breastfeeding as the gold standard for child nutrition. Breastfeeding provides many benefits to both the baby and the mother. First days after birth are crucial for breastfeeding and determining its further path. Unfortunately, very often it is also the time of facing the first breastfeeding problems. The aim of this study was to analyse selected factors influencing a mother’s decision to breastfeed.MethodsThis is a cross-sectional study conducted between March 2019 and November 2019 in selected Polish maternity wards. Data were collected through completion of author’s questionnaire and a standardised questionnaire and the Multidimensional Perceived Social Support Scale and also through informal interviews with mothers. During statistical analysis, the chi-square test of independence and the Kolmogorov–Smirnov test as well as the non-parametric Mann–Whitney U test in addition to Fisher’s exact test were performed.ResultsThe results showed that there is no correlation between the mode of delivery and the mother’s choice of infant feeding method. Knowledge of the benefits of breastfeeding and received support affects the mother’s decision on infant feeding method. The study also showed that the 83% of newborns were put to the breast within the first 2 h after birth. However, only 58% continued to be breastfed in the subsequent days. As many as 42% of the newborns were supplemented with formula despite early initiation of breastfeeding. Analyses showed that exclusive breastfeeding was more often chosen by mothers with higher education. And the most common breastfeeding problem reported by 62% of the respondents was perceived insufficient milk supply and also breastfeeding pain, reported in 48.5% mothers.ConclusionsIt is extremely important to continually promote breastfeeding among women. The role of midwives is crucial in this regard, as they should encourage the initiation of breastfeeding, support mothers during the perinatal and postnatal periods, and increase their sense of competence and confidence in their ability to breastfeed. Accessible, professional, and empathetic support can help reduce the number of women supplementing with modified milk. Undoubtedly, the postpartum period is important for breastfeeding outcomes, but it is significant that breastfeeding education and promotion begin during pregnancy.

PERAN BIDAN MEWUJUDKAN KESETARAAN GENDER DALAM PELAYANAN KB PADA PUS DI PRAKTIK MANDIRI BIDAN DIY

Background: The number of male FP is only 1.81% (Kemenkes RI, 2014). Lacking public knowledge, awareness and concern for gender equality and justice, men are required to increase their participation in reproductive health and family planning.
 Objectives: The purpose of this study was to determine the role of midwives, inhibiting factors, how to overcome obstacles in realizing gender equality related to family planning services.
 Methods: Qualitative descriptive, sociological juridical approach, primary data types and secondary data, with qualitative analysis. Respondents 6 midwives PMB, 4 KB acceptors, accidental sampling.
 Results: In PMK No 1464, midwives play a role in providing counseling and counseling to married couples that not only women are required to use family planning but men need to use family planning. Good counseling and outreach to couples of childbearing age to provide an understanding of gender equality and contraceptive methods are expected to provide better results than without treatment.
 Conclusion:Based on the result of this research which had done showed that overcome obstacles must involve various sectors in realizing gender equality increasing access to health services, increasing promotion and counseling to increase knowledge and awareness of gender equality and justice issues.

Midwives and protection of pregnant workers in Western Switzerland: Practices, difficulties and contributions

BackgroundSwitzerland's maternity protection legislation aims to protect the health of pregnant employees and their unborn children by regulating their potential occupational exposure to hazards and strenuous activities. This legislation provides a role for obstetricians, but not for midwives. AimsIdentify the practices of Switzerland's French-speaking midwives that favour the implementation of maternity protection legislation and reflect on the profession's role in supporting pregnant employees. Methods356 midwives answered an online questionnaire. The analysis focuses on the 205 midwives who perform pregnancy consultations in their practice. Data were analysed in two stages using STATA software: 1) simple descriptive and correlational statistics and 2) hierarchical cluster analysis to identify typologies of practices by grouping similar responses. FindingsDespite having no officially defined role in Switzerland's maternity protection legislation, its midwives actively participate in protecting pregnant employees , especially those with more knowledge of the legislation, those with more years of experience and those practicing independently. The barriers that midwives face when trying to provide greater support for pregnant employees are linked significantly to their lack of knowledge about the legislation, a lack of recognition for their role in the current legislation and a lack of continuing education about the occupational health risks associated with pregnancy at work. Conclusions and implications for practiceTheir profession and specific practices give midwives privileged access to pregnant employees. Midwives' knowledge of the legislation, their awareness of the occupational risks and hazards facing pregnant employees and the conviction that their profession has the potential to make a difference could all be improved. The role of midwives should be—and deserves to be—formally and legally recognised and integrated into Switzerland's maternity protection legislation.

Peran Ibu dalam Pendidikan Kesehatan Reproduksi, Peran Bidan, Personal Hygine Menstruasi terhadap Kejadian Keputihan pada Remaja Putri

Introduction: Flour albus is a symptom disorders of the reproductive organs often experienced by most women, according to WHO (World Health Organization) 75% of women in the world will experience vaginal discharge at least once in a lifetime and as many as 45% will have 2 or more. This study aims to determine the relations of mother's role in reproductive health education, role of midwife, personal hygine menstruation of the teenage girl flour albus event in class VIII and IX at SMP Muhammadiyah 35 Jakarta
 Method: This research method uses quantitative research with a cross sectional approach. The study sample used total sampling, namely all the teenage girl in class VIII and IX were 50 people
 Result: The results showed that there was a relationship between the mother's role in reproductive health education variable and the p-value of 0.003, the role of midwife variable with the result of p-value 0.001 and the variable personal hygine menstruation with a p-value of 0.015 for the teenage girl flour albus event.
 Discussion: 34 young women who experience vaginal discharge, 27 young women whose mothers do not play a role in health education, 27 young women who do not get the role of a midwife and 32 young women who are not good at performing menstrual personal hygiene. and there is a relationship between the role of mothers in reproductive health with the incidence of vaginal discharge in adolescent girls. In conclusion, it is expected the school to cooperate among parents and health officer, for the reproductive health education, to improve the degree of health and build good reproductive health behaviour, as well as to preventing and handling vaginal discharge in teenage girl.

O-165 Expert panel and evidence-based development of the Logbook for the Nurses and Midwives Certification programme of the European Society of Human Reproduction and Embryolog

Study questionHow was the Logbook for the Nurses and Midwives Certification programme of the European Society of Human Reproduction and Embryology (ESHRE) developed?Summary answerThe Logbook for the ESHRE Nurses and Midwives Certification programme, which questions 56 roles, was developed based on an extensive literature review and expert opinion.What is known alreadyThe ESHRE Executive Committee established the Nurses and Midwives Certification Committee (NMCC) in 2012. Since inception (2015), the certification programme has been delivered annually, with the exception of 2020 because of SARS-CoV-2. One-hundred-fourteen nurses/midwives have obtained ESHRE certification (passing rate=72%) and the programme is now accessible to nurses/midwives globally. The Certification program aims (i) to recognise the extended role of nurses/midwives delivering fertility care and (ii) to expand their theoretical background. The pre-requisites for certification are (i) being educated to a bachelor level of education and (ii) completing a practice based Logbook to demonstrate supervision of professional experience. Study design, size, durationBetween 2012 and 2014, the NMCC completed a systematic literature search for papers relating to clinical, non-clinical and extended roles of nurses and midwives in fertility settings. In addition, the NMCC invited a larger expert panel of European senior nurses and midwives to a meeting to discuss their needs and preferences regarding the certification programme and to survey the diverse roles performed by nurses and midwives in their country.Participants/materials, setting, methodsThe NMCC comprised four nurses/midwives, one clinical embryologist, and one medical doctor (both in advisory capacity). The Medline database was searched by entering a search string in PubMed combining (MeSH) terms related to reproductive medicine and nursing or midwifery. Opinion and empirical papers relating to roles of nurses/midwives in fertility settings were included. The surveyed expert panel included twelve nurses/midwives, representing Belgium, Denmark, Finland, France, Norway, Slovenia, Sweden, Turkey, Ukraine, and the United Kingdom.Main results and the role of chanceA total of 49 papers, of which 24 empirical papers, were identified with the search string (n = 47) and snowball strategy (n = 2). The papers originated from 13 countries spread across Asia, Oceania, Europe, and North America. All twelve European senior nurses and midwives responded to the survey. Finally, 56 different roles were included in the Logbook. Forty-four roles were performed by nurses/midwives working in fertility settings according to the surveyed expert panel (n = 18), the literature (n = 8), or both the surveyed expert panel and literature (n = 18). An additional twelve observations of laboratory procedures were added by the NMCC. Substantial variation in roles and responsibilities existed across the countries from which the evidence originated. Whereas a considerate proportion of roles were performed in at least five countries (n = 16/56), a minority of roles were only performed by nurses/midwives in some countries (n = 7/56). Eight specialist roles (e.g. embryo transfer) were performed independently by nurses/midwives in some countries, whilst in other countries, nurses/midwives merely had an assisting role. In addition to completing the Logbook, participants were expected to write two ethical cases according to a guideline, testifying to their ability to reflect as a senior nurse/midwife. From 2015, the content of the Logbook was further developed.Limitations, reasons for cautionThis abstract relates to the development and content of the Logbook and not the curriculum/educational material required for the theoretical exam of the Nurses and Midwives Certification programme. The NMCC continuously improves the Logbook and elements have been added and removed since its creation.Wider implications of the findingsThe review and survey illustrated the variation in roles and responsibilities of nurses/midwives across the studied countries, further highlighting the opportunity for professional development within fertility care. Further research is required to elicit the experience of certified nurses/midwives with the programme and its impact on their professional and personal development.Trial registration numberNot applicable

Pengaruh Inisiasi Menyusu Dini terhadap Pengeluaran Volume ASI pada Primipara di Rumah Sakit Tk II Prof. Dr. J. A. Latumeten dan RSUD Dr. M. Haulussy Ambon

Early initiation of breastfeeding is an effort to provide colostrum which is rich protective factors. This study aimed to determine the effect of early initiation of breastfeeding on breastmilk volume. This research use quasi experimental. The results showed that the Mann-Whitney test obtained a value of p=0.000 < of α=0.05, there was an effect on breastmilk volume in mothers who did early initiation of breastfeeding. Implementation of early initiation of breastfeeding in case group was 100% otherwise not done in control group, the duration 64% hasn’t been standardized, the breastmilk volume on the third day after early breastfeeding initiation was categorized sufficient (56%) and a lot 40%, which was not 76% breastmilk volume is lacking, there is a difference on breastmilk volume in mothers who have early initiation of breastfeeding and do not have. There is an effect on breastmilk production. It is expected that the role of midwives in providing information to mothers before giving birth about the importance of early breasfeeding initiation. It is expected that midwives will emphasize more on the duration of skin to skin contact, according to minimum standards of 1 hour, Rumkit Tk II Prof. Dr. J.A. Latumeten is expected to do early initiation of breastfeeding as a fixed procedure in the maternity room.

Peningkatan Peran Dokter Umum Dan Bidan Dalam Meningkatkan Kualitas Reproduksi Perempuan

The quality of early life for future generations is largely determined by the quality of mother’s reproduction. Reproductive health is an indicator of the quality of women’s reproduction. The condition of reproductive health in Indonesia is currently not as axpected compared to other ASEAN countries. The purpose of this activity was to improve the quality of women’s reproduction by enhancing the role of general practitioners and midwives in providing education and conducting reproductive examinations. The activity was in the form of seminar with participants from future general practitioners and midwives. After participating in this activity, the majority of participants were able to understand about women’s reproductive health comprehensively and were able to choose the right attitude when facing conditions related to women’s reproductive health.

Roles of Midwives and Indonesian Midwives Association in Reducing Risk Factors for Stunting in Indonesia

Background: Stunting is caused by multi-dimensional factors and the most decisive intervention should be carried out in the first 1,000 days of life. Poor parenting practices, lack of knowledge about health and nutrition before and during pregnancy are some of the contributing factors and 60% of children aged 0-6 months do not receive exclusive breastfeeding.
 Aim: To assess the role of midwives and the Indonesian Midwives Association Professional Organization in reducing the risk of stunting in Indonesia. 
 Method: This type of descriptive research uses an exploratory study approach by assessing the role of midwives and the professional organization of the Indonesian Midwives Association (IBI) in reducing the risk of stunting in Central Sulawesi. The data of 288 midwives were collected using google form from 22 July 2020 to 22 August 2020. Data were analyzed by SPSS.
 Result: In general, midwives have provided maternal and child health books to pregnant women, recorded complete maternal and child health records, conducted antenatal care for pregnant women, provided nutritional food counseling for pregnant women, gave Fe 90 tablets to pregnant women, provided calcium tablets to pregnant women, conducting classes for pregnant women, delaying umbilical cord cutting (>30 minutes), providing vitamin A to postpartum mothers, conducting exclusive breastfeeding counseling, providing family planning services, providing IYCF counseling. However, for the activities of Implementing a special stunting prevention program, implementing postnatal care and initiating early breastfeeding still need improvement.
 Conclusion: The role of midwives in efforts to prevent stunting in Indonesia with midwives have provided maternal and child health books to pregnant women. Delaying umbilical cord cutting to 30 minutes, giving vitamin A to postpartum mothers, breastfeeding counseling, providing family planning services, providing IYCF counseling

Transition of Roles Change of Motherhood in Women

Being a mother is an extraordinary experience for women. The transition to changing the role of being a mother is a process that a mother must go through in achieving her maternal identity. The purpose of this paper is to determine the transition from changing the role of being a mother to women. This type of writing is a narrative literature review, conducted in June-November 2020. Data was collected through the PubMed digital library, Science Direct and Google Scholar using inclusion and exclusion criteria. The data analysis was done qualitatively. The analysis was carried out on 19 research articles. The results of the paper show three main themes, namely motherhood, transition to motherhood in working and unemployed mothers, and the role of midwives in supporting the role transition process. The transition process of changing the role of motherhood to both working and non-working mothers, namely experiencing feelings of inadequacy, feeling alone, losing, then being able to realize, make adjustments and perform these roles. Midwives must provide care according to client needs

Leading Policy and Practice Change During Unprecedented Times: The Nursing Health Services Research Response

In 2020, nursing and health services research communities were called to address and rise to several unprecedented challenges. Before the COVID-19 pandemic, the World Health Organization had already designated 2020 as the International Year of the Nurse and Midwife to illuminate the role of nurses and midwives in providing quality health services. Once the pandemic took hold, the critical role of nurses in our healthcare system became even clearer, with the nursing community immediately called to action. In the United States, the COVID-19 pandemic also challenged the nursing workforce and highlighted some critical deficiencies in our healthcare delivery system.

Peran Perawat dan Bidan terhadap Pelaksanaan Inisiasi Menyusu Dini (IMD)

This study aims to see how the role of officers in the implementation of early initiation of breastfeeding (IMD) and coverage of IMD in newborns. The method used is quantitative with a descriptive analysis approach. The results showed that the role of nurses and midwives in the implementation of IMD was included in the category with the mean score of 95.39. The IMD success rate is also included in the high category with an average score of 93.75. In conclusion, the role of nurses and midwives in the implementation of IMD is in the good category and the success of IMD is also in the high category.
 
 Keywords: Mother's Milk, Early Initiation of Breastfeeding, Role of Nurses and Midwives

Nurses and Midwives as Global Partners to Achieve the Sustainable Development Goals in the Anthropocene.

To highlight ongoing and emergent roles of nurses and midwives in advancing the United Nations 17 Sustainable Development Goals by 2030 at the intersection of social and economic inequity, the climate crisis, interprofessional partnership building, and the rising status and visibility of the professions worldwide. Discussion paper. Literature review. Realizing the Sustainable Development Goals will require all nurses and midwives to leverage their roles and responsibility as advocates, leaders, clinicians, scholars, and full partners with multidisciplinary actors and sectors across health systems. Making measurable progress toward the Sustainable Development Goals is critical to human survival, as well as the survival of the planet. Nurses and midwives play an integral part of this agenda at local and global levels. Nurses and midwives can integrate the targets of the Sustainable Development Goals into their everyday clinical work in various contexts and settings. With increased attention to social justice, environmental health, and partnership building, they can achieve exemplary clinical outcomes directly while contributing to the United Nations 2030 Agenda on a global scale and raising the profile of their professions.

The Nurse or Midwife at the Crossroads of Caring for Patients With Suicidal and Rigid Religious Ideations in Africa.

Nurses and midwives are the majority of healthcare professionals globally, including Africa, and they provide care at all levels of the health system including community levels. Nurses and midwives contribute to the care of patients with rigid or dogmatic religious beliefs or those with suicidal ideations. This review paper discusses acute and chronic diseases that have suicidal tendencies such as terminal cancer, diseases with excruciating pain, physical disability, stroke, end-stage renal failure, and diabetics who are amputated. It was reiterated that nurses and midwives taking care of these patients should be alert and observant to identify their suicidal tendencies. The paper also discusses religious or spiritual inclinations that negatively affect healthcare access and adherence, especially to biomedical or western medicine. It was emphasized that some religious beliefs do not allow their followers to employ biomedical treatment and nurses and midwives should not impose their faith on patients and their families. The paper ends with a discussion on the specific roles of nurses and midwives in the care of patients with suicidal ideations such as assessment, counseling, administering medication, observation, social interaction, ensuring safety measures, and providing an enabling environment for the family to part of the care and for the observation of religious coping strategies. Nurses and midwives should enhance their knowledge and skills on suicide and increase public education on suicide prevention and identification of those at risk.

Kemitraan Bidan dan Ibu Hamil dalam Pencegahan Covid-19

COVID-19, a disease that is currently endemic in almost all over the world. COVID-19 affects anyone, including pregnant women and children. The role of midwives in maternal and child health services: ANC service providers are the highest in Indonesia (82.4%). The challenge of midwifery services during the Covid-19 pandemic: knowledge of mothers and families related to COVID-19 about the dangers of COVID-19 in pregnant women can be a motivation for screening or preventing COVID-19. The aim of the service is to increase knowledge through training midwives and pregnant women about the prevention of COVID-19 and to increase partnerships between midwives and pregnant women through training to be able to socialize the importance of preventing COVID-19 to pregnant women. The method used was conducting pre-tests for midwives and pregnant women, training for midwives on the prevention of COVID-19 in pregnant women, counseling by midwives on prevention of COVID-19, and conducting post-tests. The results obtained by pre test, the majority of midwives' knowledge was moderate, while the majority of pregnant women had less knowledge. After being given training, the results of the post test increased the majority of midwives' knowledge was high and the knowledge of pregnant women was high.

Efektivitas Peran Bidan Sebagai Penentu Keberhasilan Bounding Attachment Antara Ibu dan Bayi Pada Masa Nifas

The bond between parents and newborns is very important to note. Since the antenatal period, mothers have to get information about bounding attachments, because since the antenatal period, the relationship between mother and child based on bonds of affection must be established. The success of the Bounding Attachment is largely determined by the midwife as a birth attendant. Through the first contact between mother and baby, namely early breastfeeding initiation (IMD), joining care and continued with exclusive breastfeeding. midwives are fully responsible for its implementation, provided that the baby and mother are in good health. Because this is the most important stage to initiate affection between mother and baby. The type of research used is Analytical Survey with a Cross Sectional Study approach. The sampling technique in this study was taken by using non-random (non-probability) sampling, by purposive method. The results of the research conducted at the Batua health center showed that midwives had a very important role in supporting the success of Bounding Attachments between mothers and babies during the postpartum period. Of the 65 respondents, there were 48 mothers who got the role of a good midwife. However, only 34 (52.3%) did the Bounding Attachment and 14 (21.5%) did not. 17 respondents did not get the role of a midwife, where 5 (7.7%) respondents did the Bounding Attachment and 12 (18.5%) did not. From the results of the analysis with the Chi Square test statistical test obtained ρ = 0.003 where ρ <α = 0.05, then Ho is rejected and Ha is accepted. It can be concluded that there is a relationship between the role of the midwife and the Bounding Attachment between mother and baby during the postpartum period.

RELATIONSHIP BETWEEN HUSBAND SUPPORT AND MIDWIFE ROLE WITH POST PARTUM CONTRACEPTION IN KONAWE KEPULAUAN DISTRICT

Background: Postpartum contraceptive coverage in Konawe Kepulauan Regency in 2018, through data obtained at the Konawe Kepualaun District Health Office, Southeast Sulawesi Province as much as 8.4% and data in 2019 decreased to 1.26%. Methods:This quantitative research is observational with a cross sectional study design. The population in this study was 96 people with the determination of the sample using stratified cluster sampling, totaling 77 all post-partum mothers in the working area of the health centre in Konawe Kepulauan Regency. Results:The significance value (p) value of husband support and the role of midwife is 0.000 which means that p <0.05 so that Ha is accepted and Ho is rejected, which means that there is a significant correlation or relationship between husband's support and the role of midwives on the use of postpartum contraception. Both have a value of phi C which is 0.100 which meansvery weak relationship. Conclusion: There is a relationship between husband's support and the role of the midwife against the use of postpartum contraceptives in the Konawe Islands district.

Strengthening the Role of Cadres and Village Midwives to Support the Cervical Cancer Awareness Movement in Puhu Payangan Village, Gianyar, Bali, Indonesia

Cervical cancer is the most common type of cancer in Balinese women, and most of the cervical cancer patients came in advanced condition. The health survey conducted in the village of Puhu, Payangan, Gianyar, found that the coverage of cervical cancer screening is 12%, which is considered as low. Payangan’s sub-district health centers (Puskesmas) have made an effort to give free PAP smear screenings to the local community, but it still has not received a good response. This is related to the community’s lack of knowledge on cervical cancer, low awareness of cancer screening, and false stigma about PAP smear examination. To overcome this problem, an effort is needed to increase awareness about the need for PAP smear screening by shaping it into a cervix cancer awareness movement "Gardavi", involving village midwives and housewife members of Empowerment and Family Welfare Group (PKK) in Puhu Village as cadres. Methods that are used in this community service include training for midwives, activation of tiered information system involving midwives-cadres and the community, knowledge provision as well as motivating cadres. This event is done to increase the role of village midwives and cadres to actively participate in PAP smear screenings in their region, therefore, it may increase screening outcomes and lower mother morbidity and mortality numbers due to cervical cancer. This event results in increased midwives’ knowledge and skill on the technique of sampling PAP smear independently, increased visits to the Community Health Sub-Center (Pustu) for PAP smear examination, creation of a midwives-cadres-community coordination system, cadres independently playing an active role in motivating the village community to do screening, as well as increased cadres’ optimism.

CONSULTANCY AND CARE WITH Ex-PLISSIT MODEL IN GENITAL AESTHETIC SURGERY

Recent years with the widespread use of social media, the aesthetic perception of societies has started to change. People, with the desire to be liked, turn to plastic surgery with the importance they attach to physical appearance. Women's aesthetic genital surgery operations also show a parallel trend with this trend. Aesthetic surgery operations performed in the genital area are mostly designed and focused on sexual satisfaction and attractiveness. Among these procedures that do not have a medical indication, the most common ones are; labiaplasty, perineoplasty, vaginoplasty, hymenectomy and G-point amplification. Although the operations are performed by gynecology and plastic and reconstructive surgery specialists, pre-and postoperative care is provided to the patient by midwives and nurses. In this context, in this review, it is aimed to evaluate the counseling and care role of midwives and nurses with the Ex-PLISSIT Model, as well as the recommendations of international obstetrics and gynecology associations for genital aesthetic surgery operations and these operations.

Faktor-Faktor yang Mempengaruhi Penggunaan Kontrasepsi Implant

The implant is an effective and efficient hormonal contraceptive in the form of a rod that is implanted under the skin in the upper arm, and the protection period can be up to five years. The purpose of this study was to determine the factors that influence implant contraceptive use. This research is an analytical survey with a cross sectional research design, the study was conducted in June - August 2020 at Puskesmas Gumawang Kab. Oku Timur South Sumatra. The population in this study were all couples of childbearing age who used family planning who visited the Puskesmas in Puskesmas Gumawang Kab. East Oku, which is estimated to be 7,729 acceptors and the sample used in this study were some of the mothers who used family planning who visited the UPTD Puskesmas Gumawang Kab. East Oku in 2019, amounting to 99 people, through Proportional Random Sampling, univariate (proportion), bivariate (chi square test) and multivariate (logistic regression) analysis. The results of the analysis showed that parity (p value: 0.004) and age (p value: 0.028), occupation (p value: 0.001), had a significant relationship with the use of family planning implants, while education (p value: 0.089) had no significant relationship with use of implant birth control. Based on the final model of multivariate analysis, the variable that has the greatest influence on the use of implant family planning is the occupational variable. It is hoped that the results of this study can increase the active role of midwives to provide IEC about the advantages and disadvantages of contraceptive methods that acceptors will choose according to their goals and age.

The role of midwives and obstetrical nurses in the promotion of healthy lifestyle during pregnancy.

Women with maternal obesity, an unhealthy lifestyle before and during pregnancy and excess gestational weight gain have an increased risk of adverse pregnancy and birth outcomes that can also increase the risk of long-term poor health for them and their children. Pregnant women have frequent medical appointments and are highly receptive to health advice. Healthcare professionals who interact with women during pregnancy are in a privileged position to support women to make lasting healthy lifestyle changes that can improve gestational weight gain and pregnancy outcomes and halt the intergenerational nature of obesity. Midwives and obstetrical nurses are key healthcare professionals responsible for providing antenatal care in most countries. Therefore, it is crucial for them to build and enhance their ability to promote healthy lifestyles in pregnant women. Undergraduate midwifery curricula usually lack sufficient lifestyle content to provide emerging midwives and obstetrical nurses with the knowledge, skills, and confidence to effectively assess and support healthy lifestyle behaviours in pregnant women. Consequently, registered midwives and obstetrical nurses may not recognise their role in healthy lifestyle promotion specific to healthy eating and physical activity in practice. In addition, practising midwives and obstetrical nurses do not consistently have access to healthy lifestyle promotion training in the workplace. Therefore, many midwives and obstetrical nurses may not have the confidence and/or skills to support pregnant women to improve their lifestyles. This narrative review summarises the role of midwives and obstetrical nurses in the promotion of healthy lifestyles relating to healthy eating and physical activity and optimising weight in pregnancy, the barriers that they face to deliver optimal care and an overview of what we know works when supporting midwives and obstetrical nurses in their role to support women in achieving a healthy lifestyle.