Kontoyannis Maria, Dagla Maria, Kokkosi Eriketi, Vivilaki Victoria, Katsetos Christos, Sarella Angeliki
Department of Midwifery, Faculty of Health and Caring Sciences, University of West Attica, Athens, GRC.
Department of Obstetrics and Gynaecology, Tzaneio Hospital, Piraeus, GRC.
Cureus. 2025 Mar 14;17(3):e80566. doi: 10.7759/cureus.80566. eCollection 2025 Mar.
The implementation of community perinatal midwifery care in Greece, as in many other healthcare settings, is influenced by a variety of factors that interconnect, among others, with the perspectives, attitudes, and expectations of primary healthcare midwives. Understanding these factors is crucial for improving maternal and neonatal standards of care and ensuring that midwives are successfully reinforced in their professional roles. A comprehensive keyword search of the literature was conducted on five databases to identify recent studies: Cumulative Index of Nursing and Allied Health Literature (CINAHL), Medline, PubMed, Scopus, and Google Scholar. The search was restricted to articles published between 2008 and 2024, and search terms and variations of search terms included but were not limited to "community midwives", "community midwifery", "views of", "expectations", "perspectives of community midwives", and "implementation of community midwifery". As opposed to local reality, there seems to be an extensive global variety of literature associated with the views and expectations of midwives regarding their public role in the community. The fruitful implementation of community perinatal midwifery care in Greece depends on the merging of various factors, including the healthcare system's structure, support from the public and governmental policy, cultural attitudes toward birth, and the educational background of midwives. Community midwives' views and expectations play an essential role in how they navigate various challenges and opportunities they face along their daily professional life. To develop the delivery of community-based perinatal care, it is vital to provide a multilayered approach that contains structured policy improvements, increased assistance for midwives, enhanced public education, and interprofessional teamwork.
与许多其他医疗环境一样，希腊社区围产期助产护理的实施受到多种相互关联因素的影响，这些因素尤其与初级医疗保健助产士的观点、态度和期望相关。了解这些因素对于提高孕产妇和新生儿护理标准以及确保助产士在其专业角色中得到成功强化至关重要。我们在五个数据库上对文献进行了全面的关键词搜索，以识别近期研究：护理及相关健康文献累积索引（CINAHL）、医学索引数据库（Medline）、PubMed、Scopus和谷歌学术。搜索仅限于2008年至2024年发表的文章，搜索词及搜索词变体包括但不限于“社区助产士”、“社区助产护理”、“……的观点”、“期望”、“社区助产士的视角”以及“社区助产护理的实施”。与当地实际情况不同，关于助产士对其在社区中的公共角色的观点和期望，全球似乎有大量的文献。希腊社区围产期助产护理的有效实施取决于多种因素的融合，包括医疗保健系统的结构、公众和政府政策的支持、对分娩的文化态度以及助产士的教育背景。社区助产士的观点和期望在她们应对日常职业生涯中面临的各种挑战和机遇的方式中起着至关重要的作用。为了发展基于社区的围产期护理服务，提供一种多层次的方法至关重要，这种方法包括结构化的政策改进、增加对助产士的援助、加强公众教育以及跨专业团队合作。
