Improving psychoeducation for women fearful of childbirth: Evaluation of a research translation project

The role and competence of midwives in supporting women with mental health concerns during the perinatal period: A scoping review

“…The review process identified 30 papers that met inclusion criteria (see Table ). Included studies regard the knowledge, skills and attitudes of midwives (Hauck et al., ; Higgins et al., ; Jones, Creedy, & Gamble, , ,; Lau, McCauley, Barnfield, Moss, & Cross, ; Legere et al., ; Mathibe‐Neke, Rothberg, & Langley, ; McCauley et al., ; Noonan, Doody, Jomeen, & Galvin, ; Noonan et al., ; Ross‐Davie, Elliott, Sarkar, & Green, ; Rothera & Oates, ), and student midwives (Higgins, Carroll, & Sharek, ; Jarrett, , ; Phillips, ); the effectiveness of educational interventions in improving knowledge and skills (Davies et al., ; Fenwick, Toohill, Slavin, Creedy, & Gamble, ; McLachlan, Forster, Collins, Gunn, & Hegarty, ; Reed, Fenwick, Hauck, Gamble, & Creedy, ); the delivery of counselling or psychosocial interventions by midwives (Clarke, King, & Prost, ; Fenwick et al., , ; Larsson, Karlström, Rubertsson, & Hildingsson, ; Toohill et al., ); and barriers and enablers to embedding midwife‐led mental healthcare in practice (Bayrampour et al., ; Fenwick et al., ; Gamble, Toohill, Slavin, Creedy, & Fenwick, ; Higgins et al., ; Myors, Schmied, Johnson, & Cleary, ; Myors et al., ).…”

“…The body of literature in relation to the knowledge, skills, attitudes and training needs of midwives and student midwives is largely based on survey studies (Hauck et al., ; Higgins et al., ; Jarrett, ; Jones et al., , ,; Lau et al., ; McCauley et al., ; Noonan et al., ; Ross‐Davie et al., ; Rothera & Oates, ), three qualitative studies with interviews (Jarrett, ) and focus groups (Mathibe‐Neke et al., ; Phillips, ), one integrative review study (Noonan et al., ) and a systematic review (Legere et al., ). Studies that evaluated the effectiveness of educational interventions in improving knowledge and skills of midwives or student midwives to provide mental healthcare employed pre/post‐survey design (Higgins et al., ; McLachlan et al., ), mixed methods (Fenwick et al., ; Reed et al., ), and one survey study (Davies et al., ). Studies in relation to the delivery of counselling or psychosocial interventions by midwives include a systematic review and meta‐analysis of 10 randomised controlled trials (RCTs) (Clarke et al., ), a single RCT (published in two papers) (Fenwick et al., ; Toohill et al., ), a qualitative interview study (Fenwick et al., ) and a national survey study (Larsson et al., ).…”

“…Studies in relation to the delivery of counselling or psychosocial interventions by midwives include a systematic review and meta‐analysis of 10 randomised controlled trials (RCTs) (Clarke et al., ), a single RCT (published in two papers) (Fenwick et al., ; Toohill et al., ), a qualitative interview study (Fenwick et al., ) and a national survey study (Larsson et al., ). Studies that outline barriers and enablers to embedding midwife‐led mental healthcare (other than knowledge and skills deficits), include two integrative reviews (Bayrampour et al., ; Myors et al., ) and three mixed method studies (Fenwick et al., ; Gamble et al., ; Myors et al., ).…”

“…This body of literature calls for further training and education to build the skills, knowledge and confidence of midwives and student midwives to provide perinatal mental healthcare (Higgins et al., ; Jones et al., , ; Lau et al., ). Studies that have assessed the effectiveness of educational interventions in improving midwives’ knowledge and skills have found that with appropriate training, midwives can build their skills and knowledge and develop the competence and confidence required to provide perinatal mental healthcare (Fenwick et al., ; McLachlan et al., ; Reed et al., ). A study by McLachlan et al.…”

“…A study by Fenwick et al. () evaluated the outcomes of a counselling training intervention for midwives found that training significantly improved midwives’ knowledge, skills and confidence to counsel women on psychosocial issues.…”