Evidence map›Paper›PMID 39672589›Full record

ArticleBMJ open2024

Exploring the landscape of Canadian midwifery research: strengths, gaps and priorities - results of a scoping review.

Emma Ruby, Ginny Brunton, Joanne Rack, Sofia Al Balkhi, Laura Banfield, Lindsay N Grenier, Shikha Ghandi, Maisha Ahmed, Eileen Katherine Hutton, Elizabeth Kathleen Darling and 3 more

Abstract readScoping Review
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Emma RubyMcMaster Midwifery Research Centre, McMaster University, Hamilton, Ontario, Canada.ORCID http://orcid.org/0000-0002-8145-1166
Ginny BruntonMcMaster Midwifery Research Centre, McMaster University, Hamilton, Ontario, Canada.
Joanne RackMcMaster Midwifery Research Centre, McMaster University, Hamilton, Ontario, Canada.
Sofia Al BalkhiMcMaster Midwifery Research Centre, McMaster University, Hamilton, Ontario, Canada.
Laura BanfieldFaculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Lindsay N GrenierMcMaster Midwifery Research Centre, McMaster University, Hamilton, Ontario, Canada.
Shikha GhandiFaculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Maisha AhmedMcMaster Midwifery Research Centre, McMaster University, Hamilton, Ontario, Canada.
Eileen Katherine HuttonMcMaster Midwifery Research Centre, McMaster University, Hamilton, Ontario, Canada.
Elizabeth Kathleen DarlingMcMaster Midwifery Research Centre, McMaster University, Hamilton, Ontario, Canada.
Christina MattisonMcMaster Midwifery Research Centre, McMaster University, Hamilton, Ontario, Canada.
Karyn KaufmanMcMaster Midwifery Research Centre, McMaster University, Hamilton, Ontario, Canada.
Beth Murray-DavisMcMaster Midwifery Research Centre, McMaster University, Hamilton, Ontario, Canada bmurray@mcmaster.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe 2014 Lancet Series on Midwifery developed the Quality of Maternal and Newborn Care (QMNC) framework outlining care needed for all childbearing people and newborns. Furthermore, this was a global call to action to invest in research capacity building. While evidence-informed care is a cornerstone of midwifery practice, there has been limited exploration of how Canadian midwifery research priorities within the Canadian context align with the global framework. In response to the call from the Lancet series, this scoping review aimed to investigate the current strengths and gaps of midwifery research in Canada. Secondarily, our goal was to map existing Canadian evidence to the QMNC framework to guide future priority setting and build research capacity.

designA scoping review. DATA SOURCES: We searched nine electronic databases for articles up to 2022, inclusive: AMED (Allied and Complementary Medicine), CINAHL, EconLit, EMBASE, HealthSTAR, MEDLINE, PsycINFO, EmCare and Web of Science. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: We included research conducted by (a) Canadian midwives on Canadian and non-Canadian populations, (b) international midwives on Canadian midwifery populations or (c) non-midwife researchers on Canadian midwifery populations. DATA EXTRACTION AND SYNTHESIS: We analysed data using categories from the Lancet Series' QMNC framework. At least two independent reviewers conducted screening and data extraction.

resultsWe identified 590 articles for inclusion. Most Canadian midwifery research is related to organisation of care and care providers, clinical practice categories including promoting normal physiological processes during pregnancy, research pertaining to prenatal and intrapartum periods, and policy. Research gaps included neonatal and postpartum outcomes, midwifery education, and midwifery values and philosophy. Lastly, there were gaps in the number of randomised trials and systematic reviews, which may impact guidance of clinical decision-making.

conclusionsThere has been an exponential increase in midwifery-led research in Canada. Assessment against the QMNC framework has highlighted gaps related to research conduct, clinical and non-clinical research focuses. Identifying midwifery research priorities is an important next step of consolidating Canadian research evidence. Future directions may include collaboration with midwifery stakeholders to prioritise research topics related to improving care for clients, strengthening the profession and building research capacity.

Indexed as

MidwiferyCanadaFemaleHumansPregnancyResearchCapacity BuildingHealth ServicesMidwiferyPerson-Centered CareResearch DesignReview

Identifiers

PMID39672589
PMCPMC11647286

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.