ArticleBMC medical education2025
Improved compliance of midwives with stillbirth prevention and control practices after creating and implementing an educational program in a Chinese obstetric clinic.
Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThis study evaluated midwives' compliance with evidence-based stillbirth prevention practices and the impact of a targeted educational intervention. Five audit criteria were established based on the Safer Baby Bundle and expert consensus: (1) smoking cessation support, (2) fetal growth restriction (FGR) screening, (3) fetal movement education for decreased fetal movement, (4) promotion of safe late-pregnancy sleep positions, and (5) risk-based birth timing decisions.
methodsUsing the Joanna Briggs Institute's Practical Application of Clinical Evidence System (PACES) framework, data from 61 midwives in a Chinese obstetric clinic were collected via baseline and follow-up audits. Five audit criteria were established to determine midwives' compliance to best practices for stillbirth prevention.
resultsBaseline compliance showed 100% adherence to FGR screening (criterion 2), while criteria 1, 3, 4, and 5 had 0% compliance. Following the intervention,, all criteria achieved 100% compliance, with significant improvements in previously non-compliant areas.
conclusionsThe educational program effectively improved midwives' compliance with key stillbirth prevention practices. Integrating such interventions into midwifery education and clinical workflows is essential to reduce preventable stillbirths.
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