ArticleWomen and birth : journal of the Australian College of Midwives2026
"This is really going to help our wonderful mothers": A qualitative analysis of midwife perspectives on implementing a triage phone line to support home blood pressure monitoring in Ghana.
Article in Women and birth : journal of the Australian College of Midwives, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
problemPreeclampsia and eclampsia are a significant cause of maternal morbidity and mortality in low-resource settings.
backgroundDiagnosis of preeclampsia is based on the new development of elevated blood pressures after 20 weeks of gestation, with or without proteinuria, or with signs or symptoms of end-organ involvement (ACOG Practice Bulletin 222, 2020/2023). Home BP monitoring is an important strategy to detect elevated BPs for early intervention and management.
aimTo explore midwives' perspectives on implementation of a midwife-led triage phone line to support home BP monitoring in Ghana.
methodsParticipants were 21 midwives trained to staff an on-call phone line and provide clinical advice to pregnant women calling from home with high BPs. Semi-structured face-to-face interviews about perceived benefits, challenges, and experiences were conducted, audio-recorded, transcribed, coded, and thematically analysed.
findingsThematic analysis demonstrated high overall acceptability and feasibility of the phone line. Participants reported confidence and comfort collecting BP information and giving advice over the phone. Midwife-perceived benefits included patients' ability to communicate with midwives between antenatal visits and report elevated BPs early, and that patients were willing to follow clinical advice given over the phone. Challenges included patient-level and systems-level logistical issues, including bad phone connections, divided opinions on integrating the phone line into normal duties, and desire for extra compensation. DISCUSSION: Despite challenges, midwives had an overarching positive perception of the phone line and recommended expanding this model across Ghana.
conclusionAdditional education is needed to recognise and integrate this initiative into standard midwifery care. Expanding midwife-led triage phone lines has great potential to enhance home BP monitoring in Ghana and other low-resource settings.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.