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Table 7 Barriers to Establishing midwives’ role in acute early pregnancy care in Australia

From: Exploring midwifery role and scope in acute early pregnancy care: a survey of midwives and midwifery students in Australia

Potential barriers for midwives

Frequency n (%#)

Lack of clinical experience and exposure in AEPC settings as qualified midwife

106 (36.1)

Placing women with AEP concerns < 20 weeks in a non-maternity setting

87 (29.6)

Lack of opportunity for midwives to be employed in settings that provide AEPC

83 (28.2)

Uncertainty regarding midwives’ scope in this area of pregnancy care

75 (25.5)

This area of pregnancy care is not prioritised by HSP/my employer

53 (18.0)

This area of pregnancy care is not prioritised by the midwifery profession

52 (17.7)

Lack of clinical exposure and experience in AEPC settings as a midwifery student

52 (17.7)

Lack of education as a midwifery student regarding AEPC

52 (17.7)

Uncertainty regarding whether midwives are responsible for acute care < 20 weeks

52 (17.7)

Staffing or workload constraints e.g., redirection of midwives to women > 20 weeks

52 (17.7)

Lack of individual knowledge or comfort to provide AEPC

45 (15.3)

Specialised AEP services are not available in many locations

42 (14.3)

Other

20 (6.8)

  1. #Percentage of midwife sample only; AEPC: Acute early pregnancy care; HSP: Health service provider; AEP: Acute early pregnancy