The Role of Midwives in The Management OG High-Risk Pregnancy Care: Systematic Literature Review
DOI:
https://doi.org/10.35960/vm.v19i1.2239Keywords:
Midwife Role, High-Risk Pregnancy, Midwifery Care, Antenatal Care, Systematic Literature Review (SLR)Abstract
High-risk pregnancy represents a condition that increases the likelihood of complications for both the mother and the fetus and therefore requires appropriate and comprehensive management. Midwives, as frontline healthcare providers, perform strategic roles in early detection, continuous monitoring, health education, and referral coordination in the management of high-risk pregnancies.This study analyzes the role of midwives in high-risk pregnancy care management using a Systematic Literature Review (SLR) approach. The review examined scientific articles retrieved from national and international databases, including Google Scholar, PubMed, ScienceDirect, SINTA, and Garuda. The search process identified 275 articles published between 2019 and 2025. Application of predefined inclusion and exclusion criteria resulted in the selection of 10 relevant articles for detailed analysis. The findings indicate that midwives contribute to the reduction of pregnancy complications and the improvement of maternal and neonatal safety through early detection of risk factors, routine monitoring of maternal and fetal conditions, provision of health education, and coordination of referral services. Continuity of midwifery care improves adherence to antenatal care visits and supports earlier management of pregnancy complications. Educational interventions delivered by midwives increase pregnant women’s knowledge, awareness, and healthy behaviors during pregnancy. Improved maternal understanding of pregnancy health contributes to prevention of delays in complication management and supports better pregnancy outcomes for both mothers and infants
References
Braun, V., & Clarke, V. (2021). Thematic Analysis: A Practical Guide. Sage Publication.
Devane, J. S. S. G. S. (2016). Midwife‐Led Continuity Models Versus Other Models of Care for Childbearing Women. Cochrane Database of Systematic Reviews, 4. https://doi.org/10.1002/14651858.CD004667.pub5
Erna Yovi Kurniawati, E. I. (2025). The Role of Midwives in the Early Detection of Infertility Risk Factors Among Women of Reproductive Age. PubHealth Jurnal Kesehatan Masyarakat, 4(1), 95–101. https://doi.org/10.56211/pubhealth.v4i1.1064
Eugene R Decler. (1995). Midwifery Care and Medical Complications: The Role of Risk Screening. Journal Birth Issues in Perintal Care, 22(2), 68–73. https://doi.org/10.1111/j.1523-536X.1995.tb00562.x
Garti, I., Gray, M., Tan, J.-Y., & Bromley, A. (2021). Midwives’ Knowledge of Pre-Eclampsia Management: A Scoping Review. Journal Women and Birth, 34(1), 87–104. https://doi.org/10.1016/j.wombi.2020.08.010
Indonesia, K. K. R. (2021). Pedoman Pelayanan Antenatal Terpadu Edisi Terbaru.
Isabella Garti, Michelle GrayTan, J.-Y., & Bromley, A. (2021). Midwives’ Knowledge of Pre-Eclampsia Management: A Scoping Review. Journal Women and Birth, 34(1), 87–104. https://doi.org/10.1016/j.wombi.2020.08.010
Khayla Timothy, Barbara Lloyd, C. B. (2025). Healthcare Professionals’ Perceptions of Risk Management on Pregnancy and Childbirth: An Integrative Review. Jounal Midwifery, 145. https://doi.org/10.1016/j.midw.2025.104376
Marie Berg, K. D. R. (2001). Swedish Midwives’ Care of Women Who Are at High Obstetric Risk or Who Have Obstetric Complications. Journal Midwifery, 17(4), 259–266. https://doi.org/10.1054/midw.2001.0284
Mary J Renfrew, Alison McFadden, Maria Helena Bastos, James Campbell, A. A. C. (2014). Midwifery and Quality Care: Findings From A New Evidence-Informed Framework for Maternal and Newborn Care. Journal The Lancet, 384(9948), p1129-1145.
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(14)60789-3/abstract
Murtiningsih, Lita Lestari, H. F. (2021). The Effect Of Iron And Vitamin C Supplements on Hemoglobin Levels of Pregnant Women with Anemia: Systematic Literature Review. Journal of Maternity Care Reproductive Health, 4(1). https://doi.org/10.36780/jmcrh.v4i1.166
Nina Herlina, Sri Nawangsari, Robby Kurniawan Harahap, Erik Ekowati, A. I. A. (2021). Pengembangan Skrining Deteksi Resiko Kehamilan Berdasarkan Kriteria Keadaan dan Kondisi Ibu Hamil. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 6(3), 439–446. https://doi.org/10.30604/jika.v6i3.536
Organization, W. H. (2020a). Trends in Maternal Mortality 2000–2017.
Organization, W. H. (2020). WHO Recommendations on Antenatal Care for A Positive Pregnancy Experience.
Page, M. J., McKenzie, J. E., Bossuyt, P. M., et al. (2021). The PRISMA 2020 Statement: An Updated Guideline for Reporting Systematic Reviews. BMJ, 1(7), 372. http://dx.doi.org/10.1136/bmj.n71
Ratree Sirisomboon, S. N., & Leetheeragul, Jarunee, Metpapha Sudphet, Kanjana Pimol, Sudhathai Sirithepmontree, L. S. (2024). Enhancing The Competencies of Obstetrical Nurses and Midwives in High-Risk Pregnancy Management Through Simulation-Based Training in Lao People’s Democratic Republic: A Pilot Study. Journal Midwifery, 137. https://doi.org/10.1016/j.midw.2024.104132
Sandra Millington, Judith Magarey, Gustaaf A. Dekker, R. A. C. (2019). Cardiac Conditions in Pregnancy and The Role of Midwives: A Discussion Paper. Journal Nursing Open, 6(3), 722–732. https://doi.org/10.1002/nop2.269
Siyabonga W. Ximba, Olivia B. Baloyi, M. A. J. (2021). Midwives’ Perceived Role in Up Referral of High-Risk Pregnancies in Primary Healthcare Settings, Ethekwini District, South Africa. Health Sa Gesondheid, 26, 1025–9848. https://doi.org/10.4102/hsag.v26i0.1546
Snyder, H. (2019). Literature Review as A Research Methodology: An Overview and Guidelines. Journal of Business Research, 104, 333–339. https://doi.org/10.1016/j.jbusres.2019.07.039
Tekoa L. King, Mary C. Brucker, Kathryn Osborne, C. M. J. (2018). Varney’s Midwifery. Jones & Bartlett Learning. https://books.google.co.id/books/about/Varney_s_Midwifery.html?id=tGNaDwAAQBAJ&redir_esc=y
Theodora Hei Tung Lai, T. T. L. (2024). Antenatal Screening – The Roles of Medical and Family History, Routine Tests, and Examination Findings. Journal Best Practice & Research Clinical Obstetrics & Gynaecology, 97(24), 345–352. https://doi.org/10.1016/j.bpobgyn.2024.102540
Tri Sunarsih, P. (2020). Asuhan Kebidanan Continuity of Care di PMB Sukani Edi Munggur Srimartani Piyungan Bantul. Midwifery Jurnal Kebidanan, 5(1), 39–44. https://media.neliti.com/media/publications/515023-none-6e4daa6c.pdf
UNICEF. (2020). Maternal and Newborn Health Disparities Report.
Xiao, Y., & Watson, M. (2019). Guidance on Conducting A Systematic Literature Review. Journal of Planning Education and Research, 1(39), 93–112. https://doi.org/10.1177/0739456X177239
Yang Xu, Yingying Han, Li Wang, Hui Xue, Yue Liu, Yanyan Men, Yinxin Chen, Xiaoyun Zhou, Q. L. (2026). Effect Of Antenatal Education And Midwifery-Led Care on Maternal Anxiety, Depression, and Birth Outcomes: A Meta-Analysis of Clinical Trials. Journal W, 39(1). https://doi.org/10.1016/j.wombi.2025.102138
Ӧ Tunçalp, JP Pena-Rosas, T Lawrie, M Bucagu, OT Oladapo, A Portela, A. M. G. (2017). WHO Recommendations on Antenatal Care For A Positive Pregnancy Experience, Going Beyond Survival. BJOG: An International Journal of Obstetrics & Gynaecology, 124(6), 860–862. https://doi.org/10.1111/1471-0528.14599
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