The Work Environment and Its Influence on the Management of Imminent Childbirths by Midwives in Morocco: An Ecosystemic Approach to Maternal Health

Authors

  • Ghizlane Bouazza Higher Institute of Nursing and Health Technology Professions – Kenitra, Morocco and Laboratory of Natural Resources and Sustainable Development, Department of Biology, Faculty of Sciences, Ibn Tofail University, Kenitra, Morocco.
  • Abderrahmane Boualam Higher Institute of Nursing and Health Technology Professions – Kenitra, Morocco and Laboratory of Natural Resources and Sustainable Development, Department of Biology, Faculty of Sciences, Ibn Tofail University, Kenitra, Morocco.
  • Badreddine DAHOU Laboratory of Biology and Health, Faculty of Science, Ibn Tofail University, Kenitra, Morocco
  • Rachid Elaazia Higher Institute of Nursing and Health Technology Professions – Kenitra, Morocco.
  • Belomaria Mohammed Higher Institute of Nursing and Health Technology Professions – Kenitra, Morocco.
  • Driss Touil Higher Institute of Nursing and Health Technology Professions – Kenitra, Morocco.
  • Khalid Chakhtoura Higher Institute of Nursing and Health Technology Professions – Kenitra, Morocco.
  • Abdelati Soufiani Laboratory of Natural Resources and Sustainable Development, Department of Biology, Faculty of Sciences, Ibn Tofail University, Kenitra, Morocco.

DOI:

https://doi.org/10.3329/bjms.v24i3.82948

Keywords:

professional environment; midwives ;imminent childbirth; healthcare ecosystem; sustainable development; maternal health; Morocco.

Abstract

Objectives This cross-sectional descriptive study, conducted amongst 247 midwives in the Rabat-Salé-Kenitra region (Morocco), evaluates the influence of the professional environment on the management of imminent childbirths. The ecosystemic approach adopted considers the work environment as a major determinant of obstetric care quality. Result Results reveal that whilst 63% of participants received specific training, only 38% feel fully prepared to manage these emergency situations. Multivariate analysis identifies professional experience (adjusted OR=5.42; 95% CI: 2.73-10.76; p<0.001) and regular access to resources (adjusted OR=3.78; 95% CI: 1.95-7.34; p<0.001) as independent predictors of perceived preparedness. Work overload (adjusted OR=0.41; 95% CI: 0.24-0.71; p=0.002) and absence of protocols (adjusted OR=0.35; 95% CI: 0.16-0.78; p=0.009) are significantly associated with lower professional confidence. Conclusion These findings highlight the importance of a holistic approach integrating workplace environment optimisation, professional skills enhancement, and infrastructure improvement to ensure safe and sustainable obstetric care.

BJMS, Vol. 24 No. 03 July’25 Page : 889-897

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Published

2025-07-25

How to Cite

Bouazza, G., Boualam, A., DAHOU, B., Elaazia, R., Mohammed, B., Touil, D., … Soufiani, A. (2025). The Work Environment and Its Influence on the Management of Imminent Childbirths by Midwives in Morocco: An Ecosystemic Approach to Maternal Health. Bangladesh Journal of Medical Science, 24(3), 889–897. https://doi.org/10.3329/bjms.v24i3.82948

Issue

Vol. 24 No. 3 (2025)

Section

Original Articles

License

Copyright (c) 2025 Ghizlane Bouazza, Abderrahmane Boualam, Badreddine DAHOU, Rachid Elaazia, Belomaria Mohammed, Driss Touil, Khalid Chakhtoura, Abdelati Soufiani

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