{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T19:38:40Z","timestamp":1765568320984,"version":"3.48.0"},"reference-count":38,"publisher":"Public Library of Science (PLoS)","issue":"12","license":[{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosglobalpublichealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Glob Public Health"],"abstract":"<jats:p>The midwife as a separate and autonomous profession is a relatively new concept in Bangladesh; as a result, its integration into the maternal healthcare system is yet to be determined. Obstetricians are key stakeholders in maternal health, and understanding how they perceive midwifery-led care can provide valuable insight into the acceptance of the model, and the profession itself. Data was collected from 13 semi-structured interviews conducted with obstetricians working in the Dhaka division, Bangladesh, in July 2023. Thematic analysis was then carried out on the transcripts. Four main themes were identified. 1. Diverse understanding of the role of a midwife; There was a general lack of understanding of the role of a midwife, and confusion surrounding their scope of practice. 2. Perceived benefits of midwifery; Obstetricians felt as though midwives can help decrease their workload, and that they are specialised practitioners who can help improve access and equity of healthcare. 3. Factors restricting midwives\u2019 professional autonomy; There was an evident lack of trust from obstetricians of midwives\u2019 competency and their education, and their acceptance and integration into the healthcare system are weak. 4. Strengthening future midwifery; Obstetricians suggested a need for improvements in midwifery education, as well as government promotion of midwives. The lack of awareness of the role and potential of midwives limits their professional autonomy. There is a need to increase awareness of other healthcare professionals, as well as the public, of the benefits of midwives and the midwifery-led model of care. Improved regulation is also needed, particularly in the private health sector and in the implementation of midwifery education.<\/jats:p>","DOI":"10.1371\/journal.pgph.0005504","type":"journal-article","created":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T18:42:16Z","timestamp":1765564936000},"page":"e0005504","update-policy":"https:\/\/doi.org\/10.1371\/journal.pgph.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u2018Obstetricians\u2019 perceptions of midwifery-led care in Bangladesh \u2013 A qualitative study"],"prefix":"10.1371","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-6415-9959","authenticated-orcid":true,"given":"Fflur","family":"Dafis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdul","family":"Halim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7896-2248","authenticated-orcid":true,"given":"Abu Sayeed Md.","family":"Abdullah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-5731-6182","authenticated-orcid":true,"given":"Sumaiya Afrose Khan","family":"Atina","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1501-6860","authenticated-orcid":true,"given":"Terry","family":"Kana","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2025,12,12]]},"reference":[{"key":"pgph.0005504.ref001","author":"WHO"},{"key":"pgph.0005504.ref002","volume-title":"National Policy Guidelines for Midwives","author":"Ministry of Health and Family Welfare","year":"2018"},{"key":"pgph.0005504.ref003","volume-title":"Sustainable Development Report","author":"JD Sachs","year":"2023"},{"key":"pgph.0005504.ref004","doi-asserted-by":"crossref","unstructured":"Methun MIH, Haq I, Uddin MSG. Socioeconomic correlates of adequate maternal care in Bangladesh: Analysis of the Bangladesh demographic and health survey 2017-18. 2022.","DOI":"10.1155\/2022\/8027712"},{"key":"pgph.0005504.ref005","author":"International Confederation of Midwives"},{"key":"pgph.0005504.ref006","article-title":"Perception of and awareness about medicalisation of pregnancy and childbirth in Bangladesh: A case of Rajshahi metropolitan city","author":"B Banik","year":"2018","journal-title":"Global Advanced Research Journal of Medicine and Medical Sciences"},{"issue":"4","key":"pgph.0005504.ref007","article-title":"Midwife-led continuity models versus other models of care for childbearing women","volume":"4","author":"J Sandall","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"issue":"5","key":"pgph.0005504.ref008","doi-asserted-by":"crossref","first-page":"101661","DOI":"10.1016\/j.wombi.2024.101661","article-title":"Midwifery education in Bangladesh: An in-depth analysis through a systematic review","volume":"37","author":"R Fraser","year":"2024","journal-title":"Women Birth"},{"issue":"1","key":"pgph.0005504.ref009","article-title":"The historical development of the midwifery profession in Bangladesh","volume":"4","author":"M Bogren","year":"2017","journal-title":"Journal of Asian Midwives"},{"issue":"5","key":"pgph.0005504.ref010","doi-asserted-by":"crossref","DOI":"10.9745\/GHSP-D-23-00081","article-title":"Health System Strengthening Through Professional Midwives in Bangladesh: Best Practices, Challenges, and Successes","volume":"11","author":"F Begum","year":"2023","journal-title":"Glob Health Sci Pract"},{"issue":"1","key":"pgph.0005504.ref011","doi-asserted-by":"crossref","DOI":"10.1016\/j.wombi.2020.06.009","article-title":"Findings from a context specific accreditation assessment at 38 public midwifery education institutions in Bangladesh","volume":"34","author":"M Bogren","year":"2021","journal-title":"Women Birth"},{"key":"pgph.0005504.ref012","volume-title":"Diploma in Midwifery Curriculum","author":"Bangladesh Nursing Council","year":"2012"},{"key":"pgph.0005504.ref013","author":"UNFPA"},{"issue":"1","key":"pgph.0005504.ref014","first-page":"19","article-title":"Social, economic and professional barriers influencing midwives\u2019 realities in Bangladesh: a qualitative study of midwifery educators preparing midwifery students for clinical reality","volume":"17","author":"U Byrskog","year":"2019","journal-title":"Evidence Based Midwifery"},{"issue":"1","key":"pgph.0005504.ref015","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1186\/s12913-018-3447-5","article-title":"What prevents midwifery quality care in Bangladesh? 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The Impact of Professional Midwives and Mentoring on the Quality and Availability of Maternity Care in Government Sub-district Hospitals in Bangladesh: A Mixed-Methods Observational Study. 2022.","DOI":"10.21203\/rs.3.rs-1499064\/v2"},{"issue":"4","key":"pgph.0005504.ref030","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0271867","article-title":"The commitment to a midwifery centre care model in Bangladesh: An interview study with midwives, educators and students","volume":"18","author":"NI Pappu","year":"2023","journal-title":"PLoS One"},{"key":"pgph.0005504.ref031","article-title":"Midwifery - An Executive Summary for The Lancet\u2019s Series","author":"MJ Renfrew","year":"2014","journal-title":"The Lancet"},{"issue":"1","key":"pgph.0005504.ref032","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1093\/inthealth\/ihac006","article-title":"Multilevel analysis to identify the factors associated with caesarean section in Bangladesh: evidence from a nationally representative survey","volume":"15","author":"MS Ahmed","year":"2023","journal-title":"Int Health"},{"key":"pgph.0005504.ref033","author":"UNFPA","year":"2022"},{"issue":"1","key":"pgph.0005504.ref034","doi-asserted-by":"crossref","first-page":"1652022","DOI":"10.1080\/16549716.2019.1652022","article-title":"Evaluating a model for the capacity building of midwifery eduators in Bangladesh through a blended, web-based master\u2019s programme","volume":"12","author":"K Erlandsson","year":"2019","journal-title":"Glob Health Action"},{"key":"pgph.0005504.ref035","volume-title":"Diploma in Midwifery Curriculum","author":"Bangladesh Nursing and Midwifery Council","year":"2019"},{"issue":"1","key":"pgph.0005504.ref036","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1186\/s12960-022-00769-2","article-title":"Informing investment in health workforce in Bangladesh: a health labour market analysis","volume":"20","author":"M Nuruzzaman","year":"2022","journal-title":"Hum Resour Health"},{"key":"pgph.0005504.ref037","doi-asserted-by":"crossref","first-page":"103696","DOI":"10.1016\/j.midw.2023.103696","article-title":"Barriers and facilitators to the implementation of midwife-led care for childbearing women in low- and middle-income countries: A mixed-methods systematic review","volume":"122","author":"MT Sangy","year":"2023","journal-title":"Midwifery"},{"issue":"4","key":"pgph.0005504.ref038","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1002\/pchj.651","article-title":"Focusing on the positive or the negative: Self-construal moderates negativity bias in impression updating","volume":"12","author":"D Xie","year":"2023","journal-title":"Psych J"}],"container-title":["PLOS Global Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pgph.0005504","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T18:42:22Z","timestamp":1765564942000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pgph.0005504"}},"subtitle":[],"editor":[{"given":"Tanmay","family":"Bagade","sequence":"first","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2025,12,12]]},"references-count":38,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2025,12,12]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pgph.0005504","relation":{},"ISSN":["2767-3375"],"issn-type":[{"value":"2767-3375","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,12]]}}}