{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T02:53:41Z","timestamp":1778640821096,"version":"3.51.4"},"reference-count":0,"publisher":"Pasifika Medical Association Group","issue":"1600","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["NZMJ"],"abstract":"<jats:p>aim: This study investigated the experiences of rural midwives in the Southern region of Aotearoa New Zealand, focussing on practices and challenges in caring for pregnant individuals displaying signs of pre-eclampsia (PE). method: Conducted as part of the University of Otago\u2019s Trainee Intern Healthcare Evaluation Project, investigating the efficacy of the soluble FMS-like tyrosine kinase 1 (sFlt-1)\/placental growth factor (PlGF) ratio test, this exploratory study employed qualitative research methods. Twenty-three midwives from nine locations across the Southern region were interviewed by trainee intern doctors (TIs) using a semi-structured interview protocol. Thematic analysis was applied to the data. results: The study highlighted the challenging context of rural midwifery, emphasising diverse working conditions, geographic complexities and the impact of the midwifery shortage. Midwives\u2019 decision making about PE depended on location, experience, scientific evidence, holistic model of care and the constant concern about PE. A model illustrating midwifery decision making in PE management was developed. conclusion: Rural midwives in Aotearoa New Zealand\u2019s Southern region managing PE cases face complex challenges. The model derived from this study illustrates the delicate balance that rural midwives navigate, emphasising the need for strategies to support their practice and preserve Aotearoa New Zealand\u2019s distinctive maternity care model.<\/jats:p>","DOI":"10.26635\/6965.6458","type":"journal-article","created":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T02:30:20Z","timestamp":1722306620000},"page":"52-61","source":"Crossref","is-referenced-by-count":1,"title":["Midwifery experiences in rural Southern Aotearoa New Zealand: insights into pre-eclampsia management"],"prefix":"10.26635","volume":"137","author":[{"given":"Judith","family":"Sligo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Corfe-Tan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zoe","family":"Cotter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jimmy","family":"Senara Eteuati","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah-Rose","family":"Hart","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachael","family":"McConnell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"11177","published-online":{"date-parts":[[2024,8,2]]},"container-title":["New Zealand Medical Journal"],"original-title":[],"deposited":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T02:30:28Z","timestamp":1722306628000},"score":1,"resource":{"primary":{"URL":"https:\/\/nzmj.org.nz\/journal\/vol-137-no-1600\/midwifery-experiences-in-rural-southern-aotearoa-new-zealand-insights-into-pre-eclampsia-management"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,2]]},"references-count":0,"journal-issue":{"issue":"1600","published-online":{"date-parts":[[2024,8,2]]}},"URL":"https:\/\/doi.org\/10.26635\/6965.6458","relation":{},"ISSN":["1175-8716"],"issn-type":[{"value":"1175-8716","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,2]]}}}