The Lancet Series On Midwifery: Impact and Next Steps?
Dr Alison Mcfadden, Senior Research Fellow, School of Nursing and Health Sciences, University of Dundee, presents information about the global Lancet series on midwifery and follow-up research. She provides a summary of the Lancet series and points to the effect of skilled midwifery care on outcomes. Alison also presents interim findings of research on how the series is being used to improve care globally as well as the barriers to the development of services with the series.
Dr Alison Mcfadden, Senior Research Fellow, School of Nursing and Health Sciences, University of Dundee
This learning module can be used towards CPD for revalidation with the Nursing and Midwifery Council (NMC) in the UK, and equivalent bodies in other jurisdictions.

Improving care in global settings Resources
Boerma T et al 2018 Global epidemiology of use of and disparities in caesarean sections The Lancet 392: 10155 1341-1348
International Confederation of Midwives 2019 Essential Competencies for Midwifery Practice https://www.internationalmidwives.org/assets/files/general-files/2019/03/icm-competencies-en-screens.pdf
RCM Global Projects
https://www.rcm.org.uk/promoting/global/
Save the Children 2015 State of the World’s Mothers : The Urban Disadvantage https://www.savethechildren.net/sites/default/files/libraries/SOWM_EXECUTIVE_SUMMARY.pdf
The Lancet Maternal Health Series
http://www.maternalhealthseries.org/
United Nations Population Fund 2019 Unfinished Business https://www.unfpa.org/swop-2019
United Nations Sustainable Development Goals https://sustainabledevelopment.un.org/?menu=1300
WHO 2018 Maternal Mortality
https://www.who.int/news-room/fact-sheets/detail/maternal-mortality
WHO 2015 Statement on Caesarean section rates https://apps.who.int/iris/bitstream/handle/10665/161442/WHO_RHR_15.02_eng.pdf;jsessionid=8E2C54F0B4B88F3D0059F9FADE9FACF1?sequence=1
Demonstrating your learning: Improving Care in Global Settings
We hope you have enjoyed watching the video box set. The aim of producing this package is to enable you to learn about an aspect of midwifery practice which you will be able to use to improve the care of women, babies and their families. As a professional there will be times where you will need to demonstrate you have learned and, don’t forget that, writing down your learning will help this to be embedded in your memory! To this end we have devised some questions to help you progress. You may, of course, devise your own questions as well. These may then be used as part of your professional validation in the future.
Learning Outcomes
- After watching these talks you will have an insight into the significance of midwifery care and the unique circumstances within these settings
- Explored some of the evidence related to maternity care in some global settings
- Considered the significance of midwifery care in global settings.
- Understanding of some of the challenges faced by women and midwives in global setting
Reflective questions
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- Explore the learning outcomes (LO) of this set of videos. What are the key aspects of the LO that are relevant to you and your scope and code of practice?
- Summarise what you have learned from these videos
- What are the feelings that have been raised as you watched them? Why you have felt this?
- What are the key pieces of research or evidence that you have learned about?
- How will this learning now affect your practice; the women, babies and families in your care?
- Are there ways you plan to make changes or take forward with others?
- What else would you like to find out about to help your learning on this topic?

The Lancet Series On Midwifery: Impact and Next Steps?
Dr Alison McFadden
Alison McFadden is a midwife, senior research fellow and Director of the Mother and Infant Research Unit at the University of Dundee. Her research interests encompass quality and organisation of maternity care, infant feeding, and maternity care experiences of marginalised and otherwise vulnerable women and their families. Alison is a co-author of two papers of the Lancet Series on Midwifery, published in 2014. Her current research projects include investigating how to enhance trust between Gypsy/Travellers and maternity services, systematic reviews on breastfeeding support and counselling, and a global survey on the impact of the Lancet Series on Midwifery.