Obstetricians’ perceptions of midwife specialists’ roles in South Africa

African Journal of Primary Health Care & Family Medicine

 
 
Field Value
 
Title Obstetricians’ perceptions of midwife specialists’ roles in South Africa
 
Creator Tukisi, Kagiso P. Janse van Rensburg, Zelda Jacobs, Wanda
 
Subject Midwifery; Neonatal Nursing; obstetrics obstetricians; midwife specialists; scope of practice; medical litigations; defensive practice
Description Background: The midwife specialists (MS) are trained midwifery professionals with advanced knowledge and skills to perform interventions to respond to complicated maternal and neonatal conditions. A midwife specialist is expected to function independently and interdependently with other healthcare professionals such as obstetricians and paediatricians. However, studies have shown that the circumstances within public hospitals could be more favourable to the midwife specialist’s independent and autonomous practice.Aim: This study aims to explore and describe obstetricians’ perceptions of midwife specialists‘ roles in public hospitals in South Africa.Setting: The study was conducted in the selected public hospitals in South Africa.Methods: Authors followed a qualitative, descriptive, explorative research design. Data collection took place between March 2022 and June 2022. Purposive sampling was utilised to sample nine obstetricians to participate in online individual semi-structured interviews. Data were analysed using Colaizzi’s seven-step method.Results: Three themes emerged. In theme 1, midwife specialists are skilled professionals practicing with limitations. In theme 2, there is an absence of the specific scope of practice (SOP) for midwife specialists’. In theme 3, they are defensive practitioners with over-reliance on physicians and clinical records.Conclusion: The SOP should be revised to grant midwife specialists full professional and legal authority to practice independently. Removing these limitations would enable them to collaborate effectively with physicians, ensuring safe and comprehensive maternal and neonatal care.Contribution: This study highlights the state of midwife specialists practice in the public hospitals of South Africa. Obstetricians elucidate various barriers to midwife specialists autonomous and collaborative midwifery care.
 
Publisher AOSIS
 
Contributor none
Date 2026-04-17
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Qualitative research
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/phcfm.v18i1.5276
 
Source African Journal of Primary Health Care & Family Medicine; Vol 18, No 1 (2026); 10 pages 2071-2936 2071-2928
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://phcfm.org/index.php/phcfm/article/view/5276/9215 https://phcfm.org/index.php/phcfm/article/view/5276/9216 https://phcfm.org/index.php/phcfm/article/view/5276/9217 https://phcfm.org/index.php/phcfm/article/view/5276/9218
 
Coverage South Africa 2022-2023 Obstetricians; 13-21 years clinical experience
Rights Copyright (c) 2026 Kagiso P. Tukisi, Zelda Janse van Rensburg, Wanda Jacobs https://creativecommons.org/licenses/by/4.0
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