International Confederation of Midwives

@internationalmidwives.org

The global voice of midwives Learn more: www.internationalmidwives.org

The climate crisis is a health, gender equality & human rights issue. Around the world, women and girls are disproportionately affected by climate-related disasters, yet health systems continue to fall short in protecting their sexual and reproductive health and rights. Learn more: zurl.co/14ZSb

Climate Justice Is Reproductive Justice

In every region of the world, the climate crisis is already accelerating a sexual and reproductive health crisis.

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Evidence from South Carolina shows that abortion bans can delay or deny medically necessary care, force the continuation of high-risk pregnancies, complicate miscarriage and ectopic pregnancy management, and contribute to worsening maternal health outcomes. Read the research: zurl.co/O7Tgl

Heartbeat State: Abortion Restrictions and the Maternal Health Crisis in Post-Dobbs South Carolina

In 2023, just over a year after the Dobbs decision, South Carolina enacted a six-week abortion ban, effectively eliminating abortion access before most people know they are pregnant. This research investigates how such restrictive abortion legislation directly undermines maternal health outcomes and drives preventable increases in maternal mortality, particularly among Black women and low-income communities in South Carolina who already face severe obstetric disparities. Drawing on the Abortion Care Today audio archive, existing literature, maternal mortality data, and state and federal policy analysis, this research examines abortion not as a political abstraction, but as essential urgent healthcare. When abortion is banned, healthcare isn’t the only thing to disappear—patients do: to complications, to delays, to bans. The findings are clear. Abortion bans and their “exceptions” strip women of medically necessary care, force continuation of dangerous pregnancies, disregard bodily autonomy, delay treatment for miscarriage and ectopic pregnancy, and drive physicians out of states where clinical judgment has been criminalized. Documented deterioration in female health outcomes fall hardest on women and girls capable of pregnancy. Alongside the academic analysis, a community health booklet was developed to bring these findings to reproductive age South Carolinians, translating research into accessible, actionable knowledge for the communities most affected by these laws. This project concludes that abortion restrictions are not peripheral to maternal health—they are a direct assault on it. The evidence is clear: women are suffering at the hands of dismantled infrastructure meant to protect. Abortion is not an exception to healthcare, but a foundational component of it and South Carolinians are paying the price.

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Experts from around the world have identified the most urgent sexual and reproductive health and rights research priorities—from protecting access to contraception and maternal and newborn care during climate-related crises. Read more: zurl.co/lLrV0

Research priorities in sexual and reproductive health and rights and climate change: Results of a consensus building and prioritisation process

Recent literature suggests that climate change can impact sexual and reproductive health and rights (SRHR) outcomes, especially since climate-related events may exacerbate persistent inequalities based on gender, disability status, sexual orientation, and age, among others. Climate change can also impact health infrastructure with an impact on SRHR access and outcomes. However, data are scarce when it comes to certain topical areas, types of evidence, and in using an intersectional approach. Based on a prior expert consultation exercise, we conducted a consensus and priority setting process to develop a list of priority research questions at the intersection of climate change and SRHR. For this, in 2024, we completed an iterative process over three rounds consisting of online surveys and consultations, following modified Delphi and Child Health and Nutrition Research Initiative (CHNRI) methodologies for which 100 people were included. For round one, 56 people responded to the 17-question survey framed around topical areas in SRHR, research methodologies, and intersectionality; 39 people participated in the online consultation. The round two survey had 36 respondents and 41 participants to the online consultation. The third round included a survey with a list of 31 questions that respondents were asked to prioritize. A final list of ten questions emerged which highlighted important areas where there continue to be gaps in evidence, including maternal and perinatal health, contraception and abortion access, and gender-based violence. Other critical areas include intersectional issues regarding gender and poverty and comprehensive sex education. The list can serve as a starting point to guide the SRHR research community to generate the evidence needed for policy action.

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In this study, midwives in Gaza describe working under unimaginable conditions. Their experiences highlight the resilience, compassion, and professionalism of midwives in humanitarian crises, while underscoring the urgent need for better preparedness, training, & resources. Read more: zurl.co/Q3xcC

Birth in shelters: Midwives’ lived experiences in providing childbirth care amidst war in Gaza

Background The warfare against the Gaza Strip in the occupied Palestinian territory, starting in October 2023, caused massive destruction of infrastructure, including homes and hospitals. Within two years (October 2023 to October 2025), most of the 2.1 million inhabitants were displaced, and more than 69,500 people were directly killed, of whom more than 70% were women and children. To enhance preparedness in maternal care during war, it is important to understand how midwives respond to emergencies in conflict zones. This study seeks to explore the experiences of midwives in delivering childbirth care to women in Gaza within shelters, tents, and amidst the rubble during wartime. Materials and methods We employed a descriptive qualitative phenomenological design. We used a purposeful snowball sampling approach to identify midwives who had assisted women in giving birth in shelters or tents during the war. Face-to-face in-depth interviews were conducted with nine midwives between January and April 2025, and underwent reflexive thematic analysis. Results An overarching theme was identified: “Midwives torn between fear and professional compassion while struggling for humanity in a ruthless war”. Three additional themes were developed: “Unprotected in ruthless warfare”, “Professional role and contradictive emotions”, and “Challenges and potentials for midwives during war and emergencies”. Conclusions The study recommends the development of clear preparedness policies aligned with midwives’ scope of practice that support their professional role when caring for pregnant women in war, emergency, and humanitarian contexts. Given the volatile context of the oPt, Palestinian midwives should be actively involved in preparedness strategies for emergency response. They need guidance, support, necessary supplies, connection to backup resources, and training to assist births safely outside hospital settings.

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Age, income, care setting, trust in healthcare providers, and perceptions of convenience all influence decisions about caesarean birth, while education, counselling, and supportive maternity care can help women make informed choices. Read the full research: zurl.co/ph1iN

Preferences for caesarean sections among women in Andhra Pradesh, India

Discover Public Health - Caesarean section (CS) rates have been rising steadily worldwide, including in India, due to several factors affecting women's preferences. The present study aimed to...

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Abortion barriers exist globally. But there's a solution already within reach. New research from Ontario demonstrates that midwife-led abortion care improves access, client experiences, and continuity across sexual and reproductive health needs. Read more: zurl.co/eBBJy

Experiences of midwife-led abortion care through Ontario’s expanded midwifery care models: an interpretive description study

Abortion is time-sensitive, and barriers to care such as a lack of providers, long wait times, multiple appointments in different locations, and discr…

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