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All Journal INTERNATIONAL JOURNAL OF SOCIETY REVIEWS (INJOSER) International Journal of Social and Education (INJOSEDU)
Deswizar Syaputri
Institut Teknologi dan Bisnis Indragiri, Indonesia
Religion Humanities Social Sciences

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UNDERSTANDING BARRIERS TO EVIDENCE-BASED LABOR PAIN MANAGEMENT IN LOW-RESOURCE SETTINGS: A QUALITATIVE INQUIRY Yopi Wulandhari; Deswizar Syaputri; Nadia Zia Nurhalizah
INJOSEDU: International Journal of Social and Education Vol. 2 No. 11 (2026): International Journal of Social and Education (INJOSEDU)
Publisher : Adisam Publisher

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Abstract

Effective labor pain management is a fundamental component of respectful and quality maternal healthcare. Despite the availability of evidence-based interventions, their implementation remains limited in low-resource settings. This study aims to explore and synthesize existing scholarly evidence on the barriers to evidence-based labor pain management in resource-constrained contexts through a qualitative literature review. Relevant peer-reviewed articles were systematically identified from major academic databases, focusing on qualitative and mixed-methods studies published in recent years. The selected literature was analyzed using a thematic synthesis approach to capture recurring patterns, perspectives, and contextual challenges reported by healthcare providers, women, and health systems. The findings reveal that barriers are multidimensional, encompassing structural constraints such as limited infrastructure, shortages of trained personnel, and inadequate access to analgesic options, as well as sociocultural factors including misconceptions about labor pain, gender norms, and patient–provider communication gaps. Additionally, institutional barriers such as restrictive policies, lack of clinical guidelines, and insufficient professional training further hinder the adoption of evidence-based practices. This review highlights the complex interplay between systemic, cultural, and organizational factors influencing labor pain management in low-resource settings. The study underscores the need for context-sensitive strategies, policy support, and capacity-building initiatives to bridge the gap between evidence and practice, ultimately improving maternal care quality and women’s childbirth experiences.
CONTINUITY, TRUST, AND PARTNERSHIP IN CONTEMPORARY MIDWIFERY CARE Yola Alqorien Mustikarani; Lastri Lastri; Nadiya Zia Nurhaliza; Guriti Guriti; Deswizar Syaputri; Prima Letari; Intan Sari
INTERNATIONAL JOURNAL OF SOCIETY REVIEWS Vol. 3 No. 12 (2026): INTERNATIONAL JOURNAL OF SOCIETY REVIEWS (INJOSER)
Publisher : Adisam Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.22121276

Abstract

Continuity, trust, and partnership are essential components in the development of contemporary, woman-centered midwifery care. This study aims to analyze the importance of continuity of care, trust within the therapeutic relationship, and the partnership between midwives and women in supporting the quality of care and health outcomes for mothers and infants. The study employs a literature review approach, integrating various scientific findings regarding models of midwifery continuity of care, therapeutic communication, the midwife-woman relationship, shared decision-making, and woman-centered care. The review findings indicate that continuity of care enhances service consistency, strengthens communication, and fosters a sense of security throughout pregnancy, labor, the immediate postpartum period, and beyond. Trust forms the foundation of a therapeutic relationship that enables women to openly express their needs and concerns and participate in care-related decision-making. Meanwhile, partnership fosters a more equitable relationship by respecting women's experiences, needs, choices, and autonomy. Integrating these three aspects can create midwifery care that is more responsive, personalized, continuous, and oriented toward women's experiences. Successful implementation requires policy support, an adequate midwifery workforce, communication competence, interprofessional coordination, and an organizational environment that supports continuity of care. Thus, strengthening continuity, trust, and partnership serves as a crucial strategy for establishing high-quality, safe, and woman-centered contemporary midwifery care.
Co-Authors Guriti Guriti Intan Sari Lastri Lastri Nadia Zia Nurhalizah Nadiya Zia Nurhaliza Prima Letari Yola Alqorien Mustikarani Yopi Wulandhari