Midwives' Role in Managing Pregnant Women with Mental Health Issues and Disorders in Developing Countries: A Rapid Review



  • Rohani Rohani D-III Midwifery Study Program STIKES Mitra Adiguna Palembang, Indonesia
  • Cesa Septiana Pratiwi Center for Women, Family and Disaster Studies, Universitas Aisyiyah Yogyakarta, Indonesia


Midwives, Pregnant women, Depression, Anxiety, Developing countries


The mental health issues of pregnant women must be detected early and addressed quickly to prevent negative impacts on the mother, fetus, and newborn. This review aims to identify current evidence on the role of midwives in managing pregnant women with mental health problems and disorders in developing countries. The review method employed is a rapid review, utilizing the PRISMA-ScR checklist, the PCC framework, and a critical appraisal tool adapted from the Joanna Briggs Institute (JBI) for assessment. A literature search was conducted across three databases (PubMed, Wiley, Science Direct), Google Scholar, and Research Rabbit, with inclusion criteria consisting of all original articles in English or Indonesian from 2018 to 2023, discussing management, midwives' roles, inhibiting factors, supporting factors, and full-text availability. From the search, 300 articles were retrieved, of which 7 were duplicates. Screening based on inclusion criteria yielded 7 articles published in 2020 (2 articles), and 2021 (2 articles),. and 2023 (3 articles), with qualitative design (n=4, 57.2%) and cross-sectional design (n=3, 42.8%). Two articles were from Ghana, while the remaining five were from Uganda, Sri Lanka, Ethiopia, China, and India. Three themes emerged regarding the midwives' role in managing pregnant women with mental health problems and disorders: screening, referral, barriers, and supportive factors. Further research is needed to test the effectiveness of midwives' screening for maternal mental health and to develop and evaluate integrated perinatal mental health service models.


Bante A, Mersha A, Zerdo Z, Wassihun B, Yeheyis T. Comorbid anxiety and depression: Prevalence and associated factors among pregnant women in Arba Minch zuria district, Gamo zone, southern Ethiopia. PLoS One [Internet]. 2021;16(3 March):1–15. Available from: http://dx.doi.org/10.1371/journal.pone.0248331

Wulandari RP, Perwitasari. The Correlation between Maternal Age and Parity and Depressive Symptoms in Pregnancy (The Correlation between Depressive Symptoms with Age and Parity Among Pregnant Women). Midwifery Reprod. 2021;4(2):81–5.

Nuryati T, Amir Y. Mental Health Problems of Pregnant Women, the Causes, and the Need for Social Support. J Biometrics and Population. 2022;11(1):80–8.

Korhonen LS, Karlsson L, Scheinin NM, Korja R, Tolvanen M, Mertsola J, et al. Prenatal Maternal Psychological Distress and Offspring Risk for Recurrent Respiratory Infections. J Pediatr. 2019;208:229-235.e1.

Biaggi A, Conroy S, Pawlby S, Pariante CM. Identifying the women at risk of antenatal anxiety and depression: A systematic review. J Affect Disord. 2016;191:62–77.

Hertati D, Mujahadatuljannah, Rabiatunnisa, Setyoningsih D, Nurhidayati E. Collaborative Care for Perinatal Mental Health: Literature Review. J Surya Med. 2022;8(1):21–8.

Hajifoghaha M, Nahidi F, Alizadeh S,Golezar S, Dabiri F, Mokhlesi SS, et al. Midwives' educational needs in Iran: A narrative review. Iran J Nurs Midwifery Res. 2020;25(1):1–6.

Coates D, Foureur M. The role and competence of midwives in supporting women with mental health concerns during the perinatal period: A scoping review. Health Soc Care Community. 2019;27(4):e389–405.

Andrea C. Tricco Etienne V. LaAndrea C. Tricco Etienne V. Langlois Sharon E. Strausnglois Sharon E. Straus. Rapid Reviews To Strengthen Health Policies And Systems: A Practical Guide. WHO. 2017.

Dehlendorf C, Krajewski C, Borrero S. Contraceptive counseling: Best practices to ensure quality communication and enable effective contraceptive use. Clin Obstet Gynecol. 2014;57(4):659–73.

Lasater ME, Beebe M, Gresh A, Blomberg K, Warren N. Addressing the unmet need for maternal mental health services in low-and middle-income countries: Integrating mental health into maternal health care. Journal of midwifery & women's health. 2017 Nov;62(6):657.

Shanbhag V, Chandra P, Desai G, Bagadia A, Dref M Le, Bhat S. “if They Don't Ask, We Don't Share” - A Qualitative Study on Barriers and Facilitators to Discussing Mental Health with Obstetric Care Providers in Urban Anganwadis among Pregnant Women in India. Indian J Soc Psychiatry [Internet]. 2023;39(3):215–20. Available from: https://api.elsevier.com/content/abstract/scopus_id/85173938815

Nakidde G, Kumakech E, Mugisha JF. Maternal mental health screening and management by health workers in southwestern Uganda: a qualitative analysis of knowledge, practices, and challenges. BMC Pregnancy Childbirth. 2023;23(1):477.

Wyatt S, Ostbye T, Silva V De, Long Q.Antenatal depression in Sri Lanka: a qualitative study of public health midwives' views and practices. Vol. 19, Reproductive health. 2022. p. 23.

Woldetensay YK, Belachew T, Tesfaye M, Spielman K, Biesalski HK, Kantelhardt EJ, et al. Validation of the Patient Health Questionnaire (PHQ-9) as a screening tool for depression in pregnant women: Afaan Oromo version. PLOS One. 2018;13(2):1–15.

Kukreti P, Ransing R, Raghuveer P, Mahdevaiah M, Deshpande S, Kataria D, et al. Stepped care model for developing pathways of screening, referral, and brief intervention for depression in pregnancy: A mixed-method study from development phase. Indian J Soc Psychiatry. 2022;38(1):12–20.

Xiao X, Haixia M, Shening Zhu QL and YC. The perceptions and attitudes of obstetric staff and midwives towards perinatal mental health disorders screening: a qualitative exploratory study in Shenzhen, China. BMC Nurs [Internet]. 2023;22(313):1–10. Available from: https://pubmed.ncbi.nlm.nih.gov/37705010

Adjorlolo S, Aziato L. Barriers to addressing mental health issues in childbearing women in Ghana. Nurs Open. 2020;7(6):1779–86.

Adjorlolo S. Seeking and receiving help for mental health services among pregnant women in Ghana. Vol. 18, PloS one. 2023.

Poreddi V, Gandhi S, Ramachandra, Ganjekar S, Desai G, Chandra PS. Maternal Mental Health: A Baseline Survey of Knowledge, Attitudes and Current Practice among Auxiliary Nurse Midwives. Nurs J India [Internet]. 2021; Available from: https://doi.org/10.48029/nji.2021.cxii201

Bitew T, Keynejad R, Honikman S, Sorsdahl K, Myers B, Fekadu A, et al. Stakeholder perspectives on antenatal depression and the potential for psychological intervention in rural Ethiopia: a qualitative study. BMC Pregnancy Childbirth. 2020;20:1–11.



How to Cite

Rohani, R., & Pratiwi, C. S. (2024). Midwives’ Role in Managing Pregnant Women with Mental Health Issues and Disorders in Developing Countries: A Rapid Review. Poltekita : Jurnal Ilmu Kesehatan, 17(4), 1332–1343. https://doi.org/10.33860/jik.v17i4.3570



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