La Trobe
1193118_Holmlund,S_2022.pdf (450.71 kB)
Download file

Vietnamese midwives' experiences of working in maternity care – A qualitative study in the Hanoi region

Download (450.71 kB)
journal contribution
posted on 20.09.2022, 02:08 authored by Ida HolmlundIda Holmlund, PT Lan, Margit EdvardssonMargit Edvardsson, J Ntaganira, S Graner, Rhonda SmallRhonda Small, Ingrid MogrenIngrid Mogren
Objective: This study aimed to explore Vietnamese midwives’ experiences of working in maternity care. Methods: A descriptive qualitative study was undertaken, which involved four focus group discussions with midwives (n = 25) working at three different hospitals in urban, semi-urban and rural parts of Hanoi region, Vietnam. Data were analysed using qualitative content analysis. Results: The overall theme, “Practising midwifery requires commitment” showed that Vietnamese midwives’ dedication to their work and to women's reproductive health helped them to cope with stress, pressure and negative aspects of their work environment. In the first category “Being the central link in the web of care”, midwives described themselves as having a key role in maternity care although collaborations with other health professions were important. In the second category “Rewarding role but also vulnerable position”, positive aspects of midwifery were expressed although the great pressure of the work midwives do was prominent. High workload, patients’ demands, and being negatively exposed and vulnerable, when adverse events occurred, were reported. In the third category “Morally challenging tasks”, ultrasound examinations to reveal fetal sex and working with abortion services were described as emotionally stressful. Conclusions: Although participating Vietnamese midwives experienced midwifery as essentially positive, they felt exposed to significant workload pressure, ethically highly demanding work and being blamed when adverse obstetric events occurred. Public health interventions to inform Vietnamese citizens about reproductive issues, as well as specific antenatal education measures may increase the understanding of evidence-based maternity care and complications that can occur during pregnancy and birth.


This study was funded by Umea University, Sweden, Vasterbotten County Council, Sweden and The Swedish Research Council, Sweden (2014-2672).


Publication Date



Sexual and Reproductive Healthcare



Article Number








Rights Statement

© 2022 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY license (

Usage metrics