A systematic review of key principles relating to decolonising interventions in midwifery education.

Thomas, Sheridan; Allan, Georgia; Heaslip, Vanessa; Furber, Christine

Abstract

Midwifery education is predominantly influenced by Eurocentric models, contributing to systemic health inequalities for marginalised groups. The health disparities for ethnically diverse maternity service users are well documented. There are various decolonising interventions such as cultural safety education, being implemented to address these disparities by challenging colonial legacies and power imbalances that perpetuate health inequity. What are the key principles of decolonising interventions in midwifery education, that can be applied to midwifery education on a global scale? This study follows a systematic literature review based on the PRISMA guidelines. Data were sourced from six databases, evaluating peer-reviewed articles between February 2014 and February 2024. The PICO framework guided the research. A thematic synthesis approach was used for data analysis. Four major themes emerged: (1) centring Indigenous knowledge, (2) cultural safety, (3) transformative learning, and (4) systemic institutional support. Workshops, yarning circles, and experiential placements were identified as effective mechanisms for promoting cultural safety and addressing discomfort. However, educators often lacked the skills and confidence to implement these changes. Decolonising midwifery education requires ongoing reflexivity, institutional support, and curricula co-design with Indigenous communities. Barriers such as discomfort from participants and inadequate institutional structures must be addressed to ensure long-term impact. Decolonising interventions in midwifery education fosters culturally safe care. However, further research is needed to assess the long-term outcomes on health equity and the impact of such interventions on marginalised communities. [Abstract copyright: Copyright © 2025 The Authors. Published by Elsevier Ltd.. All rights reserved.]

• Journal Article Type: Article
• Acceptance Date: Jan 7, 2025
• Online Publication Date: Feb 1, 2025
• Publication Date: 2025-03
• Deposit Date: Feb 5, 2025
• Publicly Available Date: Feb 5, 2025
• Journal: Women and birth : journal of the Australian College of Midwives
• Print ISSN: 1871-5192
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 38
• Issue: 2
• Article Number: 101869
• Pages: 101869
• DOI: https://doi.org/10.1016/j.wombi.2025.101869
• Keywords: Health equity, Decolonisation, Cultural safety, Midwifery education