Abstract
Problem
Collaboration between midwives and obstetricians is insufficiently developed in Swiss and other healthcare systems.
Background
Collaboration in maternity care impacts birth outcomes. Previous studies have focused on determinants of collaboration, but it remains unclear how to promote interprofessional birthing care.
Aim
This study aimed to identify strategies for enhancing collaboration between midwives and obstetricians.
Methods
We conducted a qualitative content analysis study with midwives and obstetricians in three acute care hospitals in the German-speaking part of Switzerland. Data were collected through focus group interviews and analysed using inductive content analysis following Graneheim and Lundman.
Findings
Eleven midwives and nine obstetricians participated. Three strategies with seven categories emerged that might enhance collaboration between midwives and obstetricians on Swiss labour wards: (1) getting to know each other, (2) building trustful relationships, and (3) creating safe practice environments for collaborative practice.
Discussion
The findings highlight the need to promote early mutual understanding of professional roles, responsibilities, and care philosophies. Trust-building through open communication and shared decision-making was considered vital for effective collaboration. Early and ongoing joint opportunities for education, training, and professional development is required. Systemic, structural support is necessary, including shared workflow, established, interprofessional communication structures, and leadership that fosters psychological safety. Organisational commitment is essential to embedding collaboration in practice.
Conclusion
Enhancing collaboration in maternity care requires a multi-level approach. Efforts should focus on interprofessional learning, mutual understanding of roles, trust-building practices, and supportive institutional structures. Leadership that models inclusive behaviours and reduces perceived hierarchies is key to strengthening collaboration.