Mastering Midwifery Competencies: Impact of the M.I.D.W.I.F.E. Program on the Knowledge, Clinical Confidence, and Performance of Midwives

Background: Midwives play a central role in maternal and newborn outcomes, yet many face gaps in clinical competence and confidence because of limited training. Method: This quasi-experimental study evaluated the Mastering Integrated Development for Women's and Infants' Focused Excellence (M.I.D.W.I.F.E.) program. A total of 32 midwives were randomly assigned to either an intervention group or a control group. The intervention included interactive lectures, simulation-based learning, and a supervised clinical practicum. Outcomes (knowledge, clinical competency, and confidence) were assessed at baseline, posttraining, and at 3-month follow-up with validated tools. Results: The intervention group showed significant improvements in knowledge (from 80.19% to 86.88%, p < .001, Cohen's d = 2.8), clinical competency (91.3% vs. 81.4%, p < .001, d = 3.7), and confidence across all domains ( p < .001, d > 2.0). Confidence gains were sustained at follow-up. Conclusion: The M.I.D.W.I.F.E. program effectively enhanced knowledge, skills, and confidence. Structured, simulation-based training with supervised practice holds promise for improving the quality of midwifery care.