Exploring Midwives’ Lived Experience and Competence in Low-Dose Aspirin Prophylaxis for Preeclampsia Prevention

This study aimed to explore midwives’ lived experiences and clinical competence in implementing low-dose aspirin prophylaxis for preeclampsia prevention. A qualitative phenomenological design was employed to capture the subjective meanings and decision-making processes underlying midwives’ clinical practice. Data were collected through in-depth semi-structured interviews and contextual observations involving eight midwives working in primary healthcare facilities in Jember Regency, Indonesia. Data were analyzed using interpretative thematic analysis. The findings indicate that midwives’ competence is shaped through the interaction of clinical experience, knowledge of aspirin pharmacology, risk screening skills, and communication abilities. Variations in implementation were influenced by professional experience, access to training, interprofessional support, and organizational context. Midwives’ lived experiences evolved from initial uncertainty toward greater confidence through reflective practice and observed positive outcomes. Strengthening experiential learning, system support, and continuous professional development is essential to optimize low-dose aspirin prophylaxis for preeclampsia prevention