Global Prevalence of Burnout Among Midwives and the Protective Role of Social Support, Coping Strategies and Continuity-of-Care Models: A Systematic Review and Meta-Analysis

Ni Putu Intan Saraswati; Menap; Lalu Abdul Khalik

doi:10.55681/armada.v4i9.4162

Authors

Ni Putu Intan Saraswati Master Programme in Health Administration, Faculty of Health, Universitas Qamarul Huda Badaruddin, Central Lombok Regency, West Nusa Tenggara, Indonesia
Menap Master Programme in Health Administration, Faculty of Health, Universitas Qamarul Huda Badaruddin, Central Lombok Regency, West Nusa Tenggara, Indonesia
Lalu Abdul Khalik Master Programme in Health Administration, Faculty of Health, Universitas Qamarul Huda Badaruddin, Central Lombok Regency, West Nusa Tenggara, Indonesia

DOI:

https://doi.org/10.55681/armada.v4i9.4162

Keywords:

Burnout, Professional, Midwives, Workload, Social Support, Coping Strategies, Meta-Analysis

Abstract

Midwives experience high occupational demands, increasing their risk of burnout, which may affect professional well-being and workforce sustainability amid the global shortage of midwives. This study aimed to estimate the pooled prevalence of personal burnout, work-related burnout, and client-related burnout among practising midwives using the Copenhagen Burnout Inventory (CBI), and to identify protective factors associated with burnout. A systematic review and meta-analysis were conducted following PRISMA 2020 guidelines through searches of PubMed, Scopus, ScienceDirect, Google Scholar, and Garuda up to 8 July 2026. Eight studies comprising 11 independent samples involving 5,472 midwives were analysed using a random-effects model. The pooled prevalence was 54.8% for personal burnout, 44.4% for work-related burnout, and 12.0% for client-related burnout. Social support, problem-focused coping, and continuity-of-midwifery-carer models were associated with lower burnout levels. These findings highlight the need for organisational interventions and workforce policies to improve midwives’ well-being and long-term professional retention in healthcare systems.

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