CONFERENCE PROCEEDING
Evaluation of Greek midwives’ knowledge of child maltreatment and the effectiveness of an educational intervention
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1
Department of Midwifery Science, School of Health Sciences, International Hellenic University, Thessaloniki, Greece
2
Department of Computer Science and Biomedical Informatics, School of Sciences, University of
Thessaly, Lamia, Greece
3
School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
4
Department of Midwifery, School of Health and Care Sciences, West Attica University, Athens, Greece
Publication date: 2025-10-24
Eur J Midwifery 2025;9(Supplement 1):A37
ABSTRACT
Abstract Overview:
Child maltreatment is a critical global issue with detrimental impacts on both
physical and mental health, affecting approximately 400 million children worldwide. Despite
midwives' unique position in safeguarding children, studies indicate that they often
lack the necessary knowledge to identify the signs and risks of child abuse, thereby limiting
their effectiveness in this role.
Aims and Objectives:
This study aimed to determine Greek midwivesâ€TM knowledge regarding child abuse and
neglect (CAN) and to evaluate the effectiveness of a targeted training intervention designed to
improve their ability to recognize symptoms and risks associated with child maltreatment.
Methods:
A total of 493 Greek registered midwives participated in the study. Sociodemographic data
were collected alongside responses to the Scale for the Identification and Risks of Child
Abuse and Neglect (SISRCAN), a tool used to measure midwives’ understanding of CAN. A 2-
hour training program on child abuse and neglect was subsequently delivered to 96
midwives. Data collection occurred at three intervals: prior to the intervention, immediately
after, and six months later.
Results:
The mean SISRCAN score increased significantly from 242.80 (±26.65) before the intervention
to 291.23 (±23.26) immediately post-intervention (p < 0.001). Although there was a decline to
277.79 (±26.81) at the six-month follow-up, the score remained significantly higher than the
baseline (p < 0.001). Notably, a significant difference between the immediate post-
intervention and the six-month scores (p < 0.001) suggests a partial loss of the acquired
knowledge over time.
Conclusion:
The educational intervention effectively enhanced Greek midwives’ knowledge in diagnosing
the symptoms and risks of CAN. To sustain these improvements and strengthen child
safeguarding practices, it is imperative that comprehensive training on child abuse and
neglect be integrated into both undergraduate and postgraduate midwifery education. Health
policymakers should prioritize such educational initiatives to empower midwives in their
critical role as child protectors.