BACKGROUND:
Pacific lead maternity carer (LMC) midwives in Aotearoa New Zealand are central to providing culturally safe continuity of care (COC). However, as an underrepresented workforce, they are often asked to shoulder disproportionate workloads. Navigating roles as healthcare providers, cultural custodians, and family members, Pacific midwives work within systems that frequently lack adequate cultural and structural support, placing pressure on their wellbeing and that of their families.

OBJECTIVES:
This doctoral research explores the impact of LMC practice on the wellbeing of Pacific midwives, focusing on how they navigate intersecting professional, familial, and cultural responsibilities.

METHODS:
Guided by the Fijian framework Tanoa Ni Veiqaravi, and employing Veivosaki Yaga as a methodology and method, in-depth face-to-face conversations were held with ten Pacific LMC midwives and their families in 2024-2025. Reflexive thematic analysis, grounded in Pacific values of relationality, reciprocity, and collectivism, highlighted both systemic challenges and culturally rooted strategies of resilience and support.

RESULTS:
Preliminary findings highlight the deep commitment Pacific midwives bring to their work and communities. This dedication enables them to navigate the complexities of COC, while also revealing the significant personal and structural demands involved. Their practice, grounded in cultural values, contributes meaningfully to both Pacific communities and the broader maternity system - yet this value remains under-recognised within mainstream structures. Families emerge as key supporters, expressing pride and a strong sense of collective ownership in the purpose and impact of midwifery.

CONCLUSIONS:
Pacific LMC midwives uphold a model of care grounded in cultural connection and community commitment. However, their wellbeing can be compromised by structural inequities and the cumulative pressures of multiple roles. Supporting this vital workforce requires recognition of the relational nature of Pacific wellbeing, and the implementation of Pacific-led, family-inclusive, and culturally grounded solutions.

KEY MESSAGE:
Supporting Pacific midwives’ wellbeing requires Pacific-led solutions rooted in collective care and connection to family and community. Poster session 1 (Group A)