2025, Vol. 8, Issue 1, Part A

This cross-sectional study utilized a mixed-methods design. Data were collected from 80 registered midwives through structured questionnaires and semi-structured interviews. Quantitative data were analyzed using SPSS 25.0 to determine statistical associations between perception scores and demographic or institutional variables. Thematic analysis was conducted for qualitative data to identify emerging patterns and underlying factors shaping practice behavior.

Findings revealed that a majority of the participants exhibited favorable perceptions of EBIC, recognizing its relevance in enhancing maternal and neonatal health. However, discrepancies were observed between their stated perceptions and the actual implementation of evidence-based protocols. Barriers included inadequate access to updated guidelines, high patient loads, limited decision-making autonomy, and inconsistent institutional support.

The study concludes that while midwives in Sri Lanka are theoretically aligned with the principles of EBIC, practical constraints hinder full-scale adoption. Recommendations include regular training, resource availability, evidence-based protocol integration, and institutional empowerment strategies.