Intimate examinations are a routine yet sensitive aspect of midwifery care, involving assessments of the breasts, abdomen, and vagina during pregnancy, labour, postnatal care, and gynaecological screenings. These procedures can evoke significant discomfort, particularly among first-time mothers, if not conducted with empathy and clear communication. Psychosocial concerns during pregnancy are often neglected, despite their impact on maternal well-being. Holistic perinatal care—which integrates physical, emotional, psychological, social, and spiritual support—is crucial. It necessitates a strong emphasis on consent and respectful communication. Addressing psychological needs is essential, as overlooking them contradicts the principles of comprehensive, person-centred care. In response to this need, guidelines were developed for conducting intimate examinations within a South African midwifery context, focusing on holistic and respectful care practices.

The development of these guidelines followed a four-phase methodology: an integrative literature review; semi-structured telephone interviews with postnatal women; a nominal group technique with midwives and specialists; and a Delphi study with local and international maternal and neonatal experts. Eight key guidelines were established: (1) improving professional communication during intimate examinations, (2) adhering to ethical and legal standards, (3) creating supportive physical collaborative effort with scholars from other African countries, showcasing her commitment to regional academic collaboration. She was also nominated to represent South Africa in the African Healthcare Professional Leadership Program for Nursing Educators. In addition to her academic work, she spearheaded a community outreach initiative to encourage early antenatal care attendance—before 20 weeks of environments, (4) strengthening staff training and competency in holistic care, (5) recognising and accommodating individual needs, (6) enhancing quality in intimate care practices, (7) offering social and psychological support, and (8) ensuring management support for holistic care delivery.

In conclusion, intimate examinations can trigger fear and embarrassment, often stemming from concerns about privacy or past trauma. To reduce distress and enhance the patient experience, midwives must provide psychosocial support and conduct examinations with sensitivity and care. Training and awareness in this area are critical for fostering trust and comfort, thereby promoting a more dignified and holistic approach to perinatal care.