The overuse of intrapartum cardiotocography (CTG) for low-risk women:An actor-network theory analysis of data from focus groups
| Autor: | Ingrid Jepsen, Ellen Blix, Helen Cooke, Stine W. Adrian, Robyn Maude |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Cardiotocography
Low risk pregnancies Parturition Intermittent Auscultation (IA) Obstetrics and Gynecology CTG Focus Groups Midwifery Actor-network theories Midwives Intermittent auscultation Cardiotocograph (CTG) Pregnancy Childbirth Maternity and Midwifery Actor-network theory (ANT) Humans Female Maternal Health Services |
| Zdroj: | Jepsen, I, Blix, E, Cooke, H, Adrian, S W & Maude, R 2022, ' The overuse of intrapartum cardiotocography (CTG) for low-risk women : An actor-network theory analysis of data from focus groups ', Women and Birth, vol. 35, no. 6, pp. 593-601 . https://doi.org/10.1016/j.wombi.2022.01.003 Women and Birth |
| DOI: | 10.1016/j.wombi.2022.01.003 |
| Popis: | Background: There is an overuse of cardiotocography for intrapartum fetal monitoring for low-risk women in high-income countries, despite recommendations from evidence-based guidelines. Aim: To understand why midwives use cardiotocography for low-risk women despite evidence-based recommendations and to understand the roles of the cardiotocograph machine. Method: This qualitative study used focus groups for data collection. Thirty-one midwives and three student midwives participated from four different countries: New Zealand, Australia, Denmark, and Norway. Constant comparative analysis, informed by an actor-network theory framework, was the method of data analysis. Findings: Cardiotocography was multifaceted and influenced all attendants in the birth environment. The cardiotocograph itself is assigned different roles within the complex networks surrounding childbirth. The cardiotocograph's roles were as a babysitter, the midwives’ partner, an agent of shared responsibility, a protector that ‘covers your back’, a disturber of normal birth, and a requested guest. Discussion: The application of the actor-network theory enabled us to understand how midwives perceive cardiotocography. The assigned roles of the cardiotocograph shape its everyday use more than evidence-based guidelines. Discussion of these inconsistencies must inform the use of cardiotocography in the care of women with low-risk pregnancies. Conclusion: We found that the cardiotocograph is a multifaceted actant that influences practice by performing different roles. Drawing on this study, we suggest that actor-network theory could be a helpful theoretical perspective to critically reflect upon the increasing use of technologies within maternity care. |
| Databáze: | OpenAIRE |
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