Understanding how midwives employed by the National Health Service facilitate women’s alternative birthing choices: Findings from a feminist pragmatist study
| Autor: | Soo Downe, Claire Lauren Feeley, Gillian Thomson |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
Pragmatism Health Knowledge Attitudes Practice Epidemiology Economics Nurse Midwives Maternal Health Social Sciences B720 Geographical locations Patient Care Planning Midwives Labor and Delivery Cognition Pregnancy Surveys and Questionnaires Medicine and Health Sciences Childbirth Psychology Medical Personnel media_common Home Childbirth Multidisciplinary Obstetrics and Gynecology Middle Aged Europe Professions England Medicine Female Autonomy Research Article Employment Adult Science media_common.quotation_subject Decision Making Public policy Legislation Sample (statistics) Midwifery Birthing Centers Feminism Young Adult Nursing Humans Narrative European Union Natural Childbirth B790 Cognitive Psychology Biology and Life Sciences Delivery Obstetric United Kingdom Snowball sampling Medical Risk Factors Labor Economics People and Places Birth Women's Health Cognitive Science Population Groupings Delivery of Health Care Neuroscience |
| Zdroj: | PLoS ONE PLoS ONE, Vol 15, Iss 11, p e0242508 (2020) |
| ISSN: | 1932-6203 |
| Popis: | UK legislation and government policy favour women’s rights to bodily autonomy and active involvement in childbirth decision-making including the right to decline recommendations of care/treatment. However, evidence suggests that both women and maternity professionals can face challenges enacting decisions outside of sociocultural norms. This study explored how NHS midwives facilitated women’s alternative physiological birthing choices–defined in this study as‘birth choices that go outside of local/national maternity guidelines or when women decline recommended treatment of care,in the pursuit of a physiological birth’. The study was underpinned by a feminist pragmatist theoretical framework and narrative methodology was used to collect professional stories of practice via self-written narratives and interviews. Through purposive and snowball sampling, a diverse sample in terms of age, years of experience, workplace settings and model of care they operated within, 45 NHS midwives from across the UK were recruited. Data were analysed using narrative thematic that generated four themes that described midwives’ processes of facilitating women’s alternative physiological births: 1. Relationship building, 2. Processes of support and facilitation, 3. Behind the scenes, 4. Birth facilitation. Collectively, the midwives were involved in a wide range of alternative birth choices across all birth settings. Fundamental to their practice was the development of mutually trusting relationships with the women which were strongly asserted a key component of safe care. The participants highlighted a wide range of personal and advanced clinical skills which was framed within an inherent desire to meet the women’s needs. Capturing what has been successfully achieved within institutionalised settings, specifically how, maternity providers may benefit from the findings of this study. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|