Academic Journal
Midwives’ care on a labour ward prior to the introduction of a midwifery model of care: a field of tension
| Title: | Midwives’ care on a labour ward prior to the introduction of a midwifery model of care: a field of tension |
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| Authors: | Christina Nilsson, Olof Asta Olafsdottir, Ingela Lundgren, Marie Berg, Lisen Dellenborg |
| Source: | International Journal of Qualitative Studies on Health & Well-Being, Vol 14, Iss 1 (2019) |
| Publisher Information: | Taylor & Francis Group, 2019. |
| Publication Year: | 2019 |
| Collection: | LCC:Medicine (General) |
| Subject Terms: | midwifery, women, models of care, experiences, childbirth, ethnography, culture, woman-centred, work place, Medicine (General), R5-920 |
| More Details: | Purpose: There is a need to deepen knowledge about midwives’ care in obstetric-led labour wards in which midwives are responsible for normal births. This ethnographic study explores the content and meaning of midwives’ care of women in a hospital-based labour ward in Sweden prior to the introduction of a theoretical midwifery model of care. Methods: Data were gathered through participant observation, analysed through interpretation grounded in reflexivity discussions and are presented in the form of ethnographic descriptions. Results: The midwives’ care was provided in a field of tension in which they had to balance contrasting models of care, described in the themes: The birthing rooms and the office—Different rooms of care, Women giving birth or being delivered—Midwives’ expectations and relationships with women, Old and new caring roles of the midwife—Women giving birth in a “new age”, Being and doing—Different approaches to caring, and Holistic and reductionist care—Guided by contrasting models and guidelines. The midwives’ freedom to act as autonomous professionals was hindered by medical and institutional models of care and this led to uncertainty regarding their roles as midwives. Conclusions: Midwives having to balance their activities in a field of tension require midwifery models that can guide their practice. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 1748-2623 1748-2631 17482631 |
| Relation: | https://doaj.org/toc/1748-2623; https://doaj.org/toc/1748-2631 |
| DOI: | 10.1080/17482631.2019.1593037 |
| Access URL: | https://doaj.org/article/8bbdda2ebf1a4c7597634f161daf1503 |
| Accession Number: | edsdoj.8bbdda2ebf1a4c7597634f161daf1503 |
| Database: | Directory of Open Access Journals |
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| ISSN: | 17482623 17482631 |
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| DOI: | 10.1080/17482631.2019.1593037 |
| Published in: | International Journal of Qualitative Studies on Health & Well-Being |
| Language: | English |