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Midwives' decision making during normal labour and birth: a decision making framework.
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- Author(s): Jackson, Karen
- Source:
British Journal of Midwifery; Nov2022, Vol. 30 Issue 11, p615-625, 11p- Subject Terms:
MATERNAL health services; MIDWIVES; RESEARCH; ACADEMIC medical centers; FOCUS groups; ATTITUDES of medical personnel; INTERVIEWING; VAGINA; CONCEPTUAL structures; PSYCHOSOCIAL factors; DECISION making; CASE studies; LABOR (Obstetrics); DELIVERY (Obstetrics); DECISION making in clinical medicine; JUDGMENT sampling; THEMATIC analysis - Source:
- Additional Information
- Subject Terms:
- Abstract: Background/Aims: Understanding how midwives make decisions and what influences those decisions during labour and birth might illuminate why childbirth is straightforward for some women but needs a more interventionist route for others. The aim of this study was to explore midwifery decision-making during normal labour and birth. Methods: An interpretivist epistemology with a case-study approach was used for this study, which involved data collection at two case sites. The participants were midwives on duty at two labour suites of large regional teaching hospitals in the East Midlands. Focus group interviews, observations, diary keeping and documentary reviews were included. Results: There were five main themes. The central theme was 'the hybrid midwife'. Within this theme, midwives were found to be operating in dualistic belief systems. They were operating between woman-centred, intuitive philosophies and associated decision-making approaches, and organisation-centred, hypothetico-deductive philosophies and related decision-making strategies. From the literature review and study findings, the situated, dynamic midwifery decision-making framework 'focus on straightforward labour and birth' was developed to assist in midwifery decision-making. Conclusions: Decision-making in normal labour and birth is a complex phenomenon, influenced by many factors. Midwives have to balance decision-making strategies that are appropriate for childbearing women across all risk categories. However, they do not always appear to be fully prepared for the reality of decision-making in clinical practice. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of British Journal of Midwifery is the property of Mark Allen Holdings Limited and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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