Exploring Professional Support Offered by Midwives during Labour: An Observation and Interview Study

Support in labour has an impact on the childbirth experience as well as on childbirth outcomes. Both social and professional support is needed. The aim of this study was to explore professional support offered by midwives during labour in relation to the supportive needs of the childbearing woman an...

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Main Authors: Stina Thorstensson, Anette Ekström, Ingela Lundgren, Elisabeth Hertfelt Wahn
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Nursing Research and Practice
Online Access:http://dx.doi.org/10.1155/2012/648405
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author Stina Thorstensson
Anette Ekström
Ingela Lundgren
Elisabeth Hertfelt Wahn
author_facet Stina Thorstensson
Anette Ekström
Ingela Lundgren
Elisabeth Hertfelt Wahn
author_sort Stina Thorstensson
collection DOAJ
description Support in labour has an impact on the childbirth experience as well as on childbirth outcomes. Both social and professional support is needed. The aim of this study was to explore professional support offered by midwives during labour in relation to the supportive needs of the childbearing woman and her partner. The study used a qualitative, inductive design using triangulation, with observation followed by interviews. Seven midwives were observed when caring for seven women/couples in labour. After the observations, individual interviews with midwives, women, and their partners were conducted. Data were analysed using hermeneutical text interpretation. The results are presented with three themes. (1) Support as a professional task seems unclear and less well defined than medical controls. (2) Midwives and parents express somewhat different supportive ideas about how to create a sense of security. (3) Partner and midwife interact in support of the childbearing woman. The main interpretation shows that midwives' supportive role during labour could be understood as them mainly adopting the “with institution” ideology in contrast to the “with woman” ideology. This may increase the risk of childbearing women and their partners perceiving lack of support during labour. There is a need to increase efficiency by providing support for professionals to adopt the “with woman” ideology.
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institution Kabale University
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spelling doaj-art-a99ebf6119e54d1f9eab4582ef66d7872025-02-03T01:01:57ZengWileyNursing Research and Practice2090-14292090-14372012-01-01201210.1155/2012/648405648405Exploring Professional Support Offered by Midwives during Labour: An Observation and Interview StudyStina Thorstensson0Anette Ekström1Ingela Lundgren2Elisabeth Hertfelt Wahn3School of Life Sciences, University of Skövde, P.O. Box 408, 54128 Skövde, SwedenSchool of Life Sciences, University of Skövde, P.O. Box 408, 54128 Skövde, SwedenInstitute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, P.O. Box 457, 40530 Gothenburg, SwedenSchool of Life Sciences, University of Skövde, P.O. Box 408, 54128 Skövde, SwedenSupport in labour has an impact on the childbirth experience as well as on childbirth outcomes. Both social and professional support is needed. The aim of this study was to explore professional support offered by midwives during labour in relation to the supportive needs of the childbearing woman and her partner. The study used a qualitative, inductive design using triangulation, with observation followed by interviews. Seven midwives were observed when caring for seven women/couples in labour. After the observations, individual interviews with midwives, women, and their partners were conducted. Data were analysed using hermeneutical text interpretation. The results are presented with three themes. (1) Support as a professional task seems unclear and less well defined than medical controls. (2) Midwives and parents express somewhat different supportive ideas about how to create a sense of security. (3) Partner and midwife interact in support of the childbearing woman. The main interpretation shows that midwives' supportive role during labour could be understood as them mainly adopting the “with institution” ideology in contrast to the “with woman” ideology. This may increase the risk of childbearing women and their partners perceiving lack of support during labour. There is a need to increase efficiency by providing support for professionals to adopt the “with woman” ideology.http://dx.doi.org/10.1155/2012/648405
spellingShingle Stina Thorstensson
Anette Ekström
Ingela Lundgren
Elisabeth Hertfelt Wahn
Exploring Professional Support Offered by Midwives during Labour: An Observation and Interview Study
Nursing Research and Practice
title Exploring Professional Support Offered by Midwives during Labour: An Observation and Interview Study
title_full Exploring Professional Support Offered by Midwives during Labour: An Observation and Interview Study
title_fullStr Exploring Professional Support Offered by Midwives during Labour: An Observation and Interview Study
title_full_unstemmed Exploring Professional Support Offered by Midwives during Labour: An Observation and Interview Study
title_short Exploring Professional Support Offered by Midwives during Labour: An Observation and Interview Study
title_sort exploring professional support offered by midwives during labour an observation and interview study
url http://dx.doi.org/10.1155/2012/648405
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AT ingelalundgren exploringprofessionalsupportofferedbymidwivesduringlabouranobservationandinterviewstudy
AT elisabethhertfeltwahn exploringprofessionalsupportofferedbymidwivesduringlabouranobservationandinterviewstudy