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Midwives’ Care on a Labour Ward Prior to the Introduction of a Midwifery Model of Care: A Field of Tension
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.ORCID iD: 0000-0002-3195-5702
Department of Midwifery, School of Health Sciences, University of Iceland.
Sahlgrenska Academy, Institute of Health and Care Sciences, University of Gothenburg.
Sahlgrenska Academy, Institute of Health and Care Sciences, University of Gothenburg.
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2019 (English)In: International Journal of Qualitative Studies on Health and Well-being, Vol. 14, article id 1593037Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2019. Vol. 14, article id 1593037
Keywords [en]
Midwifery, women, models of care, experiences, childbirth, ethnography, culture, woman-centred, work place
National Category
Medical and Health Sciences
Research subject
Människan i vården
Identifiers
URN: urn:nbn:se:hb:diva-22322DOI: 10.1080/17482631.2019.1593037ISI: 000462776700001Scopus ID: 2-s2.0-85063620147OAI: oai:DiVA.org:hb-22322DiVA, id: diva2:1381443
Available from: 2019-12-20 Created: 2019-12-20 Last updated: 2020-01-10Bibliographically approved

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Nilsson, Christina

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