Intrapartum uncertainty: A feature of normal birth, as experienced by midwives in Scotland.
Objective: to explore midwives' perceptions of intrapartum uncertainty when caring for women in low risk labour. Design: a grounded theory approach was used to capture the experiences of midwives practising in Scotland. Data were generated through unstructured in-depth one-to-one interviews and focu...
| Publicado en: | Midwifery Vol. 30; no. 1; pp. 28 - 36 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104124970&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104124970 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02666138 8IR jtl: Midwifery issn: 02666138 maglogo: N pubinfo: dt: 2014 vid: 30 iid: 1 pid: 82545 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 104124970 92877557 10.1016/j.midw.2013.01.012 NLM23453698 104124970 ppf: 28 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Intrapartum uncertainty: A feature of normal birth, as experienced by midwives in Scotland. aug: au: Page, Miranda Mander, Rosemary affil: NMAHP Research Unit, Iris Murdoch Building, University of Stirling, Stirling, FK9 4LA, UK sug: subj: Uncertainty Intrapartum Care Midwives Childbirth Management of Labor Human Scotland Pregnancy Female Grounded Theory Interviews Focus Groups Thematic Analysis Female ab: Objective: to explore midwives' perceptions of intrapartum uncertainty when caring for women in low risk labour. Design: a grounded theory approach was used to capture the experiences of midwives practising in Scotland. Data were generated through unstructured in-depth one-to-one interviews and focus groups. Setting: four Health Boards in Scotland. Participants: 19 midwives, practising in a range of maternity settings, participated in the study. The maternity settings included; obstetric led labour wards, along-side maternity units, stand-alone community maternity units, and community and independent practice. They also had a mixture of clinical experience, ranging from one to 20 years in practice. Findings: Three categories emerged from the analysis, intrapartum uncertainty, the normality boundary and threshold pressures. Recognising the point at which a labour deviates away from normal constitutes 'intrapartum uncertainty'. In these situations midwives develop a normality boundary that shape their clinical judgements and decisions. The boundary becomes the limit, edge or border of what they accept as normal in a labour. Therefore if midwives tolerate intrapartum uncertainty they are more likely to construct labours as normal, than midwives with a lower tolerance of uncertainty. This can be mediated by threshold pressures that expand or contract their definitions of normality. So that supportive environments and good relationships with women enable midwives to tolerate uncertainty and thus maintain normality. Implications for practice: the reemphasise on midwifery practice as a means of supporting normal birth has been promoted as a way of 'demedicalising' birth for low risk women. However to maintain normality midwives need to understand the impact uncertainty has on their decision making. Supporting midwives to tolerate uncertainty, either at unit or national level, will expand definitions of normality so that birth can remain natural and dynamic. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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