Tailoring midwifery care to women's needs in early labour: The cultivation of relational care in free-standing birth centres

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2024-10-02 DOI:10.1016/j.midw.2024.104202

Nancy I. Stone , Gill Thomson , Dorothea Tegethoff

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引用次数: 0

Abstract

Aim

To understand and interpret the lived experience of newly qualified midwives in their first year in a free standing birth centre caring for women in early labour.

Background

Women who present in hospital labour wards in early labour are encouraged by hospital staff to go home. This leaves women to navigate early labour without professional care, leaving them on their own to manage the transition from early to active labour. However, some women request care for this transition.

Design

This is a Heideggerian hermeneutic phenomenology study.

Methods

Three unstructured interviews were conducted with 15 newly qualified midwives in their first year working in a free-standing birth centre. This paper focuses on the research participants’ lived experience offering care to women in early labour. The study was conducted from 2021-2024.

Findings

Three themes were revealed in analysis: “Paving the way into labour”: Tailoring care to women's needs in early labour; “Perhaps it was intuition.”: Experiencing deeper knowing as a newly qualified midwife; and “She locked the door and wouldn't let me in.”: Navigating uncomfortable situations in early labour.

Conclusions

The lived experience of newly qualified midwives offering care in early labour shows potential for midwives to build trusting relationships with women in this phase.

Relevance to clinical practice

Prioritizing relational care over interventions in early labor can enhance trust and confidence between midwives and birthing women, particularly in settings where policies discourage early admissions.

Issue

Women presenting in hospital labour wards in early labour who are sent home are often discouraged, feeling that their concerns and embodied experiences have not been heard.

What is already known

When labouring women are admitted to hospitals in early labour, they are prone to receive a cascade of interventions.

What this paper adds

When newly qualified midwives began working in free-standing birth centres, they acquired skills and knowledge to accompany women in early labour who requested care. Relational care in early labour builds women's trust in their ability to give birth and does not rely on interventions to augment labour.

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根据早产妇女的需求量身定制助产护理：在独立的分娩中心培养亲情护理

目的了解并解释新获得助产士资格的助产士第一年在独立的分娩中心照顾早产妇女的生活经历。背景在医院产房分娩的早产妇女在医院工作人员的鼓励下回家。这使得产妇在没有专业护理的情况下进行早产，只能靠自己处理从早产到活跃产程的过渡。本文是一项海德格尔诠释学现象学研究。方法对 15 名新获得助产士资格的助产士进行了三次非结构化访谈，这些助产士第一年在一家独立的分娩中心工作。本文重点关注研究参与者为早产妇女提供护理的生活经验。研究时间为 2021 年至 2024 年。研究结果通过分析发现了三个主题："为分娩铺平道路"：根据早产妇女的需求提供护理；"也许是直觉"：作为一名新晋助产士，体验更深层次的认知；以及 "她把门锁上，不让我进去"：结论新晋助产士在早产期提供护理的生活经验表明，助产士在这一阶段与产妇建立信任关系是有潜力的。对临床实践的意义在早产期优先考虑关系护理而非干预，可以增强助产士与分娩妇女之间的信任和信心，尤其是在政策不鼓励提前入院的情况下。本文补充当新晋助产士开始在独立的分娩中心工作时，她们掌握了陪伴要求护理的早产妇女的技能和知识。早产期的亲情护理使产妇对自己的分娩能力产生信任，并且不依赖于干预措施来增加产程。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.