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

机译:在劳动期间探索助产士提供的专业支持:观察和面试学习

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摘要

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.
机译:劳动力的支持对分娩经验以及分娩结果产生了影响。需要社会和专业支持。本研究的目的是探讨助产人士在劳动期间提供的专业支持,与生育妇女和她的伴侣的支持需求有关。该研究使用了三角测量的定性,电感设计,观察后接受了面试。在关心七名女性/夫妇的劳动中时,观察了七个助产士。在观察结束后,进行了与助产士,妇女和合作伙伴的个人访谈。使用诠释学文本解释进行分析数据。结果有三个主题。 (1)支持作为专业任务的支持似乎不明确,比医疗管制少得多。 (2)助产士和父母表达了一些关于如何创造安全感的支持思想。 (3)合作伙伴和助产士互动支持育儿妇女。主要的解释表明,跨国人在劳动期间的支持作用可以被理解,因为它们主要采用“与妇女”意识形态相反的“与机构”意识形态相反。这可能会增加生育妇女和伴侣在劳动期间缺乏支持的妇女的风险。需要通过为专业人员提供“与妇女”意识形态来提高效率。

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