A woman-centred childbirth model

Abstract

A model for woman-centred childbirth was developed through four phases in accordance with the objectives of the study, namely, a description of mothers’ experiences of childbirth and that of attending midwives of managing mothers during childbirth concept analysis of woman-centred care, model development, and an evaluation phase. The identified concepts and sub-concepts were classified and developed into in a conceptual model within the six elements of the practice theory, as outlined by Dickoff, James and Wiedenbach’s (1968:423) survey list cited by Madela-Mntla (1999:69) in Tlakula (1999:119). These elements are recipient, agent, context, procedure, purpose and dynamic. The relational statements derived after conceptualisation of each of the six concepts were inferred through the process of deductive analysis and synthesis. The development of the woman-centred childbirth model contained six components, namely, goals, concepts, definitions, relationships, structures and assumptions, as outlined in Chinn and Jacobs (1987:116). The model was evaluated in accordance with Chinn and Kramer’s (1995:134–135) method and refined by experts in midwifery practice and model generation. Limitations were recognised and recommendations made.<p><strong>Opsomming</strong></p><p>Die model vir vrouegesentreerde sorg is ontwikkel deur vier fases in ooreenstemming met die doelwitte van die studie, naamlik, beskrywing van die moeders se ondervinding van kindergeboorte en dié van die diensdoende vroedvroue wat die moeders tydens kindergeboorte bestuur het, ontleding van die begrip ‘vrouegesentreerde sorg’, modelontwikkeling en die evalueringsfase. Die geïdentifiseerde konsepte en subkonsepte is geklassifiseer en gekonseptualiseer in ’n konseptuele model binne die ses elemente van die praktykteorie soos omlyn deur Dickoff, James en Wiedenbach (1968:423) in hulle oorsiglyne wat in Madela-Mntla (1999:69) aangehaal word in Tlakula (1999:119). Hierdie elemente is ontvanger, agent, konteks, prosedure, doel en dinamika. Die relasionele verklarings afgelei na die konseptualisering van elkeen van die ses konsepte, is afgelei deur die proses van deduktiewe ontleding en sintese. Die ontwikkeling van die ‘vrouegesentreerdesorg kindergeboortemodel’ het ses komponente bevat, naamlik, doelwitte, konsepte, definisies, verwantskappe, strukture en assumpsies soos omlyn in Chinn en Jacobs (1987:116). Die model is geëvalueer volgens Chinn en Kramer (1995:134–135) se metode en verfyn deur deskundiges in verloskundige praktyk en die generering van modelle. Beperkings is erken en aanbevelings is gemaak.</p><p><strong>How to cite this article:</strong> Maputle, M.S., 2010, ‘A woman-centred childbirth model’, <em>Health SA Gesondheid</em> 15(1), Art. #450, 8 pages. DOI: 10.4102/hsag.v15i1.450</p&gt

Models for midwifery care: A mapping review

“…Birthing atmosphere: This component, or similar one, was evident in four models (Exemplary midwifery practice, Midwifery at high risk, Woman-centred SA, Woman-centred Nordic) [31][32][33]35 .…”

“…-In Swedish and Icelandic settings (Woman-centred Nordic) 35 Data for the developed models were collected in New Zealand and Scotland (Women-with-midwives) 30 , the United States (Exemplary midwifery practice) 31 , Sweden (Midwifery at high risk) 32 , South Africa (Woman-centred SA) 33 , and Sweden and Iceland (The primacy of the good midwife) 34 (Woman-centred Nordic) 35 . An overview of descriptive data for the models is given in Table 1.…”

“…An overview of descriptive data for the models is given in Table 1. Methods used to develop the models were; grounded theory (Women-with-midwives) 30 , the Delphi method (Exemplary midwifery practice) 31 , research synthesis (Midwifery at high risk) 32 , qualitative design (Woman-centred SA) 33 , theory synthesis (The primacy of the good midwife) 34 ,…”

“…and qualitative hermeneutic design (Woman-centred Nordic) 35 . Three of the models were based on original empirical data (Women-with-midwives) 30 , (Exemplary midwifery practice) 31 , (Woman-centred SA) 33 , two were secondary analyses of original studies (Midwifery at high risk) 32 , (The primacy of the good midwife) 34 , and one model was developed through secondary analysis of original studies followed by validation testing (Woman-centred Nordic) 35 .…”

“…The process of providing woman-centred care takes place in three phases: 1) the 'dependence phase' signified by limited mutual participation between the mother and the midwife; 2) the 'interdependence phase' including strategies to facilitate mutual participation and comprising procedures and dynamics; and 3) the 'independence phase', Review paper which focuses on outcomes of care. There is a dynamic relationship between the phases, which exists in the context of the childbirth unit and the child 33 (Figure 3). Review paper care during labor and birth.…”