Conflicting contexts: Midwives’ interpretation of childbirth through photo elicitation

Copeland, Felicity; Dahlen, Hannah G; Homer, Caroline

doi:10.1016/j.wombi.2013.11.004

Cited by 24 publications

(18 citation statements)

References 17 publications

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“…The power dynamics operating within this paradigm contribute to legitimising the control that care providers have over women, and subsequently to mistreatment [56]. Risk aversion and the avoidance of litigation is also a key component that influences care provider’s practice within the current technocratic maternity system [63–65]. However, concerns about litigation focus on perceived risks to physical outcomes for mothers and babies, rather than on psychosocial impacts of care [63–65].…”

Section: Discussionmentioning

confidence: 99%

Women’s descriptions of childbirth trauma relating to care provider actions and interactions

Reed

Sharman

Inglis

2017

BMC Pregnancy Childbirth

203

154

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BackgroundMany women experience psychological trauma during birth. A traumatic birth can impact on postnatal mental health and family relationships. It is important to understand how interpersonal factors influence women’s experience of trauma in order to inform the development of care that promotes optimal psychosocial outcomes.MethodsAs part of a large mixed methods study, 748 women completed an online survey and answered the question ‘describe the birth trauma experience, and what you found traumatising’. Data relating to care provider actions and interactions were analysed using a six-phase inductive thematic analysis process.ResultsFour themes were identified in the data: ‘prioritising the care provider’s agenda’; ‘disregarding embodied knowledge’; ‘lies and threats’; and ‘violation’. Women felt that care providers prioritised their own agendas over the needs of the woman. This could result in unnecessary intervention as care providers attempted to alter the birth process to meet their own preferences. In some cases, women became learning resources for hospital staff to observe or practice on. Women’s own embodied knowledge about labour progress and fetal wellbeing was disregarded in favour of care provider’s clinical assessments. Care providers used lies and threats to coerce women into complying with procedures. In particular, these lies and threats related to the wellbeing of the baby. Women also described actions that were abusive and violent. For some women these actions triggered memories of sexual assault.ConclusionCare provider actions and interactions can influence women’s experience of trauma during birth. It is necessary to address interpersonal birth trauma on both a macro and micro level. Maternity service development and provision needs to be underpinned by a paradigm and framework that prioritises both the physical and emotional needs of women. Care providers require training and support to minimise interpersonal birth trauma.

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Section: Discussionmentioning

confidence: 99%

Women’s descriptions of childbirth trauma relating to care provider actions and interactions

Reed

Sharman

Inglis

2017

BMC Pregnancy Childbirth

203

154

View full text Add to dashboard Cite

show abstract

“…Other research indicates that being fearful about caring for women may lead midwives to care less effectively for women (Powell Kennedy & Shannon, ). Another recent Australian study reported that midwives felt they were often forced to relinquish or compromise their desire for “normal” as labour progressed and they feared their decisions were under surveillance (Copeland, Dahlen, & Homer, ). This feeling of being under surveillance and criticised was reported by participants in the synthesis.…”

Section: Discussionmentioning

confidence: 99%

A meta‐ethnographic synthesis of midwives’ and nurses’ experiences of adverse labour and birth events

Elmir

Pangas

Dahlen

et al. 2017

Journal of Clinical Nursing

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“…Asimismo, los resultados revelan una importante jerarquización en las relaciones entre profesionales, fruto de la cultura de las organizaciones sanitarias, las cuales siguen los principios del modelo médico hegemónico. Pese a que actualmente se están abriendo a otros modelos, a día de hoy se sigue trabajando de una manera jerarquizada y centrada en el modelo tecnocrático (3,33).…”

Section: Discussionunclassified

Explorando las emociones de la mujer en la atención perinatal. Un estudio cualitativo

Sánchez¹,

Martínez-Ros²,

Castaño-Molina³

et al. 2016

Aquichan

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Objetivo: explorar las emociones que emergen en la mujer durante el embarazo, parto y el puerperio a lo largo del itinerario asistencial de atención primaria y hospitalaria. Método: estudio cualitativo basado en la Teoría Fundamentada. Se realizaron dos grupos de discusión a profesionales: obstetras, matronas y enfermeras. Igualmente, se desarrollaron entrevistas en profundidad a mujeres en el puerperio. Resultados: las emociones de la mujer en la atención perinatal aparece como categoría central. A partir de ésta, las emociones negativas emergen por la interacción de cinco metacategorías: a) Miedo: dolor al parto y desajuste de expectativas, b) Ansiedad e incertidumbre: enfrentándose a la amenaza del riesgo y la desinformación, c) Vergüenza: comprometiendo la privacidad, d) Ira y Desamparo: asimetría en la estructura relacional, e) Soledad: discontinuidad en la atención asistencial. Las emociones positivas surge de la metacategoría: f) Tranquilidad y confianza: construyendo una interacción clínica simétrica y humanizada. Conclusiones: se constata una variabilidad emocional debido a la coexistencia de los modelos tecnocrático y biopsicosocial. Este proyecta humanidad en los cuidados perinatales, frente a un modelo biomédico marcado por una estructura relacional paternalista y asistencia fragmentada; ambos serán determinantes en la emergencia de emociones en la atención perinatal.

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Conflicting contexts: Midwives’ interpretation of childbirth through photo elicitation

Cited by 24 publications

References 17 publications

Women’s descriptions of childbirth trauma relating to care provider actions and interactions

Women’s descriptions of childbirth trauma relating to care provider actions and interactions

A meta‐ethnographic synthesis of midwives’ and nurses’ experiences of adverse labour and birth events

Explorando las emociones de la mujer en la atención perinatal. Un estudio cualitativo

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