Every Woman Needs a Midwife, and Some Women Need a Doctor Too

Sandall, Jane

doi:10.1111/birt.12010

Cited by 22 publications

(7 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Midwives are often the lead professional but also work in collaboration and partnership with women, their families and a diverse multidisciplinary team including Obstetricians, Allied Health Professionals and Social Care colleagues. Globally, there is growing recognition that in order to optimize outcomes, all pregnant women need a midwife and some need a doctor [3] (p. 323) and that there are improved outcomes for mothers and babies when care is provided by midwives who are educated, trained, licensed, and regulated [4] (p. 1). A position statement by the International Confederation of Midwives (ICM) (an accredited non-governmental organization) highlights that while midwifery is recognized as an autonomous profession in many countries that it is not yet afforded this status globally [5].…”

Section: Introductionmentioning

confidence: 99%

Connecting Status and Professional Learning: An Analysis of Midwives Career Using the Place© Model

Gillen

2019

Education Sciences

View full text Add to dashboard Cite

This paper seeks to deconstruct the place of midwives as professionals using the novel interdisciplinary lens of the Place Model—an innovative analytical device which originated in education and has been previously applied to both teachers and teacher educators. The Place Model allows us to map the metaphorical professional landscape of the midwife and to consider how and where midwives are located in the combined context of two senses of place: in the sociological sense of public esteem and also the humanistic geography tradition of place as a cumulative process of professional learning. A range of exemplars will bring this map to life uncovering both the dystopias and potentially utopian places in which midwives find their various professional places in the world. The Model can be used to help student midwives to consider and take charge of their learning and status trajectories within the profession.

show abstract

Section: Introductionmentioning

confidence: 99%

Connecting Status and Professional Learning: An Analysis of Midwives Career Using the Place© Model

Gillen

2019

Education Sciences

View full text Add to dashboard Cite

show abstract

“…It is widely accepted that models of care and place of birth influence the range of clinical and health implications for women [ 5 ], as well as altering the types of preparation women choose to undertake [ 6 ]. Decision-making in healthcare is motivated by factors including elements of problem-solving and informed choice, requiring a collaborative dynamic of women-carer relationship [ 7 , 8 ] until a consensus is reached through deliberation and consideration.…”

Section: Introductionmentioning

confidence: 99%

How do informal information sources influence women’s decision-making for birth? A meta-synthesis of qualitative studies

Sanders

Crozier

2018

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

BackgroundWomen approach birth using various methods of preparation drawing from conventional healthcare providers alongside informal information sources (IIS) outside the professional healthcare context. An investigation of the forms in which these informal information sources are accessed and negotiated by women, and how these disconnected and often conflicting elements influence women’s decision-making process for birth have yet to be evaluated. The level of antenatal preparedness women feel can have significant and long lasting implications on their birth experience and transition into motherhood and beyond. The aim of this study was to provide a deeper understanding of how informal information sources influence women’s preparation for birth.MethodsSeven electronic databases were searched with predetermined search terms. No limitations were imposed for year of publication. English language studies using qualitative methods exploring women’s experiences of informal information sources and their impact upon women’s birth preparation were included, subject to a quality appraisal framework. Searches were initiated in February 2016 and completed by March 2016. Studies were synthesised using an interpretive meta-ethnographic approach.ResultsFourteen studies were included for the final synthesis from Great Britain, Australia, Canada and the United States. Four main themes were identified: Menu Birth; Information Heaven/Hell; Spheres of Support; and Trust. It is evident that women do not enter pregnancy as empty vessels devoid of a conceptual framework, but rather have a pre-constructed embodied knowledge base upon which other information is superimposed. Allied to this, it is clear that informal information was sought to mitigate against the widespread experience of discordant information provided by maternity professionals.ConclusionWomen’s access to the deluge of informal information sources in mainstream media during pregnancy have significant impact on decision making for birth. These informal sources redefine the power dynamic between women and maternal healthcare providers, simultaneously increasing levels of anxiety and challenging women’s pre-existing ideations and aspirations of personal birth processes. A lack of awareness by some professionals of women’s information seeking behaviours generates barriers to women-centred support, leaving an experience expectation mismatch unchecked.Trial registrationCRD42016041491 17/06/16.

show abstract

“…This situation is concerning given the increasing global recognition that quality maternity services (including who we are being as midwives) lead to optimal outcomes for women and their babies (Renfrew et al, 2014;Sandall, 2012).…”

Section: Resultsmentioning

confidence: 99%

Professionalism and person-centredness: developing a practice-based approach to leadership within NHS maternity services in the UK

Deery

Fisher

2016

Health Sociology Review

View full text Add to dashboard Cite

AcknowledgementsThis work was supported by the Health Foundation, an independent charity working to improve the quality of health care in the UK under Grant 4421/4048. The authors are grateful to the participating midwives, obstetricians and childbearing women.The authors declare that there are no conflicts of interest regarding the publication of this paper. *corresponding author2 Abstract This paper, based on data taken from in-depth interviews with senior midwives and obstetricians and conducted as part of a critical ethnographic study, argues for a greater appreciation of person-centred, value-led midwifery practice. The paper begins with a discussion of the way midwifery practice is shaped by encoded and embodied knowledge. The paper subsequently focuses on an emergent practice based leadership using an adapted Aristotelian conceptual framework derived from MacIntyre (2007). Professional dissonance is highlighted as a difficulty experienced by repositioned managers who are also expected to be leaders in their field. Using data gathered from in-depth interviews it is contended that establishing person-centred care might be better achieved through the development of practice based leadership (rather than solely by adherence to organisational requirements). This type of leadership could potentially nurture a professional environment that promotes qualities, such as agency, commitment and high levels of competence among midwives. Such leadership is central to UK government priorities and is applicable to a global practice development agenda.

show abstract

Every Woman Needs a Midwife, and Some Women Need a Doctor Too

Cited by 22 publications

References 18 publications

Connecting Status and Professional Learning: An Analysis of Midwives Career Using the Place© Model

Connecting Status and Professional Learning: An Analysis of Midwives Career Using the Place© Model

How do informal information sources influence women’s decision-making for birth? A meta-synthesis of qualitative studies

Professionalism and person-centredness: developing a practice-based approach to leadership within NHS maternity services in the UK

Contact Info

Product

Resources

About