Intrapartum uncertainty: A feature of normal birth, as experienced by midwives in Scotland

Page, M. Beth; Mander, Rosemary

doi:10.1016/j.midw.2013.01.012

Cited by 27 publications

(48 citation statements)

References 24 publications

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“…Among 3 studies that discussed having a sense of uncertainty as a barrier to physiological birth, both Stone () and Page and Mander () used the grounded theory approach to capture the experiences of midwives while Davis () adopted the phenomenological‐hermeneutic methodology. The first 2 studies used methods triangulation, while the third study employed data triangulation to enhance its trustworthiness.…”

Section: Discussionmentioning

confidence: 99%

“…The first 2 studies used methods triangulation, while the third study employed data triangulation to enhance its trustworthiness. Stone () conducted unstructured interviews and focus groups, while Page and Mander () used semi‐structured interviews with participant observation. Both Davis () and Page and Mander () recruited midwives from various practice sites, but Stone () sampled midwives from only 1 birth centre, which limits its generalisability (Polit & Beck, ).…”

Section: Discussionmentioning

confidence: 99%

“…In a phenomenological study with the aim of understanding the term "normalcy" by midwives when caring for women during labour and childbirth, midwives supported various meanings of normalcy during clinical practice to develop a woman's belief and ability in her own delivery (Davis, 2010). Similar to Page and Mander (2014), the informants believed that a higher threshold for normalcy is accompanied by experience.…”

Section: Sense Of Uncertaintymentioning

confidence: 99%

“…Previous research findings showed that Thorgen and Crang-Svalenius (2009) have echoed that of Aune et al (2014), where midwives who built a wonderful relationship with the birthing woman experienced a sense of sadness when their shift ended. Interestingly, Page and Mander (2014) revealed that even when an uncertainty exists within the intrapartum period, midwives spoke of "excitement" and "anticipation" (p. 31) during their course of work.…”

Section: Positive Perceptions Of Physiological Birthmentioning

confidence: 99%

See 3 more Smart Citations

An integrative literature review on midwives' perceptions on the facilitators and barriers of physiological birth

Wong

Shorey

et al. 2017

Int J of Nursing Practice

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Sense Of Uncertaintymentioning

confidence: 99%

Section: Positive Perceptions Of Physiological Birthmentioning

confidence: 99%

See 2 more Smart Citations

An integrative literature review on midwives' perceptions on the facilitators and barriers of physiological birth

Wong

Shorey

et al. 2017

Int J of Nursing Practice

View full text Add to dashboard Cite

show abstract

“…This is so that they understand risk and can make informed decisions. Midwives operating in this system have developed skewed perceptions of risk (Page and Mander, 2014;Liva et al, 2012), resulting in a loss of midwifery skills in facilitating normal birth (Larsson et al, 2009;Carlton et al, 2009). Midwives must engage in re-creating a culture of normality and trust in birth that places the woman at the centre of compassionate, relationship-based models of care (Cooper, 2015).…”

Section: Structural Factors Of Maternity Care Affecting Riskmentioning

confidence: 99%

Can maternity care move beyond risk? Implications for midwifery as a profession

Healy

Humphreys

Kennedy

2016

British Journal of Midwifery

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Maternal and infant mortality rates are reassuringly low in developed countries. Despite this, birth is increasingly seen as risky by women, health professionals and society in general. In wider society, women are subjected to a litany of risks regarding birth, including sensationalising negative incidents by the media. Within maternity care, both structural and operational factors contribute to heightened risk perceptions. Women are processed through a system where risk-management strategies can take precedence over individualised care as health professionals attempt to protect themselves from implication in adverse outcomes and litigation. This results in increasingly interventionist care, depriving women of psychosocial safety in the birth process. Midwifery, as a profession promoting trust in normal birth, is threatened by this dominant medical model of maternity care and interventionist birth practices. Midwives need to act to reclaim their role in promoting normal birth, while balancing considerations of risk with the principle of woman-centred care.

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Moderators uncertainty tolerance (UT) in healthcare: a systematic review

Yap

Johanesen

Walsh

2023

Adv in Health Sci Educ

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Uncertainty tolerance (UT) is integral to healthcare. Providers’ responses to medical uncertainty has ramifications on the healthcare system, the healthcare provider and the patient. Understanding healthcare providers’ UT, is important for improving patient-care outcomes. Understanding whether and to what extent it is possible to modulate individuals’ perceptions and responses to medical uncertainty, can provide insights into mechanisms for support for training and education. The objectives of this review were to further characterize moderators of healthcare UT and explore moderator influences on the perceptions and responses to uncertainty experienced by healthcare professionals. Framework analysis of qualitative primary literature was conducted on 17 articles, focusing on the impacts of UT on healthcare providers. Three domains of moderators were identified and characterized relating to the healthcare provider’s personal attributes, patient-derived uncertainty and the healthcare system. These domains were further categorized into themes and subthemes. Results suggest these moderators influence perceptions and responses to healthcare uncertainty across a spectrum ranging from positive to negative to uncertain. In this way, UT could be a state-based construct within healthcare settings and is contextually determined. Our findings further characterize the integrative model of uncertainty tolerance (IMUT) (Hillen Social Science and Medicine 180, 62–75, 2017) and provide evidence for the relationship between moderators and their influences on cognitive, emotional and behavioral responses to uncertainty. These findings provide a foundation for understanding the complex nature of the UT construct, add to theory development, and provide groundwork for future research exploring appropriate support for training and education in healthcare fields.

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Intrapartum uncertainty: A feature of normal birth, as experienced by midwives in Scotland

Cited by 27 publications

References 24 publications

An integrative literature review on midwives' perceptions on the facilitators and barriers of physiological birth

An integrative literature review on midwives' perceptions on the facilitators and barriers of physiological birth

Can maternity care move beyond risk? Implications for midwifery as a profession

Moderators uncertainty tolerance (UT) in healthcare: a systematic review

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