Case-loading midwifery in New Zealand: bridging the normal/abnormal divide 'with woman'.

Abstract:

OBJECTIVES:to explore the way that case-loading midwives in New Zealand construct midwifery (and in so doing, the concepts of woman and childbirth). This paper illuminates the fundamental features of this construction (continuity and woman-centred care) and discusses this with regard to the role of midwives vis-à-vis normal/abnormal birth. DESIGN:semi-structured interviews and official publications constituted the 'text' which was analysed using a poststructural approach that was informed by theorists Foucault, Grosz and Braidotti. PARTICIPANTS AND SETTING:48 case-loading midwives practising throughout New Zealand participated in this study. These included facility-employed and self-employed midwives and those from rural and urban settings. FINDINGS:many midwives follow women through their maternity experience providing continuity of care regardless of whether the experience is considered 'normal' or 'abnormal'. KEY CONCLUSIONS:continuity and woman-centred care are fundamental features of the construction of midwifery in New Zealand. IMPLICATIONS FOR PRACTICE:a focus on the midwifery concept of 'with woman' can bridge the divide between the polarising concepts 'normal' and 'abnormal' and enable a more fluid and dynamic reading of midwifery.

journal_name

Midwifery

journal_title

Midwifery

authors

Lee Davis D,Walker K

doi

10.1016/j.midw.2009.09.007

subject

Has Abstract

pub_date

2011-02-01 00:00:00

pages

46-52

issue

1

eissn

0266-6138

issn

1532-3099

pii

S0266-6138(09)00124-7

journal_volume

27

pub_type

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