Abstract：
PURPOSE:To explore the priorities and strategies midwives in a labour ward use in their communication with primiparous women who seek contact in the early phase of labour. DESIGN:A qualitative study using focus groups. SETTING:Norway. PARTICIPANTS:18 Midwives. FINDINGS:Five themes that seemed to constitute the key elements in the communication were identified. The themes were designated 'Getting the picture', 'Normalising the situation', 'Giving concrete advice', 'Letting the woman make the decision', and 'Staying at home for as long as possible'. CONCLUSIONS AND IMPLICATIONS:The findings of this study indicate that the midwives' overall strategy was to encourage women to remain out of hospital for as long as possible 'for their own good'. This strategy seems to rely on knowledge derived from non-contextual science within the dominant medical childbirth paradigm, and might not meet women's needs in early labour. When women are admitted in early labour, midwives should be able to 'protect' these women from unnecessary interventions and do so in partnership with the women themselves rather than accepting that women's mere presence in the labour ward yields complications and increases the likelihood of caesarean section. From the findings of this study, it is reasonable to ask whether an obstacle to this course might be the midwives' subordination to the medical paradigm. This causes midwives to function as 'gatekeepers' to the medical system instead of working in accordance with the philosophy of midwifery: 'for women's own good'.
journal_name
Midwiferyjournal_title
Midwiferyauthors
Eri TS,Blystad A,Gjengedal E,Blaaka Gdoi
10.1016/j.midw.2011.01.006subject
Has Abstractpub_date
2011-12-01 00:00:00pages
e286-92issue
6eissn
0266-6138issn
1532-3099pii
S0266-6138(11)00008-8journal_volume
27pub_type
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