Midwives provide women and their families with information to enable informed decision making where the woman remains in control of her care. Your maternity care options. 1992;54:14–7. Data were collected concurrently from midwives working in all models. ZB was responsible for the proposal development, ethics approval, data collection, data analysis and the initial and subsequent drafts of the article. Some previously recognised ‘good midwifery practices’ have been shown to contribute to midwife perceptions of woman-centred care which, it is revealed in this study, describe the practice attributes of being with woman. 2007;38(2):256–77. J Nurse Midwifery. School of Nursing, Midwifery and Paramedicine, Curtin University, GPO Box U1987, Bentley, 6845, Western Australia, Zoe Bradfield, Yvonne Hauck, Ravani Duggan & Michelle Kelly, Department of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, Subiaco, Western Australia, You can also search for this author in Isherwood K. Are British midwives with woman? Whitehead D, Dilworth S, Higgins I. Effective rapport building resulted in partnership: “... through your relationship with them you know that the woman trusts you, like a journey next to her, like a partnership [the woman] will listen to what you’re saying and taking it on board (UMPKOP3). Midwife Means with Woman: An Historical Perspective : a Brochure to Accompany an Exhibition on the History of Midwifery at the National Library of Medicine, 16 September 1991-15 January 1992. BMC Pregnancy Childbirth. 2015;6(4):230–5. Preparing and guarding a space for women to birth has been previously reported by midwifery leaders as a feature of midwifery care designed to create an environment where women can realise their capacity and agency [25, 73]. 2016;16:1–9. We are skilled at listening to women’s concerns and priorities, and strive to be fully present for them through important life stages. Midwife definition: A midwife is a nurse who is trained to deliver babies and to advise pregnant women. Midwife means “with woman.” Midwives partner with women to help make important health decisions. ICM. Menu Primary Navigation. Midwife standards for practice. Being ‘with woman’ means that midwives place women at the centre of everything they do. A midwife is a trained health professional who helps healthy women during labor, delivery, and after the birth of their babies. Springer Nature. The opening question was “Please would you describe your perception of what it means to be with woman?” Midwives initially offered a sentence answer and then immediately proceeded to explain that being WW was ‘difficult to describe’. successfully completed the prescribed course of studies in midwifery and has acquired the requisite qualifications to be registered and/or legally licensed to practise midwifery 3.3K likes. The word midwife means ‘with woman’. Midwifery. One midwife offered some insights into the source of the challenge and referred to the practise-based nature of midwifery work: ‘Cause you don’t actually put it into words, [you] put it into action (KMP6). A strength of this study is the inclusion of midwives who have worked in a variety of models, health services and who possess a range of qualifications and length of clinical experience. Being ‘with woman’ (WW) is a central tenet of midwifery philosophy and practice. Davidsen AS. Qual Health Res. American College of Nurse-Midwives, 1991 - Midwives - 16 pages. Initial findings were conferred in a research team meeting and discussed until consensus was reached around themes and sub-themes which added rigor to the data analysis [41]. Sydney: Elsevier Ltd; 2008. In the third stage, the focus was the organisation and transformation of the data which facilitated the arrangement and expression of the data into commonalities of participant descriptions, revealing the necessary and invariant features of the phenomenon. This means the midwife will gain a greater understanding of the woman’s history and birthing plan. A consequence of holding and protecting the space of labour was described as facilitating the physiology of labour, a practice unique to midwifery … allows her body to work so the whole thing [labour] can move forward because you’ve just made this space… it’s definitely unique to midwifery because there’s no other situation where you’re creating the space that will facilitate the outcome (UMKOP9). Although midwives were asked to describe the phenomenon of being WW during the intrapartum period, midwives working in each of the models asserted that being WW was not restricted to the period of intrapartum care; rather, that being WW is an essential component of midwifery practice across the continuum: …I absolutely do think that with woman is more than just an intrapartum [phenomenon] because then I support them to have a really good breastfeeding experience and a great start to being a mum and a great start to being parents (KMP6). Fusch P, Ness L. Are we there yet? Compassion, nourishment and support were primary to midwifery … Contrasting features such as being distant and disconnected were also highlighted by WA midwives in our study through descriptions of care that did not display the characteristics of being WW, where a midwife could be performing the ‘tasks’ of midwifery without being ‘present’ with the woman; highlighting the importance of being aware of the subtleties and nuanced nature of midwifery presence. Page L. One-to-one midwifery: restoring the “with woman” relationship in midwifery. They also provide care for the newborn and the infant; this care includes preventative measures, the promotion of normal birth, the detection of complications in mother and child, the accessing of medical care or other appropriate assistance, and the carrying out of emergency measures. Giorgi A. Lundgren I, Berg M. Central concepts in the midwife-woman relationship. Despite the variety in these factors, the fact that the phenomenon was conceptualised similarly is noteworthy. Not so much, Midwestern Intercollegiate Volleyball Association, Midwestern Universities Analytical Chemistry Conference, Midwestern Universities Research Association, Midwifery and Maternity Providers Organisation, Midwifery Education Accreditation Council. McAra-Couper J, Gilkison A, Crowther S, Hunter M, Hotchin C, Gunn J. Midwives are specialists in normal pregnancy and birth, and their role is to look after a pregnant woman and her baby throughout a phase of antenatal care, during labour and birth, and for up to 28 days after the baby has been born.. Being with woman: a guiding concept for the care of laboring women. Murphy PA, King TL. Mattress, bean bag, shower (KMP7). Another midwife reflected: You can provide midwifery care and not be ‘with woman’, you can be ticking your lists and checking your room but not actually being ‘with woman’ (UMP6). Midwives confirmed the importance of developing a connection with the woman which was often described as developing rapport, a partnership or, a professional relationship. Dimens Crit Care Nurs. 2010;17(2):7–15. 2016;40:40–8. 2008;24(2):132–7. Guilliland K. In: Pairman S, Victoria University of Wellington. Findings in this WA study revealed how being adaptable was regarded as a necessary attribute to provide care that was centred on the woman and an essential feature of being WW. Despite the centrality of being WW to the thinking, theory, and practice of midwifery, a recent integrative review revealed there has been no research to date that has explicitly sought to explore or qualify this phenomenon from the perspective of midwives [13]. Midwives described the importance of being ‘with woman’ to the work and identification of midwifery practice. 2006;62(6):1307–18. The findings from this research are timely in presenting a snapshot of contemporary midwifery care in a variety of settings and from the perspective of midwives who are being ‘with woman’ within these contexts. Midwives were cognisant of the privilege of being WW: I just love it [being WW] ... it’s a privileged job [midwifery] isn’t it? The mandate for woman-centred care is not a new concept in midwifery practice. Dabrowski R. Testing times: are midwives still with woman? We won’t … go anywhere or do anything else we’ll just sit there and be there, we don’t get kind of distracted with “oh well I might go and restock theatre if nothing much has happened” (UMKOP10). All of the practical attributes of being ‘with woman’ identified by these WA midwives have been previously supported in research or professional commentary as ideal and desirable characteristics of midwifery care, some examples are shown here. Midwife means "With Woman" The reassuring presence of a Certified Nurse Midwife on your birth journey will be a source of comfort, inspiration and strength, as well as added security. Learn more. J Nurse Midwifery. This study was approved by Curtin University Human Research Ethics Committee (HREC) (HREC 2016–0450). Holism requires a midwife to engage the full context of a woman’s experience of labour and birth. This is an example of an about page. Nurs Sci Q. Findings confirmed an international consensus that midwifery programs should include education on important midwifery skills such as advocacy that enhances maternal empowerment, facilitation of informed decision making, the importance of the woman-midwife partnership, and the provision of woman-centred care [69]. Their rich descriptions reveal how the phenomenon is not unique to any particular model of care, length of experience or previous country of practice and is seen as an integral feature of midwifery practice. Women Birth. The research was set in WA which has a two-tiered system of public and private care; within these systems there are three main models of midwifery care, where care is provided by an unknown midwife (UM), an unknown midwife under the direction of a known obstetrician (UMKO) and finally; a known midwife (KM). Authors heralded the professionalisation of midwifery in turn-of-the-century publications maintaining that being ‘with woman’ was an appropriate cornerstone for the development of professional philosophy [17,18,19]. 2003;48(2):119–25. Int J Soc Res Methodol. J Humanist Psychol. Qual Res Psychol. With respect, with dignity, gentleness. A cautious approach was taken with regard to recruitment, to ensure that any differences described from participants working in the various models would be captured [48]. Midwife definition is - a person who assists women in childbirth. I try to focus their [women’s] breath, their headspace and I find something about their strength or something about their breath or whatever I just continue to use that (KMP6). Philosophy of care. Midwifery Philosophy Australians at the International Confederation of Midwives (ICM) conference in Prague, 2014. Three main themes were identified, 1) Essential to Professional Identity, 2) Partnership and 3) Woman- Centred Practice along with corresponding subthemes (Fig. Through the in-depth interviews, midwives offered rich descriptions of the phenomenon of being WW that were supported with recounted experiences of being WW during labour and birth throughout their years of being a midwife. Findings from this study provide evidence that supports expert commentary and confirms that midwives conceptualise the phenomenon of being ‘with woman’ as essential to the identity and practice of the profession. A metasynthesis of eight Swedish qualitative studies revealed the essential nature of the midwife-woman relationship that includes trust, support and mutuality which, authors asserted, maximise health outcomes for the woman and her baby [60]. Canberra: Nursing and Midwifery Board of Australia; 2008. Midwifery. Article  2018;31(2):143–52. 2019;32(1):39–49. Central to descriptive phenomenology is the adoption of a phenomenological attitude which is characterised by the researcher’s openness toward the phenomenon under study facilitated through a suspension of the researcher’s natural attitude, perceptions or experiences. The findings will also be useful to advise midwifery curricula and inform the theoretical and skills-based, practical education of midwifery students. © 2020 BioMed Central Ltd unless otherwise stated. Although this was manifested in different forms within the diverse models represented, each reinforced the importance of connecting with the woman in order to be WW. Being willing to tolerate any push-back or as this midwife describes it as, ‘noise’, was an important part of aligning with the woman’s agenda: ...it’s all about being with woman, being an advocate.... [midwives have] to put up with the noise or the huffing and the puffing (UMP4). Finlay S, Sandall J. The findings of this study have provided a collection of attributes that midwife participants asserted contribute to the provision of woman- centred care which was seen as the practical manifestations of being ‘with woman’. Choosing phenomenology as a guiding philosophy for nursing research. Three themes were extracted 1) Essential to professional identity; 2) Partnership with women; and 3) Woman-Centred Practice. A comprehensive demographic profile is presented in Table 2 below. March 4, 2011 by Laurie Zoyiopoulos Leave a Comment. A modified Delphi Study conducted in 90 countries by the International Confederation of Midwives interviewed and surveyed midwifery educators and clinicians about necessary inclusions in midwifery curricula regarding knowledge, skills and professional behaviour. Partnership between the woman and midwife is confirmed as an essential component of being with woman. Manage cookies/Do not sell my data we use in the preference centre. Matua GA. J Obstet Gynaecol Neonatal Nursing. Lopez K, Willis D. Descriptive versus interpretive phenomenology: their contributions to nursing knowledge. Article  Another midwife describes what an outsider might observe: you would [notice] silence... not many lights, their music. Women may choose a midwife, a General Practitioner or an Obstetrician to provide their maternity care. Midwives have special training and skills in caring for women during pregnancy, labour and birth, and in the weeks after birth. Being ‘with woman’ and providing woman-centred care are phrases frequently found in midwifery vernacular. Midwife means “with woman.” Midwives partner with women to help make important health decisions. The second part of being present was not simply about being in the room: it means being present with her but I don’t just mean present in the physical, but completely present (KMP2). Gentleness was also a way to demonstrate the respect inherent in being WW: I’m just gentle with them [women] and appreciate them and respect them (UMKOP8). Giorgi [38] maintains that the sample size is of less importance than the richness of description; and that there needs to be sufficient participants to identify a range of variation. 5th ed. In recent times, being WW is offered as the antidote to the techno-rational medical model that problematizes women treating childbearing like a ‘condition that requires curing’; and instead facilitates a woman-centred approach to enhance agency in women and midwives alike [20]. 2. The woman’s statement: ‘I wanted her to be there for me, not for the hospital’ – critical of the lack of support she received from her midwife, reflects the tensions that midwives experience working in UK maternity services. Chatswood: Elsevier Australia; 2016. By understanding each woman and what she wanted, midwives were able to facilitate care: ... if something happens that goes off the path that she wanted and she hasn’t got the power to say it because she’s feeling vulnerable, she’s feeling frightened, she’s feeling embarrassed then it’s your place to actually advocate for her ... people coming in and wanting ruptured membranes or to start antibiotics when the woman actually doesn’t want antibiotics and she can’t say it herself because she’s too scared (KMP9). Midwives’ experiences of labour care in midwifery units. This study was approved by Curtin University Human Research Ethics Committee (HREC) (approval number HREC 2016–0450). J Phenomenol Psychol. Unlike posts, pages are better suited for more timeless content that you want to be easily accessible, like your About or Contact information. The unique knowledge generated from this current WA study confirms that being WW is not dependent on place of birth or a specific model of care but is an identifying feature of midwifery care that occurs in multiple maternity settings. In being present and WW, midwives created and prepared a space for the woman to be in. What being a midwife means to me, personally. The origin of the word 'midwife' is, in Old English, 'mid wif' (Macdonald, 1972). The Australian College of Midwives’ professional philosophy statement reads “Midwife means ‘with woman’: this underpins midwifery’s philosophy, work and relationships” [1]. 2019;19(1):1–13. A person, usually a woman, who is trained to assist women in childbirth. J Midwifery Women’s Health. Midwife means ‘with women’ Midwifery care is the provision of knowledge, advice, care and support to women and their families during pregnancy, labour and birth and the early weeks following birth. Issues about thinking phenomenologically while doing phenomenology. Midwifery. J Phenomenol Psychol. Where changes have been made across different countries to ‘improve maternity care’, it’s often been the birth environment or the overall model of care that have been the focal point of change. The findings emphasise the importance of the development of language around this important philosophical construct which permeates midwifery practice, enhances professional agency and supports the continued emphasis of being ‘with woman’ with new understanding of its applied practices in a variety of care models. Australian research exploring the intersection of being WW in the context of the private obstetric model recently revealed that in that clinical context, the unique triad of relationships between the woman, midwife and obstetrician was an important feature that could facilitate and challenge midwives being WW [14]. Scand J Caring Sci. J Adv Nurs. As your personal midwife, Judy will serve as guide, guardian, knowledgeable resource. This essay will discuss the different comparisons in hospital based births and home based births, different experiences with mothers and midwives and the services available in … The word midwife means "with woman". Midwife definition, a person trained to assist women in childbirth. Communication and interaction between midwives and women at the antenatal booking visit. Developing a connection with the woman and providing woman-centred care inclusive of the woman’s support people was highlighted. The study was initially advertised at a local midwifery conference with over 170 midwives in attendance. Kennedy HP. There’s not a lot of eye contact, there’s not a lot of engagement, there’s not a lot of sincerity or warmth in that relationship or room or in that moment you know (KMP6). We anticipated a larger sample size as we invited midwives working with labouring women in different models of care. Midwives also care for women throughout the lifespan for annual checkups, family planning, menopause, and common infections and health problems. In the community, the community midwife sees the woman at least until day ten. CAS  See more ideas about Baby stuff pregnancy, New baby products, Pregnancy birth. 1997;28(2):235–60. By using this website, you agree to our The best standard of care a woman and her family could experience is continuity of care with a midwife Continuity of care means that a woman has the same care provider throughout her pregnancy, birth and postnatal period. Berg M, Lundgren I, Hermansson E, Wahlberg V. Women’s experience of the encounter with the midwife during childbirth. CAS  The initial challenge that midwife participants in our study experienced in describing the phenomenon of being WW either directly, or through experience is important information. The adoption of the ‘phenomenological attitude’ unique to descriptive phenomenology, supports thoughtful and methodological exploration; and is useful to explore the ‘way things appear’ in relation to the way phenomena are experienced [28]. 2015;31(8):772–8. Midwives working with women not previously known to them relied on their ability to build an effective partnership with the woman, and on birth plans which when supplied by the woman, helped midwives to quickly ascertain the woman’s priorities in order to tailor her care: listening to what she wants for her baby, for her birth, labour, if she’s got a birth plan (UMKOP6). Bradfield Z, Kelly M, Hauck Y, Duggan R. Midwives ‘with woman’ in the private obstetric model: where divergent philosophies meet. See more. It is widely asserted that descriptive phenomenology is useful to elicit rich descriptions from participants and reveals constituents of the same phenomenon as it is experienced by different individuals [28, 30, 33,34,35]. About 78 percent choose a midwife (8 ... “the severe shortage of skilled health personnel with obstetric and midwifery skills means the most have their babies delivered by traditional birth attendants. Our study is the first of its kind which has sought to specifically and intentionally qualify being WW and offers insight into how midwives understand and experience this phenomenon. “Someone’s rooting for you”: continuity, advocacy and street-level bureaucracy in UK maternal healthcare. statement and Cookies policy. 2016;16(1):40–8. BMC Pregnancy Childbirth. These values are also shared with the International Confederations of Midwives (ICM). Facebook is showing information to help you better understand the purpose of a Page. Interviewer prompts were offered and the strategy that elicited the rich descriptions was the following “If I (researcher) was a fly on the wall and I was to see you being WW what would I notice or see/ what would I not see; from that, can you describe your experiences of being WW?” It was then that midwives were able to describe their experiences of being WW, expounding what being WW ‘does’ or ‘looks like’; describing the phenomenon from all ‘angles’ including what it was and what it wasn’t. Ortlipp M. Keeping and using reflective journals in the qualitative research process. The midwife is recognized as a responsible and accountable professional who works in partnership with women to give necessary support during pregnancy, labor, and the postpartum period. In: Fahy K, Foureur M, Hastie C, editors. Descriptive phenomenology is known to elucidate poorly understood aspects of phenomena from the perspective of the participants with lived experience, to share the distinct or essential features, which facilitates a general conception of the phenomenon [36, 37]. Maryland: American College of Nurse Midwives; 2004. p. 1. (UMP10). Midwives also reflected on the challenge of developing connection with women who present in established labour but expressed the importance of the partnership that facilitated trust: … that’s hard, that building up that relationship. Accessed 25 June 2018. https://www.thefreedictionary.com/midwife, (Gynaecology & Obstetrics) a person qualified to deliver babies and to care for women before, during, and after childbirth, "Mary Bogdanovna, I think it's beginning!" . She is sharing a momentous occasion in the life of this woman and her family. Crowther S, Smythe E. Open, trusting relationships underpin safety in rural maternity a hermeneutic phenomenology study. Davis and Walker (2011) interviewed 48 case-loading New Zealand midwives to explore how these midwives constructed their care. 2014;17(3):37–40. The woman-midwife relationship has been asserted as a significant construct of being ‘with woman’ and is a widely reported feature in professional and editorial commentary [21,22,23,24,25] This knowledge provided by midwifery leaders provides the impetus to deliver an evidence-informed understanding of how and in what ways, the woman- midwife relationship forms part of being WW in the context of the various maternity settings that midwives work. Midwives are trained healthcare professionals who specialise in normal pregnancy and birth.A midwife can be male or female. The word 'midwife' simply means 'with woman'.

midwife means 'with woman

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