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Exploring Professional Support Offered by Midwives during Labour: An Observation and Interview Study.

Stina Thorstensson1, Anette Ekström, Ingela Lundgren

  • 1School of Life Sciences, University of Skövde, P.O. Box 408, 54128 Skövde, Sweden ; School of Health and Medical Sciences, Örebro University, 70182 Örebro, Sweden.

Nursing Research and Practice
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PubMed
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Area of Science:

  • Maternal Health
  • Midwifery Care
  • Labor and Delivery Support

Background:

  • Effective support during childbirth impacts maternal experience and outcomes.
  • Both social and professional support are crucial for childbearing women and their partners.
  • Understanding midwives' professional support in relation to parental needs is essential.

Purpose of the Study:

  • To explore professional support provided by midwives during labor.
  • To compare midwives' support with the expressed needs of childbearing women and their partners.
  • To identify potential discrepancies in supportive care during childbirth.

Main Methods:

  • Qualitative, inductive study design utilizing triangulation.
  • Observations of seven midwives caring for seven laboring women/couples.
  • Individual interviews with midwives, women, and partners, followed by hermeneutical text interpretation.

Main Results:

  • Midwives' supportive roles were perceived as less defined than medical tasks.
  • Discrepancies exist between midwives' and parents' ideas on creating security during labor.
  • Midwives often adopted an "with institution" ideology over a "with woman" ideology.

Conclusions:

  • Midwives' adherence to an "with institution" approach may lead to perceived lack of support.
  • There is a need to support midwives in adopting a "with woman" ideology for enhanced labor support.
  • Improving professional support during labor can positively influence childbirth experiences and outcomes.