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Exploring Dutch midwives' attitudes to promoting physiological childbirth: A qualitative study
Suzanne M Thompson1, Marianne J Nieuwenhuijze2, Lisa Kane Low3
1Research Centre for Midwifery Science, Maastricht, Zuyd University, PO Box 1256, 6201 BG Maastricht, The Netherlands; CAPHRI, School of Public Health and Primary Care Maastricht, PO Box 616, 6200 MD Maastricht, The Netherlands.
Dutch midwives view promoting physiological childbirth as central to their role, emphasizing woman-centered care and evidence-based practices. Navigating hospital culture is key to supporting physiological birth effectively.
Area of Science:
- Midwifery Science
- Reproductive Health
- Sociology of Health
Background:
- Physiological childbirth promotion is a key aspect of midwifery care.
- Understanding midwives' perspectives is crucial for enhancing childbirth practices.
Purpose of the Study:
- To explore Dutch midwives' attitudes and motivations regarding physiological childbirth promotion.
- To identify factors influencing these attitudes and motivations.
Main Methods:
- Qualitative, exploratory design utilizing focus groups.
- Involved hospital- and community-based midwives in the Netherlands.
Main Results:
- Four themes emerged: physiological birth as a continuum, navigating settings, woman-centeredness, and competence/confidence.
- Midwives see promoting physiological birth as integral to their role, viewing hospital culture as a potential barrier.
- Woman-centered approaches and challenging non-evidence-based practices are seen as facilitators.
Conclusions:
- Midwives need awareness of factors supporting or inhibiting physiological birth to build competence and confidence.
- Conscious strategy implementation is vital for promoting physiological birth in all settings.
- Midwifery education and research should develop supportive strategies for midwives.
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