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Unsettling moods in rural midwifery practice.
Susan Crowther1, Liz Smythe2, Deb Spence2
1Robert Gordon University, Aberdeen, Scotland, UK.
Summary
Rural midwives experience anxiety due to challenging practice environments and fear of judgment, impacting their well-being. Addressing these concerns is crucial for sustaining safe rural maternity care.
Area of Science:
- Healthcare
- Midwifery
- Rural Health
Background:
- Rural maternity care faces challenges from geographical isolation and staffing issues.
- Ensuring safe and sustainable rural midwifery services requires addressing these vulnerabilities.
Purpose of the Study:
- To explore the lived experiences and concerns of rural midwives.
- To understand the factors contributing to anxiety and fear in rural midwifery practice.
Main Methods:
- A hermeneutic phenomenological study was conducted in rural New Zealand.
- 13 rural midwives were recruited via snowball sampling and interviewed.
- Interview data underwent interpretive analysis, informed by philosophical concepts and literature.
Main Results:
- Two key themes emerged: 'Moments of rural practice' (panicky, emergency, unexpected) and 'Feelings of being judged' (fear of criticism, reputation loss, blame).
- Anxiety and fear were significant components of the midwives' reality, overshadowing the positive aspects of their work.
Conclusions:
- Rural maternity care presents unique challenges, but negative judgment and decontextualized policy can exacerbate isolation.
- Disseminating positive images of rural midwifery and ensuring midwives' voices are heard are essential for reducing vulnerability and strengthening services.
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