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Exploring routine hospital antenatal care consultations - An ethnographic study
Diane Wright1, Jan Pincombe1, Lois McKellar1
1University of South Australia, School of Nursing and Midwifery, North Tce, Adelaide, SA 5000, Australia.
Women and Birth : Journal of the Australian College of Midwives
|October 4, 2017
Summary
Midwives
Area of Science:
- Maternal Health
- Midwifery Practice
- Healthcare Communication
Background:
- Antenatal care consultations are crucial for understanding women's needs.
- Current antenatal consultations often mimic medical models, limiting woman-centered approaches.
- Midwives require better frameworks for woman-centered antenatal care.
Purpose of the Study:
- To explore how midwives organize antenatal care consultations.
- To identify practices that promote or hinder woman-centered care during antenatal visits.
- To provide insights for enhancing women's participation in their care.
Main Methods:
- Focused ethnography utilizing interviews and observations.
- Study conducted in six public antenatal clinics in South Australia.
- Analysis of midwife-patient interactions during routine antenatal care.
Main Results:
- Midwives' interpretations of woman-centered practice varied.
- Specific interactional practices were found to either support or undermine woman-centered care.
- Hospital setting influenced the implementation of woman-centered approaches.
Conclusions:
- Midwives' individual perceptions shape their adoption of woman-centered practices.
- Antenatal care consultations can be structured to maximize women's involvement.
- Findings offer practical strategies for midwives to enhance woman-centered care.
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