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Swedish midwives' experiences and views of amniotomy: An interview study
Sofia Ingvarsson1, Kristina Schildmeijer1, Marie Oscarsson1
1Department of Health and Caring Sciences, Linnaeus University, 391 82 Kalmar, Sweden.
Objective:
To explore midwives' experiences and views of amniotomy.
Design:
A qualitative inductive design was used. Data were collected using interviews and analysed with content analysis carried out with NVivo 12.
Setting And Participants:
Sixteen midwives working at delivery wards at three hospitals in the south of Sweden.
Findings:
Three categories emerged: "Promote, protect and support the physiological process of labour", "To make the decision -to do or not to do" and "Unpredictable response". The overall theme linking the three categories was "We become our decisions", portraying how midwives carry the responsibility in the decision-making and represent themselves in their handling of amniotomy.
Conclusions:
Amniotomy was experienced and viewed as both simple and complex, safe and risky, and deciding on it sometimes implied balancing contradicting perspectives. By using midwifery skills in the decision-making for an amniotomy, the midwives tried to predict the response, purposing to support physiological labour and promote health for women and babies.
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