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Related Experiment Videos

Does midwifery-led care demonstrate care ethics: A template analysis.

Kate Buchanan1, Elizabeth Newnham2, Deborah Ireson

  • 1Edith Cowan University, Australia.

Nursing Ethics
|August 16, 2021
PubMed
Summary

Midwifery-led care aligns with care ethics, addressing relationship, context, and power often missed by traditional bioethics. This study supports integrating care ethics into midwifery professional conduct.

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Area of Science:

  • Maternal Health
  • Bioethics
  • Midwifery Studies

Background:

  • Traditional ethical frameworks in maternity care are insufficient, as disrespect and abuse persist.
  • Care ethics offers an alternative approach, focusing on relationships and context.

Purpose of the Study:

  • To explore the correlation between midwifery-led care and care ethics.
  • To lay the groundwork for an action research project on ethical maternity care.

Main Methods:

  • Template analysis was employed, testing theory against empirical data using pre-set codes.
  • A priori codes for ethical midwifery care were generated by nine women using nominal group technique.
  • Codes were applied to a template representing four domains of care ethics.
Keywords:
Care ethicscode of ethicsethicsfeminismmidwifery-led carerelationship

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Main Results:

  • Eight codes representing ethical midwifery care were identified, including relationship with midwife, woman-centered care, trusting women's bodies, protecting physiological birth, information provision, respecting autonomy, countering fear-based birth culture, and recognizing birth as a rite of passage.
  • Template analysis confirmed that midwifery-led care demonstrates principles of care ethics.

Conclusions:

  • Care ethics uniquely incorporates relationship, context, and power, aspects overlooked by principle-based bioethics.
  • Midwifery-led care aligns with care ethics, suggesting its potential integration into professional codes and conduct for midwives.