Midwives ‘with woman’ in the private obstetric model: Where divergent philosophies meet

Bradfield, Z; Kelly, M; Hauck, Y; Duggan, R

Midwives ‘with woman’ in the private obstetric model: Where divergent philosophies meet

Bradfield, Z Kelly, M

Hauck, Y Duggan, R

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Publication Type:: Journal Article
Citation:: Women and Birth, 2019, 32 (2), pp. 157 - 167
Issue Date:: 2019-04-01

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Field	Value	Language
dc.contributor.author	Bradfield, Z	en_US
dc.contributor.author	Kelly, M https://orcid.org/0000-0002-6380-1150	en_US
dc.contributor.author	Hauck, Y	en_US
dc.contributor.author	Duggan, R	en_US
dc.date.available	2018-07-19	en_US
dc.date.issued	2019-04-01	en_US
dc.identifier.citation	Women and Birth, 2019, 32 (2), pp. 157 - 167	en_US
dc.identifier.issn	1871-5192	en_US
dc.identifier.uri	http://hdl.handle.net/10453/135584
dc.description.abstract	© 2018 Australian College of Midwives Background: The phenomenon of being ‘with woman’ is central to the profession of midwifery. There is currently no available evidence that explicitly explores this phenomenon. In Western Australia, over a third of childbearing women choose to engage the services of a private obstetrician who provides antenatal care and manages the care provided by midwives during labour and birth. Aim: The aim of this study was to explore midwives’ experiences of being ‘with woman’ during labour and birth in the private obstetric model. Methods: Using a descriptive phenomenological approach, 11 midwives working in the private obstetric model in Western Australia were interviewed. Data analysis was conducted using Giorgi's framework. Findings: Two main themes emerged (1) triad of relationships and (2) the intersection between being ‘with woman’ and the private obstetric model; seven subthemes are reported. Discussion: Being ‘with woman’ is an important element of midwifery practice and fundamental to midwifery theory and philosophy. Relationships between the woman, midwife and obstetrician are key to implementing ‘with woman’ practices in the private obstetric model. The interrelatedness of midwifery philosophy and practice is revealed through shared common challenges and enablers to being ‘with woman’ from the perspective of midwives. Conclusion: Findings offer insight into midwives’ experiences of being ‘with woman’ within the context of the private obstetric model. New understandings are revealed of a phenomenon central to midwifery professional philosophy that is embedded within midwifery practices which has implications for service mangers, professional leaders and educators.	en_US
dc.relation.ispartof	Women and Birth	en_US
dc.relation.isbasedon	10.1016/j.wombi.2018.07.013	en_US
dc.subject.classification	Obstetrics & Reproductive Medicine	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Leadership	en_US
dc.subject.mesh	Midwifery	en_US
dc.subject.mesh	Pregnancy	en_US
dc.subject.mesh	Labor, Obstetric	en_US
dc.subject.mesh	Parturition	en_US
dc.subject.mesh	Philosophy	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Western Australia	en_US
dc.subject.mesh	Female	en_US
dc.title	Midwives ‘with woman’ in the private obstetric model: Where divergent philosophies meet	en_US
dc.type	Journal Article
utslib.citation.volume	2	en_US
utslib.citation.volume	32	en_US
utslib.for	1114 Paediatrics and Reproductive Medicine	en_US
utslib.for	11 Medical and Health Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access
pubs.issue	2	en_US
pubs.publication-status	Published	en_US
pubs.volume	32	en_US

Abstract:

© 2018 Australian College of Midwives Background: The phenomenon of being ‘with woman’ is central to the profession of midwifery. There is currently no available evidence that explicitly explores this phenomenon. In Western Australia, over a third of childbearing women choose to engage the services of a private obstetrician who provides antenatal care and manages the care provided by midwives during labour and birth. Aim: The aim of this study was to explore midwives’ experiences of being ‘with woman’ during labour and birth in the private obstetric model. Methods: Using a descriptive phenomenological approach, 11 midwives working in the private obstetric model in Western Australia were interviewed. Data analysis was conducted using Giorgi's framework. Findings: Two main themes emerged (1) triad of relationships and (2) the intersection between being ‘with woman’ and the private obstetric model; seven subthemes are reported. Discussion: Being ‘with woman’ is an important element of midwifery practice and fundamental to midwifery theory and philosophy. Relationships between the woman, midwife and obstetrician are key to implementing ‘with woman’ practices in the private obstetric model. The interrelatedness of midwifery philosophy and practice is revealed through shared common challenges and enablers to being ‘with woman’ from the perspective of midwives. Conclusion: Findings offer insight into midwives’ experiences of being ‘with woman’ within the context of the private obstetric model. New understandings are revealed of a phenomenon central to midwifery professional philosophy that is embedded within midwifery practices which has implications for service mangers, professional leaders and educators.

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http://hdl.handle.net/10453/135584