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An exploration and description of student midwives' experiences in offering continuous labour support to women/couples
University of Skövde, School of Life Sciences.ORCID iD: 0000-0001-7510-606X
University of Skövde, School of Life Sciences.
University of Skövde, School of Life Sciences.ORCID iD: 0000-0002-2261-0112
2008 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 24, no 4, 451-459 p.Article in journal (Refereed) Published
Abstract [en]

Aim: to explore and describe the student midwife's experiences in offering continuous labour support.Design: a qualitative research design was chosen. Each student midwife offered continuous labour support to five women/couples and wrote narratives about each of these occasions. Written narratives from 11 student midwives were analysed using qualitative content analysis.Findings: when student midwives offer continuous labour support to women/couples, they tyr to establish rapport. When this works, their presence, their sense of confidence and their ability to offer reassurance increase. If establishing rapport does not work, students experience a sense of powerlessness, a need for reassurance and a lack of confidence. Key conclusions: offering continuous labour support to women and/or their partners made the students aware of the importance of establishing rapport, and it made them realise the impact that their mere presence in the room could have. The students had a need for reassurance which could hamper their efforts to establish rapport. Experiencing a lack of confidence made students focus more strongly on their clinical skills and on their perceived role as a student midwife. Implications for practice: this study can initiate discussions about how student midwives learn to be supportive, as well as about the role models that students encounter during their clinical training in Sweden.

Place, publisher, year, edition, pages
Elsevier, 2008. Vol. 24, no 4, 451-459 p.
Keyword [en]
Continuous labour support, Social support, Childbirth, Establishing rapport
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
URN: urn:nbn:se:his:diva-2845DOI: 10.1016/j.midw.2007.05.003ISI: 000261540400009PubMedID: 17881100Scopus ID: 2-s2.0-55149087728OAI: oai:DiVA.org:his-2845DiVA: diva2:207690
Available from: 2009-03-12 Created: 2009-03-12 Last updated: 2013-10-22Bibliographically approved
In thesis
1. Professional support in childbearing, a challenging act of balance
Open this publication in new window or tab >>Professional support in childbearing, a challenging act of balance
2012 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim was to contribute to the development of optimal quality care in childbearing through exploring how professionals learn to act and how they act in support of women and their partners and what supportive needs women and their partners have during childbearing, as well as how professional support influences parents' experience during childbearing and their relation to the baby. I) Diaries from student midwives (n=11), about offering continuous support during childbirth, analysed with qualitative analysis. II) An observation and interview study during childbirth with midwives (n=7), women (n=7) and their partner (n=7), analysed with hermeneutic text interpretation. III) First-time mothers (n=10) were interviewed three days after birth, as a step in the validation process of the "Mother to Infant Relation and Feelings" (MIRF) scale, analysed with qualitative content analysis. IV) A random longitudinal intervention study including a process-oriented training program for midwives and postnatal nurses. First time mothers with a caesarean or a normal birth (n=395) answered questionnaires at three days, three and nine months postpartum about professional support and their relation to and feelings for the baby, analysed statistically. Result: I) Offering continuous support made students aware of the importance to establish rapport, but needing reassurance could hamper their efforts to establish rapport. Experiencing a lack of confidence made students focus more strongly on their medical skills. II) Which ideology midwives adopted during childbirth influenced if the individual supportive needs of women and their partners were met. III) The MIRF scale appears valid to use in research and in dialogue with new mothers to support mother-to-infant interactions. IV) Trained professionals strengthened mothers' perception of professional support which may buffer negative effects of caesarean birth in relation to the baby. Conclusion: Professional support in childbearing is a challenging act of balance which can strengthen women's sense of ability in meeting the needs of the baby even in the additional challenge of caesarean birth. Training in support and reflection about one's attitudes and ideology in practice improve supportive skills.

Place, publisher, year, edition, pages
Örebro universitet, 2012. 180 p.
Series
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 39
Keyword
Professional support, social support, education, attitudes, childbearing, motherhood, mother-infant interaction, caesarean birth, ideology in practice
National Category
Health Sciences
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-6547 (URN)978-91-7668-874-8 (ISBN)
Public defence
2012-09-26, Hörsal Insikten, Portalen, Högskolan i Skövde, Skövde, 13:00
Opponent
Supervisors
Note

Ett av fyra delarbeten (övriga se rubriken Delarbeten)

Study II) Thorstensson, S., Ekström, A., Lundgren, I., & Hertfelt Wahn, E. (2012). Exploring midwives' professional support during labour; an observation and interview study. Manuscript

Available from: 2012-10-18 Created: 2012-10-18 Last updated: 2014-10-31Bibliographically approved

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