uu.seUppsala University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Women's experience of the encounter with the midwife during childbirth
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH).
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH).
1996 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 12, no 1, p. 11-15Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: to describe women's experience of the encounter with the midwife during childbirth.

DESIGN: a qualitative study using a phenomenological approach. Data were collected via tape-recorded interviews.

SETTING: the Alternative Birth Care Centre, Sahlgrenska University Hospital, Gothenburg, Sweden in 1994.

PARTICIPANTS: 18 women, six primiparous and 12 multiparous who were two to four days post delivery.

KEY FINDINGS: the essential structure of the studied phenomenon was described as 'presence' and included three themes: to be seen as an individual, to have a trusting relationship and to be supported and guided on one's own terms.

IMPLICATIONS FOR PRACTICE: the need to be seen as an individual can be realised by affirmation and familiarity with the midwife and surroundings. A trusting relationship can be obtained by good communication and proficient behaviour. By providing a sense of control the women can be supported and guided on their own terms. Above all they must feel that the midwife is present.

Place, publisher, year, edition, pages
1996. Vol. 12, no 1, p. 11-15
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-89842DOI: 10.1016/S0266-6138(96)90033-9PubMedID: 8715931OAI: oai:DiVA.org:uu-89842DiVA, id: diva2:161649
Available from: 2002-04-26 Created: 2002-04-26 Last updated: 2017-12-14Bibliographically approved
In thesis
1. Releasing and relieving encounters: Experiences of pregnancy and childbirth
Open this publication in new window or tab >>Releasing and relieving encounters: Experiences of pregnancy and childbirth
2002 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The experience of childbirth is an important life event for women, which may follow them throughout life. The overall aim of this thesis has been to describe and analyse these experiences from the women's perspective as well as the encounter between the woman and the midwife, and the possibility that a birth plan might improve women's experience of childbirth. The setting has been the ABC-centre (Alternative Birth Care), antenatal clinics and Sahlgrenska University hospital in Göteborg, and Karolinska hospital in Stockholm, Sweden. The studies have used both qualitative (phenomenological and hermeneutic) and quantitative approaches. The essential structure of the experiences of pregnancy and childbirth may be conceptualised under the heading ‘releasing and relieving encounters’, which for the woman constitutes an encounter with herself as well as with the midwife, and includes stillness as well as change. Stillness is expressed as being in the moment; exemplified as presence and being one's body. Change is expressed as transition; to the unknown and to motherhood. In the releasing and relieving encounter, for the midwife stillness and change equals being both anchored and a companion. To be a companion is to be an available person that listens to and follows the woman through the process of childbirth. To be anchored is to be the person that in the transition process respects the limits of the woman's ability as well as her own professional limits. The releasing and relieving encounter is not improved for women by a birth plan. Instead, in some aspects the relationship between the woman and her midwife during childbirth is reported as less satisfactory if preceded by a birth plan although some experiences of fear, pain and concerns for the child might be improved.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2002. p. 75
Series
Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 0282-7476 ; 1143
Keyword
Obstetrics and gynaecology, pregnancy, childbirth, women's experiences, encounter, pain, birth plan, hermeneutic, phenomenological, intervention study, Obstetrik och kvinnosjukdomar
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Obstetrics and Gynaecology
Identifiers
urn:nbn:se:uu:diva-2022 (URN)91-554-5292-2 (ISBN)
Public defence
2002-05-23, Rosén-salen, Akademiska sjukhuset, Uppsala, 09:15
Opponent
Available from: 2002-04-26 Created: 2002-04-26Bibliographically approved
2. Genuine Caring in Caring for the Genuine: Childbearing and high risk as experienced by women and midwives
Open this publication in new window or tab >>Genuine Caring in Caring for the Genuine: Childbearing and high risk as experienced by women and midwives
2002 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The experience of pregnancy and childbirth is a central life event with special implications for women at high risk. This thesis describes the meaning of pregnancy, childbirth and midwifery care in four qualitative interview studies based on the lifeworld theory. Women were interviewed during pregnancy and within one week after childbirth. Midwives were interviewed concerning midwifery care for women at high risk. In an intervention study, childbirth experience as reported through a post partum questionnaire was compared between women receiving standard care and women who had formulated a birth plan preceded by a questionnaire on their expectations and feelings about childbirth.

The findings emphasise that childbearing women at high risk live in an extremely vulnerable situation. The vulnerability is obvious in the use of an individual birth plan, where negative feelings become more frequent in women at high risk than in those with normal pregnancy and childbirth. During pregnancy the women feel a moral commitment towards the child, including feelings of objectification and of exaggerated responsibility. During an obstetrically complicated childbirth the essential meaning is the women’s desire to be recognised and affirmed as individual persons. Like women with normal pregnancy and childbirth, they need an emotionally present midwife who sees, give trust and supports.

Good midwifery care of childbearing women at high risk is synthesised as "genuine caring in caring for the genuine". The ethos of caring constitutes the basis of caring. Women’s transition during pregnancy and childbirth is described as a genuinely natural process. Midwives have a special responsibility to encourage and preserve this process within women at high risk. The caring relationship is the core and the most essential tool in the care. Distinctive features in the midwifery care are embodied knowledge, physical as well as emotional presence, sensitivity, a mutual dialogue including shared control between midwife and woman, and confirmation and support of the genuine in each woman. The midwifery care is a struggle and a balance between natural and medical perspectives.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2002. p. 71
Series
Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 0282-7476 ; 1146
Keyword
Obstetrics and gynaecology, High risk, childbearing, pregnancy, childbirth experience, midwifery, lifeworld research, phenomenology, hermeneutics, motherhood, birth plan, caring relationsship, Obstetrik och kvinnosjukdomar
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Obstetrics and Gynaecology
Identifiers
urn:nbn:se:uu:diva-2021 (URN)91-554-5299-X (ISBN)
Public defence
2002-05-22, Rosén-salen, Akademiska sjukhuset, Uppsala, 13:15
Opponent
Available from: 2002-04-26 Created: 2002-04-26 Last updated: 2013-08-01Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMed
By organisation
International Maternal and Child Health (IMCH)
In the same journal
Midwifery
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 1457 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf