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Midwive's experience of the encounteer with women and their pain during childbirth
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health.
2002 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 18, no 2, 155-164 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: to describe midwives' experience of the encounter with women and their pain during childbirth.

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

SETTING: Sahlgrenska University Hospital, Göteborg, and Karolinska Hospital, Stockholm, Sweden in 2000.

PARTICIPANTS: nine experienced midwives between 12 and 28 years of midwifery practice.

KEY FINDINGS: the essential structure was described as a striving to become an 'anchored companion'. 'To be a companion' was to be available to the woman, to listen to and see her situation mirrored in her body, and to share the responsibility of childbirth. To be 'anchored' was to show respect for the limits of the woman's ability as well as one's own professional limits. Five constituents can further describe the essential structure: listening to the woman; giving the woman an opportunity to participate and to be responsible; a trusting relationship; the body expresses the woman's situation; and to follow the woman through the process of childbirth.

IMPLICATIONS FOR PRACTICE: the basis for maternity care should give an opportunity for midwives to be anchored companions. This could be done by emphasising listening to the woman, participation, responsibility, a trusting relationship and a clear understanding of the professional limits and the limits of the woman's ability.

Place, publisher, year, edition, pages
2002. Vol. 18, no 2, 155-164 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-89845DOI: 10.1054/midw.2002.0302PubMedID: 12139913OAI: oai:DiVA.org:uu-89845DiVA: diva2:161652
Available from: 2002-04-26 Created: 2002-04-26 Last updated: 2013-07-10Bibliographically 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. 75 p.
Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 0282-7476 ; 1143
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
urn:nbn:se:uu:diva-2022 (URN)91-554-5292-2 (ISBN)
Public defence
2002-05-23, Rosén-salen, Akademiska sjukhuset, Uppsala, 09:15
Available from: 2002-04-26 Created: 2002-04-26Bibliographically approved

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