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Meyer et al 2024 Factor influencing midwives intentions to facilitate normal physiological birth_a qualitative study433.23 kB
Published VersionCC BY V4.0, Open Access
Journal article
Factors influencing midwives’ intentions to facilitate normal physiological birth: A qualitative study
Women and Birth, Vol.37(4), pp.1-8
2024
Abstract
Background
Whilst most women desire to birth vaginally, research highlights reducing rates of normal physiological birth worldwide. Previous studies have focussed largely on clinical practices associated with vaginal birth however health care professionals’ intentions are also known to effect behaviour; a factor not well understood within the context of midwifery and normal physiological birth.
Question/Aim
To explore factors influencing midwives’ intentions to facilitate normal physiological birth.
Methods
A qualitative study using individual interviews was conducted. The Theory of Planned Behaviour was used to develop a semi-structured interview guide to gather perceptions, thoughts, knowledge, and experience of normal physiological birth from participants. Data were analysed thematically within the theoretical constructs: attitudes, subjective norms, and perceived behavioural control.
Findings
Fourteen midwives from various practice settings, models, and locations in Australia were interviewed. Major factors influencing midwives’ intentions to facilitate normal physiological birth were influenced by workplace culture, values and influence of leaders, the need to prioritise collaborative interdisciplinary relationships and support autonomy in midwifery.
Discussion
Factors influencing the midwives’ intentions of facilitating normal physiological birth were multifaceted. Some influences are more obvious and observable through practice, while others were rooted in underlying beliefs and attitudes that were hidden in the subconscious of those involved. However, all contributing influences ultimately shape midwives’ intentions and the way in which they facilitate normal physiological birth.
Conclusions
Midwives intend to support normal physiological birth; however multiple factors influence their intentions over time. Prioritising collaborative interdisciplinary relationships and supporting autonomy in midwifery could address known barriers.
Details
- Title
- Factors influencing midwives’ intentions to facilitate normal physiological birth: A qualitative study
- Authors
- Holly Meyer (Corresponding Author) - University of the Sunshine Coast, Queensland, School of Health - MidwiferyNigel Lee (Author) - The University of QueenslandKendall George (Author) - Townsville HospitalLauren Kearney (Author) - The University of Queensland
- Publication details
- Women and Birth, Vol.37(4), pp.1-8
- Publisher
- Elsevier BV
- Date published
- 2024
- DOI
- 10.1016/j.wombi.2024.101617
- ISSN
- 1878-1799; 1871-5192
- Organisation Unit
- School of Nursing, Midwifery and Paramedicine - Legacy; School of Health - Midwifery
- Language
- English
- Record Identifier
- 991019198902621
- Output Type
- Journal article
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