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Womens views on partnership working with midwives during pregnancy and childbirth.pdf
Midwifery 32 (2016) 21–29
Contents lists available at ScienceDirect
Midwifery
journal homepage: /midw
Womens views on partnership working with midwives during pregnancy and childbirth
Sally Boyle, DhRes, RM (Doctoral Researcher)a,n, Hilary Thomas, PhD, BA (Professor)b, Fiona Brooks, PhD (Professor)b
a School of Health and Social Care, London South Bank University, Southwark Campus, 103 Borough Road, London SE1 0AA, UK b Centre for Research in Primary and Community Care, University of Hertfordshire, Hat?eld, Herts AL109AB, UK
article info
Article history: Received 1 November 2014 Received in revised form 23 May 2015 Accepted 1 September 2015
Keywords: Womens views Partnership relationships Organisation of care Choice Midwives
abstract
Objective: to explore whether the UK Government agenda for partnership working and choice was realised or desired for women during pregnancy and childbirth. Design: a qualitative study was used to explore womens experience of partnership working with midwives. Data was generated using a diary interview method throughout pregnancy and birth. Setting: 16 women were recruited from two district general hospitals in the South East of England. Findings: three themes emerged from the data: organisation of care, relationships and choice. Women described their antenatal care as ‘ticking the box’, with midwives focusing on the bio-medical aspects of care but not meeting their psycho-social and emotional needs. Time poverty was a signi?cant factor in this ?nding. Women rarely described developing a partnership relationship with midwives due to a lack of continuity of care and time in which to formulate such relationships. In contrast women attending birth centres for their antenatal care were able to form relationships with a group of midwives who shared a philosophy of care and had suf?cient time in which to meet womens holistic needs. Most of the women in this study did not feel they were offered the choices as outlined in the national choice ag
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