A hermeneutic phenomenological study of Belgian midwives' views on ideal and actual maternity care

kelst, Liesbeth Van; Spitz, Bernard; Sermeus, Walter; Thomson, Ann

doi:10.1016/j.midw.2011.10.002

Cited by 29 publications

(21 citation statements)

References 27 publications

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“…Another reason is that in Flanders a medical-led model is used compared to a midwifery-led model, where midwives are playing a central role and are focusing on the normalcy of childbirth often used in other countries. [24][25][26] In the medical-led model, the midwife is capable to observe and support the process of labour and is the primary caregiver during childbirth, but the obstetrician performs the delivery and is thus ultimately responsible. 24,25 Conclusions of previous studies about the needs of fathers, often performed in a context of a midwiferyled model, are not applicable to contexts where a medical-led model is used (such as in Flanders).…”

Section: Introductionmentioning

confidence: 99%

Needs of fathers during labour and childbirth: A cross-sectional study

et al. 2017

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Section: Introductionmentioning

confidence: 99%

Needs of fathers during labour and childbirth: A cross-sectional study

et al. 2017

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“…Women view this connection as very important because of making ties with families and community. Continuous care from pregnancy to postpartum suit different needs that arise during time and may be different in various health policies, communities, cultures and populations (17,19,29,30). Continuous care was also very important for the men.…”

Section: Community-oriented Carementioning

confidence: 99%

“…We must consider pregnancy and birth as a valuable physiologic and natural condition. It isn't a disease and there is no need to have medical over-attention unless there is high risk criteria (15,18,19,30). In one study, it was pointed out:…”

Section: The Philosophy Of Providing Carementioning

confidence: 99%

Concepts and Dimensions in Continuous Midwifery Care Models Based on the Experiences and Expectations of Stakeholders: A Meta-Synthesis

Bagheri

Simbar

Samimi

et al. 2016

Nurs Midwifery Stud

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Context: Pregnant women's have access to different models of care especially to those who provide continuous care and this is one of the recommendations of the world health organization (WHO) for promoting maternal health. Moreover, to provide adequate services in care models, the experiences and perceptions of mothers, providers of prenatal care, and other stakeholders should be taken into consideration. Objectives: A systematic meta-synthesis was carried out to inquire into the findings of some qualitative studies aimed to explore the concept and dimensions of continuous midwifery care including experiences, perspectives and perceptions of engaged people. Data Sources: This study was the first step of an action research designed to develop a midwifery model of care. Qualitative research articles published between 2005 and 2015 on experiences, attitudes, expectations and opinions of stakeholders in models of midwifery care were collected from Google scholar, Elsevier, and PubMed databases. Study Selection: Following the various stages of the scrutiny of the abstracts and contents of the collected articles, five faculty members finally selected 21 qualitative research articles as eligible for inclusion in the meta-synthesis. Results: The findings of meta-synthesis showed that continuous midwifery care for pregnant women as a highly important process revolves around at least five basic themes: continuity of care, compliance with needs satisfaction levels, regulation of care environment, and the philosophy of providing continuous care. Conclusions: Given the importance of access to healthcare as a right for pregnant women and given the key role of continuous midwifery care in health promotion and maternal satisfaction, it is suggested based on the results of the study that rigorous local and national research in this area to be carried out so that adequate models of continuous midwifery care can be designed and implemented based on the findings.

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“…2008) are not available in Belgium. Whereas in the Netherlands 77% of all midwives work in primary care out of hospital (NIVEL 2010), the vast majority of Flemish midwives work in a hospital under the supervision of an obstetrician where they provide care during labour and birth and in the postnatal period (Van kelst et al. 2011).…”

Section: Introductionmentioning

confidence: 99%

“…Alternative models of maternity care, such as midwife-led care or shared care which exist in Australia, New Zealand, the Netherlands, the UK, and Ireland (Hatem et al 2008) are not available in Belgium. Whereas in the Netherlands 77% of all midwives work in primary care out of hospital (NIVEL 2010), the vast majority of Flemish midwives work in a hospital under the supervision of an obstetrician where they provide care during labour and birth and in the postnatal period (Van kelst et al 2011).…”

Section: Introductionmentioning

confidence: 99%