A qualitative exploration of the creation of calm in a continuity of carer model of maternity care in London

Huber, Ulli S.; Sandall, Jane

doi:10.1016/j.midw.2007.10.011

Cited by 41 publications

(28 citation statements)

References 22 publications

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“…As in other qualitative studies, knowing their midwife resulted in caseload women feeling calmer and less anxious in the lead up to labour (Huber and Sandall, 2009) as well as feeling more able to manage fear of pain in labour (Leap et al, 2010). A critical review reported that feeling safe with the continuous support of the midwife was fundamental to managing feelings of fear during labour (Van der Gucht and Lewis, 2015).…”

Section: Capacitymentioning

confidence: 89%

The motivation and capacity to go ‘above and beyond’: Qualitative analysis of free-text survey responses in the M@NGO randomised controlled trial of caseload midwifery

et al. 2017

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Section: Capacitymentioning

confidence: 89%

The motivation and capacity to go ‘above and beyond’: Qualitative analysis of free-text survey responses in the M@NGO randomised controlled trial of caseload midwifery

et al. 2017

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“…Confidence built up during pregnancy helps women to stay calm and believe in their abilities during birth (Leap et al, 2010). Relational continuity is necessary to create calm for the woman and her partner, and calm is related to positive health outcomes (Huber and Sandall, 2009). In Norway, most birth centres are large obstetric units and maternity care is fragmented.…”

Section: Feeling Trust and Being Presentmentioning

confidence: 99%

Parents’ experiences of midwifery students providing continuity of care

Aune¹,

Dahlberg²,

Ingebrigtsen³

2012

Midwifery

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“…There is empirical evidence to support how midwife continuity of care promotes calmness and reduces intervention [3, 33, 34]. Knowing care providers within the community over time keeps childbirth safer; the knowing born of continuity seemingly has a wraparound preventative quality.…”

Section: Resultsmentioning

confidence: 99%

Open, trusting relationships underpin safety in rural maternity a hermeneutic phenomenology study

Crowther

Smythe

2016

BMC Pregnancy Childbirth

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BackgroundThere are interwoven personal, professional and organisational relationships to be navigated in maternity in all regions. In rural regions relationships are integral to safe maternity care. Yet there is a paucity of research on how relationships influence safety and nurture satisfying experiences for rural maternity care providers and mothers and families in these regions. This paper draws attention to how these relationships matter.MethodsThis research is informed by hermeneutic phenomenology drawing on Heidegger and Gadamer. Thirteen participants were recruited via purposeful sampling and asked to share their experiences of rural maternity care in recorded unstructured in-depth interviews. Participants were women and health care providers living and working in rural regions. Recordings were transcribed and data interpretively analysed until a plausible and trustworthy thematic pattern emerged.ResultsThroughout the data the relational nature of rural living surfaced as an interweaving tapestry of connectivity. Relationships in rural maternity are revealed in myriad ways: for some optimal relationships, for others feeling isolated, living with discord and professional disharmony. Professional misunderstandings undermine relationships. Rural maternity can become unsustainable and unsettling when relationships break down leading to unsafeness.ConclusionsThis study reveals how relationships are an important and vital aspect to the lived-experience of rural maternity care. Relationships are founded on mutual understanding and attuned to trust matter. These relationships are forged over time and keep childbirth safe and enable maternity care providers to work sustainably. Yet hidden unspoken pre-understandings of individuals and groups build tension in relationships leading to discord. Trust builds healthy rural communities of practice within which everyone can flourish, feel accepted, supported and safe. This is facilitated by collaborative learning activities and open respectful communication founded on what matters most (safe positive childbirth) whilst appreciating and acknowledging professional and personal differences.

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A qualitative exploration of the creation of calm in a continuity of carer model of maternity care in London

Cited by 41 publications

References 22 publications

The motivation and capacity to go ‘above and beyond’: Qualitative analysis of free-text survey responses in the M@NGO randomised controlled trial of caseload midwifery

The motivation and capacity to go ‘above and beyond’: Qualitative analysis of free-text survey responses in the M@NGO randomised controlled trial of caseload midwifery

Parents’ experiences of midwifery students providing continuity of care

Open, trusting relationships underpin safety in rural maternity a hermeneutic phenomenology study

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