An integrative literature review on midwives' perceptions on the facilitators and barriers of physiological birth

Abstract

Midwives face barriers and facilitators when promoting physiological birth during their clinical practise. Future studies exploring midwives' perceptions of physiological birth are needed, especially in Asia where cultural and organizational factors may differ from Western countries.

The Good Life

“…The nurses' medical and pharmaceutical knowledge plus their intimate knowledge of that particular patient help achieve the best outcome. 4,5,16,[19][20][21][22]…”

“…15 As in childbirth, having these decisions respected is a patient's right whether or not they are in accordance with the nurse's or health care professional's vision. 4,5,7,22 Some situations, such as pregnancy and childbirth in underage patients and especially in certain cultures, can generate precarious and unsafe decisions or behaviors of patients that result in an ethical dilemma for nurses. In these cases, nurses must aspire to procure the best outcome for their patient's overall well-being: weighing the patient's desire and the nurse's expertise, preserving above all the principles of equity, justice, and nonmaleficence.…”

“…Emotional and family support is an ever-present theme within nursing care during labor and delivery,5,7,18 and in end-of-life care 8,9,15,19…”

“…The Oxford Dictionary states that dignity is: “the state or quality of being worthy of honor or respect.” Many authors associate respect with the concept “humanized care.”3–5 This care is based on complete reverence for a patient's dignity and for their right to make their own decisions 6. The humanized care paradigm is founded on a biopsychosocial model 4,5. The intention of this model is that patients are heard and have time and space to express their needs and opinions.…”

“…Many authors associate respect with the concept "humanized care." [3][4][5] This care is based on complete reverence for a patient's dignity and for their right to make their own decisions. 6 The humanized care paradigm is founded on a biopsychosocial model.…”