“Being with” while retaining and asserting professional midwifery power and authority in home birth

OBoyle, Colm

doi:10.1108/joe-03-2013-0005

Cited by 9 publications

(17 citation statements)

References 33 publications

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“…When the weight of power is maintained on the professional side it can drive 'a wedge between the mother midwife relationship' (O'Boyle, 2014) p.217. The power differential embodied within the woman/midwife interaction between midwives and their regulatory bodies (Wagner, 2007, O'Boyle, 2014 was reflected in the informants' narratives. Women are in a state of vulnerability and require care, while midwives need women to fulfil their professional directive to perform their role appropriately and safely.…”

Section: Relationshipmentioning

confidence: 99%

Disempowered midwives and traumatised women: Exploring the parallel processes of care provider interaction that contribute to women developing Post Traumatic Stress Disorder (PTSD) post childbirth

2019

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Background: Around 4% of women develop Post Traumatic Stress Disorder Post Childbirth (PTSD-PC). During childbirth a woman's perception of her care provider's interpersonal verbal and nonverbal relationship behaviours, termed 'Quality of Provider Interaction' are significantly associated with the development of PTSD-PC. Aims: To understand how women who develop PTSD-PC and midwives, experience their interactions during care provision. In particular, how they feel during their interactions and what this means to them. Methods: The qualitative method of Interpretative Phenomenological Analysis that incorporates a reflective approach, was used to gain deep understanding of the lived experience of care provider interaction. Six women who met full diagnostic criteria for PTSD-PC and six midwives who provided intrapartum care, participated in individual face-toface interviews. Results: Two key findings were identified: 1) Failing to recognise and meet the human needs of both women and midwives, results in poor quality interactions from midwives and poor perception of care provider interaction by women; 2) The study groups of women and midwives both identified the quality of their relationship as central to positive interactions. Recommendations for practice: (1) Raise the status of psychological wellbeing for childbearing women and make it of equal importance to physical wellbeing, with clear focus upon care provider interaction; (2) Create a midwife centred system that enables midwives to provide optimal care provider interaction and improve relationship-based care; and (3) Challenge underlying toxic cultures that currently persist in the maternity services system, which undermine the work of midwives and consequently the experience of women. Conclusion: Failure to recognise and meet the human and relationship needs of both childbearing women and midwives contributes to poor care provider interactions offered by midwives and negative perceptions of care provider interactions by women. In response, NHS maternity services need to highlight the importance of the quality of care provider interaction alongside perinatal psychological wellbeing. This requires improved working environments for midwives, so they can optimise their quality of interaction with childbearing women. This will in turn impact upon the incidence and levels of trauma and PTSD-PC experienced by women.

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Section: Relationshipmentioning

confidence: 99%

Disempowered midwives and traumatised women: Exploring the parallel processes of care provider interaction that contribute to women developing Post Traumatic Stress Disorder (PTSD) post childbirth

2019

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“…Of the 39 studies, 22 were described as ethnographies or informed by ethnography ( Arnold et al, 2015 ; Black, 2011 ; Chen et al., 2015 ; Cheyney et al, 2014 ; Danielsen, 2017 ; Finlay & Sandall, 2009 ; Flacking & Dykes, 2013 ; Hunter, 2010 ; Hunter & Segrott, 2010 ; Kemp & Sandall, 2010 ; Lange et al, 2016 ; Lee et al, 2009 ; Lindsay et al., 2012 ; Logsdon & Smith-Morris, 2017 ; Miltenburg et al, 2018 ; Olson & Couchie, 2013 ; Østergaard, 2015 ; Spendlove, 2018 ; Taylor et al, 2009 ; Thwala et al, 2011 ; Torres, 2014 , 2015 ; Varcoe et al, 2013 ; Yeh et al, 2014 ), seven were focused ethnographies( Allen et al, 2015 ; Aubrey et al, 2017 ; Gagnon et al, 2013 ; Goodwin et al., 2018 ; Higginbottom et al, 2013 , 2015 ; Hugill et al, 2013 ), four institutional ethnographies( Grassley et al, 2015 ; Kennedy et al, 2010 , 2013 ; Véras & Traverso-Yépez, 2011 ), three critical ethnographies ( Dove & Muir-Cochrane, 2014 ; Newnham et al, 2015 , 2017a , 2017b ; O’Boyle, 2014 ), two video ethnographies ( Harte et al, 2016 ; Mondy et al, 2016 <...>…”

Section: Resultsmentioning

confidence: 99%

“…Eleven studies stated that their study was ethnographic or informed by ethnography without further explanation ( Arnold et al, 2015 ; Black, 2011 ; Danielsen, 2017 ; Finlay & Sandall, 2009 ; Lange et al., 2016 ; Miltenburg et al, 2018 ; Olson & Couchie, 2013 ; Østergaard, 2015 ; Thwala et al, 2011 ; Torres, 2014 , 2015 ; Varcoe et al., 2013 ). Only five studies articulated the epistemological position/theoretical framework of their chosen ethnographic approach ( Allen et al, 2015 ; Newnham et al, 2015 , 2017a ; O’Boyle, 2013 , 2014 ; Spendlove, 2018 ). Most commonly ethnography was described as a methodology that:…”

Section: Resultsmentioning

confidence: 99%

“…Over half of studies (20/39) provided no justification or explanation as to why ethnography was the chosen approach ( Allen et al, 2015 ; Arnold et al, 2015 ; Aubrey et al, 2017 ; Black, 2011 ; Cheyney et al., 2014 ; Danielsen, 2017 ; Dove & Muir-Cochrane, 2014 ; Finlay & Sandall, 2009 ; Flacking & Dykes, 2013 ; Lange et al, 2016 ; Lee et al, 2009 ; Lindsay et al, 2012 ; Miltenburg et al, 2018 ; Mondy et al, 2016 ; O’Boyle, 2014 ; Olson & Couchie, 2013 ; Østergaard, 2015 ; Thwala et al, 2011 ; Torres, 2014 , 2015 ; Varcoe et al., 2013 ) (see Supplemental File S1 ). The 19 studies that did provide a reason for using ethnography outlined a study aim that was aligned, to varying degrees, with ethnography.…”

Section: Resultsmentioning

confidence: 99%

“…Institutional ethnography was described as an ethnographic approach that describes how our daily experiences, processes or current practices, in particular those of everyday work, are mediated by institutional forces such as norms, regulations, reports, procedures, and discourses (Grassley et al, 2015;Kennedy et al, 2010Kennedy et al, , 2013Véras & Traverso-Yépez, 2011). Critical ethnographies were described as including an examination of power and power imbalance (Newnham et al, 2015(Newnham et al, , 2017a(Newnham et al, , 2017bO'Boyle, 2013O'Boyle, , 2014 and a recognition of the cultural impacts on practice as dynamic processes rather than fixed entities (Dove & Muir-Cochrane, 2014). One of these studies adopted critical medical anthropology, defined as encouraging the examination and critique of the power relationships that influence normalized behaviors within the medical model (Newnham et al, 2015(Newnham et al, , 2017a(Newnham et al, , 2017b.…”

Section: Approaches To Ethnographymentioning

confidence: 99%

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The Use of Ethnography in Maternity Care

Coates

Catling

2021

Global Qualitative Nursing Research

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While the value of ethnography in health research is recognized, the extent to which it is used is unclear. The aim of this review was to map the use of ethnography in maternity care, and identify the extent to which the key principles of ethnographies were used or reported. We systematically searched the literature over a 10-year period. Following exclusions we analyzed 39 studies. Results showed the level of detail between studies varied greatly, highlighting the inconsistencies, and poor reporting of ethnographies in maternity care. Over half provided no justification as to why ethnography was used. Only one study described the ethnographic approach used in detail, and covered the key features of ethnography. Only three studies made reference to the underpinning theoretical framework of ethnography as seeking to understand and capture social meanings. There is a need to develop reporting guidelines to guide researchers undertaking and reporting on ethnographic research.

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