This is a fascinating topic Luise as there is such a tension with the rhetoric of midwifery focused on the promotion of normal birth and the settings in which birth occurs (most commonly) being dominated by biomedical discourses. I also explored this in my PhD study in New Zealand. One paper you might find useful is "Making space for birth: Case-loading midwifery in New Zealand". In this I describe the strategies that midwives use to protect normal birth in the obstetric hospital setting.
http://www.midwiferyjournal.com/article/S0266-6138(09)00007-2/abstract
good luck with your work
Deborah Davis
Associate Professor Midwifery Practice Development and Research
University of Technology, Sydney and South East Sydney Illawarra Area Health Service
Centre for Midwifery, Child and Family Health
PO Box 123
Broadway
NSW, 2007
Ph: 0404 001 952
________________________________________
From: A forum for discussion on midwifery and reproductive health research. [[log in to unmask]] On Behalf Of Robyn Maude [CCDHB] [[log in to unmask]]
Sent: Monday, 10 January 2011 8:13 PM
To: [log in to unmask]
Subject: Re: Attitudes of midwives regarding interventions
Hi Luise
You have said "The midwives know a lot about normal birth, but they are not able to protect it in the actual hospital situation." You idea for a study looks great. May I suggest you read the master of midwifery thesis by Suzanne Miller from New Zealand http://researcharchive.vuw.ac.nz.helicon.vuw.ac.nz/handle/10063/851
Robyn (email me again if you are unable to access this thesis)
-----Original Message-----
From: A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] On Behalf Of Luise Lengler
Sent: Sunday, 9 January 2011 03:40
To: [log in to unmask]
Subject: Attitudes of midwives regarding interventions
Dear midwives, researcher in midwifery and students,
for the start of the new year 2011 I like to wish you all the best.
Since 2000 I'm a practising midwife and I worked in different hospitals in Germany and Switzerland.
After my BSc (hons) study at the Glasgow Caledonian University I started with The European Master in Midwifery program in 2009.
My interest and focus in midwifery research is on practising midwives in hospitals, because in the moment over 97% of births take place in hospital setting in Germany. I learned a lot from my independent midwives colleagues in out-of hospital settings and I realized the huge gab between the birth situations there and in hospital.
The midwives know a lot about normal birth, but they are not able to protect it in the actual hospital situation. Many aspects stop them to give a higher normal birth rate a future in Germany, in Europe and in the whole world.
I like to explore this aspects and why midwives are not able to change this situation.
In the moment I’m looking around in the field of interventions during labour. There I like to explore the attitudes of midwives regarding some interventions.
My question is how can I explore attitudes of midwives? Is a valid tool or questionnaire available to explore for example attitudes of midwives regarding Misoprostol and Oxytocin augmentation, amniotomy or routine Oxytocin application in the third stage of labour?
Hope to find an answer.
Looking forward to exchange on this platform.
Luise Lengler
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