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Thank you for your quick responses and advice. I have searched the available databases for articles concerning midwives promotion of a care option but have had little success. Are there any key articles that the group could recommend in this area?
Once again than for your help.
Charlotte.

> Date: Wed, 12 Mar 2008 17:07:57 +0000
> From: [log in to unmask]
> Subject: Re: Water birth and the midwife
> To: [log in to unmask]
> 
> Hi Charlotte
> You are correct there is little evidence, in terms of primary studies,
> looking at the role of midwives in promoting waterbirths. But if you
> look at the literature on other topics linked to midwives' promotion of
> a care option, for example home births, the reasons some midwives do not
> promote these is related to their clinical competence and confidence,
> the support they have from managers, availability of resources including
> staff numbers to enable educational activities, medical dominance, and
> fear of litigation (note I say fear of, not necessarily actual). This
> list would apply to waterbirths, as well, although not necessarily in
> that order.  
> 
> Best wishes
>  LIZ
> ******************************************************************
> Dr Elizabeth R Cluett
> PhD MSc RM RGN PGCEA
> Senior Lecturer, School of Nursing and Midwifery
> University of Southampton 
> tel; 023 8059 7850
> email [log in to unmask]
> 
> -----Original Message-----
> From: A forum for discussion on midwifery and reproductive health
> research. [mailto:[log in to unmask]] On Behalf Of
> Charlotte Bachtold
> Sent: 12 March 2008 13:47
> To: [log in to unmask]
> Subject: Water birth and the midwife
> 
> My name is Charlotte and I am a final year midwifery degree student who
> is
> in the middle of her dissertation.
> 
> I have chosen water birth as my topic and having carried out an
> extensive
> electronic and hand search of the literature I have decided to focus my
> literature review upon what is preventing women from birthing in water.
> I
> have found a great deal of research regarding the benefits of water
> birth
> and its 'safety' yet I can find very little on the subject of the
> midwives
> role and perspective on water birth. From my own clinical experience I
> am
> aware that midwives play an essential role in the promotion and uptake
> of
> water birth yet I am having difficulty finding anything on this
> interesting
> aspect from a research perspective.
> 
> It is for this reason that I am writing to you to see if anyone has any
> interesting thoughts or ideas on this subject. Any opinions or advice
> would
> be much appreciated. I look forward to hearing from you,
> 
> Charlotte.

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