Midwifery in a new context: expanding our reference points and embracing new representations of pregnancy and birth

Midwifery
Raymonde Gagnon

Abstract

To learn the adaptations and transformations that midwives from abroad must go through in order to integrate into the practice of Quebec midwifery, which is founded on a concept of birth akin to the holistic model. Qualitative research achieved through semi-structured interviews with an ethnological approach for data collection and analysis. Quebec, Canada. 11 immigrant midwives practising in Quebec. Interviews were also conducted with midwives from Quebec trained abroad (3) and trained in Quebec (5). The greatest challenge for most of the midwives interviewed has been the change of professional culture. Shifting from a technocratic or medical practice model towards a holistic practice model has expanded their points of reference. Medical knowledge has become a type of shared knowledge, with each contributor judged equally important. Nature and humanity now prevail over technology. The woman has become the primary reference source for decision-making. For some midwives of foreign origin, integration into the Quebec practice provided an opportunity to reflect upon or modify their perception of pregnancy. In terms of representations, although most of the midwives interviewed now consider childbirth a life-affirming experience; fo...Continue Reading

References

Aug 1, 1995·Journal of Advanced Nursing·A J Walters
Jul 13, 2002·Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society·Josepha Campinha-Bacote
Jan 29, 2003·Journal of Clinical Psychology·Mark Floyd
May 27, 2004·Health Affairs·Barbara L BrushAnne M Berger
Sep 8, 2004·Journal of Midwifery & Women's Health·Jane Cioffi
Mar 6, 2010·Canadian Journal on Aging = La Revue Canadienne Du Vieillissement·Ivy Lynn BourgeaultRishma Parpia

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