Women's positions during the second stage of labour: views of primary care midwives

Journal of Advanced Nursing
Ank de JongeA L M Lagro-Janssen

Abstract

This paper is a report of a study to explore the views of midwives on women's positions during the second stage of labour. Many authors recommend encouraging women to use positions that are most comfortable to them. Others advocate encouragement of non-supine positions, because offering 'choice' is not enough to reverse the strong cultural norm of giving birth in the supine position. Midwives' views on women's positions have rarely been explored. Six focus groups were conducted in 2006-2007 with a purposive sample of 31 midwives. The data were interpreted using Thachuk's models of informed consent and informed choice. The models were useful in distinguishing between two different approaches of midwives to women's positions during labour. When giving informed consent, midwives implicitly or explicitly ask a woman's consent for what they themselves prefer. When offering informed choice, a woman's preference is the starting point, but midwives will suggest other options if this is in the woman's interest. Obstetric factors and working conditions are reasons to deviate from women's preferences. To give women an informed choice about birthing positions, midwives need to give them information during pregnancy and discuss their positi...Continue Reading

References

Jan 1, 1976·Acta Obstetricia Et Gynecologica Scandinavica. Supplement·R J Atwood
May 1, 1986·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·M A Rossi, S G Lindell
Jan 1, 1983·Journal of Perinatal Medicine·M MarttilaO Ylikorkala
May 1, 1997·British Journal of Obstetrics and Gynaecology·P R de JongP W Jones
Nov 23, 2000·Journal of Midwifery & Women's Health·K A Thorstensen
Mar 5, 2002·Journal of Midwifery & Women's Health·Joyce E Roberts
Dec 3, 2003·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Joyce E Roberts
Feb 20, 2004·The Cochrane Database of Systematic Reviews·J K Gupta, G J Hofmeyr
Mar 16, 2004·Birth·Ulla WaldenströmIngela Rådestad
Apr 2, 2004·Journal of Advanced Nursing·Petra GoodmanAbbas S Tavakoli
Sep 21, 2004·Journal of Psychosomatic Obstetrics and Gynaecology·A De JongeA L M Lagro-Janssen
Sep 21, 2004·Journal of Psychosomatic Obstetrics and Gynaecology·A De Jonge, A L M Lagro-Janssen
Jan 16, 2007·BJOG : an International Journal of Obstetrics and Gynaecology·A de JongeA L M Lagro-Janssen

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Citations

Feb 19, 2013·Midwifery·Marianne J NieuwenhuijzeToine L M Lagro-Janssen
Jun 15, 2011·Women and Birth : Journal of the Australian College of Midwives·Holly PriddisVirginia Schmied
Jan 4, 2012·Journal of Psychosomatic Obstetrics and Gynaecology·Marianne NieuwenhuijzeToine Lagro-Jansse
May 22, 2018·The Journal of Perinatal & Neonatal Nursing·Cassandra Yuit Wah WongSerena S L Koh
Oct 27, 2017·International Journal of Nursing Practice·Cassandra Y W WongSerena S L Koh

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