Bradfield Zoe, Duggan Ravani, Hauck Yvonne, Kelly Michelle
School of Nursing, Midwifery and Paramedicine, Curtin University, Western Australia, Australia.
School of Nursing, Midwifery and Paramedicine, Curtin University, Western Australia, Australia.
Women Birth. 2018 Apr;31(2):143-152. doi: 10.1016/j.wombi.2017.07.011. Epub 2017 Aug 12.
Midwives being 'with woman' is embedded in professional philosophy, standards of practice and partnerships with women. In light of the centrality of being 'with woman' to the profession of midwifery, it is timely to review the literature to gain a contemporary understanding of this phenomenon.
This review synthesises research and theoretical literature to report on what is known and published about being 'with woman'.
A five step framework for conducting an integrative literature reviews was employed. A comprehensive search strategy was utilised that incorporated exploration in electronic databases CINAHL, Scopus, Proquest, Science Direct and Pubmed. The initial search resulted in the retrieval of 2057 publications which were reduced to 32 through a systematic process.
The outcome of the review revealed three global themes and corresponding subthemes that encompassed 'with woman': (1) philosophy, incorporated two subthemes relating to midwifery philosophy and philosophy and models of care; (2) relationship, that included the relationship with women and the relationship with partners; and (3) practice, that captured midwifery presence, care across the childbirth continuum and practice that empowers women.
Research and theoretical sources support the concept that being 'with woman' is a fundamental construct of midwifery practice as evident within the profession's philosophy. Findings suggest that the concept of midwives being 'with woman' is a dynamic and developing construct. The philosophy of being 'with woman' acts as an anchoring force to guide, inform and identify midwifery practice in the context of the rapidly changing modern maternity care landscapes. Gaps in knowledge and recommendations for further research are made.
助产士“陪伴产妇”是专业理念、实践标准以及与产妇合作关系的核心内容。鉴于“陪伴产妇”对助产士职业的核心地位，适时回顾相关文献以对这一现象形成当代的理解很有必要。
本综述综合研究和理论文献，报告关于“陪伴产妇”的已知及已发表内容。
采用了一个五步框架来进行综合文献综述。运用了全面的检索策略，包括在电子数据库CINAHL、Scopus、Proquest、Science Direct和Pubmed中进行检索。初步检索得到2057篇出版物，经过系统筛选后减少至32篇。
综述结果揭示了包含“陪伴产妇”的三个总体主题及相应子主题：（1）理念，包含与助产士理念以及护理理念和模式相关的两个子主题；（2）关系，包括与产妇的关系以及与伴侣的关系；（3）实践，涵盖助产士的在场、分娩全过程护理以及赋予女性权力的实践。
研究和理论来源支持“陪伴产妇”是助产士实践的基本构成这一概念，这在该职业的理念中很明显。研究结果表明，助产士“陪伴产妇”的概念是一个动态发展的构成。“陪伴产妇”的理念作为一种锚定力量，在快速变化的现代产科护理环境中指导、告知并确定助产士的实践。文中指出了知识空白以及对进一步研究的建议。
