Postdoctoral researcher, Evangelische Hochschule Berlin, Department of Midwifery Sciences, Teltower Damm 118-122, 14167 Berlin, Germany.
Professor in Perinatal Health, School of Community Health & Midwifery, University of Central Lancashire, Preston. PR1 2HE.
Midwifery. 2025 Jan;140:104202. doi: 10.1016/j.midw.2024.104202. Epub 2024 Oct 2.
To understand and interpret the lived experience of newly qualified midwives in their first year in a free standing birth centre caring for women in early labour.
Women who present in hospital labour wards in early labour are encouraged by hospital staff to go home. This leaves women to navigate early labour without professional care, leaving them on their own to manage the transition from early to active labour. However, some women request care for this transition.
This is a Heideggerian hermeneutic phenomenology study.
Three unstructured interviews were conducted with 15 newly qualified midwives in their first year working in a free-standing birth centre. This paper focuses on the research participants' lived experience offering care to women in early labour. The study was conducted from 2021-2024.
Three themes were revealed in analysis: "Paving the way into labour": Tailoring care to women's needs in early labour; "Perhaps it was intuition.": Experiencing deeper knowing as a newly qualified midwife; and "She locked the door and wouldn't let me in.": Navigating uncomfortable situations in early labour.
The lived experience of newly qualified midwives offering care in early labour shows potential for midwives to build trusting relationships with women in this phase.
Prioritizing relational care over interventions in early labor can enhance trust and confidence between midwives and birthing women, particularly in settings where policies discourage early admissions.
Women presenting in hospital labour wards in early labour who are sent home are often discouraged, feeling that their concerns and embodied experiences have not been heard.
When labouring women are admitted to hospitals in early labour, they are prone to receive a cascade of interventions.
When newly qualified midwives began working in free-standing birth centres, they acquired skills and knowledge to accompany women in early labour who requested care. Relational care in early labour builds women's trust in their ability to give birth and does not rely on interventions to augment labour.
理解和解释新获得资格的助产士在独立分娩中心的第一年中照顾处于早期分娩的女性的生活体验。
在医院分娩病房中处于早期分娩的女性被医院工作人员鼓励回家。这使得女性在没有专业护理的情况下独自度过早期分娩，让她们自己管理从早期分娩到活跃分娩的过渡。然而，一些女性要求在此过渡期间得到护理。
这是一项海德格尔解释学现象学研究。
对 15 名在独立分娩中心工作的新获得资格的助产士进行了三次非结构化访谈。本文重点介绍了研究参与者在早期分娩时为女性提供护理的生活体验。该研究于 2021 年至 2024 年进行。
分析揭示了三个主题：“为分娩铺平道路”：根据女性在早期分娩中的需求定制护理；“也许这是直觉”：作为一名新获得资格的助产士体验到更深层次的了解；“她锁上门，不让我进去”：在早期分娩中应对不舒服的情况。
新获得资格的助产士在早期分娩时提供护理的生活体验表明，助产士在这个阶段与女性建立信任关系的潜力。
在早期分娩中优先考虑关系护理而不是干预可以增强助产士和分娩女性之间的信任和信心，特别是在政策不鼓励早期入院的情况下。
在早期分娩时被送往医院分娩病房的女性通常会感到沮丧，因为她们觉得自己的担忧和身体体验没有被听到。
当分娩女性在早期分娩时被送往医院时，她们往往会接受一连串的干预。
当新获得资格的助产士开始在独立分娩中心工作时，她们获得了陪伴要求护理的早期分娩女性的技能和知识。早期分娩中的关系护理增强了女性对自己分娩能力的信任，并不依赖于干预措施来增强分娩。
