Skeide Annekatrin
Institute for Midwifery, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Front Glob Womens Health. 2025 Jun 23;6:1605546. doi: 10.3389/fgwh.2025.1605546. eCollection 2025.
Midwifery care has been shown to effectively enhance birth outcomes and improve childbirth experiences. It has, however, not yet been sufficiently articulated how exactly. This study explores how trustful and empowering relationships are crafted through midwifery birthing care techniques. To do so, it builds on insights derived from feminist science and technology studies' engagements with caring in terms of empirical ethics, namely as situated practices of "doing good". Using reflexive thematic analysis, I examine semi-structured interviews with midwives alongside ethnographic fieldwork conducted across various midwifery care settings in Germany. Setting two birthing stories in dialogue, I illustrate how bodies-in-labor emerge through collective, active, persistent and adaptive engagements with these dynamic entities in midwifery practice to make physiological childbirth happen. Specifically, I argue that through the midwifery care techniques of "spooning" and "labor and birth positioning" midwifery birthing care attachments are fostered. I conceptualize these attachments as co-responsive, active-passive commitments aimed at sustaining endurable or even pleasurable relationships between embodied selves and bodies-in-labor. Investigating situated midwifery care techniques enables a detailed understanding of their specific qualities in particular childbirth situations, extending conventional notions of being-with and non-intervention. This approach allows to articulate, critically engage with, and strengthen midwifery-specific childbirth care practices.
研究表明，助产护理能有效改善分娩结局并提升分娩体验。然而，具体是如何做到的，目前尚未得到充分阐述。本研究探讨了如何通过助产分娩护理技术建立信任和赋权的关系。为此，它借鉴了女性主义科学技术研究从经验伦理学角度对护理的见解，即作为“做好事”的具体实践。通过反思性主题分析，我审视了对助产士的半结构化访谈，并结合在德国不同助产护理环境中进行的人种志田野调查。通过设置两个分娩故事进行对话，我阐述了待产身体如何通过在助产实践中与这些动态实体进行集体、积极、持续和适应性的互动而出现，从而实现自然分娩。具体而言，我认为通过“依偎”和“分娩体位”等助产护理技术，可以培养助产分娩护理中的情感纽带。我将这些情感纽带概念化为相互响应、主动 - 被动的承诺，旨在维持有血有肉的自我与待产身体之间持久甚至愉悦的关系。研究具体的助产护理技术能够详细了解它们在特定分娩情况下的特殊性质，扩展了陪伴和不干预的传统观念。这种方法有助于阐明、批判性地参与并加强助产士特有的分娩护理实践。
