Women's experience of the encounter with the midwife during childbirth.

OBJECTIVE

to describe women's experience of the encounter with the midwife during childbirth.

DESIGN

a qualitative study using a phenomenological approach. Data were collected via tape-recorded interviews.

SETTING

the Alternative Birth Care Centre, Sahlgrenska University Hospital, Gothenburg, Sweden in 1994.

PARTICIPANTS

18 women, six primiparous and 12 multiparous who were two to four days post delivery.

KEY FINDINGS

the essential structure of the studied phenomenon was described as 'presence' and included three themes: to be seen as an individual, to have a trusting relationship and to be supported and guided on one's own terms.

IMPLICATIONS FOR PRACTICE

the need to be seen as an individual can be realised by affirmation and familiarity with the midwife and surroundings. A trusting relationship can be obtained by good communication and proficient behaviour. By providing a sense of control the women can be supported and guided on their own terms. Above all they must feel that the midwife is present.