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Midwife-led care: A concept analysis
Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Sexuell, reproduktiv och perinatal hälsa.
Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Sexuell, reproduktiv och perinatal hälsa.
2019 (engelsk)Independent thesis Advanced level (professional degree), 10 poäng / 15 hpOppgave
Abstract [en]

Background: Midwife-led care is yet to be explored as a concept in the context of Bangladesh. Anunderstanding of what constitutes midwife-led care can be lectured at midwifery education and inturn clarify the content of the midwifery practice to the midwifery workforce. The aim is to definethe concept of “Midwife-led care” from a midwifery context, through the synthesis of text fromliterature and interview data with Bangladeshi health care providers, to clarify its meaning enablingcomprehension and use of the concept in clinical practice and education.Methods: A concept analysis consisting of written text from literature and individual interviewswith Bangladeshi health care providers. In total nine participants participated in this study. Theconcept analysis was undertaken according to a hybrid model which consists of theoretical,fieldwork and analytical phases. After a literature review, the concept was empirically elucidated inthe fieldwork phase. The final step was to describe criteria and attributes of the concept.Results: The tentative criteria and attributes of midwife-led care in the context of midwiferyservices in Bangladesh included development of a trustful, friendly relationship between the womanand midwife; promoting normal processes for the pregnant woman in antenatal care, during deliveryand after delivery in the post-partum period. It includes creating awareness about benefits of normalbirth assisted by a skilled birth attendant. Further, having collaboration and communication withother health care professionals when complications arise with the woman or the baby and provide asupportive environment for care which is easily accessed and close to the communities. Finally,professional knowledge and skills are necessary components for midwives working with midwifeledcare.Conclusion: This concept analysis provides a unique examination of midwife-led care. Midwife-ledcare can be establish in the Bangladeshi midwifery context and practice. However, all the aspects ofmidwife-led care need to be supported by a functional health system for the continuity of care.Clinical implications: In midwife-led care centers, the midwifery workforce can be supported intheir clinical practice based on findings in this thesis. As such, this thesis offers a contribution foreducation in the midwife-led care approach within midwife-led maternity services. This is highlyrecommended when introducing evidence-based interventions to improve midwifery servicedelivery in real-world settings.

sted, utgiver, år, opplag, sider
2019.
Emneord [en]
Midwife-led Care, Concept analysis, Awareness, Labor.
HSV kategori
Identifikatorer
URN: urn:nbn:se:du-31803OAI: oai:DiVA.org:du-31803DiVA, id: diva2:1390809
Tilgjengelig fra: 2020-02-03 Laget: 2020-02-03

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