التفاصيل البيبلوغرافية
| العنوان: |
Stories as evidence: Why do midwives still use directed pushing? |
| المؤلفون: |
Perez-Botella, Mercedes, Downe, Soo |
| المصدر: |
British Journal of Midwifery; Oct2006, Vol. 14 Issue 10, p596-599, 4p |
| مصطلحات موضوعية: |
HOSPITAL maternity services, MIDWIFERY education, PREMATURE labor, DURATION of pregnancy, MATERNAL health services, CHILDBIRTH |
| مستخلص: |
This article uses story-telling techniques to describe and then reflectively analyse the practice of directed pushing in the second stage of labour. The practice is endemic despite evidence from formal research that it does not benefit women and babies, and, indeed, that it may be harmful. The lessons from the narrative account are discussed alongside the formal evidence base. The article is based on a student midwife's story of observing a midwife who used directed pushing to ‘manage’ the expulsive phase of labour in one case. Three specific aspects are discussed, namely the paradox of research-based evidence, trust policies, and professional skills and beliefs; technocratic monitoring and mechanical theories of childbirth; and issues of power and resistance. The intention is to highlight the potentially dramatic impact that story telling could have in the shaping of maternity services when constructively used as a tool to inform practice. This is the first of a two-part series of articles that explore the issues around normality and the expulsive phase of labour. The second article will address the phenomenon of so-called ‘premature’, or ‘early’ pushing. INSET: Case Report: Rachel's story. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
