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Veiled midwifery in the baby factory: A grounded theory study
Institution of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Institution of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Sweden.
Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).ORCID-id: 0000-0001-8354-3382
2019 (Engelska)Ingår i: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799, Vol. 32, nr 1, s. 80-86Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

BACKGROUND: Midwives' professional role has been changing drastically over time, from handling births in home settings to being part of a team in labour wards in hospitals. This demands a greater effort of interprofessional collaboration in childbirth care.

AIM: Explore midwives' work in a hospital-based labour ward from the perspectives of other professions, working in the same ward.

METHOD: Classical grounded theory, using a constant comparative analysis, was applied to focus group interviews with obstetricians, assistant nurses and managers to explore their views of midwifery work during childbirth.

FINDINGS: The substantive theory of 'veiled midwifery' emerged as an explanation of the social process between the professions in the 'baby factory' context. The other professionals perceive midwifery through a veil that filters the reality and only permits fragmentary images of the midwives' work. The main concern for the other professions was that the midwives were 'marching to own drum'. The midwives were perceived as both in dissonance with the baby factory, and therefore hard to control, or, alternatively more compliant with the prevailing rhythm. This caused an unpredictability and led to feelings of frustration and exclusion. Which in turn resulted in attempts to cooperate and gain access to the midwifery world, by using three unveiling strategies: Streamlining, Scrutinising and Collaborating admittance.

CONCLUSIONS: Findings provide a theoretical conceptualisation of a 'veiled midwifery 'that causes problems for the surrounding team. This generates a desire to streamline and control midwifery in order to increase interprofessional collaboration. © 2018 The Authors

Ort, förlag, år, upplaga, sidor
Amsterdam: Elsevier, 2019. Vol. 32, nr 1, s. 80-86
Nyckelord [en]
Assembly line, Interprofessional collaboration, Labour care, Midwifery, Work situation
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Identifikatorer
URN: urn:nbn:se:hh:diva-37132DOI: 10.1016/j.wombi.2018.04.012ISI: 000455681800029PubMedID: 29709432Scopus ID: 2-s2.0-85046151025OAI: oai:DiVA.org:hh-37132DiVA, id: diva2:1220013
Tillgänglig från: 2018-06-18 Skapad: 2018-06-18 Senast uppdaterad: 2019-01-25Bibliografiskt granskad

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Carlsson, Ing-Marie

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