کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
1084451 1487147 2016 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Midwifing the notion of a ‘good’ birth: a philosophical analysis
ترجمه فارسی عنوان
مامایی کردن، مفهوم یک تولد "خوب": تحلیل فلسفی
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
چکیده انگلیسی


• Confidence is embedded within community.
• A confident personal story of one's birth experience impacts others.
• How a midwife practices infuses the woman with her own confidence.
• There can be a ‘knowing’ that is beyond explanation that holds confidence firm.
• A ‘good birth’ experience emerges from all of the above in play together.
• Wherever ‘good birth’ flourishes, safeguard and protect.

Objectiveto ponder afresh what makes a good birth experience in a listening manner.Designa hermeneutic approach that first explores the nature of how to listen to a story that is already familiar to us and then draws on Heidegger's notion of the fourfold to seek to capture how the components of a'good birth' come together within experience.Settingprimary birthing centre, New ZealandParticipantsthe focus of this paper is the story of one participant. It was her second birth; her first birth involved a lot of medical intervention. She had planned to travel one hour to the tertiary birthing unit but in labour chose to stay at the Birth Centre. Her story seems to portray a ‘very good birth’.Findingsin talking of birth, the nature of a research approach is commonly to focus on one aspect: the place, the care givers, or the mode of care. In contrast, we took on the challenge of first listening to all that was involved in one woman's story. We came to see that what made her experience ‘good’ was'everything' gathered together in a coherent and supportive oneness. Heidegger's notion of the fourfold helped reveal that one cannot talk about one thing without at the same time talking about all the other things as well. Confidence was the thread that held the story together.Key conclusionsthere is value in putting aside the fragmented approach of explicating birth to recognise the coming together of place, care, situation, and the mystery beyond explanation. Women grow a confidence in place when peers and community encourage the choice based on their own experience. Confidence of caregiver comes in relationship. Feeling confident within ‘self’ is part of the mystery. When confidence in the different dimensions holds together, birth is ‘good’.Implications or practiceone cannot simply build a new birthing unit and assume it will offer a good experience of birth. Experience is about so much more. Being mindful of the dimensions of confidence that need to be built up and sheltered is a quest for wise leaders. Protecting the pockets where we know ‘good birth’ already flourishes is essential.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Midwifery - Volume 37, June 2016, Pages 25–31
نویسندگان
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