Functional discomfort and a shift in midwifery paradigm |
| |
| Institution: | 1. Department of Nursing, National Yang-Ming University, Taipei, Taiwan;2. Ching Kuo Institute of Management and Health, Keelung, Taiwan;3. Department of Obstetrics and Gynecology, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan;4. Department of Obstetrics and Gynecology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan;5. Department of Traditional Chinese Medicine, Taipei Medical University Hospital, Taipei, Taiwan;6. Department of Obstetrics and Gynecology, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan;7. School of Medicine, Fu-Jen Catholic University, New Taipei City, Taiwan;8. Department of Obstetrics and Gynecology, National Taiwan University Hospital, Taipei, Taiwan;9. Institute of Clinical and Community Health Nursing, National Yang-Ming University, Taipei, Taiwan;1. University of West London, UK;2. South Tees NHS Trust, Teeside, UK;3. University of North Carolina, Chapel Hill, NC, USA;4. Duke University School of Medicine, Durham, NC, USA;5. Ridge Regional Hospital, Accra Ghana;6. Forsyth Medical Center, Winston-Salem, NC, USA;7. Wake Forest School of Medicine, Winston-Salem, NC, USA;1. Bachelor in Midwifery, Department of Health and Social Work, Artesis Plantijn University College Antwerp, Noorderplaats 2, 2000 Antwerp, Belgium;2. Centre for Research and Innovation in Care, University Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium;3. Lectorship Healthy Region, HZ University of Applied Sciences, Edisonweg 4, 4382 NW Vlissingen, the Netherlands;4. Research Centre Innovations in Care, Institute for Healthcare – School of Midwifery Education, Rotterdam University of Applied Sciences, Rochussenstraat 198, 3015 EK Rotterdam, the Netherlands;1. Maternity and Family Unit, Centre for Health Practice Innovation (HPI), Griffith Health Institute, Griffith University, Queensland 4131, Australia;2. School of Nursing and Midwifery, Griffith University, University Drive, Meadowbrook, Queensland 4131, Australia;1. Department of Chronic Disease Epidemiology, School of Public Health, Yale University, United States;2. Centers for Behavioral and Preventative Medicine, The Miriam Hospital, United States;3. Department of Behavioral and Social Sciences, Warren Alpert Medical School, Brown University, United States;4. International Health Institute, School of Public Health, Brown University, United States;5. Lyndon B Johnson Tropical Medical Center, American Samoa |
| |
| Abstract: | ObjectiveTo determine and critically examine maternity attitudes surrounding labour pain and how midwives can best facilitate women navigating intrapartum discomfort without relying on ‘pain-relief’ strategies or immediate recourse for analgesic assistance.ApproachThis article examines current literature using seminal research and wider international perspectives, exploring the complex and fluctuating needs of women negotiating the composite factors of labour discomfort are investigated.FindingsFactors such as birth environment, fear, midwifery presence, and self-efficacy, have a significant impact on the uptake of intrapartum analgesia. A holistic view of intrapartum discomfort is needed to shift the current paradigm of pathologising labour pain into one which situates it as a source of positive physiology and functional discomfort.ConclusionContinuing to practice with a pharmacological outlook, aiming to rid the labouring body of discomfort, is reductionist for both midwives and women. Midwives must seek to employ a new lexicon with which to communicate and facilitate women within the dynamic and continually changing territory of labour. If this conceptual shift is realised, the subsequent positive sequalae of women rediscovering their innate birthing capabilities could create a situation where birth can be considered as an aesthetic peak experience, improving satisfaction on both sides of the midwife-mother diad. |
| |
| Keywords: | Labour pain Epidural analgesia Midwifery facilitation Functional discomfort Birth |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
