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Space,place and the midwife: Exploring the relationship between the birth environment,neurobiology and midwifery practice
Authors:Athena Hammond  Maralyn Foureur  Caroline SE Homer  Deborah Davis
Institution:1. Department of Health and Care Sciences, Faculty of Health Sciences, UiT, The Arctic University of Norway, Tromsø, Norway;2. Division of Cardiothoracic and Respiratory Medicine, University Hospital North Norway, Tromsø, Norway;3. Clinical Cardiovascular Research Group, UiT, The Arctic University of Norway, Tromsø, Norway
Abstract:BackgroundResearch indicates that midwives and their practice are influenced by space and place and that midwives practice differently in different places. It is possible that one mechanism through which space and place influence midwifery practice is via neurobiological responses such as the production and release of oxytocin, which can be triggered by experiences and perceptions of the physical environment.AimTo articulate the significance of space and place to midwifery and explore the relationship between the birth environment, neurobiology and midwifery practice.DiscussionQuality midwifery care requires the facilitation of trusting social relationships and the provision of emotionally sensitive care to childbearing women. The neuropeptide oxytocin plays a critical role in human social and emotional behaviour by increasing trust, reducing stress and heightening empathy, reciprocity and generosity.Principle conclusionThrough its role as a trigger for oxytocin release, the birth environment may play a direct role in the provision of quality midwifery care.
Keywords:Space and place  Midwifery practice  Birth environment  Oxytocin
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