The dwelling space of postnatal care |
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Authors: | Elizabeth A. Smythe Deborah Payne Sally Wilson Sue Wynyard |
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Affiliation: | 1. University of North Carolina School of Medicine, Department of Obstetrics and Gynecology, Division of Family Planning;2. Gillings School of Public Health Department of Maternal and Child Health;3. University of North Carolina School of Medicine, Department of Social Medicine, Department of Obstetrics and Gynecology, Center for Bioethics;4. Duke University School of Nursing;5. University of North Carolina School of Medicine, Department of Family Medicine;6. University of North Carolina School of Medicine, Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine;7. Carolina Global Breastfeeding Institute, Gillings School of Public Health |
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Abstract: | BackgroundThis paper considers the dwelling space of postnatal care, how being-there feels for the woman going through the experience of matrescence. The research takes a hermeneutic approach and draws on philosophical notions from Heidegger. Question: ‘What is the nature of the dwelling space of valued postnatal care?’.MethodsAppropriate ethics approval was gained. Participants were midwives, nurses, women, and other relevant stakeholders. There were 4 focus groups involving 11 participants and 19 individual interviews. Data collection was conducted over a one week period by a team of three researchers. An interview schedule had been organised by the administrator at the Centre. Participants chose whether to come to the centre to be interviewed, or be interviewed in their own homes. Most interviews were an hour. All interviews were tape recorded and transcribed, with the participant's permission. Data was analysed through a hermeneutic process set in the context of related literature.FindingsWhen women are invited into a dwelling space that strengthens them they feel ‘mothered’: being listened to, have their needs anticipated, and are cared for in a loving manner. In such a way they grow confidence. A child health nurse reported the difference such care made to on-going mothering at home.Implications for practiceAll women deserve a dwelling space in their early days of matrescence. Small birthing centres perhaps achieve such care and ambience more easily than large institutional units. Nevertheless, wherever the place, practices need to be enabled that foster the spirit of dwelling. |
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