Integrative power in Swiss home-like childbirths : a qualitative multiple case study

Meyer, Yvonne; Pehlke-Milde, Jessica; Muntwyler, Franziska Schläppy; Fleming, Valerie

doi:10.1016/j.midw.2019.08.005

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-17957

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Integrative power in Swiss home-like childbirths : a qualitative multiple case study
Authors:	Meyer, Yvonne Pehlke-Milde, Jessica Muntwyler, Franziska Schläppy Fleming, Valerie
et. al:	No
DOI:	10.1016/j.midw.2019.08.005 10.21256/zhaw-17957
Published in:	Midwifery
Volume(Issue):	78
Page(s):	97
Pages to:	103
Issue Date:	2019
Publisher / Ed. Institution:	Elsevier
ISSN:	0266-6138 1532-3099
Language:	English
Subjects:	Decision-making; Home-like birth; Midwifery; Power; Case study; Qualitataive reserach
Subject (DDC):	618.4: Childbirth
Abstract:	Objective: To increase understanding of integrative power in decision-making in home-like childbirth from midwives’ and women’s perspectives. Design: A qualitative multiple case study. Setting: Two regions of Switzerland, a French and a German-speaking. Participants: Twenty interviews with midwives and 20 with women and some partners who had experienced complications in home-like births. Methods: Data were collected from in-depth interviews relevant for case study. Four cases during second stage of labour were carefully selected using literal replication logic. Interview transcripts were analysed in developing case descriptions and in interpreting mechanisms related to perception of power in making decision. Findings: The analysis of each case and a cross-case comparison showed that mechanisms for building integrative power, such as creation of relationships, cooperation, loyalty, legitimacy and respect, were highly visible in midwifery decision-making activities. Key conclusions and implications for practice: The study highlighted the visibility of integrative power mechanisms in decision-making in homelike settings. Until now, mechanisms of positive power in midwifery have been poorly described in literature. Integrative power could be a promising strategy to rein- force decision-making strategies. Therefore, clinical and policy measures explicitly addressing the positive aspects of power should be developed and evaluated.
URI:	https://digitalcollection.zhaw.ch/handle/11475/17957
Fulltext version:	Accepted version
License (according to publishing contract):	CC BY-NC-ND 4.0: Attribution - Non commercial - No derivatives 4.0 International
Restricted until:	2020-11-01
Departement:	School of Health Sciences
Organisational Unit:	Institute of Midwifery and Reproductive Health (IHG)
Published as part of the ZHAW project:	Entscheidungsprozesse bei Komplikationen während Haus- und Geburtshausgeburten: Eine Grounded Theorie Studie
Appears in collections:	Publikationen Gesundheit

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Meyer, Y., Pehlke-Milde, J., Muntwyler, F. S., & Fleming, V. (2019). Integrative power in Swiss home-like childbirths : a qualitative multiple case study. Midwifery, 78, 97–103. https://doi.org/10.1016/j.midw.2019.08.005

Meyer, Y. et al. (2019) ‘Integrative power in Swiss home-like childbirths : a qualitative multiple case study’, Midwifery, 78, pp. 97–103. Available at: https://doi.org/10.1016/j.midw.2019.08.005.

Y. Meyer, J. Pehlke-Milde, F. S. Muntwyler, and V. Fleming, “Integrative power in Swiss home-like childbirths : a qualitative multiple case study,” Midwifery, vol. 78, pp. 97–103, 2019, doi: 10.1016/j.midw.2019.08.005.

MEYER, Yvonne, Jessica PEHLKE-MILDE, Franziska Schläppy MUNTWYLER und Valerie FLEMING, 2019. Integrative power in Swiss home-like childbirths : a qualitative multiple case study. Midwifery. 2019. Bd. 78, S. 97–103. DOI 10.1016/j.midw.2019.08.005

Meyer, Yvonne, Jessica Pehlke-Milde, Franziska Schläppy Muntwyler, and Valerie Fleming. 2019. “Integrative Power in Swiss Home-like Childbirths : A Qualitative Multiple Case Study.” Midwifery 78: 97–103. https://doi.org/10.1016/j.midw.2019.08.005.

Meyer, Yvonne, et al. “Integrative Power in Swiss Home-like Childbirths : A Qualitative Multiple Case Study.” Midwifery, vol. 78, 2019, pp. 97–103, https://doi.org/10.1016/j.midw.2019.08.005.