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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
Published in : Midwifery
Volume(Issue) : 78
Pages : 97
Pages to: 103
Issue Date: 2019
Publisher / Ed. Institution : Elsevier
ISSN: 0266-6138
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.
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: Health Professions
Organisational Unit: Institute of Midwifery (IHB)
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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