Decision-making in Swiss home-like childbirth : a grounded theory study

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

doi:10.1016/j.wombi.2017.05.004

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Decision-making in Swiss home-like childbirth : a grounded theory study
Authors:	Meyer, Yvonne Frank, Franziska Schläppy Muntwyler, Franziska Fleming, Valerie Pehlke-Milde, Jessica
DOI:	10.1016/j.wombi.2017.05.004
Published in:	Women and Birth
Volume(Issue):	30
Issue:	6
Page(s):	e272
Pages to:	e280
Issue Date:	Dec-2017
Publisher / Ed. Institution:	Elsevier
ISSN:	1871-5192 1878-1799
Language:	English
Subjects:	Decision-making; Home-like childbirth; Partnership relationships; Midwife; Commitment; Grounded theory
Subject (DDC):	618: Gynecology, obstetrics and midwifery
Abstract:	Background: Decision-making in midwifery, including a claim for shared decision-making between midwives and women, is of major significance for the health of mother and child. Midwives have little information about how to share decision-making responsibilities with women, especially when complications arise during birth. Aim: To increase understanding of decision-making in complex home-like birth settings by exploring midwives’ and women’s perspectives and to develop a dynamic model integrating participatory processes for making shared decisions. Methods: The study, based on grounded theory methodology, analysed 20 interviews of midwives and 20 women who had experienced complications in home-like births. Findings: The central phenomenon that arose from the data was “defining/redefining decision as a joint commitment to healthy childbirth”. The sub-indicators that make up this phenomenon were safety, responsibility, mutual and personal commitments. These sub-indicators were also identified to influence temporal conditions of decision-making and to apply different strategies for shared decision-making. Women adopted strategies such as delegating a decision, making the midwife’s decision her own, challenging a decision or taking a decision driven by the dynamics of childbirth. Midwives employed strategies such as remaining indecisive, approving a woman’s decision, making an informed decision or taking the necessary decision. Discussion and conclusion: To respond to recommendations for shared responsibility for care, midwives need to strengthen their shared decision-making skills. The visual model of decision-making in childbirth derived from the data provides a framework for transferring clinical reasoning into practice.
URI:	https://digitalcollection.zhaw.ch/handle/11475/5653
Fulltext version:	Published version
License (according to publishing contract):	Licence according to publishing contract
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., Frank, F., Schläppy Muntwyler, F., Fleming, V., & Pehlke-Milde, J. (2017). Decision-making in Swiss home-like childbirth : a grounded theory study. Women and Birth, 30(6), e272–e280. https://doi.org/10.1016/j.wombi.2017.05.004

Meyer, Y. et al. (2017) ‘Decision-making in Swiss home-like childbirth : a grounded theory study’, Women and Birth, 30(6), pp. e272–e280. Available at: https://doi.org/10.1016/j.wombi.2017.05.004.

Y. Meyer, F. Frank, F. Schläppy Muntwyler, V. Fleming, and J. Pehlke-Milde, “Decision-making in Swiss home-like childbirth : a grounded theory study,” Women and Birth, vol. 30, no. 6, pp. e272–e280, Dec. 2017, doi: 10.1016/j.wombi.2017.05.004.

MEYER, Yvonne, Franziska FRANK, Franziska SCHLÄPPY MUNTWYLER, Valerie FLEMING und Jessica PEHLKE-MILDE, 2017. Decision-making in Swiss home-like childbirth : a grounded theory study. Women and Birth. Dezember 2017. Bd. 30, Nr. 6, S. e272–e280. DOI 10.1016/j.wombi.2017.05.004

Meyer, Yvonne, Franziska Frank, Franziska Schläppy Muntwyler, Valerie Fleming, and Jessica Pehlke-Milde. 2017. “Decision-Making in Swiss Home-like Childbirth : A Grounded Theory Study.” Women and Birth 30 (6): e272–e80. https://doi.org/10.1016/j.wombi.2017.05.004.

Meyer, Yvonne, et al. “Decision-Making in Swiss Home-like Childbirth : A Grounded Theory Study.” Women and Birth, vol. 30, no. 6, Dec. 2017, pp. e272–80, https://doi.org/10.1016/j.wombi.2017.05.004.