Supporting Physiological Birth Choices in Midwifery Practice: The Role of Workplace Culture, Politics...

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Claire Feeley

Supporting Physiological Birth Choices in Midwifery Practice

The Role of Workplace Culture, Politics and Ethics

Claire Feeley

$273

Hardback

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English

Routledge
28 February 2023

Neonatal medicine; Nursing fundamentals & skills; Birthing methods

Highlighting the experiences of midwives who provide care to women opting outside of guidelines in the pursuit of physiological birth, Claire Feeley looks at the impact on midwives themselves, and explores how teams and organisations support or discourage women’s birth choices.

This book investigates the processes, experiences and sociocultural-political influences upon midwives who support women’s alternative birthing choice and argues for a shift in perspective from notions of an individual’s professional responsibility to deliver woman-centred care, to a broader, collective responsibility. The book begins by contextualising the importance of quality midwifery care with an exploration of the current debates to demonstrate how hegemonic birth discourse and maternity practices have detrimentally affected physiological birth rates, and the wellbeing of women who opt outside of maternity guidelines. It provides real life examples of how midwives can facilitate a range of birthing decisions within mainstream midwifery services. Moreover, an exploration of midwives’ experiences of delivering such care is presented, revealing deeply polarised accounts from moral injury to job fulfilment. The polarised accounts are then presented within a new model to explore how a midwife’s socio-political working context can significantly mediate or exacerbate the vulnerability, conflict and stigmatisation that they may experience as a result of supporting alternative birth choices. Finally, this book explores the implications of the findings, looking at how team and organisational culture can be developed to better support women and midwives, making recommendations for a systems approach to improving maternity services.

Discussing the invisible nature of midwifery work, what it means to deliver woman-centred care, and the challenges and benefits of doing so, this is a thought-provoking read for all midwives and future midwives. It is also an important contribution to interprofessional concerns around workforce development, sustainability, moral distress and compassion in health and social care.

By: Claire Feeley
Imprint: Routledge
Country of Publication: United Kingdom
Dimensions: Height: 234mm, Width: 156mm,
Weight: 380g
ISBN: 9781032208312
ISBN 10: 1032208317
Pages: 150
Publication Date: 28 February 2023
Audience: College/higher education , Professional and scholarly , Primary , Undergraduate
Format: Hardback
Publisher's Status: Active

1.Introduction. 2.Rhetoric vs. Reality: The power of hegemonic birth practices. 3.Counter discourses; Resistance in action. 4.Moral Compromise and distress: Midwives’ invisible wounds. 5.Psychologically safe work environments: Creating the conditions for fulfilment. 6.Stigmatised to normal practice: A new lens. 7.Shifting the lens: Towards a collective responsibility. 8.Appendices

Claire Feeley is a clinical midwife and researcher with over 13 years’ experience in maternal, perinatal and infant health. Formerly the editor-in-chief of The Practising Midwife, Dr Feeley is now a lecturer and researcher at King’s College London.