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Intrapartum midwifery care for women's enhanced childbirth: a concept analysis

02 May 2025
Volume 33 · Issue 5
Midwife supporting a pregnant women

Abstract

Background/Aims

Midwifery care is crucial for women's physical and psychological wellbeing after birth. However, diverse evaluation indicators make it challenging to establish a unified concept of intrapartum midwifery care. Women's opinions can provide insights for better midwifery care. This review aimed to define and explore midwives’ intrapartum care from women's perspective.

Methods

This review searched PubMed, the Cumulative Index to Nursing and Allied Health Literature, Web of Science and Ichushi-Web for articles published after 2010 in English and Japanese. Rodgers’ conceptual analysis was used to outline the antecedents, attributes and consequences of intrapartum care.

Results

A total of 87 articles were included. Analysis highlighted seven attributes, five antecedents and eight consequences of intrpartum care.

Conclusions

From women's perspective, intrapartum midwifery care should address their needs, empower them and provide warmth and security. It should also protect their dignity while supporting their decisions and sense of control during birth.

Implications for practice

Improving practice will ensure that women receive high-quality care from midwives during childbirth. Developing a scale based on the concepts identified in this study could enable objective assessment of care. Such an approach may enhance midwifery care and improve childbirth experiences across different cultural contexts.

Midwifery care influences women's physical and psychological outcomes after birth (Taheri et al, 2018). Improving the care provided helps promote women's postpartum health and wellbeing (McKelvin et al, 2021).

Multiple studies have assessed midwifery care using life-saving outcomes for women and children, such as mortality and complications, as indicators of the quality of care (World Health Organization (WHO), 2007; WHO et al, 2023). Other indicators include the proportion of women who use maternity facilities and the percentage of births attended by skilled birth attendants (WHO et al, 2018; Vallely et al, 2023). Outcomes for measurements of midwifery care vary widely, and include birth experience (Dencker et al, 2010; Nilvér et al, 2017), birth satisfaction (Hollins Martin and Martin, 2014), women's autonomy (Vedam et al, 2017a), self-determination (Vedam et al, 2017b) and quality of care (Heaman et al, 2014; Truijens et al, 2014; Scheerhagen et al, 2019; Dwekat et al, 2021).

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