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  • 1.
    Blix, Ellen
    et al.
    Nordic Council of Ministers, Nordic School of Public Health NHV. Nordic School of Public Health NHV.
    Ohlund, Lennart S
    Norwegian midwives' perception of the labour admission test.2007In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 23, no 1, p. 48-58Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To explore what information and knowledge the labour admission test is perceived to provide and what meaning the test carries in the daily work of practising midwives.

    DESIGN: In-depth interviews transcribed verbatim and analysed using the grounded theory technique.

    SETTING: Four different labour wards in Norway.

    PARTICIPANTS: A theoretical sample of 12 practising midwives.

    FINDINGS: The core category "experiencing contradictions" was identified during the analyses, indicating that the midwives found conflicting interests within themselves, or between themselves and others when using the labour admission test. They experienced contradictions between professional identity and the increasing use of technology, between feeling safe and feeling unsafe and between having power and being powerless.

    KEY CONCLUSIONS: The labour admission traces could be difficult to interpret, especially for newly qualified midwives. Some midwives thought that a labour admission trace could protect them in case of litigation. The hierarchy of power in the labour ward influences the use and interpretation of the labour admission test. Some midwives felt their professional identity threatened and that midwives in general are losing their traditional skills because of the increasing use of obstetric technology.

    IMPLICATIONS FOR PRACTICE: The findings of the present study should be taken into consideration when changing practice to not routinely perform the labour admission test. There is also a need for further research on what effect the increasing use of obstetric technology has on traditional midwifery skills.

  • 2.
    Montgomery-Andersen, Ruth
    et al.
    Nordic Council of Ministers, Nordic School of Public Health NHV.
    Douglas, Vasiliki
    Borup, Ina
    Nordic Council of Ministers, Nordic School of Public Health NHV.
    Literature review: The ‘logics’ of birth settings in Arctic Greenland2013In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 29, no 11, p. 79-88Article in journal (Refereed)
    Abstract [en]

    Objective

    to review literature on the physical place of childbirth in Greenland between 1953 and 2001, using a narrative review theory and a content analysis framework, the paper seeks to describe and analyse the change in perinatal health care structure in Greenland.

    Design

    findings were discussed within the framework of Daviss' Logics bringing into account scientific, clinical, personal, cultural and intuitive logics as well as economic, legal and political ‘logics’ concerning perinatal health care policies.

    Setting

    the literature study concerns the place of birth in Greenland, a self-governing constituency of 57,000 people, the world's largest island and with a predominately Inuit population with its own language and culture. Inuit population with its own language and culture.

    Findings

    the place of birth in Greenland has changed and focus has moved from birth as a personal and community act to birth within the private and political arena. New policies and guidelines for pregnancy and childbearing decisions are seldom negotiated with the women, families and their communities.

    Conclusionspolicy changes have an influence on the social and cultural development of Greenland and it poses a challenge and a counter weight to the political and economic limitations that the government works within. Women and children are vulnerable groups and are directly affected by the changing perinatal health care and policy. It is important that when changing policy, the women and their families are part of the dialogue around chang

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