Interactions between midwives and women at labour onset-Version 1
Research type
Research Study
Full title
An in depth exploration of the outcomes of midwife/mother interactions when labour onset is suspected: A participatory action research study
IRAS ID
133592
Contact name
Helen ED Shallow
Contact email
Sponsor organisation
University of West of Scotland
Research summary
I plan to explore the experiences of mothers and midwives when labour begins. I chose participatory action research, as this methodology fits with my practice role and I want to work collaboratively with midwives and mothers so that my study is constructive and solution focussed. In the spirit of partnership working, my aim is that participants are genuinely included in the research process and are not used by me as objects for study. My plan is to recruit willing volunteers amongst midwives and mothers to a series of focus groups followed by some in depth interviews, to determine what influences decision making and how mothers and midwives experience the interactions at this time. Current policy encourages women to stay at home for as long as possible in early labour. The rationale for this policy was initially the view that if women were admitted to the labour ward too early they were more likely to have unnecessary medical interventions to speed labour along. This was thought to lead to more forceps and caesarean sections. It was concluded that women staying in hospital in early labour also meant less ‘caring’ time for other women who were in established labour. The drivers behind this policy have over time shifted however as a result of ‘shrinking’ hospitals, reduced capacity and less midwives to provide support. Services in the community no longer allow for care and assessment in early labour at home, even though research has shown this increases women’s satisfaction. This research will examine what happens to women as a result of contemporary service provision during early labour and whether current policy is in the best interests of women and babies. We will then come together to discuss the themes arsing from their discussions and interviews and generate recommendations to feedback locally and nationally.
REC name
North West - Greater Manchester East Research Ethics Committee
REC reference
13/NW/0725
Date of REC Opinion
4 Oct 2013
REC opinion
Favourable Opinion