Overarching theme | Theme | Sub-theme | Concepts |
---|---|---|---|
Wanting to lead continuous woman-centered care but being unable to | 1.Emphasis on the non-interventional care | Emphasis on physiological childbirth | – |
Psychological care is more important than physical care | – | ||
2.Midwifery-specific focus | Midwife’s professional values | Justice in care | |
Communication skills | |||
A sense of empathy | |||
Sense of responsibility and work ethics | |||
Professional view of work | |||
Midwife’s characteristics and competence in providing care | Patience | ||
An interest in the job | |||
Right reaction in critical situations | |||
Ability to do teamwork | |||
Ability to control stress | |||
Optimism | |||
3.Obstacles and challenges of midwifery care | Lack of familiarity with and knowledge in relation to childbirth | Pregnant woman’s unfamiliarity with the process of physiological childbirth | |
Pregnant woman’s unfamiliarity with the complications of cesarean section | |||
The insignificant role of midwives in decision making | Midwife is in the margins of decision making | ||
Lack of midwife independence in the care process | |||
Robotic care | |||
Obstetrician utilitarianism | Performing all deliveries | ||
Not giving midwife the freedom to perform delivery | |||
Lack of teamwork | |||
High workloads along with work-related stress | Multiple responsibilities along with work-related stress | ||
Simultaneous responsibility of care for several women/people in labour | |||
Argument-driven communication between obstetricians and midwives | Argument over the diagnosis of problem | ||
Argument along with disrespect | |||
Argument over financial issues | |||
An absence of a ‘triangle of trust’ in care | Patient’s trust in midwife | ||
obstetrician’s trust in midwife |