Swedish Midwives' Experiences and Views of Amniotomy: An Interview Study

Overview

Journal Midwifery

Specialties Gynecology & Obstetrics
Nursing

Date 2020 Sep 27

PMID 32980755

Citations 4

Authors

Sofia Ingvarsson

Kristina Schildmeijer

Marie Oscarsson

Affiliations

Soon will be listed here.

Abstract

Objective: To explore midwives' experiences and views of amniotomy.

Design: A qualitative inductive design was used. Data were collected using interviews and analysed with content analysis carried out with NVivo 12.

Setting And Participants: Sixteen midwives working at delivery wards at three hospitals in the south of Sweden.

Findings: Three categories emerged: "Promote, protect and support the physiological process of labour", "To make the decision -to do or not to do" and "Unpredictable response". The overall theme linking the three categories was "We become our decisions", portraying how midwives carry the responsibility in the decision-making and represent themselves in their handling of amniotomy.

Conclusions: Amniotomy was experienced and viewed as both simple and complex, safe and risky, and deciding on it sometimes implied balancing contradicting perspectives. By using midwifery skills in the decision-making for an amniotomy, the midwives tried to predict the response, purposing to support physiological labour and promote health for women and babies.

Citing Articles

Observation of non-recommended (harmful) intrapartum practices among obstetric care providers in public hospitals in southern Ethiopia, 2023.

Dinagde D, Marami S, Feyisa G, Afework H, Dabe N, Wada H PLOS Glob Public Health. 2024; 4(7):e0003375.

PMID: 38990980 PMC: 11239106. DOI: 10.1371/journal.pgph.0003375.

Incidence and risk factors for umbilical cord prolapse in labor when amniotomy is used and with spontaneous rupture of membranes: A Swedish nationwide register study.

Tallhage S, Arestedt K, Schildmeijer K, Oscarsson M Acta Obstet Gynecol Scand. 2023; 103(2):304-312.

PMID: 37969005 PMC: 10823388. DOI: 10.1111/aogs.14717.

The Correct Indication to Induce Labour in a Swiss Cantonal Hospital.

Mbata M, Boesing M, Luthi-Corridori G, Jaun F, Vetter G, Grobli-Staheli J J Clin Med. 2023; 12(20).

PMID: 37892653 PMC: 10607527. DOI: 10.3390/jcm12206515.

Prevalence of amniotomy in Sweden: a nationwide register study.

Tallhage S, Arestedt K, Schildmeijer K, Oscarsson M BMC Pregnancy Childbirth. 2022; 22(1):486.

PMID: 35701766 PMC: 9195378. DOI: 10.1186/s12884-022-04805-w.

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