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Acceptability and feasibility of a midwifery intervention to promote active labour and decision-making: a qualitative study with women and nurse-midwives
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Resumo(s)
Objectives: To evaluate the acceptability and feasibility of a complex midwifery intervention, developed in line with the MRC Framework, designed to promote active labour and support informed decision-making. Methods: A qualitative study was conducted within community-based childbirth preparation programmes. The intervention was delivered by nurse-midwives in primary care. Semi-structured interviews with participating women and nurse-midwives were retrospectively analysed to explore perceptions of acceptability and feasibility. Results: Women generally perceived the intervention as highly acceptable, valuing the group format, experiential and reflective elements, and the sense of preparation and confidence gained. Many described enhanced self-efficacy and agency, often reinforced by partner support. However, some reported frustration when strategies could not be applied during labour, highlighting the limits of antenatal programmes in restrictive medical contexts. Midwives also considered the programme acceptable, recognising its innovative methodology, contribution to professional development, and positive impact on women. Feasibility was reflected in women’s accounts of experiential learning, scenario-based reflection, and printed materials as mediators of practice, with reported outcomes including mobility, autonomy, and more meaningful birth experiences, though institutional constraints sometimes limited active strategies. Midwives emphasised feasibility through strong motivation, the intervention’s low cost, and its integration into routine care, while also noting challenges such as limited space, large groups, and ambivalence towards the decision-making component. Conclusion: The intervention was acceptable to women and midwives and feasible for integration into childbirth preparation. Divergent perspectives revealed areas for refinement, underscoring the limits of antenatal programmes in medicalised contexts while highlighting the potential of context-sensitive, evidence-based interventions to strengthen women’s autonomy.
Descrição
Palavras-chave
Active labor Antenatal education Decision-making Feasibility studies Women-centered care
Contexto Educativo
Citação
Lopes, M. I., Vieira, M., & Cardoso, A. (2026). Acceptability and feasibility of a midwifery intervention to promote active labour and decision-making: a qualitative study with women and nurse-midwives. Sexual and Reproductive Healthcare, 47, Article 101172. https://doi.org/10.1016/j.srhc.2025.101172