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Women's empowerment for active labor: a qualitative study with nurse-midwives in antenatal education for childbirth

dc.contributor.authorLopes, Marlene I.
dc.contributor.authorVieira, Margarida
dc.contributor.authorCardoso, Alexandrina
dc.date.accessioned2024-09-09T11:50:26Z
dc.date.available2024-09-09T11:50:26Z
dc.date.issued2024-08
dc.description.abstractINTRODUCTION Recognizing the positive impact of movement and positions on labor progression and maternal and neonatal outcomes, there is a strong recommendation to empower women for active labor during antenatal education. This study investigates nurse-midwives' interventions in empowering women for active labor, during antenatal education within primary healthcare settings. METHODS A qualitative descriptive study was conducted in Primary Healthcare Units that provide antenatal education for childbirth in Portugal. Semi-structured interviews were conducted with 10 nurse-midwives between August and October 2023. Content analysis, utilizing NVIVO software, was employed for data analysis, and the study adhered to the COREQ reporting guidelines. RESULTS Six themes emerged: 1) Perspective of nurse-midwives and contextual influences; 2) Assessment of women's needs; 3) Enhancing women's knowledge; 4) Enhancing women's capabilities; 5) Supporting women in decision-making; and 6) Nursemidwives' perspective on intervention outcomes. It is necessary to create environments conducive to knowledge and skill acquisition and invest in developing body awareness and its impact on labor progression. Encouraging women's involvement in decision-making is crucial, especially in less flexible hospital environments. CONCLUSIONS This study highlighted the value nurse-midwives place on empowering women for active labor. Interventions featured sharing evidence-based practices and birth stories to foster reflection, emphasizing pelvic mobility training and partner involvement. Reflective practices could enable women to explore options and communicate effectively with healthcare professionals during labor.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.18332/ejm/188117pt_PT
dc.identifier.eid85202746122
dc.identifier.issn2585-2906
dc.identifier.pmcPMC11339881
dc.identifier.pmid39175493
dc.identifier.urihttp://hdl.handle.net/10400.14/46413
dc.identifier.wos001304630700002
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectActive birthpt_PT
dc.subjectChildbearing womenpt_PT
dc.subjectDecision-makingpt_PT
dc.subjectNurse midwivespt_PT
dc.subjectPrenatal educationpt_PT
dc.subjectUpright positionspt_PT
dc.titleWomen's empowerment for active labor: a qualitative study with nurse-midwives in antenatal education for childbirthpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issueAugustpt_PT
oaire.citation.titleEuropean Journal of Midwiferypt_PT
oaire.citation.volume8pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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