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The culture developed by midwives working in a midwifery group practice. / Celia Coulson

Swansea University Author: Celia Coulson

Abstract

The history of midwifery has been a long struggle between a male dominated priesthood, then later a system of organised medicine (also controlled by men) and a women's community apprentice-led network of helping and healing. The advent of the National Health Service (NHS) in 1946 and subsequent...

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Published: 2007
Institution: Swansea University
Degree level: Doctoral
Degree name: Ph.D
URI: https://cronfa.swan.ac.uk/Record/cronfa42554
first_indexed 2018-08-02T18:54:59Z
last_indexed 2019-10-21T16:48:02Z
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recordtype RisThesis
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spelling 2018-08-22T15:54:06.4355232 v2 42554 2018-08-02 The culture developed by midwives working in a midwifery group practice. 8da5cd832ea9d62b240e3eb781d13196 NULL Celia Coulson Celia Coulson true true 2018-08-02 The history of midwifery has been a long struggle between a male dominated priesthood, then later a system of organised medicine (also controlled by men) and a women's community apprentice-led network of helping and healing. The advent of the National Health Service (NHS) in 1946 and subsequent reforms of the NHS confirmed medical power and hospital births were advocated as the safe option (Donnison, 1988; Tew, 1990) In 1992, the consumers of the maternity services and the midwives providing the majority of the care formed an alliance and petitioned the government of the day for a review of the service. This led to the publication of the 'Changing Childbirth' report (DoH, 1993) where continuity, choice and control were the fundamental principles. This ethnographic study follows the setting up of pilot teams as a result of 'Changing Childbirth' that then became fully established into the local maternity service. The focus is on one of the teams; their search for identity and the establishment of a Midwifery Group Practice. It explores the midwives struggles to develop as a team and the changing relationships with each other, their colleagues and management. This study also highlights the changing dynamics of the woman-midwife relationship for these midwives, their own personal development and the impact the new way of working had on family life. Using policy ethnography, this study sets out to observe how a national policy (DoH, 1993) was implemented by the midwives providing the local service. It documents the transformational journey undertaken as they moved from practising within the confines of the hospital to a community-based service underpinned by the trusting relationship with the women in their care. E-Thesis Nursing.;Obstetrics. 31 12 2007 2007-12-31 COLLEGE NANME Nursing COLLEGE CODE Swansea University Doctoral Ph.D 2018-08-22T15:54:06.4355232 2018-08-02T16:24:29.6497963 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Nursing Celia Coulson NULL 1 0042554-02082018162503.pdf 10805303.pdf 2018-08-02T16:25:03.6570000 Output 7535609 application/pdf E-Thesis true 2018-08-02T16:25:03.6570000 false
title The culture developed by midwives working in a midwifery group practice.
spellingShingle The culture developed by midwives working in a midwifery group practice.
Celia Coulson
title_short The culture developed by midwives working in a midwifery group practice.
title_full The culture developed by midwives working in a midwifery group practice.
title_fullStr The culture developed by midwives working in a midwifery group practice.
title_full_unstemmed The culture developed by midwives working in a midwifery group practice.
title_sort The culture developed by midwives working in a midwifery group practice.
author_id_str_mv 8da5cd832ea9d62b240e3eb781d13196
author_id_fullname_str_mv 8da5cd832ea9d62b240e3eb781d13196_***_Celia Coulson
author Celia Coulson
author2 Celia Coulson
format E-Thesis
publishDate 2007
institution Swansea University
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Nursing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Nursing
document_store_str 1
active_str 0
description The history of midwifery has been a long struggle between a male dominated priesthood, then later a system of organised medicine (also controlled by men) and a women's community apprentice-led network of helping and healing. The advent of the National Health Service (NHS) in 1946 and subsequent reforms of the NHS confirmed medical power and hospital births were advocated as the safe option (Donnison, 1988; Tew, 1990) In 1992, the consumers of the maternity services and the midwives providing the majority of the care formed an alliance and petitioned the government of the day for a review of the service. This led to the publication of the 'Changing Childbirth' report (DoH, 1993) where continuity, choice and control were the fundamental principles. This ethnographic study follows the setting up of pilot teams as a result of 'Changing Childbirth' that then became fully established into the local maternity service. The focus is on one of the teams; their search for identity and the establishment of a Midwifery Group Practice. It explores the midwives struggles to develop as a team and the changing relationships with each other, their colleagues and management. This study also highlights the changing dynamics of the woman-midwife relationship for these midwives, their own personal development and the impact the new way of working had on family life. Using policy ethnography, this study sets out to observe how a national policy (DoH, 1993) was implemented by the midwives providing the local service. It documents the transformational journey undertaken as they moved from practising within the confines of the hospital to a community-based service underpinned by the trusting relationship with the women in their care.
published_date 2007-12-31T04:53:01Z
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score 11.106693

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