Water Birth: The Experiences and Perceptions of Childbirth Health Care Professionals in Alberta Hospitals
Notice bibliographique
Résumé
The differences between the medical and midwifery models of childbirth challenge whether the medical model of childbirth represents the best standard of care for women. The introduction and progression of increased access of midwifery services in Alberta has led to water birth becoming more accessible. Water birth, is currently taking place in hospitals in Alberta with claims from midwifery clinics that over 70% of their mothers have given birth in water (Birth Partnership Midwives, n. d.). Although several studies have been conducted regarding patient perspectives surrounding this practice, very little research has been carried out to investigate the perceptions and experiences of childbirth health care professionals (HCPs) who either actively participate in water birth or are exposed to water birth in their work site. A quantitative, nonexperimental, descriptive research study design in the form of a cross-sectional online survey was used to gain a better understanding of the level of support that exists for this practice within the province and explore the overall perceptions and experiences of childbirth HCPs in terms of perceived benefits, risks and barriers toward water birth. Respondents comprised 214 registered nurses, 38 registered midwives, 41 physicians, and 11 obstetricians (N=304). Results showed that childbirth HCPs had a positive level of support for water birth as a practice in Alberta. A significant difference in support levels between the different HCP groups was noted, except for the physician-obstetrician pair. Childbirth HCPs generally perceived high benefits, but also high barriers, high maternal risk, and high other risk associated with water birth. Attitudes toward neonatal risk were more ambiguous. More research is needed to better understand what underlying factors impact the perception of water birth benefits, risks, and barriers to skew either more negatively or more positively. The future of water birth depends not only on more research, but on the beliefs and experiences of the people involved in the birthing process, which includes not only all varieties of childbirth HCPs and women experiencing childbirth, but also other roles within the health care system that impact the delivery of patient care (i.e., administrators, patients, and policy makers).
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Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,007 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».