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CONFERENCE PROCEEDING
"Who is facilitating who?": Providing individualised intrapartum care for high risk women within healthcare institutions
1
University College Dublin, School of Nursing- Midwifery and Health Systems, Dublin 18, Ireland
2
University College Cork, School of Nursing and Midwifery, Cork, Ireland
Eur J Midwifery 2026;10(Supplement 1):A486
ABSTRACT
BACKGROUND:
Women who are high risk have been identified as a cohort who have difficulty attaining individualised care in labour and birth. However, there is limited evidence in understanding how healthcare professionals provide individualised care within healthcare institutions.
OBJECTIVES:
The aim of this paper is to present findings from a qualitative study that explored midwives and obstetricians’ (n=12) experiences of providing individualised intrapartum care for high risk women.
METHODS:
Participants were recruited to this study using purposive (n=11) and network (n=1) sampling that used an interpretive descriptive approach. Semi-structured interviews were completed online. Data collection and a constant comparative analysis was conducted concurrently. Ethical approval was provided.
RESULTS:
Participants were clear that their role was to facilitate women in labour and birth, yet they often asked women to acquiesce the standardised processes of birth within the institution. A selection of findings from the axial code ‘The needs of the many Vs the needs of the individual’ will be presented with illustrative quotes. Time frames (and their limits) were often strictly used to manage labour and birth, so healthcare professionals had to navigate these to facilitate women’s wishes. There were circumstances, such as some medical conditions, where participants did not feel they could facilitate women’s individualised care needs which created limits to what women could achieve for their wishes in birth.
CONCLUSIONS:
High risk women need to be able to attain individualised care in the intrapartum period. Whilst HCPs endeavoured to provide individualised care to women, the conditions within the institution did not always allow them to do so. There needs to be clearer separation between what may not achievable because of a medical condition, and what is not facilitated because it is not the normal process within the institution.
KEY MESSAGE:
Individualised care may be dependent on HCPs willingness to facilitate it Poster session 1 (Group A)
Women who are high risk have been identified as a cohort who have difficulty attaining individualised care in labour and birth. However, there is limited evidence in understanding how healthcare professionals provide individualised care within healthcare institutions.
OBJECTIVES:
The aim of this paper is to present findings from a qualitative study that explored midwives and obstetricians’ (n=12) experiences of providing individualised intrapartum care for high risk women.
METHODS:
Participants were recruited to this study using purposive (n=11) and network (n=1) sampling that used an interpretive descriptive approach. Semi-structured interviews were completed online. Data collection and a constant comparative analysis was conducted concurrently. Ethical approval was provided.
RESULTS:
Participants were clear that their role was to facilitate women in labour and birth, yet they often asked women to acquiesce the standardised processes of birth within the institution. A selection of findings from the axial code ‘The needs of the many Vs the needs of the individual’ will be presented with illustrative quotes. Time frames (and their limits) were often strictly used to manage labour and birth, so healthcare professionals had to navigate these to facilitate women’s wishes. There were circumstances, such as some medical conditions, where participants did not feel they could facilitate women’s individualised care needs which created limits to what women could achieve for their wishes in birth.
CONCLUSIONS:
High risk women need to be able to attain individualised care in the intrapartum period. Whilst HCPs endeavoured to provide individualised care to women, the conditions within the institution did not always allow them to do so. There needs to be clearer separation between what may not achievable because of a medical condition, and what is not facilitated because it is not the normal process within the institution.
KEY MESSAGE:
Individualised care may be dependent on HCPs willingness to facilitate it Poster session 1 (Group A)
| eISSN: | 2585-2906 |
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