CONFERENCE PROCEEDING
One aspect of midwifery care—Being with woman: A descriptive study of women´s perspective on midwifery presence at birth
 
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1
University of Iceland, Faculty of Nursing and Midwifery, Reykjavik, Iceland
 
2
Landspitali- University Hospital, Women´s Clinc, Reykjavík, Iceland
 
 
Eur J Midwifery 2026;10(Supplement 1):A524
 
ABSTRACT
BACKGROUND:
The use of many interventions during childbirth is increasing worldwide. Increased knowledge on the meaning of midwifery presence and support in labour is of importance as it is associated with improved birth outcomes.

OBJECTIVES:
To learn about women's perceptions of the midwifery practice of “being with woman” during instrumental vaginal birth or emergency cesarean section.

METHODS:
The translation and adaption of the Positive Presence Index (PPI) was conducted at an mixed risk birth unit in Iceland. The descriptive, correlational design used a convenience sample of 400 women of mixed risk. The main outcome measure was a 29-item seven-response Likert scale questionnaire, the Positive Presence Index (PPI), administered to women after birth. This included questions such as; number of midwives attending, presence of personal support persons and support to use coping/comfort techniques. Birth characteristics were also collected. Descriptive statistics was used to present the result and ANOVA for the analysis of variance to determine differences in PPI scored for all independent variables.

RESULTS:
In the study sample emergency cesarean sections accounted for about 9% of all deliveries and instrumental births (vacuum extractions and forceps) 9,5%. Preliminary data show that there is a difference in the perception of the midwifery practice of “being with woman” depending on the mode of birth. This is an ongoing study and further analysis will be presented at the conference.

CONCLUSIONS:
As higher rate of interventions has been reported worldwide it is of importance to explore how women who experience instrumental birth experience the aspect of midwifery care- being with women. Our study findings will hopefully inform policy and planning of midwifery care during birth.

KEY MESSAGE:
This study will add to the knowledge about the midwifery practice of “being with woman” during instrumental birth and cesarean section and as such strengthen the knowledge base of how midwifery presence can affect birth outcomes. Poster session 1 (Group A)
eISSN:2585-2906
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