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An integrative literature review on midwives' perceptions on the facilitators and barriers of physiological birth
Author(s) -
Wong Cassandra Y.W.,
He HongGu,
Shorey Shefaly,
Koh Serena S.L.
Publication year - 2017
Publication title -
international journal of nursing practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.62
H-Index - 55
eISSN - 1440-172X
pISSN - 1322-7114
DOI - 10.1111/ijn.12602
Subject(s) - cinahl , psycinfo , scopus , birth attendant , teamwork , nursing , perception , medicine , medline , childbirth , critical appraisal , psychology , alternative medicine , medical education , pregnancy , psychological intervention , population , political science , health services , biology , genetics , environmental health , pathology , neuroscience , law , maternal health
Aim To present a synthesis and summary of midwives' perceptions on the facilitators and barriers of physiological birth. Background Medicalisation of birth has transformed and dictated how birthing should take place since the 20 th century. Midwives' perceptions on their role within this medicalised environment have not been well documented. Design An integrative literature review. Data sources and review methods: Primary research articles published in English from the period of 2004 to 2015 were included in this review. The Joanna Briggs Institute's critical appraisal forms were used to appraise the quality of the articles. Data were identified from CINAHL, PubMed, PsycINFO, ScienceDirect, and Scopus. Results Eighteen articles were reviewed. Lack of knowledge due to inadequate training, existing obstetrician‐led practices, and midwives' negative perceptions of physiological birth were identified as barriers in the literature. Facilitators like shared decision‐making, women's preferences, teamwork, institutional support, and midwives' positive perceptions of physiological birth promoted physiological birth. Most of the studies were conducted in Western countries. Conclusion Midwives face barriers and facilitators when promoting physiological birth during their clinical practise. Future studies exploring midwives' perceptions of physiological birth are needed, especially in Asia where cultural and organizational factors may differ from Western countries.