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Case-loading midwifery in New Zealand: bridging the normal/abnormal divide 'with woman'


Davis, DL and Walker, K, Case-loading midwifery in New Zealand: bridging the normal/abnormal divide 'with woman', Midwifery, 27, (1) pp. 46-52. ISSN 0266-6138 (2011) [Refereed Article]

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Copyright Statement

Copyright 2009 Elsevier Ltd.

DOI: doi:10.1016/j.midw.2009.09.007


Objectives: to explore the way that case-loading midwives in New Zealand construct midwifery (and in so doing, the concepts of woman and childbirth). This paper illuminates the fundamental features of this construction (continuity and woman-centred care) and discusses this with regard to the role of midwives vis-a-vis normal/abnormal birth. Design: semi-structured interviews and official publications constituted the 'text' which was analysed using a poststructural approach that was informed by theorists Foucault, Grosz and Braidotti. Participants and setting: 48 case-loading midwives practising throughout New Zealand participated in this study. These included facility-employed and self-employed midwives and those from rural and urban settings. Findings: many midwives follow women through their maternity experience providing continuity of care regardless of whether the experience is considered 'normal' or 'abnormal'. Key conclusions: continuity and woman-centred care are fundamental features of the construction of midwifery in New Zealand. Implications for practice: a focus on the midwifery concept of 'with woman' can bridge the divide between the polarising concepts 'normal' and 'abnormal' and enable a more fluid and dynamic reading of midwifery.

Item Details

Item Type:Refereed Article
Research Division:Health Sciences
Research Group:Nursing
Research Field:Nursing not elsewhere classified
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Nursing
UTAS Author:Walker, K (Professor Kim Walker)
ID Code:78132
Year Published:2011
Web of Science® Times Cited:18
Deposited By:Health Sciences B
Deposited On:2012-06-15
Last Modified:2017-11-02
Downloads:3 View Download Statistics

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