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dc.contributor.authorNewnham, Elizabeth
dc.contributor.authorMcKellar, Lois
dc.contributor.authorPincombe, Jan
dc.date.accessioned2021-09-23T05:32:03Z
dc.date.available2021-09-23T05:32:03Z
dc.date.issued2017
dc.identifier.issn0266-6138
dc.identifier.doi10.1016/j.midw.2017.09.003
dc.identifier.urihttp://hdl.handle.net/10072/408279
dc.description.abstractObjective to investigate the personal, social, cultural and institutional influences on women making decisions about using epidural analgesia in labour. In this article we discuss the findings that describe practices around the gaining of consent for an epidural in labour, which we juxtapose with similar processes relating to use of water for labour and/or birth. Design ethnography. Setting tertiary hospital in Australian city. Participants sequential interviews were conducted with 16 women; hospital staff (primarily midwives and doctors) participated during six months of participatory observation fieldwork. Findings women were not given full disclosure of either practice and midwives tailored the information they gave according to the institutional policies rather than evidence. Key conclusions informed consent is an oft-cited human right in health care, yet in maternity care the micro-politics of how informed consent is gained is difficult to ascertain, leading to a situation whereby the concept of informed consent is more robust than the reality of practice; an illusion of informed consent exists, yet information is often biased towards medicalised birth practices. Implications for practice as primary maternity care-givers, midwives have a role in providing unbiased information to women; however it appears that hospital culture and policy affect the way that this information is presented. It is arguable whether women in such instances are giving true informed consent, and for this reason, the ethics of these hidden practices are questioned.
dc.description.peerreviewedYes
dc.languageEnglish
dc.publisherELSEVIER SCI LTD
dc.relation.ispartofpagefrom53
dc.relation.ispartofpageto59
dc.relation.ispartofjournalMidwifery
dc.relation.ispartofvolume55
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchcode4205
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsNursing
dc.subject.keywordsAntenatal education
dc.subject.keywordsBioethics
dc.title'It's your body, but...' Mixed messages in childbirth education: Findings from a hospital ethnography
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationNewnham, E; McKellar, L; Pincombe, J, 'It's your body, but...' Mixed messages in childbirth education: Findings from a hospital ethnography, Midwifery, 2017, 55, pp. 53-59
dcterms.dateAccepted2017-09-08
dc.date.updated2021-09-23T05:30:53Z
gro.hasfulltextNo Full Text
gro.griffith.authorNewnham, Elizabeth C.


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