Evidence map›Paper›PMID 29921233›Full record

ArticleBMC pregnancy and childbirth2018

Midwives' experience of their education, knowledge and practice around immersion in water for labour or birth.

Lucy Lewis, Yvonne L Hauck, Janice Butt, Chloe Western, Helen Overing, Corrinne Poletti, Jessica Priest, Dawn Hudd, Brooke Thomson

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Effect Analysis of Midwife Education and Training with PDCA Model.Computational intelligence and neuroscience · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Lucy LewisSchool of Nursing, Midwifery and Paramedicine, Curtin University, Bentley, Perth, Western Australia, 6102, Australia. Lucy.lewis@curtin.edu.au.
Yvonne L HauckSchool of Nursing, Midwifery and Paramedicine, Curtin University, Bentley, Perth, Western Australia, 6102, Australia.
Janice ButtDepartment of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, Subiaco, Western Australia, 6008, Australia.
Chloe WesternDepartment of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, Subiaco, Western Australia, 6008, Australia.
Helen OveringDepartment of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, Subiaco, Western Australia, 6008, Australia.
Corrinne PolettiDepartment of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, Subiaco, Western Australia, 6008, Australia.
Jessica PriestDepartment of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, Subiaco, Western Australia, 6008, Australia.
Dawn HuddFamily Birth Centre, Midwifery Group Practice and Community Midwifery Program, King Edward Memorial Hospital, Subiaco, 6008, Western Australia, Australia.
Brooke ThomsonSchool of Nursing, Midwifery and Paramedicine, Curtin University, Bentley, Perth, Western Australia, 6102, Australia.
King Edward Memorial Hospital · AUCurtin University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is limited research examining midwives' education, knowledge and practice around immersion in water for labour or birth. Our aim was to address this gap in evidence and build knowledge around this important topic.

methodsThis mixed method study was performed in two phases, between August and December 2016, in the birth centre of a tertiary public maternity hospital in Western Australia. Phase one utilised a cross sectional design to examine perceptions of education, knowledge and practice around immersion in water for labour or birth through a questionnaire. Phase two employed a qualitative descriptive design and focus groups to explore what midwives enjoyed about caring for women who labour or birth in water and the challenges midwives experienced with waterbirth. Frequency distributions were employed for quantitative data. Thematic analysis was undertaken to extract common themes from focus group transcripts.

resultsThe majority (85%; 29 of 34) of midwives surveyed returned a questionnaire. Results from phase one confirmed that following training, 93% (27 of 29) of midwives felt equipped to facilitate waterbirth and the mean waterbirths required to facilitate confidence was seven. Midwives were confident caring for women in water during the first, second and third stage of labour and enjoyed facilitating water immersion for labour and birth. Finally, responses to labour and birth scenarios indicated midwives were practicing according to state-wide clinical guidance. Phase two included two focus groups of seven and five midwives. Exploration of what midwives enjoyed about caring for women who used water immersion revealed three themes: instinctive birthing; woman-centred atmosphere; and undisturbed space. Exploration of the challenges experienced with waterbirth revealed two themes: learning through reflection and facilities required to support waterbirth.

conclusionsThis research contributes to the growing knowledge base examining midwives' education, knowledge and practice around immersion in water for labour or birth. It also highlights the importance of exploring what immersion in water for labour and birth offers midwives, as this research suggests they are integral to sustaining waterbirth as an option for low risk women.

Indexed as

Health Knowledge, Attitudes, PracticeImmersionParturitionClinical CompetenceCross-Sectional StudiesFemaleFocus GroupsGuideline AdherenceHumansLabor, ObstetricLearning CurveMidwiferyPractice Guidelines as TopicPregnancySelf EfficacySurveys and QuestionnairesWaterClinical confidenceEducationLearningMixed methodsPractice guidelineWaterbirth

Identifiers

PMID29921233
PMCPMC6008918
OpenAlexW2809415395

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.