Skilled heartfelt midwifery practice : safe, relational care for alternative physiological births / Claire Feeley.
Feeley, Claire, author.
2023
RG950 .F44 2023
Available Online

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Title
Skilled heartfelt midwifery practice : safe, relational care for alternative physiological births / Claire Feeley.
Author
Feeley, Claire, author.
ISBN
9783031436437 (electronic bk.)
3031436431 (electronic bk.)
3031436423
9783031436420
DOI
https://doi.org/10.1007/978-3-031-43643-7
Published
Cham : Springer, [2023]
Language
English
Description
1 online resource
Item Number
10.1007/978-3-031-43643-7 doi
Call Number
RG950 .F44 2023
Dewey Decimal Classification
618.2
Summary
This book about the art, craft and science of expert midwifery care, while focusing on alternative physiological births that are those outside of guidelines, the contents can be applied to any birthing choices. Drawing upon the findings of a PhD that captured the experiences of midwives who proactively supported alternative physiological births while working in the National Health Service, their practice was conceptualised as skilled heartfelt practice. Skilled heartfelt practice denotes the interrelationship between midwives attitudes and beliefs in support of womens choices, their values of cultivating meaningful relationships, and their expert practical clinical skills. It is these qualities combined that give rise to what is called full-scope midwifery as defined by the Lancet Midwifery Series. This book illuminates why and how these midwives facilitated safe, relational care. Using a combination of emotional intelligence skills and clinical expertise while centring womens bodily autonomy, they ensured safe care was provided within a holistic framework. Moreover, this book offers insights for midwives to move beyond rule-based practice, where the benefits of expert practice are illuminated. Midwives facilitating alternative physiological births epitomise evidence-based practice, which centres the woman or birthing person as the expert in their life, and the midwife meets them where they are with expert skills to support them. But what does this look like in clinical practice, particularly for those employed by institutions, those working within the system who have constraints that private or self-employed midwives dont have? How does a midwife cultivate those skills within a culture and climate that devalues both relationships, midwives and womens autonomy? This book aims to provide a roadmap for those seeking to cultivate these skills. The core focus will be the midwife-mother relationship from the perspectives of the midwives, rather than the midwives wider working relationships or workplace contexts. This is purposeful so to offer a deep dive into the nuanced and varied ways of delivering this type of care. However, the realities of practice are also firmly embedded with the book, tensions will be explored, limitations acknowledged.
Bibliography, etc. Note
Includes bibliographical references.
Access Note
Access limited to authorized users.
Source of Description
Online resource; title from PDF title page (SpringerLink, viewed November 6, 2023).
Available in Other Form
Print version: 9783031436420
Linked Resources
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Intro
Foreword
Preface
About the Book
Contents
List of Tables
About the Author
Abbreviations
1: Introduction
1.1 Skilled Heartfelt Midwifery Practice
1.2 Midwifery in Context
1.3 Physiological Birth in Context
1.4 Alternative Physiological Birth and the Research
1.5 Moving from a Rule-Based Practice to Skilled Heartfelt Midwifery: A Roadmap
References
2: Recognising Ourselves: The Role of Beliefs, Values, Attitudes and Philosophy on Birthing Choices
2.1 Introduction
2.2 Different Lenses, Different Perspectives

2.3 Beliefs, Values and Attitudes Underpinning Skilled Heartfelt Midwifery
Maternal Autonomy as Paramount and the Boundaries of Responsibility
A Healthy Baby: The Minimum Expectation
You Have to See It, to Believe It: Women's Bodies Work
Birthplace and Birth Attendants' Matter: Influencing Birth Outcomes
Loving Women, Loving Birth
2.4 With-Woman Philosophy and Practice
2.5 Cultivating Self-Awareness: Exploring Our Beliefs, Values and Attitudes
2.6 Conclusion
References
3: Cultivating Emotional Safety, the Cornerstone of Safe, Relational Care
3.1 Introduction

3.2 'Safety' in Maternity Care
3.3 Widening Conceptions of Safety in Maternity Care
Understanding as Safety
Support as Safety
Trust and Trustworthiness as Safety
3.4 Relational Care Is Safe Care
3.5 Cultivating Self-Awareness: Exploring and Managing our Fears
3.6 Conclusion
References
4: Moving from a Rule-Based Practice to Expert Clinical Midwifery Practice
4.1 Introduction
4.2 Rule-Based Versus Autonomous, Professional Practice
4.3 Expert Midwifery Practice
Knowledgeable
Proactive
Technical
Responsive and Adaptable
Intuitive

4.4 Safe Care Is Not Routinised Care
4.5 Cultivating Self-Awareness: Exploring Our Experiences of, and Exposure to Physiological Birth
4.6 Conclusion
References
5: What Midwives Need to Provide Skilled Heartfelt Practice
5.1 Introduction
5.2 Midwives' Wellbeing: A Crucial Component of Safe, Relational Care
5.3 The ASSET Model
A: Autonomy and Access, Assess and Apply EBM
Autonomy
Access, Assess and Apply Evidence-Based Medicine
S: Skills, Skill Development
Skills in Physiological Birth and Across All Settings

Skill Development/Continuing Professional Development
S: Systems Approach, Support
A Systems Approach that Supports Full-Scope Midwifery
Edna
Amy
Support
E: Empathy and Compassion
T: Trusting Relationships
5.4 Safe, Relational Care as a Collective Responsibility
5.5 A Conclusion, and a Heartfelt Thank You
References
Appendix: Case Studies
Chapter 2
Laura: Motivations for Her Practice
Georgina: Values Informed by Personal and Professional Experiences
Chapter 3
Isabel: Safety Means Something Different to Individuals

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